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Compare collected data to industry data: This step occurs later in the audit process after data has been gathered. It helps determine how the facility measures up, but it is not the initial step in planning the audit.

Gather facility information for analysis: While essential, data collection comes after the audit’s objectives and standards are clearly defined. Without knowing what to measure or compare against, collecting data may be misdirected or ineffective.

Establish methods to collect necessary data: Creating a structured data collection process is important, but it must be guided by the specific performance standards and metrics established in the initial step.

"You can reuse drinking cups for up to 1 hour." Immunocompromised clients should avoid reusing drinking cups. All drinkware should be washed thoroughly between uses to prevent bacterial growth and minimize infection risk.

"Check your temperature every 3 days to determine if you have a fever." Clients with neutropenia should check their temperature at least once daily. Early detection of fever is critical as it may be the first sign of infection in someone with a suppressed immune system.

"Cough and deep breathe every 6 hours." While this technique helps prevent respiratory complications like pneumonia in surgical or bedridden patients, it is not a key infection prevention strategy specific to immunocompromised clients with HIV and low WBC counts.

Position the client to maintain hip flexion: Hip flexion greater than 90 degrees increases intra-abdominal and intrathoracic pressure, which can impair venous return from the brain and raise intracranial pressure. The hips should be kept in a neutral, extended position.

Administer an enema if the client develops constipation: While managing constipation is important, enemas can stimulate the vagus nerve and raise ICP due to straining. Stool softeners or gentle interventions are preferred to avoid abrupt increases in intracranial pressure.

Ensure that the PEEP level is set at 20 cm of H2O: High PEEP levels like 20 cm H₂O can impede cerebral venous outflow and raise ICP. PEEP should be used cautiously in clients with brain injuries and adjusted to the lowest effective setting to maintain oxygenation.

Inspect the client's surgical dressing for clear drainage: Monitoring the surgical site is important for identifying CSF leakage or infection, but it is not the top priority. While drainage should be assessed regularly, preserving spinal alignment takes precedence immediately post-op.

Auscultate the client for bowel sounds every shift: Bowel function should be monitored, especially due to anesthesia and immobility, but it is not the most urgent concern compared to maintaining spinal integrity postoperatively.

Monitor the client's temperature: Monitoring for signs of infection is essential, but it is not the highest priority in the immediate postoperative period. Preventing spinal movement that could cause neurologic damage is more urgent at this stage.

Pharmacist: Pharmacists specialize in medications and are not typically involved in arranging or obtaining medical supplies like ostomy appliances. Their focus is on drug interactions, dosages, and patient medication education.

Occupational therapist: Occupational therapists help clients adapt to daily activities and regain independence, but they do not coordinate the acquisition of medical supplies. They may assist with self-care techniques but not with obtaining equipment.

Paramedical technician: This role usually involves assisting with basic clinical tasks under supervision and does not include responsibility for coordinating outpatient resources or durable medical equipment.

A client who is paralyzed from a high cervical spinal cord injury: High cervical spinal injuries are often fatal due to respiratory compromise. If the client has no spontaneous breathing, they may be tagged as expectant (black tag) due to limited resources in a disaster.

A client who has lacerations on his arms and legs: These injuries are typically non-life-threatening and can be delayed without compromising the outcome. This client would receive a delayed (yellow tag) or minor (green tag) designation.

A client who has a closed, nondisplaced fracture of the right arm: This injury is stable and not life-threatening. The client can safely wait for treatment and would be categorized as minor (green tag) in the triage system.

Remove a nasogastric tube from a client: Removing an NG tube requires assessment of readiness, understanding of complications, and clinical judgment, making it a task appropriate for licensed nurses only, not APs.

Assist a client to choose a low-sodium diet: Diet teaching requires knowledge of dietary restrictions and the ability to evaluate client understanding. This is considered part of nursing or dietitian responsibilities and should not be delegated to APs.

Obtain a culture from a client's wound: This task involves sterile technique and assessment of wound characteristics. It requires nursing knowledge and skill, and therefore, should be performed by a licensed nurse.

Discussing a client's diagnosis with a nurse from a different unit: This represents a breach of client confidentiality and a violation of HIPAA regulations, but it is categorized as a violation of privacy laws rather than professional negligence.

Giving an IM medication after the client refuses it: Administering medication against a client's will is assault and battery, a legal and ethical violation of the right to refuse treatment, not negligence related to performance or delay in care.

Refusing to allow a client to leave the facility without a provider's order: This could constitute false imprisonment, especially if the client is mentally competent. It is a legal and ethical issue rather than professional negligence.