Before beginning a continuous quality improvement project, a nurse should determine the minimal safety level of care by referring to the:

a. Procedure manual.
b. Nursing care standards.
c. Litigation rate of unsafe practice.
d. Job descriptions of the organization.


ANS: B
Standards establish the minimal safety level of care. Procedure manuals provide information about how standards are to be achieved.

Nursing

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A child needs surgery to resect a tumor, but is scheduled for several weeks of radiation therapy first. The parents are frustrated and want to know why the surgery that can cure the cancer is being delayed

Which response by the nurse is the most appropriate? A. "Children who have radiation first generally do better than others." B. "If the radiation destroys the tumor, surgery will not be needed." C. "Radiation will shrink the tumor, making it easier to get all of it out." D. "The surgeons must be worried that they cannot get the whole tumor."

Nursing

A physiotherapist is measuring the lying, sitting, and standing blood pressure of a patient who has been admitted to hospital following a syncopal episode and recent falls

Which of the following facts about the patient best relates to these health problems? A) The patient is male and has a history of hypertension. B) The patient's cardiac ejection fraction was 40% during his last echocardiogram. C) The patient has a history of acute and chronic renal failure. D) The client is 89 years old and takes a diuretic medication for his congestive heart failure.

Nursing

Ways to reduce risk of infection to yourself and others include:

A) Not going into the client's room B) Wearing gloves whenever you go into a client's room C) Placing all clients in isolation rooms D) Good handwashing practices

Nursing

A patient who lost a child in an auto accident tells the nurse, "God has abandoned me." What is an appropriate statement for the nurse to make?

1. "I will go and get a clergyman to help you." 2. "God has nothing to do with what happened to you." 3. "You need to strengthen your faith if you want to be able to survives this tragedy." 4. "Tell me more about what your faith means to you and, if you wish, I will get a clergyman to talk to you more about this tragedy."

Nursing