A nurse working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?

Review current literature regarding client falls

Implement a fall prevention plan

Identify clients who are at risk for falls

Notify staff of the increased fall rate

Answer and Explanation

The Correct Answer is C

a.   While reviewing current literature is an important step in the quality improvement process, it should not be the first action taken after problem identification.
b.   Implementing a fall prevention plan is an important step but should be based on a thorough assessment of clients at risk for falls, which should be done first.
c.   Identifying clients who are at risk for falls is the first step in addressing the issue of increased falls, as it allows for targeted interventions and prevention strategies.
d.   Notifying staff of the increased fall rate may be necessary but should not be the first action taken. Identifying clients at risk for falls should be prioritized to implement preventive measures.

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Correct Answer is A

Explanation

a. An asymmetrical thorax could indicate chest trauma which could compromise oxygen delivery.
b. An open fracture of the femur without vessel inury is a lesser priority than chest trauma.
c. Preorbital edema (swelling around the eyes) may indicate facial trauma but is not as immediately lifethreatening as an open fracture.
d. A deep-partial thickness burn on the lower extremities is serious but does not pose an immediate threat to life compared to other injuries such as an open fracture with potential bleeding and risk of infection.

A. Document in the client’s chart that an incident report has been filed B. Call risk management to interview the client C. Contact the nurse manager D. Reassure the client that the staff is well trained

Correct Answer is C

Explanation

a. While documenting that an incident report has been filed is important, it should not be the first action taken. The nurse should first take steps to address the issue.
b. In this situation, contacting risk management may be necessary, but the immediate priority should be to address the client's concerns and ensure appropriate follow-up.
c. Contacting the nurse manager is the appropriate first action to report the client's complaint and initiate further investigation and intervention as needed.
d. Reassuring the client about the staff's training is not sufficient in addressing the client's complaint of excessive force. The issue should be reported to the appropriate authority for investigation and resolution.

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A nurse working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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