A nurse plans interventions in a skilled nursing facility to prevent lower respiratory infections. Which of the following nursing interventions should be included in the plan? (Select all that apply.)
A) Encourage annual pneumonia vaccinations.
B) Encourage annual influenza vaccinations.
C) Encourage annual chest radiographs to detect tuberculosis.
D) Encourage influenza vaccinations every 5 years.
E) Encourage hand hygiene for residents and staff.
Ans: B, E
Influenza vaccinations should be given yearly to older adults. The Centers for Disease Control and Prevention (CDC) recommends a one-time booster dose of the pneumonia vaccination for all people 65 years of age or older if they received an initial pneumonia vaccination 5 or more years earlier or were younger than 65 years of age when they first received the pneumonia vaccine. Chest radiographs will not prevent lower respiratory infections. Hand hygiene is essential in prevention of infections.
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Which of the following methods can be used to improve health care by finding out what key customers want and need followed by implementation of initiatives to fulfill customer expectations? A) Total quality management B) Continuous quality improvement C) Plan, do, check, act D) Six Sigma
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True False
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1. "We need to check to see if this is the correct treatment." 2. "We need to re-examine the knee after a few days of treatment." 3. "Corticosteroids should only be taken for 1 to 3 weeks." 4. "You may be able to change to an NSAID at that visit." 5. "You may need a 3-month prescription for a stronger corticosteroid at that time."