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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Place a mask on the client during the procedure: A mask should be placed on the client to reduce the risk of infection during the dressing change. Peritoneal dialysis involves accessing the peritoneal cavity, and maintaining a sterile environment is crucial to prevent contamination.

B. Cleanse the catheter site using a side-to-side motion: The catheter site should be cleansed using a circular motion starting from the site of insertion and moving outward. This helps avoid introducing bacteria into the insertion site. Side-to-side motion may push bacteria into the area.

C. Tape down the corners of the dressing: While securing the dressing is important, taping the corners may not provide the optimal seal and could risk introducing contaminants. The dressing should be secured properly, but not necessarily with just tape at the corners.

D. Secure an occlusive dressing over the gauze pads: An occlusive dressing over gauze pads is not ideal for peritoneal dialysis catheters. A sterile, breathable dressing is recommended to allow for proper airflow and prevent moisture accumulation, which can promote infection.

A. "I will have to work with a vocational counselor to find out what kinds of jobs I can do.” B. "I don't think I will ever be a whole person again." C. "I don't feel comfortable socializing with my friends." D. "My spouse and I both accept that I am no longer capable of taking care of myself."

Correct Answer is A

Explanation

A. This indicates that the client is actively working towards adapting to the changes in their life by exploring options for continuing work and adjusting to the new limitations. Seeking help from a vocational counselor is a positive sign of adjusting to role changes and maintaining a sense of purpose.

B. "I don't think I will ever be a whole person again.": This reflects feelings of hopelessness and a lack of acceptance of the amputation. It suggests that the client has not yet adapted to the role changes and may need further support in adjusting emotionally to the loss.

C. "I don't feel comfortable socializing with my friends.": This response indicates social withdrawal and discomfort, which may suggest difficulty adjusting to the changes in the client's life. It reflects emotional distress and lack of acceptance.

D. "My spouse and I both accept that I am no longer capable of taking care of myself.": While it is important to recognize the need for assistance, this statement indicates a defeatist attitude, implying a loss of independence that could hinder further adaptation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is changing the dressing for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has a below-the-knee amputation. Which of the following statements should indicate to the nurse that the client has adapted to role changes after their injury?

Correct Answer is A

Explanation

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