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?

Compare the number of medication errors before and after the action was implemented.

Conduct a study about the time and money costs of implementing the change.

Establish a benchmark to identify a standard of performance.

Provide the staff with a questionnaire to quantify staff satisfaction with the changes.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is A

Explanation

Rationale:

A. When opening a sterile package or tray, the top flap should be opened away from the body to prevent contamination from the nurse’s uniform. Opening the flap toward the body risks breaking sterile technique, which is especially critical during procedures like thoracentesis. This is a break in sterile field, and the nurse manager should intervene immediately to prevent potential infection.

B. Using clean gloves is appropriate for non-sterile tasks like discontinuing an IV infusion.

C.The telephone number is considered an acceptable identifier according to The Joint Commission if it is in the medical record and used in combination with another identifier (like full name or date of birth).

D. Emptying a colostomy pouch when it is one-third full is appropriate practice to prevent overflow and maintain hygiene.

A. A client who has pneumonia and has an axillary temperature of 38° C (101° F) B. A client who has diarrhea and requests clear liquids for breakfast C. A client who has a cast on the left leg and reports numbness and paresthesia D. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150

Correct Answer is C

Explanation

Rationale:

A. A client who has pneumonia and has an axillary temperature of 38° C (101° F) has an elevated temperature, but it is less critical than immediate concerns with circulation.

B. A client who has diarrhea and requests clear liquids for breakfast needs dietary adjustments but does not present as urgent.

C. A client who has a cast on the left leg and reports numbness and paresthesia could be experiencing complications such as compartment syndrome, which is an urgent condition requiring immediate assessment.

D. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150 is important to monitor but not as immediately critical as potential complications with circulation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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