NCLEX: The quality-improvement nurse reviewing fall-rate data is being evaluated for evidence-based practice and transla…
Statistics or evidence-based practiceManagement of Care
Case Study
The quality-improvement nurse reviewing fall-rate data is being evaluated for evidence-based practice and translating evidence into practice. Assessment data include a guideline recommends chlorhexidine bathing for central-line infection prevention. The nurse is evaluating discharge teaching. Which client statement shows correct understanding?
Question
A. "I will stop my medications when I feel better."
B. "I do not need to report mild symptoms unless they become unbearable."
C. "The nurse does not need to know about changes unless the provider asks."
D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale
Correct answer: D. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.