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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

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.

A. Apply mitten restraints to prevent the client from disconnecting their tube feeding. B. Apply soft heel protectors bilaterally while client is in bed. C. Apply a vest restraint daily at bedtime to prevent nighttime wandering. D. Apply an abduction pillow between the client's knees while they are in bed to prevent hip dislocation.

Correct Answer is C

Explanation

A. Apply mitten restraints to prevent the client from disconnecting their tube feeding: Mitten restraints are often used to prevent clients from pulling out tubes or disrupting medical devices. The nurse can apply these restraints as long as they follow the prescribed protocol.

B. Apply soft heel protectors bilaterally while client is in bed: Soft heel protectors are commonly used to prevent pressure ulcers or skin breakdown in immobile clients. This is a standard, non-controversial intervention and does not require verification.

C. Applying a vest restraint daily at bedtime to prevent nighttime wandering is considered a physical restraint used for convenience or punishment, which is a violation of client rights and safety. Restraints should only be used as a last resort when all less restrictive alternatives have failed and for the shortest duration possible.

D. Apply an abduction pillow between the client's knees while they are in bed to prevent hip dislocation: The use of an abduction pillow is common after hip replacement surgery or for patients at risk of hip dislocation. This is an appropriate intervention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 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

A nurse is reviewing providers' prescriptions for four clients. Which of the following prescriptions should the nurse verify with the provider?

Correct Answer is C

Explanation

The nurse is caring for the client who has iron deficiency anemia. Exhibits Which of the following statements indicate the client understands the instructions? Select the 3 statements that apply.

A nurse is reviewing a client's ECG rhythm strip. Which of the following components should the nurse use to measure impulse conduction from the sinus node through the atrioventricular node?

A nurse is planning discharge to home for a client who has a high risk of developing sepsis. Which of the following Instructions should the nurse include in the teaching?

A nurse is assessing a client who has an arteriovenous (AV) graft in the left forearm. Which of the following findings should indicate to the nurse a complication of vascular access?

Exhibits Which of the following should the nurse plan to include when providing teaching for the client? Select all that apply.

A nurse is caring for a client who has an arterial line Inserted in the radial artery. Which of the following actions should the nurse take?

A nurse is caring for a client who has angina. Exhibits Complete the following sentence by using the lists of options. The client is at risk for developing dropdowndue todropdown.