The table illustrated is presented at an infection control performance Improvement committee's meeting.
Quarter 1 Results
|
Healthcare-associated infection |
Current rate |
Benchmark |
|
Central line-associated bloodstream infections (CLABSI) in ICUS and select wards |
1.079
|
1.000
|
|
Catheter-associated urinary tract infections (CAUTI) in ICUS and select wards |
0.991
|
1.000
|
|
Surgical site infections (SSI) from colon surgery |
2.869 |
1.000
|
|
Methicillin-resistant staphylococcus Aureus (MRSA) blood infections |
0.000
|
1.000
|
|
Clostridium difficile (C. Diff) intestinal infections |
0.082
|
1.000
|
Which measure indicates the greatest need for improvement compared to other hospitals?
Surgical site infections (55) from colon surgery
Central line-associated bloodstream infections (CLABSI) in intensive care units (ICUS) and select wards
Clostridium difficile (C. Diff) intestinal infections
Catheter-associated urinary tract infections (CAUTI) in Intensive care units (ICUS) and select wards
The Correct Answer is A
Rationale:
A. The current rate is 2.869, which is almost three times the benchmark rate of 1.000. This large deviation indicates that the hospital’s performance is substantially worse than expected, signaling a critical need for targeted interventions. High SSI rates can increase patient morbidity, prolong hospital stays, raise healthcare costs, and elevate the risk of serious complications, such as sepsis. Reducing SSI rates requires comprehensive quality improvement measures, including strict adherence to sterile technique, appropriate perioperative antibiotic administration, and enhanced postoperative monitoring.
B. The current rate is 1.079, slightly above the benchmark of 1.000. Although there is room for improvement, the deviation is minor (approximately 7.9% above benchmark). Targeted interventions such as central line care bundles, hand hygiene, and proper insertion and maintenance protocols can help reduce this rate, but the urgency is less than that for SSIs, given the smaller gap from the benchmark.
C. The current rate is 0.082, which is well below the benchmark of 1.000, indicating excellent infection control performance. This measure demonstrates that current practices are effective, and no immediate improvement interventions are needed for this infection type.
D. The current rate is 0.991, slightly below the benchmark of 1.000. This reflects satisfactory performance. Although continuous monitoring and adherence to urinary catheter protocols are necessary, the rate does not indicate an urgent need for intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
Rationale:
A. This would average more than 36 hours per week over time. For example, three 12-hour shifts are 36 hours, but adding an 8-hour shift every two weeks increases the average weekly hours above 36. This schedule exceeds a 0.9 FTE.
B. This totals 36 hours (3×8 + 12 = 36). While mathematically it matches 0.9 FTE, mixed shifts (8- and 12-hour) are less common in standard scheduling practices, and the question asks for typical schedules. This is generally not considered a standard 0.9 FTE schedule.
C. 4×9 = 36 hours, which matches the 0.9 FTE exactly. This is a typical alternative schedule used for nontraditional workweeks.
D. 5×8 = 40 hours, which is a full-time (1.0 FTE) schedule, exceeding 0.9 FTE.
E. 3×12 = 36 hours, matching 0.9 FTE. This is a standard schedule for nurses working three 12-hour shifts per week.
Correct Answer is B
Explanation
Rationale:
A. This response is not the most appropriate because it is confrontational and may undermine the new nurse in front of the client. While rotating sites unnecessarily may cause discomfort, simply stating it would cause harm does not promote learning or critical thinking. It also fails to assess the new nurse’s current understanding of evidence-based practice.
B. This is the best response because it uses a supportive, educational approach consistent with professional nursing practice. By asking the new nurse what they understand about the evidence, the experienced nurse encourages critical thinking, assesses knowledge gaps, and creates an opportunity for teaching about current research. This aligns with principles of evidence-based practice and promotes a collaborative learning environment without embarrassing the new nurse.
C. This option is inappropriate because the issue is not about the technical skill of inserting an IV line, but rather about applying current evidence to practice. Teaching a skill does not address the misunderstanding regarding outdated practice.
D. While this statement is true, it is too vague and does not actively engage the new nurse in understanding or applying the evidence. It also misses the opportunity to assess the nurse’s knowledge and guide them toward correct clinical reasoning.
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