Author Question: The nurse is participating in unit nursing audits that help increase efficiency and reduce costs. ... (Read 144 times)

mrsjacobs44 · **on:** Jul 22, 2018

The nurse is participating in unit nursing audits that help increase efficiency and reduce costs. The nurse suggests that a better contribution to quality would be for the unit to:

1. Make changes in unit staffing.
2. Conduct studies leading to better client outcomes.
3. Acquire new equipment.
4. Install cameras to detect abuse.

Question 2

The nurse is planning care for a client who had a cesarean birth four hours ago. Which of the following should be included in this client's plan of care? (Select all that apply.)

1. Administer analgesics as prescribed.
2. Encourage to ambulate to the bathroom to void.
3. Encourage leg exercises every 2 hours.
4. Encourage deep breathing and coughing every 2 to 4 hours.
5. Encourage the use of breathing, relaxation, and distraction.

zacnyjessica · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Conduct studies leading to better client outcomes.

Rationale:
The top goal of any quality improvement program is to improve client outcomes of care. Increasing the RN staff, purchasing new equipment, and installing cameras may be found to be means to reach that goal, but studies must first be conducted to identify those means.

Answer to Question 2

1. Administer analgesics as prescribed.
3. Encourage leg exercises every two hours.
4. Encourage deep breathing and coughing every 2 to 4 hours.
5. Encourage the use of breathing, relaxation, and distraction.

Rationale:
Administering analgesics as prescribed, encouraging leg exercises every 2 hours, encouraging deep breathing and coughing every 2 to 4 hours, and encouraging the use of breathing, relaxation, and distraction all address the client's nursing care needs, which are similar to those of other surgical clients. Encouraging the client to ambulate to the bathroom to void might be an intervention done on the first or second day postpartum, but not in the first four hours.