The quality improvement or performance improvement (QI/PI) ...

[erika]

The quality improvement or performance improvement (QI/PI) process should begin at which level of nursing?
 
  a. Staff nurse
  b. Nurse manager
  c. Nurse administrator
  d. Advanced practice registered nurse

Question 2

The nurse receives a patient from the emergency department with the diagnosis of ileus. The nurse expects the health care provider to order NPO for dietary status, and insert a nasogastric tube.
 
  The nurse knows that the purpose of the nasogastric tube is to do which of the following? a. Decompress the stomach until peristalsis returns.
  b. Provide tube feedings until peristalsis resumes.
  c. Allow for the release of flatulence.
  d. To keep the stomach expanded until peristalsis resumes.

[tsternbergh47]

Answer to Question 1

A
The QI/PI process begins at the staff level, where all disciplines become involved in identifying quality problems. Although all those listed can do QI/PI, the process begins at the staff level.

Answer to Question 2

A
A patient cannot eat or drink fluids without causing abdominal distention and nausea and vomiting to occur. The insertion of a nasogastric (NG) tube into the stomach serves to decompress the stomach, keeping it empty until normal peristalsis returns. Flatulence (having accumulated gas) is one of the most common GI disorders. It refers to a sensation of bloating and abdominal distention accompanied by excess gas. Normally, intestinal gas escapes through the mouth (belching) or the anus.

[erika]

TYSM

[alvinum]

Excellent