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Nesh Nesh
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Posts: 346
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6 years ago
When providing care to patients, nurses use evidence-based practice to avoid urinary tract infec-tions whenever the insertion of a urinary catheter is performed by
 
  infections whenever the insertion of a urinary catheter is performed by
  a. a UAP.
  b. an RN.
  c. an LPN.
  d. a senior nursing student.

Question 2

When providing care to patients, nurses understand that evidence-based practice supports the concept that
 
  a. to avoid atelectasis and pneumonia, use of an incentive spirometer has an outcome equal to coughing for a patient following surgery.
  b. to avoid atelectasis and pneumonia, use of an incentive spirometer has a better out-come than coughing for a patient follow-ing surgery.
  c. to avoid atelectasis and pneumonia, use of an incentive spirometer has a worse out-come than coughing for a patient follow-ing surgery.
  d. neither coughing nor use of an incentive spirometer will avoid atelectasis or pneu-monia in postoperative patients.

Question 3

When providing care to postoperative patients, nurses use evidence-based practice whenever they
 
  a. continue bedrest after surgery until the pain level is 1 on a scale of 1 to 10.
  b. continue bedrest after surgery until the pain level is 2 on a scale of 1 to 10.
  c. ambulate patients as soon as possible after surgery.
  d. ambulate patients as soon as they are awake from anesthesia.

Question 4

What benchmarks might be expected to be measured for hospital performance? (Select all that apply.)
 
  a. Average length of hospital stay for cardiac surgery
  b. Total admissions for cardiac surgery
  c. Infection rates for cardiac surgery
  d. Length of surgery
  e. Deaths by surgeon

Question 5

When providing care to patients, nurses use evidence-based practice whenever they
 
  a. advise patients with musculoskeletal back pain to continue normal daily activities within limits of their pain tolerance.
  b. advise patients with musculoskeletal back pain to remain on bedrest until pain has been relieved by prescribed back exercise.
  c. advise patients that early premature activ-ity with musculoskeletal pain may lead to permanent disability.
  d. advise patients that continued normal ac-tivity after a musculoskeletal back injury may result in delayed return to work.

Question 6

The Joint Commission (TJC) tracks core measures for performance. Which core measures are tracked by TJC? (Select all that apply.)
 
  a. Heart failure
  b. Ventilator days
  c. Scheduled sedation vacation
  d. Acute myocardial infarction
  e. Childhood asthma

Question 7

When using the DMAIC acronym of the Six Sigma quality process improvement model, the nurse understands that the I (improve) refers to
 
  a. identification of the start and stop dates.
  b. comparison of data to customer surveys.
  c. use of technology to design improve-ments.
  d. staff training.
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Replies
wrote...
6 years ago
Answer to #1

ANS: B
Research supports the use of only RNs to insert urinary catheters to avoid urinary tract infections. There is no evidence to support the use of the staff members in options A, C, and D in inserting urinary catheters to avoid urinary tract infections.

Answer to #2

ANS: B
Research supports the use of the incentive spirometer to avoid postoperative atelectasis. Evidence supports the use of the incentive spirometer to prevent atelectasis postoperatively.

Answer to #3

ANS: C
Research supports the use of early ambulation in surgical patients. According to the research, ambulation is not based on pain level. Option D could possibly be an unsafe practice. The patient needs to be fully awake and responsive after anesthesia prior to attempts to ambulate.

Answer to #4

ANS: A, B, C
Options A, B, and C are common benchmarks measuring hospital performance. Options D and E are not organizational measures but may be measured by the individual hospital or service.

Answer to #5

ANS: A
Research has demonstrated that with early ambulation, even patients with back pain recover more quickly without complications. Research has disproved the previous understandings about early ambulation noted in options B, C, and D.

Answer to #6

ANS: A, D, E
Options A, D, and E are core measures tracked by TJC. Options B and C are not one of the core measures tracked by TJC.

Answer to #7

ANS: C
Technology can allow for creativity in developing solutions. The others are processes that are in-corporated in the other DMAIC approach to performance improvement.
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