A nurse is reviewing the electronic medical records of clients following the implementation of a quality improvement plan to reduce health care associated infections.
Select the three clients whose findings indicate the program is effective.
Client 1
Client 5
Client 2
Client 3
Client 4
Correct Answer : B,C,D
A. Client 1: Worsening of the pressure injury with purulent drainage indicates infection and failure of pressure injury prevention strategies.
B. Client 5: The stage 3 pressure injury reduced in size and severity to stage 2, with the absence of purulent drainage, indicating wound healing and effective intervention.
C. Client 2: WBC count decreased from 11,500/mm³ to within the normal range at 9,500/mm³, indicating improvement in pneumonia.
D. Client 3: Temperature reduced from 38.9°C to 38°C, with stabilization of vital signs, suggesting improvement in the wound infection.
E. Client 4: An increase in WBCs in the urine from 2 to 6 per low-power field suggests worsening of the urinary tract infection, indicating program ineffectiveness.
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Related Questions
Correct Answer is D
Explanation
A. Maintain IV access. This task requires nursing knowledge and skill to ensure patency and medication administration during a code.
B. Assist with airway intubation. This is a complex procedure that requires advanced training and is performed by licensed personnel.
C. Place defibrillator pads on the client. This task should be performed by trained personnel familiar with defibrillator use and cardiac arrest protocols.
D. Perform CPR on the client. CPR is within the scope of an assistive personnel's responsibilities if they are trained in Basic Life Support (BLS).
Correct Answer is B
Explanation
A. "Once the form is notarized, it cannot be changed." Advance directives can be changed or revoked by the client at any time.
B. "My health care surrogate can decide my treatment if I am unable to." A healthcare surrogate is legally authorized to make decisions when the client is incapacitated.
C. "My attorney will need to notarize the document." Notarization is not typically required by an attorney; any authorized notary public can perform this task.
D. "I have to choose a member of my family to be my health care surrogate." Clients can choose any trusted individual, not necessarily a family member.
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