The medical center quality improvement director issues a report on the "opportunity" costs of errors occurring in the organization. Which situation would be included in this report? Select all that apply
1. A patient sustained a fracture when he falls after being incorrectly restrained.
2. A laboratory test must be repeated because the technician ran the specimen incorrectly.
3. A medicine error necessitates that the patient be dialyzed.
4. The patient says, "A nurse nearly let me die, so I don't trust nurses anymore."
5. The physician enters discharge orders incorrectly and the patient spends another day in the hospital.
2, 3
Explanation: 1. This is an instance of costs being increased because of a complication (fracture) due to error.
2. Opportunity costs occur when repeat diagnostic tests are required or interventions are needed to counteract adverse drug events.
3. Opportunity costs occur when repeat diagnostic tests are required or interventions are needed to counteract adverse drug events.
4. This statement reveals a patient's loss of trust in the healthcare system and its providers. This is a different critical concern.
5. This is an instance of costs being increased because of lack of communication or communication error.
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A pregnant woman admitted to the labor and birth suite undergoes rapid HIV testing and is found to be HIV-positive. Which of the following would the nurse expect to include when developing a plan of care for this women? (Select all that apply.)
A) Administration of penicillin G at the onset of labor B) Avoidance of scalp electrodes for fetal monitoring C) Refraining from obtaining fetal scalp blood for pH testing D) Administering zidovudine at the onset of labor. E) Electing for the use of forceps-assisted delivery
A patient is recovering from a myocardial infarction (MI) and develops chest pain on day 3 that increases when taking a deep breath and is relieved by leaning forward. Which action should the nurse take next?
a. Assess the feet for pedal edema. b. Palpate the radial pulses bilaterally. c. Auscultate for a pericardial friction rub. d. Check the heart monitor for dysrhythmias.
The nurse is reviewing the role of several structures that assist in protecting the ear to the client. What would be the nurse's best explanation be of how the ossicles work in protecting the ear?
A) Aid in protecting the ear from foreign objects B) Protect the two layers by separating the external from the middle ear C) Protect the vital internal organs of the middle and inner ear from injury D) Equalize the pressure in the middle ear with atmospheric pressure