The hospital quality improvement committee has noted that the incidence of needlestick injuries on a particular unit has increased. When faced with issues, the committee applies the PDSA model, a formal model for exploring and resolving quality concerns
Because the committee is multidisciplinary in nature, and few members are nurses, it is imperative that the committee first
a. Plan.
b. Do.
c. Study.
d. Act.
ANS: A
"Plan" is the first step of the process; it involves a review of available data to understand existing practice conditions or problems to identify the need for change. "Do" involves selecting an intervention on the basis of the data reviewed and implementing the change. "Study" means to evaluate the results of the change. "Act" involves incorporating the change if it is successful.
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A nurse is planning an in-service on preventing infection for the hospital staff nurses on a medical-surgical unit. Which nursing intervention is most effective in reducing the risk of infections?
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The nurse is assigned a client diagnosed with bipolar disorder
1. Which finding would the nurse anticipate in the client's history? 1. Last year the client had an episode of extreme mania that lasted two weeks. 2. The client reports having occasional episodes of insomnia. 3. The client reports not being able to remember not being depressed, even as a child. 4. The client's family reports the client has depression but denies hypomanic symptoms.
The nurse reviews an order for a continuous bladder irrigation after prostate surgery. Which action should the nurse take before starting the bladder irrigation?
a. Label the irrigation solution with the words for genitourinary (GU) irrigation only. b. Change the irrigation tubing at least once every 12 hours. c. Infuse the irrigation solution at 100 mL/hr for clear urine. d. Ensure that the patient has a triple-lumen urinary catheter.