A nurse is on the hospital quality and performance Improvement committee. The committee is reviewing compliance with prevention measures related to posterior cervical surgical site infections over the first 3 quarters of the year. Glucose Control
Benchmark: 90 %
Quarter 1-75.29%
Quarter 2-85.5%
Quarter 3-82%
Post Operative Normothermia
Bench mark- 85%
Quarter 1-69%
Quarter 2-85%
Quarter 3-86.2%
Perioperative Antibiotics
Benchmark 100%
Quarter 1-90.4%
Quarter 2-88.2%
Quarter 3-92.6 %
Smoking Cessation
Smoking cessation education 4 weeks prior to surgery.
Benchmark 75%
Quarter 1-70.6%
Quarter 2-100%
Quarter 3-74%
Intrawound Vancomycin Powder
Benchmark 80.2%
Quarter 1-75.79%
Quarter 2-80.5%
Quarter 3-92%
Which measures should the nurse recognize that indicate the need for improvement compared to benchmarks? Select all that apply.

Glucose control

Intraoperative vancomycin

Post operative normothermia

Perioperative antibiotics

Smoking cessation

Answer and Explanation

Correct Answer : A,D,E

Rationale:

A. The benchmark for glucose control is 90%, but the percentages reported are consistently below this threshold: 75.29% in Quarter 1, 85.5% in Quarter 2, and 82% in Quarter 3. Improvement is needed to meet or exceed the benchmark.

B. The benchmark is 80.2%, and the percentages are above this threshold: 75.79% in Quarter 1, 80.5% in Quarter 2, and 92% in Quarter 3. No improvement needed as the measure is above the benchmark.

C. The benchmark is 85%, and the percentages reported are: 69% in Quarter 1, 85% in Quarter 2, and 86.2% in Quarter 3. Although Quarter 1 is below the benchmark, Quarter 2 and Quarter 3 meet or exceed the benchmark. Overall, the trend shows improvement.

D. The benchmark is 100%, and the percentages reported are: 90.4% in Quarter 1, 88.2% in Quarter 2, and 92.6% in Quarter 3. Although the percentages are below the benchmark, there is a trend of improvement. However, the measure still requires further enhancement to meet the benchmark.

E. The benchmark for smoking cessation education 4 weeks prior to surgery is 75%. The percentages are below this benchmark in Quarter 1 (70.6%) and Quarter 3 (74%), although it meets the benchmark in Quarter 2 (100%). Consistent adherence to the benchmark needs to be improved.

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Correct Answer is C

Explanation

Rationale:

A. Inform the state medical board for an immediate investigation is not the initial step; concerns should first be reported to appropriate facility personnel.

B. Counsel the provider to determine the cause of the substance abuse is not the nurse’s role; this is a serious issue that requires reporting rather than counseling.

C. Notify the nursing supervisor of the concerns is the appropriate initial step to address the issue according to facility protocol.

D. Encourage clients to change to a different provider is not within the nurse’s scope of practice for handling the provider's behavior and does not address the root issue.

A. Maintaining a client tracking system B. Performing concise client assessment C. Preventing cross-contamination of clients D. Transferring a client to the discharge location

Correct Answer is D

Explanation

Rationale:

A. Maintaining a client tracking system is crucial for managing large numbers of clients during a disaster.

B. Performing concise client assessment is essential for determining the severity of each client’s condition and prioritizing care.

C. Preventing cross-contamination of clients is important to prevent the spread of toxic substances.

D. Transferring a client to the discharge location is the lowest priority during a disaster, as immediate care and management of acute conditions take precedence over discharge planning.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse?

Correct Answer is D

Explanation

A charge nurse is providing an inservice for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment?

A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities is important for the nurse to understand when delegating tasks to the LPN?

A nurse on a pediatric unit is caring for a child and his family. His parents define family as a husband, wife, and child. This definition is which type of family form?

A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care?

A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurse assesses the clients. Which of the following clients is the nurse's priority?