A group of nurses is looking to reduce the number of cases of ventilator-associated pneumonia in their hospital. The nurses decide to use the IHI model as their guiding process. Place the following steps in the order in which they should be performed
1. Study the process from start to finish.
2. Develop a goal statement and determine what will be measured during this process.
3. Proceed with ventilator care process using standard hospital protocols.
4. Make changes to the processes as determined by results of the study.
ANS: 3, 1, 2, 4
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A hospice nurse is critically evaluating various models of grief used for terminally ill clients and their families. Which should the nurse recognize when applying these models to individual client cases?
A) No clear timetables exist, nor are there clear-cut stages of grief. B) There is strong research proving that these models are not useful for many dying clients. C) The models serve as clear and definitive predictors of grief behaviors. D) The Kübler-Ross model is primarily used to describe anticipatory grief.
A patient's capillary blood glucose level is 120 mg/dL 6 hours after the nurse initiated a parenteral nutrition (PN) infusion. The most appropriate action by the nurse is to
a. obtain a venous blood glucose specimen. b. slow the infusion rate of the PN infusion. c. recheck the capillary blood glucose in 4 to 6 hours. d. notify the health care provider of the glucose level.
Acidosis results when the pH of the blood:
A. falls between pH values of 7.35 and 7.45. B. falls below a pH value of 7.35. C. rises above a pH value of 8.0. D. rises above a pH value of 7.45.
What is the nature of pain associated with diverticulitis?
a. Intermittent becoming progressively steady b. Sharp and continuous c. Localized to the right upper quadrant d. Severe and incapacitating