If the nurse had an adequate understanding of continuous quality improvement, which of the following statements would the nurse? (Select all that apply.)
a. The accountability for quality is vested in quality circles that function along service lines to improve patient care..
b. After quality standards are achieved, the nurse strives to maintain that standard of care..
c. Quality standards must incorporate the expectations of patients and their fami-lies..
d. Systems within the hospital must be re-viewed to determine how care can be en-hanced..
e. Reducing costs to provide for substantial pay increases for nursing staff is an ex-ample of continuous quality improve-ment..
f. Computerized electronic documentation systems that provide continuous assess-ment of patient charges are an example of continuous quality improvement..
Identify the intervention by the nurse that is most appropriate in caring for a client with a recent diagnosis of acute pancreatitis.
a. Administer a prescribed as-needed (PRN) pain medication.
b. Reduce the IV rate to 50 mL per hour to prevent fluid overload.
c. Encourage the client to increase his intake of protein to promote healing.
d. Position the client with his head elevated 45 degrees.
Prior to discharge, a client diagnosed with a gastric ulcer is given prescriptions for cimetidine (Tagamet) and aluminum-magnesium complex (Riopan). Identify the instructions that the nurse should emphasize to the client about these two medications.
a. To achieve maximum effectiveness, take them at the same time.
b. Take the Riopan with meals and the Ta-gamet on an empty stomach.
c. Make sure to take the medications with a full 8-ounce glass of orange juice.
d. The Tagamet can be taken with meals; then wait 1 to 2 hours to take the Riopan.
The nurse understands that the following statement is true about patient classification systems?
a. The systems measure all the needs of pa-tients..
b. The systems provide an absolute formula for unit staffing..
c. The systems should not be used to make patient care assignments because acuity systems are more accurate..
d. The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget..
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