What does REEPIG stand for?
a. Realistic Explicit Evidence based Prioritised Involved Goal
b. Real Explain Evidence Patient Involve Gain
c. Real Explore Explain Prove Implement Gain
d. Realistic Explore Explain Prioritise Involve Goal
Ans: A
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The nurse is caring for an elderly client who fell down a flight of stairs and experienced a closed head injury. Secondary to loss of respiratory drive caused by increased intracranial pressure, the client had a tracheostomy placed
When the daughter visits, she asks the nurse, "Are you making sure Dad uses his CPAP at night? Because he has sleep apnea." What is the nurse's best response? 1. "I will inform the doctor and get an order for respiratory therapy to set up a machine before bed tonight." 2. "He doesn't need his CPAP at night anymore, but I'll remind the doctor to order it just in case he has problems." 3. "CPAP was prescribed to keep the airway open. Now his tracheostomy will do that, and he won't need it until the tracheostomy is closed." 4. "When a client is critically ill and monitored on the cardiorespiratory monitor, he doesn't need his CPAP, because we'll know if he stops breathing."
The patient has been pushing for 2 hours and is exhausted. The physician is performing a vacuum extraction to assist the birth. Which finding is expected and normal?
1. The head is delivered after eight pulls during contractions. 2. A bruise is present on the occiput that does not cross the suture line. 3. The location of the vacuum is apparent on the fetal scalp after birth. 4. Positive pressure is applied by the vacuum extraction during contractions.
The nurse participates in a quality assurance program. Data from the previous year indicates a 2% reduction in the number of repeat admissions for clients who underwent hip replacement surgery. The nurse recognizes this is which type of evaluation?
A) Design evaluation B) Process evaluation C) Outcome evaluation D) Structure evaluation
Due to time constraints, the nurse manager has not adequately monitored for quality improvement following the recent organization-wide change to a new patient-controlled analgesic pump
Which of the following responses by the staff nurses can be expected? 1. "The change to the new PCA pumps is really going well." 2. "I can't get anyone to tell me how to clear the pump without going through five different steps. It seems to take forever." 3. "It sounds like the change is costing the organization a lot less money to rent the pumps." 4. "The nurse manager said that the new pumps are saving the nurses an average of 7 minutes throughout their day."