A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?

Observe staff medication administration procedures.

Require staff to complete a medication administration review module.

Identify data that should be collected related to medication errors.

Re-evaluate staff performance in relation to the established standard.

Answer and Explanation

The Correct Answer is C

A. Observe staff medication administration procedures: While observation can provide valuable insights into workflow and potential areas for improvement, it may not address the underlying causes of medication errors or provide comprehensive data for quality improvement efforts.
B. Require staff to complete a medication administration review module: Education and training are important components of improving medication safety, but they may not be the most
immediate or effective response to addressing an elevated rate of medication errors.

C. Identify data that should be collected related to medication errors: This is the correct answer.

Before implementing interventions to address medication errors, it is important to gather comprehensive data on the types, causes, and frequency of errors. This data will help identify specific areas for improvement and guide the development of targeted interventions.
D. Re-evaluate staff performance in relation to the established standard: While ongoing evaluation of staff performance is important for maintaining quality care, it may not be the most appropriate first step when addressing an elevated rate of medication errors. Gathering data on medication errors and their contributing factors is essential for understanding the root causes of the problem and developing effective solutions.

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Correct Answer is D

Explanation

A. The nurse shares their performance plan with another nurse: While sharing the performance plan with another nurse may indicate a level of transparency, it does not necessarily demonstrate that the nurse has improved their performance.
B. The nurse attends a critical thinking class: Attending a class may be part of the remediation plan, but it does not directly indicate whether the nurse's performance has improved.
C. The nurse verbalizes their understanding of the plan: Verbalizing understanding is a positive step, but it does not necessarily guarantee improved performance in practice.

D. The nurse performs all tasks as specified: This is the correct answer. The ultimate goal of a performance improvement plan is to address areas of weakness and ensure that the nurse is able to perform their duties effectively. If the nurse consistently performs all tasks as specified, it
indicates that the plan has been effective in addressing performance issues.

A. A client who is receiving heparin and has an aPTT of 34 seconds B. A client who has orthostatic hypotension and is receiving IV fluids C. A client who has Type 1 diabetes and uses an insulin pump D. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL

Correct Answer is D

Explanation

A. A client who is receiving heparin and has an aPTT of 34 seconds: While monitoring heparin therapy is important, this client's condition does not necessarily require an interdisciplinary conference at this time.
B. A client who has orthostatic hypotension and is receiving IV fluids: Management of orthostatic hypotension and IV fluids may require coordination among nursing and medical staff, but it may not necessitate an interdisciplinary conference unless there are significant
complications or complex care needs.

C. A client who has Type 1 diabetes and uses an insulin pump: While managing diabetes may involve coordination between nursing and other healthcare professionals, clients using insulin
pumps typically have established care plans and may not require an interdisciplinary conference unless there are specific issues or changes in management.
D. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL: This is the correct answer. Clients at risk for pressure ulcers often require input from multiple disciplines, including nursing, wound care specialists, nutritionists, and possibly physical therapists, to develop and implement comprehensive care plans aimed at preventing pressure ulcers and
promoting wound healing. An interdisciplinary conference can facilitate coordination of care and ensure all aspects of the client's needs are addressed.

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A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

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