Variance in outcomes related to broken equipment, staffing mix, or lost documentation is referred to as
a. Provider variance
b. Operational variance
c. Unmet clinical quality indicators
d. Client variance
ANS: B
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A female client returned to the clinic with a yellow vaginal discharge after being treated for Chlamydia infection 3 weeks ago. Which statement by the client alerts the nurse that there may be a recurrence of the infection?
a. "I did practice abstinence while taking the medication." b. "I took doxycycline two times a day for a week." c. "I never told my boyfriend about the infection." d. "I did drink wine when taking the medication for Chlamydia."
To reassure and educate the patients concerning changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
1. because of a number of changes in the cervix, evaluation of abnormal Pap tests is much easier to assess. 2. "quickening" is a technique of palpating the fetus to engage it in passive move-ment. 3. the deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. 4. increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
When donning a sterile gown and gloves using the closed method, it is correct for a nurse to do which of the following? Select all that apply
1. Open the sterile glove wrapper with his or her hands inside the gown sleeves. 2. Tuck the gown cuffs over the gloves. 3. Pick up the sterile gown by the sleeves. 4. Have the glove cuffs cover the gown cuffs. 5. Already have completed a surgical hand scrub.
A nurse enters an inpatient room and finds the family disagreeing about the client's living arrangements after discharge. Which information should the nurse provide when teaching techniques to resolve family conflicts?
A. All family members should use past incidents to make their point. B. One family member should act as a gatekeeper in order to avoid family confrontation. C. One family member should act as a compromiser to preserve harmony in the family system. D. All family members should respect differing opinions and use compromise and negotiation.