The table illustrated is presented at a unit's performance improvement committee's meeting.
Quarter 1: Surgical Improvement Results
|
Surgical Infection Prevention Measures |
Current Rate |
Benchmark |
|
Cardiac surgery clients with controlled 6 a.m postoperative serum glucose |
90.22% |
85%
|
|
Colorectal surgery clients with immediate postoperative normothermia |
75.58%
|
85%
|
|
Surgery clients with recommended DVT prophylaxis ordered |
88.72%
|
95%
|
|
Surgery clients who received appropriate DVT prophylaxis with 24 hours prior to surgery to 24 hours after surgery |
84.75%
|
95%
|
|
Prophylactic antibiotics received within 1 90.47% hour before surgical incision |
90.47% |
100%
|
|
Prophylactic antibiotics discontinued within 24 hours after surgery |
80.57% |
100% |
Which measure indicates the greatest need for improvement compared to other hospitals?
Colorectal surgery clients with immediate postoperative normothermia
Prophylactic antibiotics discontinued within 24 hours after surgery
Cardiac surgery clients with controlled 6 a.m. postoperative serum glucose
Surgery clients who received appropriate DVT prophylaxis within 24 hours prior to surgery to 24 hours after surgery
The Correct Answer is B
Rationale:
A. The current rate is 75.58% compared to a benchmark of 85%, which is a 9.42% shortfall. While this indicates a need for improvement, it is not the largest gap among the measures.
B. The current rate is 80.57%, with a benchmark of 100%, representing a 19.43% shortfall. This is the largest gap between the hospital’s current performance and the benchmark, indicating the greatest need for targeted improvement efforts. Timely discontinuation of prophylactic antibiotics is critical to prevent antibiotic resistance and reduce postoperative complications.
C. The current rate is 90.22%, which is actually above the benchmark of 85%. This measure is performing well and does not indicate a need for improvement.
D. The current rate is 84.75%, compared with a benchmark of 95%, a 10.25% shortfall. While improvement is needed, it is less urgent than the gap for discontinuing prophylactic antibiotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Rationale:
A. This statement shows personal accountability by committing to completing the assigned work within the established timeframe. Accountability involves taking ownership of one’s responsibilities and ensuring tasks are completed as expected.
B. This statement deflects responsibility and blames external factors. Accountability requires owning outcomes rather than making excuses or shifting blame.
C. While giving direction is part of leadership, demanding blind obedience does not demonstrate accountability. True accountability involves guidance, support, and taking responsibility for both successes and failures.
D. This demonstrates accountability by acknowledging potential challenges, proactively communicating progress, and seeking help when necessary. It shows the team leader is responsible for the outcome and willing to collaborate to ensure success.
E. This statement shows accountability for clear communication and leadership duties. Being responsible for setting clear expectations ensures team members can perform effectively, which is a core component of accountable leadership.
Correct Answer is B
Explanation
Rationale:
A. While prior management experience is beneficial, a new graduate lacks clinical competence and familiarity with ICU-specific procedures and protocols. Charge nurses must demonstrate both clinical expertise and leadership within their unit, so new graduates are generally not ready for this role regardless of prior management experience.
B. This is the most appropriate candidate. The nurse has substantial unit-specific experience, understands ICU protocols, client care needs, and team dynamics. These factors are essential for effectively managing staffing, patient care assignments, and responding to emergencies, all of which are responsibilities of a charge nurse. Experience in the unit ensures both clinical competence and the credibility needed to lead peers.
C. While this nurse has general nursing experience, outpatient care does not provide the critical care skills or familiarity with ICU protocols required for safe charge nurse practice. Leadership in a unit requires both clinical and contextual knowledge specific to that setting.
D. A bachelor’s degree provides foundational knowledge, but a new graduate still lacks clinical experience, unit familiarity, and leadership exposure necessary for a charge nurse role. Advanced education alone does not compensate for the need for hands-on ICU expertise
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