Quality Improvement Tools Quiz
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Questions and Answers

Which nursing diagnosis is the MOST appropriate for a patient with Ulcerative Colitis experiencing large volume of stools?

  • Risk for Ineffective tissue perfusion R/T low hemoglobin
  • Risk for Deficient Fluid Volume R/T abnormal fluid loss (correct)
  • Imbalanced nutrition less than body requirements R/T impaired absorption
  • Acute Diarrhea R/T inflammation of the bowel
  • Which of the following findings would the nurse likely find during the comprehensive assessment of Ms. Betsy, who is presenting with Cholelithiasis?

  • Severe abdominal pain radiating to the right upper quadrant (correct)
  • Severe abdominal pain radiating to the left upper quadrant
  • Severe abdominal pain radiating to the left lower quadrant
  • Severe abdominal pain radiating to the right lower quadrant
  • During the admission interview of a patient complaining of biliary colic, which of the following questions would the nurse APPROPRIATELY ask?

  • When do you feel the pain? Is it before you sleep at night?
  • Does the pain last for thirty minutes or less?
  • When do you feel the pain, is it after a heavy meal? (correct)
  • Do you feel the pain and tenderness in the left upper quadrant of your abdomen?
  • What is the most likely cause of Ms. Betsy's Cholelithiasis, based on the information provided?

    <p>Eating fatty prepared foods</p> Signup and view all the answers

    What is the most appropriate next step in the management of Ms. Betsy's Cholelithiasis, based on the information provided?

    <p>Admit the patient for further work-up and possible surgery</p> Signup and view all the answers

    Which of the following physical examination findings would the nurse be most likely to observe in Ms. Betsy, who is presenting with Cholelithiasis?

    <p>Abdominal tenderness and guarding</p> Signup and view all the answers

    Which statement accurately describes the Fishbone diagram?

    <p>It is a tool used to identify root causes of a problem through a visual representation.</p> Signup and view all the answers

    What is the correct sequence of steps in the quality improvement process?

    <ol> <li>State the problem, 2. Evaluate QI outcomes, 3. Identify and select strategies, 4. Implement solution on a small scale, 5. Expand scope of QI throughout the organization</li> </ol> Signup and view all the answers

    Which statement about the Gantt chart is incorrect?

    <p>It is used to track and monitor individual tasks within a project.</p> Signup and view all the answers

    Which of the following is NOT a purpose of client satisfaction surveys in the context of public health?

    <p>To directly address and resolve the health problems presented by clients.</p> Signup and view all the answers

    Which of the following statements about the Fishbone diagram is correct?

    <p>It is a visual representation that organizes potential causes into categories to identify root causes.</p> Signup and view all the answers

    What is an incorrect statement about the Gantt chart?

    <p>It tracks and monitors the progress of individual tasks within a project.</p> Signup and view all the answers

    At what age will a patient typically start drinking from a cup?

    <p>9 months</p> Signup and view all the answers

    What is the definitive sign that labor is about to begin?

    <p>Initiation of uterine contractions</p> Signup and view all the answers

    During true labor contractions, where does the discomfort typically begin?

    <p>In the lower back and abdomen, radiating over the entire abdomen</p> Signup and view all the answers

    Based on the vaginal exam data of '75%, 7cm, 0', what does this indicate?

    <p>The cervical dilation is 75% complete</p> Signup and view all the answers

    With a cervical dilation of 7cm, approximately what fraction of the cervix's original length remains?

    <p>1/4 of the original length</p> Signup and view all the answers

    When are the membranes (amniotic sac) most likely to rupture during labor?

    <p>During the perineal phase as the baby's head crowns</p> Signup and view all the answers

    Which of the following statements about healthy food is correct according to the text?

    <p>It should be prepared from high monosaturated oils like olive oil</p> Signup and view all the answers

    Which of the following is NOT recommended for foot infection prevention in patients?

    <p>Using tight stockings when ambulating</p> Signup and view all the answers

    What should be the first strategy for the nurse in charge of the Central Supply Room (CSR) to distribute supplies equitably?

