Exam (elaborations) HESI-CRITICAL-THINKING

HESI-CRITICAL-THINKING EXAM 36. The nurse is assigned to the pediatric unit performance improvement committee. The unit is concerned with IV infection rates. Which action should the nurse implement first when investigating the problem? 1. Contact central supply for samples of IV start kits. 2. Obtain research to determine the best length for IV dwell time. 3. Identify how many IV infections have occurred in the last year. 4. Audit the charts to determine if hospital policy is being followed. 1 .Although this would not be the first step in investigating a problem, this action may be initiated if it is determined to be the cause for the increase in infection rates. 2. The nurse should utilize evidenced-based practice research when proposing changes because it is part of the performance im- provement process, but it is not the first in-tervention when investigating the problem. **3. The first intervention is to determine the extent of the problem and who owns the problem. The NCLEX-RN® test blue- print includes performance improvement (quality improvement) in the manage- ment of care content. 4. This action may need to be implemented once it is determined whether there is a problem with IV infection rates. However, this would be the second step in the process. 37. The clinic nurse is discussing a tubal ligation with a 17-year-old adolescent with Down syndrome. The adolescent does not want the surgery, but her parents (who are also in the room) are telling her she must have it. Which statement by the nurse would be an example of the ethical principle of justice? 1. "I think this requires further discussion before scheduling this procedure." 2. "You will not be able to have children after you have this procedure." 3. "You should have this procedure because you could not care for a child." 4. "You can refuse this procedure and your parents can't make you have it."