Which of the following best describes ongoing quality improvement (QI)?
A. Identification of critical pathway va-riances
B. Evaluation of patients' minimum data sets
C. Measurement of patient satisfaction levels
D. Ongoing evaluation of quality and patient outcomes
ANS: D
Feedback
A Incorrect because QI is not critical path-way variances.
B Incorrect because QI is not minimum data set evaluation.
C Incorrect because patient satisfaction le-vels are not QI.
D Correct because QI is ongoing evaluation of quality and outcomes.
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Which of the following best describes the district nursing service created in the United States by Lillian Wald and Mary Brewster?
a. House on Henry Street b. Visiting Nurses Association c. New York City District Nursing Service d. Wald and Brewster Nursing Service
A laboring client is having contractions every 3 minutes lasting 50 seconds and is dilated 7 centimeters. The nurse determines the client is in what phase of labor?
a. Latent c. Prodromal b. Active d. Transition
The next set of observations reveal the patient's BP has fallen to 95/70 mmHg. What should you do?
Mrs Lucia Caruso is a 31-year-old woman who has been admitted into the postanaesthesia care unit (PACU) following a dilation and curette after having had an incomplete missed abortion (miscarriage). On arrival, Mrs Caruso has a size 3 laryngeal mask airway (LMA) in situ, and is unconscious and in a supine position. A disposable t-piece and oxygen, 6 litres per minute, are connected to the LMA and monitoring is connected. You accept a full handover from the anaesthetist, who reports a fit and healthy patient and an uneventful procedure. An IV line is in situ in the back of the patient's left hand with a litre of Hartmann's solution running at an 8-hourly rate. You make your initial assessment and document the patient's vital signs as follows: airway clear, oxygen saturation 99%, respiratory rate 18 per minute, BP 130/90 mmHg (preoperative 120/80 mmHg) and heart rate regular at 74 bpm. Five minutes after arrival, Mrs Caruso stirs and opens her eyes and you remove the LMA and place her on 6 litres of O2 via a Hudson mask. Now that the patient is conscious, you continue your observations, taking and recording her core temperature (using a tympanic ear thermometer) at 36.2°C and assessing the per vaginal (PV) loss, which is slight and bright. You sit Mrs Caruso slightly head up to facilitate optimal ventilation. Mrs Caruso is understandably upset and so you comfort her. Her vital signs remain stable and so after 15 minutes you remove her oxygen and trial her on room air. Mrs Caruso appears stable: SaO2 97% on room air, BP 115/85 mmHg, respirations 20 per minute and heart rate 70 bpm. No further PV loss is present and so you conclude that your patient is ready to be transported to the ward. You decide to record the next set of observations (due in 2 minutes) on the ward observation chart and then you will call the ward nurse to collect Mrs Caruso. What will be an ideal response?
One nurse theorist developed a nursing theory based on four conservation principles. Which of the following theories is based on these principles?
A) Intersystem Model B) Modeling and Role-Modeling C) Systems Framework and Theory of Goal Attainment D) The Conservation Model