A nurse is a member of a quality improvement committee utilizing the Plan-Do-Check-Act (PDCA) model for quality improvement. The nurse should identify evaluation as part of which of the following components of the PDCA model?

Check

Act

Plan

Answer and Explanation

The Correct Answer is B

A. The "Do" component refers to the implementation of the plan, where changes or improvements are put into action, but evaluation does not occur in this phase.

B. The "Check" component involves evaluating the results of the implemented changes to determine their effectiveness, making this the appropriate phase for assessment and analysis of outcomes.

C. The "Act" component involves making adjustments based on the evaluation results, but the actual evaluation itself is part of the "Check" phase.

D. The "Plan" component involves identifying problems and planning interventions but does not include evaluating the effectiveness of those interventions, which is why it is not the correct answer.

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Correct Answer is C

Explanation

A. Assessing the gag reflex after an esophagogastroduodenoscopy is appropriate because it ensures the client has recovered from anesthesia, reducing the risk of aspiration.

B. Keeping the chest tube collection device below the insertion site is proper technique, as it promotes drainage and prevents backflow into the chest cavity.

C. Elevating the head of the bed to 30° for nasogastric tube insertion is incorrect. The head of the bed should be elevated to 45-90° to facilitate easier insertion and reduce the risk of aspiration.

D. Assisting the client into the fetal position is the correct position for a lumbar puncture because it helps open the spaces between vertebrae, allowing easier needle insertion.

A. A client who has a brain tumor and is admitted for chemotherapy B. A client who has multiple sclerosis and ataxia C. A client who sustained a concussion and is being monitored for complications D. A client who has Guillain-Barré syndrome and a tracheostomy

Correct Answer is C

Explanation

A. A client with a brain tumor and chemotherapy may require more complex assessments and management, making them less suitable for a newly licensed nurse.

B. A client with multiple sclerosis and ataxia may have fluctuating symptoms that require more experienced nursing care.

C. A client who sustained a concussion and is being monitored for complications is stable and can be appropriately assigned to a newly licensed nurse who can learn to monitor for signs of deterioration.

D. A client with Guillain-Barré syndrome and a tracheostomy requires specialized skills and knowledge in airway management, making them inappropriate for a newly licensed nurse.

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A nurse is a member of a quality improvement committee utilizing the Plan-Do-Check-Act (PDCA) model for quality improvement. The nurse should identify evaluation as part of which of the following components of the PDCA model?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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