A nurse is learning about the Institute of Medicine (IOM) (now National Academy of Medicine (NAM)) characteristics of Healthcare Quality.

Which of the following best describes the characteristics of the efficiency domain in Healthcare Quality initiatives?

Working to reduce wait times in the emergency department.

Utilizing the CAUTI bundle to prevent urinary tract infections when placing indwelling urinary catheters.

Using an interpreter for patients who do not speak the healthcare provider’s language.

Opening and utilizing supplies that are necessary for the task.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Efficiency in healthcare refers to the optimal use of resources to achieve the desired health outcomes. Reducing wait times in the emergency department is an example of improving efficiency, as it involves streamlining processes to provide timely care.
Choice B rationale
Utilizing the CAUTI bundle to prevent urinary tract infections when placing indwelling urinary catheters is more related to the safety and effectiveness domains of healthcare quality.
Choice C rationale
Using an interpreter for patients who do not speak the healthcare provider’s language is related to the equity and patient-centeredness domains of healthcare quality.
Choice D rationale
Opening and utilizing supplies that are necessary for the task is a basic requirement in healthcare, but it does not specifically relate to the efficiency domain of healthcare quality.

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Correct Answer is D

Explanation

Choice A rationale
Taking breaks outside in fresh air can help to clear the lungs of inhaled toxins to some extent. However, this measure alone is not sufficient to prevent inhalation exposure of job-related substances.
Choice B rationale
Consistently wearing a disposable paper mask can provide some protection against inhalable toxins. However, such masks may not be effective against all types of toxins and may not provide complete protection.
Choice C rationale
Keeping a fan blowing in the environment can help to disperse toxic substances and prevent them from becoming stagnant in the air. However, this measure alone may not be sufficient to prevent inhalation exposure, and in some cases, it could even spread the toxins more widely.
Choice D rationale
Wearing designated protective attire and devices when working with a toxic substance is the most effective measure to prevent inhalation exposure. This can include items such as respirators, which are designed to filter out specific toxins and protect the respiratory system.

A. Immunosuppressive drug therapy can facilitate organ rejection. B. Immunosuppressive drug therapy can contribute to chronic rhinosinusitis. C. Chronic rhinosinusitis can damage the transplanted organ. D. All of the above.

Correct Answer is B

Explanation

Choice A rationale
While immunosuppressive drug therapy can facilitate organ rejection, it is not directly related to the development of chronic rhinosinusitis in patients who have undergone organ transplants.
Choice B rationale
Immunosuppressive drug therapy can indeed contribute to chronic rhinosinusitis. Patients who have undergone organ transplants are often on long-term immunosuppressive therapy to prevent organ rejection. This can make them more susceptible to infections, including chronic rhinosinusitis.
Choice C rationale
Chronic rhinosinusitis does not typically damage the transplanted organ. It primarily affects the sinuses and nasal passages.
Choice D rationale
All of the above is not the correct answer because Choices A and C are not accurate in the context of chronic rhinosinusitis in patients who have undergone organ transplants.

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A nurse is learning about the Institute of Medicine (IOM) (now National Academy of Medicine (NAM)) characteristics of Healthcare Quality. Which of the following best describes the characteristics of the efficiency domain in Healthcare Quality initiatives?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An employee asks the occupational health nurse about measures to prevent inhalation exposure of job-related substances. Which of the following explanations should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a patient who has recently been diagnosed with chronic rhinosinusitis. What should the nurse understand about chronic rhinosinusitis in patients who have undergone organ transplants?

Correct Answer is B

Explanation

A nurse is caring for a patient receiving mechanical ventilation. The nurse should prioritize which action associated with neuromuscular blockade?

A nurse is reviewing the arterial blood gas (ABG) results for a patient diagnosed with progressive Chronic Obstructive Pulmonary Disease (COPD). Which ABG results should the nurse expect for a patient with progressive COPD?

A nurse is caring for a client newly diagnosed with active tuberculosis (TB) and prescribed triple antibiotic therapy. The nurse should recognize that which clinical sign indicates inadequate drug therapy after 2 months of treatment?

A patient reports that they avoid being around sick people, however, they have experienced repeated colds over the past several weeks. A nurse should respond to the patient’s concern by providing which of the following teaching?

In the context of developing a care plan for a patient on a ventilator to prevent ventilator-associated pneumonia, which interventions should be included? Select all that apply.

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan of care?

During a central IV line insertion at the bedside, a client reports shortness of breath and becomes tachypneic. Which finding should a nurse suspect indicates the client developed a pneumothorax?

A nurse is taking a class about patient safety. Which of the following statements is true regarding patient safety and prevention of harm?

A nurse is learning about the Institute of Medicine (IOM) (now National Academy of Medicine (NAM)) characteristics of Healthcare Quality.

Which of the following best describes the characteristics of the efficiency domain in Healthcare Quality initiatives?