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 A

Explanation

Rationale:

A. Comparing the number of medication errors before and after implementing changes provides a direct measure of the effectiveness of those changes.

B. Conducting a study on costs is relevant but not directly related to evaluating the effectiveness in reducing medication errors.

C. Establishing a benchmark is useful for setting standards but does not measure the impact of changes already implemented.

D. Quantifying staff satisfaction is important for assessing the acceptance of changes but does not directly measure the effectiveness in reducing errors.

A. "I want you to review the facility's policy on personal attire before you begin the shift." B. "There is a higher risk of infection for our clients associated with artificial nails." C. "Why would you wear artificial nails to work when you know it's against the rules?" D. "You should know that artificial nails have a very unprofessional appearance."

Correct Answer is B

Explanation

Rationale:

A. "I want you to review the facility's policy on personal attire before you begin the shift." does not address the specific concern regarding infection risk related to artificial nails.

B. "There is a higher risk of infection for our clients associated with artificial nails." provides a clear and factual explanation of why artificial nails are not appropriate, focusing on client safety rather than personal appearance or policy.

C. "Why would you wear artificial nails to work when you know it's against the rules?" is confrontational and does not address the issue in a constructive manner.

D. "You should know that artificial nails have a very unprofessional appearance." focuses on appearance rather than the potential risk to clients' health.

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Naxlex Comprehensive Predictor Exams

A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

Correct Answer is A

Explanation

An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement?

A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse's responsibilities?

A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?

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 is caring for a group of clients. She plans to delegate obtaining morning vital signs to an assistive personnel (AP) on her team. Which of the following actions should the nurse plan to take?

A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is supervising a newly licensed nurse who is caring for a client on a behavioral health unit. Exhibits Complete the following sentence by using the list of options. The nurse should instruct the newly licensed nurse to first dropdown then dropdown.

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?