Arrange in order the steps the nurse should take in a focused ...

[imowrer]

Arrange in order the steps the nurse should take in a focused assessment for a patient with type 2 diabetes mellitus.
 
  Choice 1. Nurse notes patient is reluctant to draw up insulin in syringe.
  Choice 2. Nurse assesses what the patient already knows.
  Choice 3. Nurse has patient practice drawing up insulin.
  Choice 4. Nurse calls in diabetic educator.
  Choice 5. Nurse notes patient is not aware of differences between hypo- and hyperglycemia.

Question 2

Quality assurance chart audits provide nurses with information that impacts the future outcomes of patient care. What should the nurses do with this information?
 
  1. Create an action plan to address any negative findings.
  2. Share it with the hospital administrator.
  3. Submit it to the agency's accrediting body.
  4. Place it in a file to compare with the next set of audits.

[Pswine]

Answer to Question 1

Correct Answer: 2, 5, 1, 3, 4

Focused assessments are ongoing and continuous. Data are used to evaluate nursing actions and make decisions about whether to continue or change interventions to meet outcomes. Assessments also provide structure for documenting nursing care, enable responses to a disease process or treatment, and identify new problems. For this situation, the nurse should follow the nursing process and begin by assessing what the patient already knows. From this, the nurse would note that the patient does not know the difference between hypo- and hyperglycemia. The nurse would also observe that the patient is reluctant to draw up insulin and would address this reluctance by having the patient practice. Finally the nurse would consult with a diabetic educator to assist with the patient's teaching.

Answer to Question 2

Correct Answer: 1

The results of quality assurance audits can be used to develop a plan of action to resolve differences or issues with patient care. There is no real purpose to sharing the results of a quality assurance audit with the hospital administrator. While the accrediting body of an institution may encourage quality improvement activities, there is no reason to provide the chart audit results. Nurses are expected to use the information if it will have a positive impact on the nursing practice.