    <p>Determine the daily consumption of supplies</p> Signup and view all the answers

    How many days prior to consumption should the nurse managing the CSR requisition supplies and materials?

    <p>30 days</p> Signup and view all the answers

    During rainy days, when there are more pediatric patients aged 0-6 years old hospitalized due to respiratory and gastrointestinal diseases, what size of cannula should the nurse order for intravenous therapy?

    <p>A small-bore cannula suitable for pediatric patients</p> Signup and view all the answers

    Which combination of statements from the text is correct regarding healthy food preparation?

    <p>1, 2, and 3 only</p> Signup and view all the answers

    Which of the following drugs is NOT an anticholinergic agent used to reduce oral and respiratory secretions?

    <p>Ranitidine</p> Signup and view all the answers

    For a surgical procedure involving the lower abdomen, perineum, and lower extremities, which type of anesthesia would the surgeon likely order?

    <p>Spinal anesthesia</p> Signup and view all the answers

    According to the World Health Organization's surgical safety checklist, which of the following is NOT included in the sign-out area?

    <p>The nurse confirming the name of the procedure recorded and how the specimen is labeled.</p> Signup and view all the answers

    When a patient refuses to undergo insertion of a pacemaker despite having a third-degree AV block, and the health team respects this decision, which bioethical principle is being upheld?

    <p>Autonomy</p> Signup and view all the answers

    Which of the following statements about anticholinergic drugs is correct?

    <p>They are used to reduce oral and respiratory secretions before surgery.</p> Signup and view all the answers

    According to the World Health Organization's surgical safety checklist, which of the following is NOT part of the sign-out area?

    <p>Confirming the details of how the surgical specimen has been labeled and recorded.</p> Signup and view all the answers

    Study Notes

    Age and Development

    • A child typically starts drinking from a cup at around 12 months old.

    Labor and Delivery

    • The definitive sign that labor is about to begin is the initiation of contractions.
    • During true labor, discomfort usually begins in the lower back, abdomen, and then radiates over the entire abdomen.
    • When the cervix is 75% effaced, 7cm dilated, and 0 station, it means the acceleration phase of the first stage of labor is about to begin.
    • The membranes are most likely to rupture during the perineal phase of the second stage of labor as the head of the body crowns.

    Supply Management

    • To distribute supplies equitably, one should first collect data on daily consumption of supplies.
    • It is best to requisition supplies 30 days prior to their consumption.

    Pediatric Care

    • For pediatric patients who need intravenous therapy, a size 24 cannula is often used.
    • For patients with ulcerative colitis, a nursing diagnosis of risk for deficient fluid volume due to abnormal fluid loss is suitable.

    Abdominal Pain

    • When a patient complains of biliary colic, the nurse should ask questions like "When do you feel the pain? Is it after a heavy meal?"
    • During a comprehensive assessment, the nurse may find jaundice and facial grimaces in a patient with cholelithiasis.

    Quality Improvement

    • The Fishbone diagram is a cause-and-effect diagram used in quality improvement.
    • The Gantt chart is useful for planning and scheduling projects, but it does not help assess how long a project should take.

    Nursing Process

    • The correct sequence in the quality improvement process is to identify and select strategies, implement a solution in a small scale, evaluate QI outcomes, expand the scope of QI throughout the organization, and state the problem.

    Client Satisfaction

    • Client satisfaction surveys are not used to directly address the health problems presented.

    Medication Administration

    • Anticholinergic drugs like atropine sulfate, glycopyrrolate, and scopolamine are administered to reduce oral and respiratory secretions before surgery.

    Anesthesia

    • Epidural anesthesia is often used for surgeries of the lower abdomen, perineum, and lower extremities.

    Surgical Safety

    • The sign-out area of the surgical safety checklist includes verbal confirmation of the patient, site, and procedure to be done, and confirmation of instruments, sponge, and needle counts.

    Bioethics

    • When a patient refuses a life-sustaining treatment, the bioethical principle of autonomy is respected.

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    Description

    Test your knowledge on Quality Improvement tools like the Fishbone diagram and Gantt chart. Identify key characteristics and uses of these tools in problem-solving and project planning.

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