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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Rationale:

A. Lean gently over the back of a chair sitting to one side of the room may appear disengaged or unprofessional.

B. Cross her arms over her chest is a closed posture that may seem defensive or unapproachable.

C. Stare at the people the announcement will affect the most can be intimidating or uncomfortable for others.

D. Sit in front of the group for the meeting and then stand for the announcement is effective for emphasizing the importance of the announcement and engaging the audience.

A. Check the position of a client in soft wrist restraints. B. Accompany a client who has depression to occupational therapy. C. Set limits with a client who has mania. D. Sit with a client who has alcohol use disorder and whose last drink was five days ago. E. Assess a client who has hypomania for exhaustion.

Correct Answer is ["A","B","D"]

Explanation

Rationale:

A. Check the position of a client in soft wrist restraints is appropriate for an AP as it involves routine monitoring and ensuring the client's safety.

B. Accompany a client who has depression to occupational therapy is a task that can be assigned to an AP, as it involves providing support and ensuring the client's safe arrival to therapy.

C. Set limits with a client who has mania is not appropriate for an AP, as this involves therapeutic communication and behavior management, which requires nursing judgment.

D. Sit with a client who has alcohol use disorder and whose last drink was five days ago can be assigned to an AP as it involves providing a supportive presence and monitoring, but the nurse should assess for withdrawal symptoms.

E. Assess a client who has hypomania for exhaustion is a nursing responsibility that involves evaluation and judgment, making it inappropriate to delegate to an AP.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent?

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 on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?

A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients should the nurse assess first?

A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

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?

A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step?