NGN Case Study 1: Quality Improvement Questions and Answers 100% Pass

NGN Case Study 1: Quality Improvement Questions and Answers 100% Pass Question 1 / 6 Recognizing Cues Select four appropriate indications for indwelling urethral catheter use. 1) Client has acute urinary retention 2)To improve client comfort during end-of-life care if needed 3) Clients receiving large-volume infusions or diuretics during surgery 4) Healing of an open sacral or perineal wound for incontinent clients Question 2 / 6 Analyzing Cues For each recommendation in the left column, click to specify if it demonstrates a quality improvement initiative to increase or decrease catheter-associated urinary tract infections (CAUTI) Increase: 1) Use urinary catheters in clients for management of incontinence. 2) Follow aseptic insertion of the urinary catheter and maintain an open drainage system. Decrease: 1) Ensure that only properly trained providers who know the correct aseptic technique of catheter insertion and maintenance are given this responsibility. 2) Maintain unobstructed urine flow. Question 3 / 6 Prioritizing Hypotheses Ineffective health knowledge Increase Question 4 / 6 Generating Solutions catheter-associated urinary tract infections (CAUTI) guidelines Answering staff questions Question 5 / 6 Taking Action For each potential action the nurse educator plans to take during the staff meeting, click to specify if the action is indicated, nonessential, or contraindicated. :Indicated: 1) Provide staff education about CAUTI, other complications of urinary catheterization, and alternatives to indwelling catheters. 2) Communicate expectations for unit-level compliance to assure appropriate utilization of catheters. Nonessential: Invite an infectious disease specialist to present at the staff meeting. Contraindicated: 1) Redirect questions about urinary catheter policies to hospital administrators. 2) Identify non-compliant staff members who failed to follow urinary catheter policies during the meeting Question 6 / 6 Evaluating Outcomes For each actual outcome in the left column, click to specify if the finding indicates the nurse educator's unit met or did not meet the expected outcomes. Met: 1) 100% unit compliance with self-study on the appropriate utilization of catheters 2) Implementation of a color-coded bracelet to alert staff to a client with an indwelling catheter and to complete a needs assessment every shift Not Met: 1) Catheter-associated urinary tract infections (CAUTI) rate is 4% 2) 75% unit compliance with peer performance review and feedback on appropriate hand hygiene and catheter care