The nursing staff at a local hospital are unable to get to work because of deteriorating weather conditions. The administration realizes the lack of staff to provide care will impact which quality standard?
1. Improvement
2. Structure
3. Outcome
4. Process
2
Rationale 1: Quality improvement is an overall umbrella term that measures and evaluates all three quality standards.
Rationale 2: Structure standards focus on the internal characteristics of the organization and the personnel.
Rationale 3: Outcome standards measure the effectiveness, quality, and time allocated for care.
Rationale 4: Process standards focus on whether the activities within an organization are being conducted appropriately.
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The nurse admits a 78-year-old patient to the intensive care unit and swabs the patient's nares for methicillin-resistant Staphylococcus aureus (MRSA). What is the best rationale for the nurse's action?
A) If the patient is positive for MRSA, her risk of mortality is extremely high. B) The presence of MRSA on the patient's skin may pose a potential threat to other patients. C) The absence of available drug treatments for MRSA means that early identification is crucial. D) The diarrhea and gastritis associated with MRSA is highly communicable in a hospital setting.
A woman at 40 weeks of gestation should be instructed to go to a hospital or birth center for evaluation when she experiences
a. A trickle of fluid from the vagina b. Thick pink or dark red vaginal mucus c. Irregular contractions for 1 hour d. Fetal movement
Which is a risk factor for pressure ulcers in infants and children?
a. Increased mobility b. Removing tape from their skin c. Moving about in bed d. Decreased sleep
In the early 1800s, it became clear that the standardization of drug purity and strength was necessary. Which reasons reflected this need?
1. Strength and purity of products varied from region to region and batch to batch. 2. Strength and purity of products depended on the pharmacist's experience. 3. Strength and purity of products would vary in size, taste, and nutritional value. 4. Strength and purity were mostly guaranteed if products were produced locally, which caused a hardship for those outside the region. 5. Strength and purity could be trusted when the product had gone through extensive local testing.