A nurse is attending a quality improvement meeting. Which of the following actions should the nurse take first when initiating a quality improvement program to address health care-associated infections?

Identify current infection rates from facility data.

Incorporate the process change into daily practice within the facility.

Select a potential intervention to lower the current infection rate.

Determine if the implemented change has lowered the current infection rate.

Answer and Explanation

The Correct Answer is A

A. Identify current infection rates from facility data:

This is the correct answer. Before implementing any changes, it is crucial to assess the current state of infection rates within the facility. This data serves as a baseline to measure the effectiveness of interventions.

B. Incorporate the process change into daily practice within the facility:

This step comes after identifying the current infection rates. Implementing changes without understanding the baseline infection rates may not effectively address the issue.

C. Select a potential intervention to lower the current infection rate:

While selecting an intervention is a crucial step, it should follow the identification of current infection rates. Interventions should be evidence-based and tailored to the specific issues identified.

D. Determine if the implemented change has lowered the current infection rate:

This step occurs after the intervention has been implemented. It involves ongoing monitoring and evaluation to determine the impact of the changes on infection rates.

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Correct Answer is B

Explanation

A. Inserting a straight urinary catheter for a client:

Inserting a urinary catheter involves a sterile procedure and requires the specialized skills of a licensed nurse. This task should not be delegated to assistive personnel.

B. Performing perineal care for a client who has an indwelling urinary catheter.

Delegating tasks should align with the education, training, and scope of practice of the assistive personnel. Performing perineal care for a client with an indwelling urinary catheter is a task that can be appropriately delegated to assistive personnel. This task involves basic hygiene and does not require the advanced skills or knowledge of a licensed nurse.

C. Showing a client how to use an incentive spirometer:

Educational tasks, such as demonstrating how to use an incentive spirometer, require knowledge and understanding of the device, as well as the ability to assess and respond to the client's needs. This task is best performed by a licensed nurse.

D. Increasing oxygen flow for a client who has a nasal cannula:

Adjusting oxygen flow involves assessing the client's condition and making decisions based on the client's oxygenation needs. This task requires the clinical judgment of a licensed nurse and should not be delegated to assistive personnel.

Correct Answer is ["500"]

Explanation

To calculate the mL/hr for the lactated Ringer's IV infusion over 30 minutes, you can use the following formula:

Rate (mL/hr)=Volume (mL)/Time (hr)

In this case:

Rate=250 mL/ 0.5 hr

Rate=500mL/hr

Therefore, the nurse should set the IV pump to deliver 500 mL/hr for the lactated Ringer's IV infusion over 1 hour.

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A nurse is attending a quality improvement meeting. Which of the following actions should the nurse take first when initiating a quality improvement program to address health care-associated infections?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

Correct Answer is B

Explanation

A nurse is preparing to administer lactated Ringer's 250 mL IV to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["500"]

Explanation

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