A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective?

Choice A rationale:

The statement, "I can expect my eyelids to be bruised after this procedure," indicates an understanding of the common side effects of cataract removal surgery. Bruising around the eyes is a common occurrence due to the manipulation of tissues during the procedure.

Choice B rationale:

The statement, "I will see dark spots in my vision after this procedure," is incorrect. Dark spots in vision are not a normal or expected outcome of cataract removal surgery. This statement shows a misunderstanding of the procedure.

Choice C rationale:

The statement, "I will receive general anesthesia for this procedure," is incorrect. While anesthesia is administered during the procedure, specifying the type of anesthesia is not crucial for the client's understanding of the surgery itself. The focus should be on the procedure details rather than the type of anesthesia.

Choice D rationale:

The statement, "I know the provider will replace the lens in my eyes during this procedure," indicates a clear understanding of the cataract removal procedure. The main goal of cataract surgery is to remove the cloudy lens and replace it with a clear artificial lens, improving the patient's vision. This statement demonstrates the client's comprehension of the surgery process.

Choice A rationale:

Taking corrective measures to enforce hand hygiene should not be the first step. It is important to establish a baseline and understand the current situation through data collection and analysis before implementing corrective measures.

Choice B rationale:

Establishing methods for collecting data within the facility is a crucial first step. Gathering information about the current hand hygiene practices, compliance rates, and areas of improvement is essential for the audit process. Data collection provides a factual basis for identifying problems and implementing targeted interventions.

Choice C rationale:

Comparing the facility's data with the established criteria for hand hygiene is a subsequent step after data collection. This step helps in evaluating the current practices against the accepted standards and guidelines. However, it is not the first step in the audit process.

Choice D rationale:

Determining the accepted standards for hand hygiene is an essential first step. It involves researching and understanding the national and international guidelines, protocols, and recommendations related to hand hygiene. Knowing the standards helps the task force establish a benchmark against which the facility's practices can be evaluated. It provides a foundation for data collection and subsequent analysis.