A nurse manager is developing a quality improvement project. The nurse manager should recognize that which of the following tools should be used to measure outcomes?

SBAR Communication tool

Flowcharts

Clinical indicators

Cause-and-effect diagrams

Answer and Explanation

The Correct Answer is C

Rationale:
A. The SBAR communication tool is used for structured communication among health care providers, not for measuring outcomes.
B. Flowcharts are used to map processes and identify where problems may occur, but they do not measure outcomes.
C. Clinical indicators are measurable items that reflect the quality of care provided (e.g., infection rates, fall rates, readmission rates). They are the appropriate tool for evaluating outcomes in quality improvement.
D. Cause-and-effect diagrams (Ishikawa or fishbone diagrams) are used to identify potential causes of a problem, not to measure outcomes.

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Correct Answer is B

Explanation

Rationale:
A. Restarting an infiltrated IV is important for antibiotic therapy, but the dose is not due until 0900, so it is not the immediate priority.
B. Insulin aspart is a rapid-acting insulin that peaks quickly. The client must eat promptly to prevent hypoglycemia, making this the highest priority.
C. Administering pain medication for rheumatoid arthritis is necessary, but this is not life-threatening and can be addressed after preventing hypoglycemia.
D. Replacing an enteral feeding solution that has been hanging for 24 hr is important for infection control, but it is not as urgent as preventing acute hypoglycemia.

A. "A family member can interpret to obtain informed consent from a client who is deaf." B. "Consent can be given by a durable power of attorney." C. "The nurse can answer any questions the client has about the procedure." D. "Guardian consent is required for an emancipated minor."

Correct Answer is B

Explanation

Rationale:
A. A qualified medical interpreter—not a family member—should be used to obtain informed consent from a client who is deaf to ensure accuracy and confidentiality.
B. A durable power of attorney for healthcare can legally provide consent on behalf of a client who is unable to make their own healthcare decisions, making this statement correct.
C. Nurses can clarify information but cannot provide new information or answer questions about risks, benefits, or alternatives—that is the provider’s responsibility.
D. Emancipated minors can provide their own consent; a guardian’s consent is not required.

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A nurse manager is developing a quality improvement project. The nurse manager should recognize that which of the following tools should be used to measure outcomes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse received change-of-shift report at 0700 for four clients. Which of the following actions should the nurse perform first?

Correct Answer is B

Explanation

A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the following statements by a staff nurse indicates that the teaching was effective?

Correct Answer is B

Explanation

A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?

A nurse is preparing a shift assignment for an assistive personnel (AP) on the unit. Which of the following tasks should the nurse assign to the AP?

A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?

A nurse is teaching a group of clients about advance directives. Which of the following statements should the nurse include about a living will?

A nurse who is precepting a newly licensed nurse is discussing the client assignment for the shift. Which of the following actions should the nurse preceptor take first to demonstrate appropriate time management?

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

A charge nurse is reviewing the medication administration records of six clients. Exhibits Which of the following client situations require an incident report? Select all that apply.