The sentinel method of quality evaluation is based on
a. Epidemiological principles
b. Client satisfaction surveys
c. Donabedian's model
d. Mandated review criteria
ANS: A
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The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? The nurse:
a. Performs the examination from the left side of the bed. b. Examines tender or painful areas first to help relieve the patient's anxiety. c. Follows the same examination sequence, regardless of the patient's age or condition. d. Organizes the assessment to ensure that the patient does not change positions too often.
A child has been admitted with Kawasaki disease and is started on aspirin and warfarin (Coumadin). For which nursing diagnosis does the nurse plan interventions as the priority?
A. Acute pain related to mouth redness and cracked lips B. Altered body image related to peeling skin rash C. Altered nutrition: less than body requirements D. Risk for bleeding related to medication effects
A 2-year-old girl fell approximately 12 feet from a second-story window, landing on her head. Your primary assessment reveals that she is unresponsive; has slow, irregular respirations; and has blood draining from her mouth and nose. A rapid scan of her body does not reveal any gross injuries or bleeding. You should:
A) manually stabilize her head and neck in a neutral position, insert a nasal airway, and hyperventilate her at a rate of 35 breaths/min. B) suction her mouth and nose for no longer than 15 seconds, insert an oral airway, and apply high-flow oxygen with a pediatric nonrebreathing mask. C) open her airway with the jaw-thrust maneuver, suction her mouth and nose, insert an oral airway, and assist her ventilations with a bag-mask device. D) insert an oral airway, apply a cervical collar, preoxygenate her with a bag-mask device and 100% oxygen for 30 seconds, and intubate her trachea.
The nurse demonstrates a commitment to the health, safety, and welfare of people by providing evidence-based practice. What does the term "evidence-based practice" mean?
A) Care that integrates research and clinical expertise with the client's characteristics, culture, and preferences B) Care that bases decision making on established clinical protocols C) Care based on prior outcomes from the nurse's practice D) Care based on outcomes and research conducted by the practitioner