The nurse on a medical-surgical unit notices that there has been an increase in the number of client falls. Which methods would be effective in promoting quality improvement on this is-sue? (Select all that apply.)
a. Identify causes of falls on the unit by looking at specific client cases.
b. Look at the research and the literature on prevention of falls.
c. Complain to the manager that team members are neglecting the clients.
d. Use sit and stand alarms because they seem to be working on other units.
e. Try more frequent rounding on clients as suggested by co-workers.
A, B, D, E
Quality improvement requires individual and systematic evaluation. Evidence-based practice in the form of research and literature can aid in revision of care processes. After review of ways that falls can be prevented, specific recommendations can be made to improve care on the unit. Complaining does not facilitate the resolution of a problem.
You might also like to view...
The nurse is caring for a child with intellectual deficits who is diagnosed with failure to thrive (FTT). The family is expressing difficulty with managing the child's care needs. Which nursing diagnosis would be appropriate for this situation?
A) Impaired Parenting related to poor parenting skills B) Dysfunctional Family Processes related to a child with mental retardation C) Hopelessness related to terminal condition of the child D) Compromised Family Coping related to the child's developmental variations
Which precaution would you take with a pregnant woman following an amniocentesis?
A) Remind her not to raise her head for 4 hours. B) Assess fetal heart rate and possible uterine contractions. C) Perform a vaginal examination for a ferning pattern. D) Assess for increased abdominal distention.
A pregnant woman is at the end of her first trimester. The nurse tells her that normally the following developments have occurred in her fetus. Select all that apply
A) some reflexes are present B) kidney secretion begins C) the sex of the infant is distinguishable D) sleep–wake patterns are established E) lung surfactant is produced F) eyelids open
Which are signs of IV line patency? (Select all that apply.)
a. Blood return b. Swelling c. Easy flush of line d. Redness e. Pain f. Warmth