A nurse manager is evaluating a quality improvement initiative for reducing health care-associated infections. Which of the following findings indicate the initiative is effective?

Clients who are intubated are kept in the supine position

Central lines are inserted into the femoral vein for clients who are obese.

Clients who have an indwelling urinary catheter are assessed daily to determine if it is still needed.

Nurses perform hand hygiene for 10 seconds before completing tasks.

Answer and Explanation

The Correct Answer is C

A. Clients who are intubated are kept in the supine position: Keeping intubated clients in supine position increases the risk of ventilator-associated pneumonia. Elevating the head of the bed to 30-45 degrees is recommended to prevent aspiration and reduce the risk of infections.

B. Central lines are inserted into the femoral vein for clients who are obese: Inserting central lines into the femoral vein is generally avoided because it increases the risk of infection and complications, especially in obese clients. The jugular or subclavian veins are preferred.

C. Clients who have an indwelling urinary catheter are assessed daily to determine if it is still needed: Regular assessment of the necessity of an indwelling urinary catheter is an evidence-based practice to reduce catheter-associated urinary tract infections (CAUTI).

D. Nurses perform hand hygiene for 10 seconds before completing tasks: The recommended duration for hand hygiene is at least 20 seconds to effectively remove pathogens. A 10-second duration is insufficient to prevent the transmission of infections.

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Correct Answer is A

Explanation

A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL): Treatment involves calcium and vitamin D supplementation to restore normal calcium levels. A calcium level of 9.6 mg/dL is within the normal range, indicating that the treatment is effective in correcting the calcium deficiency.

B. Glucose 96 mg/dL (74 to 106 mg/dL): Blood glucose is not directly related to the management of hypoparathyroidism. The glucose level being within normal range does not provide information about the effectiveness of treatment for hypoparathyroidism.

C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L): Potassium levels are not directly affected by hypoparathyroidism. This value is within the normal range but does not indicate the effectiveness of treatment for hypoparathyroidism specifically.

D. Sodium 142 mEq/L (136 to 145 mEq/L): Sodium levels are not typically influenced by hypoparathyroidism or its treatment. This value is within normal range but does not indicate the effectiveness of treatment for hypoparathyroidism.

A. Remove weights when pulling the client up in bed. B. Check the rope for fraying every 8 hr. C. Cleanse the pin sites with hydrogen peroxide. D. Inspect the pin sites for infection every 24 hr.

Correct Answer is B

Explanation

A. Remove weights when pulling the client up in bed: Weights should never be removed from skeletal traction unless ordered by a healthcare provider. Removing weights disrupts the traction's purpose and alignment, potentially causing complications.

B. Check the rope for fraying every 8 hr: Checking the rope for fraying every 8 hours is an appropriate and safe practice in skeletal traction. Ensuring that the rope is intact and functioning properly is essential for maintaining the stability and effectiveness of the traction.

C. Cleanse the pin sites with hydrogen peroxide: Hydrogen peroxide can be too harsh for cleaning pin sites, as it may damage tissue and delay healing. A sterile saline solution is usually preferred for cleaning pin sites unless otherwise prescribed.

D. Inspect the pin sites for infection every 24 hr: Pin site inspections should be done at least once per shift, not just every 24 hours, to promptly detect any signs of infection, as early intervention is key.

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A nurse manager is evaluating a quality improvement initiative for reducing health care-associated infections. Which of the following findings indicate the initiative is effective?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hypoparathyroidism. Which of the following findings should indicate to the nurse that the treatment is effective?

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Explanation

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Correct Answer is B

Explanation

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