A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?

"We should start tracking how soon clients are discharged after laparoscopic versus open surgery."

"We should be sure to log out of the computers immediately following documentation."

"We should involve our clients' partners in care planning as much as possible."

"We should provide change-of-shift report as a team, including the assistive personnel who assisted with care."

Answer and Explanation

The Correct Answer is A

A. "We should start tracking how soon clients are discharged after laparoscopic versus open surgery.": This statement reflects the QSEN concept of quality improvement by focusing on collecting and analyzing data related to patient discharge times. By tracking this information, the team can identify trends, evaluate the effectiveness of care, and implement changes to improve patient outcomes and streamline the discharge process.

B. "We should be sure to log out of the computers immediately following documentation.": While this statement emphasizes an important aspect of safety and confidentiality in documentation, it does not directly address quality improvement initiatives. It focuses more on operational procedures rather than evaluating and enhancing the quality of patient care.

C. "We should involve our clients' partners in care planning as much as possible.": Involving clients' partners in care planning aligns with the QSEN concept of patient-centered care. While this approach is essential for improving patient satisfaction and outcomes, it is not specifically a quality improvement initiative.

D. "We should provide change-of-shift report as a team, including the assistive personnel who assisted with care.": This statement reflects teamwork and communication strategies, which are important for effective patient care. However, it does not directly focus on quality improvement initiatives aimed at evaluating and enhancing the overall quality of care provided to clients.

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Correct Answer is A

Explanation

A. "I have a severe allergy to amoxicillin." A severe allergy to amoxicillin suggests a potential cross-reactivity with ceftriaxone, as both belong to the beta-lactam antibiotic class. While cross-reactivity between penicillins and cephalosporins is lower with third-generation cephalosporins like ceftriaxone, a history of severe allergic reactions, such as anaphylaxis, warrants consultation with the provider before administration.

B. "I get sick when I take diuretics." Adverse effects from diuretics do not typically indicate a contraindication to ceftriaxone. While diuretics like furosemide can interact with aminoglycosides to increase nephrotoxicity, ceftriaxone does not share this risk. Monitoring for individual tolerances is important, but this statement does not require holding the medication.

C. "I have a history of hearing problems." Ceftriaxone is not associated with ototoxicity, unlike aminoglycosides or vancomycin. A history of hearing problems does not necessitate withholding the medication, though the nurse should monitor for any new or worsening symptoms if concurrent ototoxic medications are prescribed.

D. "I take prednisone for my asthma." Corticosteroid use does not directly contraindicate ceftriaxone administration. While prolonged corticosteroid therapy may increase the risk of infections or mask symptoms of an allergic reaction, it does not warrant holding the antibiotic. The nurse should continue routine monitoring but can safely proceed with administration.

A. "Hospice care focuses on disease treatment and rehabilitation." B. "The provider will coordinate your health care needs while in hospice." C. "You must choose a home caregiver before being admitted into a hospice facility." D. "Hospice care continues to help families with grief after a death occurs."

Correct Answer is D

Explanation

A. "Hospice care focuses on disease treatment and rehabilitation": Hospice care prioritizes comfort and symptom management rather than curative treatments or rehabilitation. The focus is on improving quality of life for clients with terminal illnesses.

B. "The provider will coordinate your health care needs while in hospice": Hospice care is typically managed by an interdisciplinary team, including nurses, social workers, chaplains, and other specialists, rather than being solely coordinated by a provider. The team collaboratively addresses the client's needs.

C. "You must choose a home caregiver before being admitted into a hospice facility": Hospice care can be provided in various settings, including the client’s home, a dedicated hospice facility, or a hospital. While a home caregiver may be helpful for in-home care, it is not a requirement for admission into a hospice program.

D. "Hospice care continues to help families with grief after a death occurs": Bereavement support is a key component of hospice care, offering counseling, resources, and support groups to help families cope with loss after the client’s passing.

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A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse to hold the medication and consult the provider?

Correct Answer is A

Explanation

A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and their family. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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