Question

core measures are developed using:
a. evidence based medicine
b. the nursing process
c. myth and legend
d. the department of cardiopulmonary resuscitation

for a hf patient a nurse sensitive core measure is:
a. ldl cholesterol assessment.
b. discharge instructions specific to hf.
c. aspirin prescribed at discharge.
d. beta blocker at arrival.

core measures for stroke patients include:
a. dysphagia screening prior to oral medication administration and assessment for rehab prior to discharge.
b. performance of fast exam within 30 minutes.
c. education regarding benefits of high fiber diet on risk for cva
d. none of the above.

pneumonia patients should have blood cultures obtained and documented prior to the administration of the first dose of antibiotics.
a. true
b. false

foley catheters should be placed for all surgical patients and kept in place until discharge in order to help reduce surgical site infections.
a. true
b. false

rns must assess all patients 65 and older for the administration of:
a. aspirin
b. beta blockers
c. flu vaccine
d. pneumococcal vaccine

Explanation:

1. Core measures in healthcare are developed using Evidence - Based Medicine which is a well - established approach in modern medicine.
2. For a heart failure (HF) patient, discharge instructions specific to HF are a nurse - sensitive core measure as it impacts patient self - management and recovery.
3. For stroke patients, dysphagia screening prior to oral medication administration and assessment for rehab prior to discharge are important core measures.
4. It is standard practice to obtain and document blood cultures in pneumonia patients before the first dose of antibiotics to guide treatment.
5. Foley catheters are not placed for all surgical patients as they can increase the risk of urinary tract infections, not reduce surgical site infections.
6. Registered nurses (RNs) must assess patients 65 and older for the administration of the pneumococcal vaccine.

Answer:

1. A. Evidence Based Medicine
2. B. Discharge instructions specific to HF
3. A. Dysphagia screening prior to oral medication administration and Assessment for rehab prior to discharge
4. A. True
5. B. False
6. D. Pneumococcal Vaccine