You are a member of the hospital's Quality Improvement (QI) team. You are interested in determining how quality in the organization has improved over time. Which of the following would most effectively provide you with this information?

a. Histograms c. Time series charts
b. Pie charts d. Bar charts


C
Time series charts will allow you to see changes in quality over time. These charts will also allow you
to determine whether a process is in control, meaning the process has normal variation rather than
dramatic changes that are not predictable.

Nursing

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A community health nurse is cautious when recommending the use of OTC cold remedies to patients. The use of pseudoephedrine would most likely be contraindicated in which of the following patients?

A) A woman who is breast-feeding B) A man with a history of angina and hypertension C) A man who has diagnoses of chronic obstructive pulmonary disease and diabetes D) A woman who has myasthenia gravis

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A healthcare organization is implementing connected care. Which situation best fits the use of this delivery system?

A) Chronic congestive heart failure patients are assessed in rural clinics using telecommunication technology and are given instructions on how to best manage their care. B) Patients may sign up with a telehealth provider, who provides health promotion information and activities. C) Continuing education courses for healthcare professionals are provided to the education department of acute-care institutions for continuing education credits. D) A physician consultant receives an x-ray, CT scan, and EKG via the telecommunication network to manage the care of a client with congestive heart failure and diabetes.

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The nurse assesses the clients waiting for an esophagogastroduodenoscopy. Which client assessment data requires the nurse to cancel the client's procedure? (Select all that apply.)

1. Hematemesis 2. NPO for 8 hours 3. Esophageal stricture 4. 32 breaths per minute 5. Esophageal diverticulum 6. Upper respiratory infection

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The nurse is reviewing a client's use of complementary and alternative therapies. Which situations should the nurse identify as being risky for the client? Select all that apply

1. Trying out a homeopathic medicine obtained from a friend to reduce swelling in the legs 2. Joining a group that practices tai chi weekly to help with physical fitness and movement 3. Taking an herbal preparation suggested by a health food store worker for treatment of leg pain 4. Getting a massage from a licensed massage therapist for back pain, when such treatment has been prescribed by the primary healthcare giver 5. Getting a chiropractic treatment for lower back pain due to discomforts of pregnancy without telling the primary healthcare provider

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