The quality improvement committee is examining an increase in medication errors on a particular unit. In conducting its analysis, what should be the committee's primary focus?

a. Nurses who administer the medications
b. Pharmacy that prepares the medications
c. Secretaries who enter the orders
d. None of the above


D
A well-organized QI program focuses on systems that significantly contribute to outcomes, not on individuals. Therefore, the entire process needs to be evaluated to determine effectiveness.

Nursing

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The nurse is preparing to perform a dressing change on a patient following a total hip replacement. When should the nurse administer an analgesic drug in an attempt to promote patient comfort during the dressing change?

a. After the dressing change b. At least 15 minutes before the dressing change c. At least 30 minutes before the dressing change d. At least 1 hour before the dressing change

Nursing

A patient with a tibial fracture is placed in a short leg cast 4 weeks after the removal of the leg walking cast. The nurse explains to the patient that the short leg cast will allow for:

A) Ankle motion B) Knee motion C) Hip motion D) Toe motion

Nursing

You are instructing parent of a newborn on the foods that are to be started as the child ages. You know that the first food given to a newborn is rice cereal

What would you teach the parent regarding the second food to be introduced? 1. Chicken can be given next. 2. Eggs can be given next. 3. Fruits should be given next. 4. Whole milk should be started.

Nursing

A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal

Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the woman to be: a. Admitted and prepared for a cesarean birth. b. Admitted for extended observation. c. Discharged home with a sedative. d. Discharged home to await the onset of true labor.

Nursing