Nokea
A nurse is preparing a report for the quality improvement committee about medication errors. Which of the following data should the nurse include to evaluate the effectiveness of current interventions?
- A. The number of staff trained on medication safety protocols.
- B. The cost of implementing new medication scanners.
- C. The percentage of medication errors before and after interventions.
- D. The satisfaction scores from staff using new medication systems.
Correct Answer: C
Rationale: The correct answer is C, the percentage of medication errors before and after interventions. This data is crucial for evaluating the effectiveness of current interventions because it directly measures the impact of the interventions on reducing medication errors. By comparing the percentage of errors before and after the interventions, the nurse can determine if the interventions have been successful in improving medication safety.
Choice A is incorrect because while staff training is important, it does not directly measure the effectiveness of interventions on reducing errors.
Choice B is incorrect as the cost of implementing new scanners is not a direct indicator of effectiveness in reducing medication errors.
Choice D is incorrect as staff satisfaction scores do not necessarily reflect the actual impact on medication error reduction.
In summary, monitoring the percentage of medication errors before and after interventions provides a clear, objective measure of the effectiveness of current interventions in improving medication safety.
You may also like to solve these questions
A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?
- A. The client works in the hospital radiology department.
- B. The client discussed having prior thoughts of suicide.
- C. The client's blood pressure and pulse have been fluctuating throughout the day.
- D. The client's family members have been present most of the day.
Correct Answer: C
Rationale: The correct answer is C because fluctuating blood pressure and pulse indicate unstable vital signs requiring close monitoring and immediate intervention. The nurse giving report is indicating that the client's condition is dynamic and may require frequent assessments and interventions, which necessitates the oncoming nurse assuming total care. Choices A, B, and D do not directly imply the need for total care and could potentially be managed by assistive personnel.
A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching?
- A. A staff nurse can function as the incident commander.
- B. An actual disaster cannot take the place of a disaster drill.
- C. A physician must triage victims of a disaster in the emergency department.
- D. Disaster drills should be held on a regular basis.
Correct Answer: D
Rationale: The correct answer is D: Disaster drills should be held on a regular basis. This is essential for preparedness and practice in handling emergencies. Regular drills help ensure staff are familiar with procedures, can identify areas for improvement, and maintain readiness.
Incorrect choices: A: A staff nurse typically does not serve as the incident commander, who is usually a designated leader with specific training. B: While disaster drills are crucial, an actual disaster is unpredictable and serves a different purpose. C: Triage in a disaster is often done by trained personnel such as nurses or paramedics, not just physicians.
A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?
- A. An infant who has pertussis and is receiving oxygen via nasal cannula
- B. An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions
- C. A school-age child who has diabetes mellitus and requires blood glucose monitoring
- D. A toddler who has both arms in casts and needs to be fed his breakfast
Correct Answer: A
Rationale: The correct answer is A. The nurse should assess the infant with pertussis receiving oxygen first because pertussis can cause severe respiratory distress. Assessing the infant's respiratory status is crucial as pertussis can lead to respiratory failure. Oxygen therapy is essential for maintaining adequate oxygenation levels. The nurse must monitor the infant's respiratory rate, effort, and oxygen saturation levels to ensure proper oxygenation. This assessment takes priority over the other clients' needs.
Choice B is incorrect because although the adolescent has sickle cell crisis, they are stable and ready for discharge instructions, which can be addressed after the critical assessment of the infant is completed.
Choice C is incorrect as monitoring blood glucose levels in a child with diabetes is important but does not take precedence over assessing a critically ill infant with pertussis.
Choice D is incorrect as feeding a toddler with both arms in casts can be challenging but does not pose an immediate threat to their health compared to the infant with pertussis requiring oxygen.
In
An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?
- A. Palpate for possible bladder distention.
- B. Observe the incision site.
- C. Change the abdominal dressing.
- D. Obtain vital signs.
Correct Answer: D
Rationale: The correct answer is D: Obtain vital signs. Vital signs are essential to assess the client's overall condition and determine the urgency of the situation. The AP can measure and report the vital signs to the nurse promptly. Palpating for bladder distention (choice A) requires a higher level of assessment and may indicate a complication postoperatively. Observing the incision site (choice B) involves assessing for signs of infection or other complications, which should be done by a nurse. Changing the abdominal dressing (choice C) requires sterile technique and assessment skills beyond the AP's scope. Therefore, delegating these tasks to the AP could delay necessary interventions.
A nurse is triaging clients in the emergency department after a multi-vehicle accident. Which of the following clients should the nurse prioritize for immediate care?
- A. A client with a laceration on the arm and stable vital signs.
- B. A client with a closed fracture of the femur and severe pain.
- C. A client with chest pain and shortness of breath.
- D. A client with abrasions on the face and neck.
Correct Answer: C
Rationale: The correct answer is C: A client with chest pain and shortness of breath. This client should be prioritized for immediate care as chest pain and shortness of breath can indicate a potentially life-threatening condition such as a heart attack or pulmonary embolism. The nurse should assess and intervene promptly to prevent further complications.
Choice A is incorrect because a laceration on the arm with stable vital signs is not immediately life-threatening. Choice B, a closed fracture of the femur with severe pain, while painful, does not pose an immediate threat to life. Choice D, abrasions on the face and neck, are not considered priority over potential cardiac or respiratory issues.