The risk manager wants to illustrate the causes that have been leading to an increase in patient misidentification. The most appropriate tool to use is a:
a. pareto chart.
b. control chart.
c. fishbone diagram.
d. detailed flowchart.
C
The fishbone diagram resembles diagramming sentences. The effect is illustrated in a box at the end of a midline (or "head" of the fish). The causes are generally four or five categories of ele-ments that might contribute to the effect (e.g., machines, methods, people, materials, and mea-surements) and the specific activities. Under each of these category headings, individual items that might lead to the effect are listed. By diagramming all of the possible contributors, the pre-dominant or root causes may be found more readily.
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A patient's most recent blood work reveals low levels of albumin. This assessment finding should suggest the possibility of what nursing diagnosis?
A) Risk for imbalanced fluid volume related to low albumin B) Risk for infection related to low albumin C) Ineffective tissue perfusion related to low albumin D) Impaired skin integrity related to low albumin
An older patient dying of end-stage pulmonary disease and dementia receives narcotic medication for chronic pain. Currently the patient is restless and grimacing. How should the nurse interpret these assessment findings?
1. The patient is in pain. 2. The patient has an undiagnosed personality disorder. 3. The patient needs nonpharmacological pain management approaches. 4. The patient is not experiencing any difference in pain level and no adjustments are needed.
What is primarily responsible for carrying fluids with nutrients and wastes on a random basis throughout the body?
a. Filtrates b. Extracellular fluid c. Intracellular fluid d. Osmolytes
A patient has come to the clinic complaining of pain just above her umbilicus. When assessing the patient, the nurse notes Sister Mary Joseph's nodules. The nurse knows that this is a sign of what?
A) A GI malignancy B) Dumping syndrome C) Peptic ulcer disease D) Esophageal/gastric obstruction