A nurse manager on a maternal newborn unit is completing chart audits to evaluate the implementation procedure for the exclusive breastfeeding protocol that was initiated on the unit. Which of the following types of audits is the nurse manager utilizing?

Structure

Outcome

Process

Concurrent

Answer and Explanation

The Correct Answer is C

Rationale:

A. This option is incorrect because a structure audit evaluates the environment, resources, staff qualifications, and policies that support care, rather than the specific implementation of procedures.

B. This option is incorrect because an outcome audit evaluates the results of care, such as the percentage of infants exclusively breastfed at discharge or rates of complications. While important, outcome audits focus on end results rather than the process itself.

C. This option is correct because a process audit evaluates how care is delivered and whether specific procedures, protocols, or guidelines are being followed correctly. By reviewing charts to determine if the exclusive breastfeeding protocol is being implemented as intended, the nurse manager is assessing the process of care.

D. This option is incorrect because a concurrent audit occurs in real-time while care is being provided. The nurse manager is performing a retrospective chart review, which evaluates care after it has been delivered, not concurrently.

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Correct Answer is C

Explanation

Rationale:

A. This option is incorrect because a client with a new diagnosis of diabetes insipidus requires close monitoring of fluid balance, electrolytes, and urine output. Discharging this client early could lead to serious complications and is unsafe.

B. This option is incorrect because a client on telemetry for dysrhythmias requires continuous cardiac monitoring and immediate access to interventions if an arrhythmia occurs. Early discharge would pose a significant risk to the client’s safety.

C. This option is correct because a client who had a total knee arthroplasty 1 week ago is likely stable, ambulating with assistance or using a walker, and has a lower risk for acute complications. This client can safely be discharged with appropriate home care instructions, physical therapy, and follow-up, making them the most appropriate candidate to free up a bed in an acute care setting.

D. This option is incorrect because a client who had a bowel resection 1 day ago is still in the immediate postoperative period and requires close monitoring for complications such as bleeding, infection, or ileus. Discharging this client would be unsafe.

A. the nurse organized client care activities based on priority B. Nurse observed gathering all necessary supplies before inserting a client's peripheral IV C. Client care activities are grouped based on their location within the unit D. Documentation of client assessments performed at the end of the nursing shift

Correct Answer is ["A","B","C"]

Explanation

Rationale

Organized client care activities based on priority: Prioritizing care at the beginning of the shift demonstrates effective planning and ensures that the most critical client needs are addressed first.
Observed gathering all necessary supplies before inserting a client's peripheral IV: Collecting supplies before starting a procedure prevents unnecessary interruptions and improves efficiency.
Client care activities are grouped based on their location within the unit: Clustering care by location reduces wasted time and unnecessary movement, supporting effective time management.
Documentation of client assessments performed at the end of the nursing shift: Delaying documentation until the end of the shift is inefficient and may compromise accuracy; documentation should be completed as close to the time of care as possible.

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A nurse manager on a maternal newborn unit is completing chart audits to evaluate the implementation procedure for the exclusive breastfeeding protocol that was initiated on the unit. Which of the following types of audits is the nurse manager utilizing?

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Naxlex Comprehensive Predictor Exams

A nursing supervisor in an acute care facility must recommend a client for discharge to make room for a client who was injured during an explosion. Which of the following clients should the nurse recommend for discharge?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C"]

Explanation

A nurse manager witnesses an assistive personnel (AP) using incorrect procedure when transferring a client using a mechanical lift. After reinforcing proper procedure, which of the following methods should the nurse manager use to evaluate the AP's understanding of the teaching?

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