A nurse manager is a part of a team developing a quality improvement plan to address the increased incidence of central line-related bloodstream infections. Which of the following strategies should the nurse manager include in the plan?
Change the facility's vendor for central line products
Use resources that identify benchmarks of best practices
Identify the staff caring for clients who acquire an infection
Report the incidence of infection to the health department
The Correct Answer is B
Choice A reason: Changing the facility's vendor for central line products is not a quality improvement strategy. The vendor is not the cause of the infections, but the process of insertion, maintenance, and removal of the central line. The nurse manager should focus on improving the quality of care rather than the quality of products.
Choice B reason: Using resources that identify benchmarks of best practices is a quality improvement strategy. The nurse manager should compare the facility's performance with the standards and guidelines of evidence-based practice, such as the Centers for Disease Control and Prevention (CDC) or the Institute for Healthcare Improvement (IHI). The nurse manager should also implement interventions to reduce the infection rate, such as staff education, audits, and feedback.
Choice C reason: Identifying the staff caring for clients who acquire an infection is not a quality improvement strategy. The nurse manager should not single out or blame the staff for the infections, but rather involve them in the quality improvement process. The nurse manager should foster a culture of safety and teamwork, and encourage the staff to report and prevent errors.
Choice D reason: Reporting the incidence of infection to the health department is not a quality improvement strategy. The nurse manager should report the infection rate as required by law, but this does not improve the quality of care. The nurse manager should use the data to identify the gaps and areas of improvement, and monitor the outcomes of the quality improvement plan.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A middle adult client who leaves the facility against medical advice does not require the involvement of the ethics committee. The nurse should document the client's decision, inform the provider, and provide discharge instructions.
Choice B reason: A young adult client who is participating in a medical research study does not require the involvement of the ethics committee. The nurse should ensure that the client has given informed consent and is aware of the potential risks and benefits of the study.
Choice C reason: An older adult client who has advance directives on file does not require the involvement of the ethics committee. The nurse should respect the client's wishes and follow the directives in case of a life-threatening situation.
Choice D reason: An adolescent client whose parents refuse a blood transfusion for religious reasons requires the involvement of the ethics committee. The nurse should consult the ethics committee to help resolve the conflict between the parents' beliefs and the client's best interests. The ethics committee can also provide guidance on the legal and ethical implications of the situation.
Correct Answer is B
Explanation
Choice A reason: A social worker is not the best choice for a referral for a client who is having difficulty walking following a stroke. A social worker can help the client with psychosocial issues, such as coping, support, and resources, but not with physical rehabilitation.
Choice B reason: A physical therapist is the best choice for a referral for a client who is having difficulty walking following a stroke. A physical therapist can assess the client's mobility, strength, balance, and coordination, and provide exercises and interventions to improve the client's gait and function.
Choice C reason: An occupational therapist is not the best choice for a referral for a client who is having difficulty walking following a stroke. An occupational therapist can help the client with activities of daily living, such as dressing, bathing, and eating, but not with walking.
Choice D reason: A dietitian is not the best choice for a referral for a client who is having difficulty walking following a stroke. A dietitian can help the client with nutritional needs, such as calorie intake, fluid balance, and dietary restrictions, but not with walking.
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