A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of the following quality control tasks should the nurse assign to be completed first?

Choose an infant safety system.

Identify the industry standards for infant safety.

Establish measurement criteria for infant safety systems.

Evaluate the selected infant safety system.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Choosing an infant safety system should not occur until the committee first understands the required standards and regulations.
B. The first step in quality control is to identify industry standards or benchmarks. This ensures the facility’s practices align with established guidelines for infant safety.
C. Establishing measurement criteria comes after standards are identified, so performance can be measured against them.
D. Evaluation of a selected system is one of the final steps, after standards are identified, a system is chosen, and criteria are established.

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Correct Answer is D

Explanation

Rationale:
A. Reviewing facility policies is important but should follow understanding the underlying cause of the issue.
B. Discussing time management strategies may be helpful but is premature without knowing why breaks are being missed.
C. Providing coverage for breaks is a possible solution, but it should be based on identified barriers.
D. Determining the reasons the nurses are not taking breaks is the first step, as it allows the charge nurse to address the root cause and implement an appropriate and effective solution.

A. Client 2 B. Client 1 C. Client 3 D. Client 4 E. Client 5 F. Client 6

Correct Answer is ["A","C","D","E"]

Explanation

Rationale:
A. Client 2: The client vomited undigested food and medication shortly after administration, which may have prevented absorption and requires reporting.
B. Client 1: Cefaclor was administered 30 minutes late (0800 scheduled, given 0830), which is a minor timing discrepancy and does not require an incident report.
C. Client 3: Warfarin was administered despite an INR of 3.8, which is above the prescribed hold limit (>3.5), representing a medication error that requires an incident report.
D. Client 4: Furosemide was ordered PO but was administered IV, which is a route error and requires an incident report.
E. Client 5: Gentamicin was administered at 300 mg instead of the prescribed 150 mg, representing an overdose and requires an incident report.
F. Client 6: Atenolol was administered correctly per prescription, as the apical pulse was above the hold limit; no incident report is needed.

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A nurse is chairing a committee about preventing infant abduction in a new birth care center. Which of the following quality control tasks should the nurse assign to be completed first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A charge nurse is reviewing the medication administration records of six clients. Exhibits Which of the following client situations require an incident report? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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