NURS 6521N Advanced Pharmacology – Defining Quality of Care

NURS 6521N Advanced Pharmacology – Defining Quality of Care

NURS 6521N Advanced Pharmacology – Defining Quality of Care

Post a definition of quality for your selected organization.

Describe at least one quality-related measure that is currently being monitored within the organization.
Summarize the data collection process for this measure, and explain how this information is communicated to or among the staff.

Identify at least one strength and one weakness related to how quality is defined, measured, and/or monitored within the organization.

How do we define quality of care?

On the basis of several definitions in the literature, the WHO definition of quality of care is “the extent to which health care services provided to individuals and patient populations improve desired health outcomes. In order to achieve this, health care must be safe, effective, timely, efficient, equitable and people-centred.” NURS 6521N Advanced Pharmacology – Defining Quality of Care

Safe.
Delivering health care that minimizes risks and harm to service users, including avoiding preventable injuries and reducing medical errors.

Effective.
Providing services based on scientific knowledge and evidence-based guidelines.

Timely.
Reducing delays in providing and receiving health care.

Efficient.
Delivering health care in a manner that maximizes resource use and avoids waste.

Equitable.
Delivering health care that does not differ in quality according to personal characteristics such as gender, race, ethnicity, geographical location or socioeconomic status.

People-centred.
Providing care that takes into account the preferences and aspirations of individual service users and the culture of their community. NURS 6521N Advanced Pharmacology – Defining Quality of Care

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NURS 6521N Advanced Pharmacology – Defining Quality of Care

Assignment Details

For this Assignment, you are going to write a paper explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

• Minimum requirement of at least 5 sources of support
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

NURS6521N Advanced Pharmacology – Vesicoureteral Reflux

NURS6521N Advanced Pharmacology – Vesicoureteral Reflux

Question 1
1 out of 1 points

A 3-year-old female presents with recurrent urinary tract infections (UTIs), fever, poor growth and development, and feeding problems. Tests reveal a retrograde flow of urine from the urinary bladder into the ureters. When giving report to the oncoming shift, the nurse will call this condition:
Selected Answer: a.
Vesicoureteral reflux (VUR)
Correct Answer:

? Question 2
1 out of 1 points

While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation is:
Selected Answer: a.
urine pH.
Correct Answer:

? Question 3
1 out of 1 points

A 4-year-old male is diagnosed with nephrotic syndrome. Which of the following assessment findings accompanies this condition?
Selected Answer: a.
Proteinuria
Correct Answer:

? Question 4
1 out of 1 points

A 35-year-old hypertensive male begins taking a diuretic. Which of the following common side effects of this medication should the nurse monitor?
Selected Answer: a.
Hypokalemia
Correct Answer:

? Question 5
1 out of 1 points

A 7-year-old male presents to his primary care provider for incontinence. His mother indicates that he has never been continent. Which of the following is the most likely diagnosis the nurse will observe on the chart?
Selected Answer: c.
Primary enuresis
Correct Answer:

? Question 6
0 out of 1 points

A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she most likely experience?
Selected Answer: a.
Anuria
Correct Answer:

? Question 7
1 out of 1 points

A 29-year-old female presents with cloudy urine, flank pain, hematuria, and fever. Which of the following does the nurse suspect the patient is most likely experiencing?
Selected Answer: a.
Acute cystitis
Correct Answer:

? Question 8
1 out of 1 points

When a newborn is admitted with urinary tract infections (UTIs), which type of infection will the nurse look for in the newborn?
Selected Answer: b.
Infections caused by bacteria from the gastrointestinal (GI) tract
Correct Answer:

? Question 9
1 out of 1 points

A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:
Selected Answer: c.
Acute glomerulonephritis
Correct Answer:

? Question 10
1 out of 1 points

A 5-year-old male was diagnosed with glomerulonephritis. History reveals that he had an infection 3 weeks before the onset of this condition. The infection was most likely located in the:
Selected Answer: c.
Respiratory tract
Correct Answer:

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NURS 6521N Advanced Pharmacology – Acute Pyelonephritis

NURS 6521N Advanced Pharmacology – Acute Pyelonephritis

? Question 21
1 out of 1 points

When describing the male urinary anatomy, which information should the nurse include? The portion of the male urethra that is closest to the bladder is the _____ portion.
Selected Answer: b.
Prostatic
Correct Answer:

? Question 22
1 out of 1 points

When a patient’s renal system secretes rennin, what effect will that cause in the body? It causes the direct activation of:
Selected Answer: a.
Angiotensin I
Correct Answer:

? Question 23
1 out of 1 points

A 42-year-old male is involved in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by:
Selected Answer: c.
Inadequate renal blood flow
Correct Answer:

? Question 24
1 out of 1 points

A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:
Selected Answer: c.
Acute glomerulonephritis
Correct Answer:

? Question 25
1 out of 1 points

A 60-year-old male is diagnosed with renal failure. While the nurse is reviewing lab results, which of the following lab values would be most consistent with this diagnosis?
Selected Answer: a.
Elevated plasma creatinine level
Correct Answer:

? Question 26
1 out of 1 points

NURS 6521N Advanced Pharmacology – Acute Pyelonephritis

A nurse observes on the chart that a patient is admitted with Wilms tumors. A nurse knows the tumors are found in the:
Selected Answer: a.
Kidneys
Correct Answer:

? Question 27
1 out of 1 points

While planning care for a patient who has acute pyelonephritis. A nurse recalls the most common condition associated with the development of acute pyelonephritis is:
Selected Answer: c.
Urinary tract obstruction
Correct Answer:

? Question 28
1 out of 1 points

A 42-year-old female is diagnosed with chronic renal failure, and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting:
Selected Answer: c.
Proteins
Correct Answer:

? Question 29
1 out of 1 points

A 56-year-old male presents with flank pain and polyuria. Tests reveal that he has an enlarged prostate. Which of the following types of renal failure should the nurse monitor for as it is the most likely to occur?
Selected Answer: d.
Postrenal
Correct Answer:

? Question 30
1 out of 1 points

Which of the following clusters of symptoms would make a clinician suspect a child has developed glomerulonephritis?
Selected Answer: d.
Gross hematuria, flank pain, and hypertension
Correct Answer:

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NURS 6521N Advanced Pharmacology – Hemolytic Uremic Syndrome

NURS 6521N Advanced Pharmacology – Hemolytic Uremic Syndrome

? Question 11
0 out of 1 points

When a nurse is checking the urinalysis, plasma proteins should be absent from the urine because:
Selected Answer: a.
All proteins filtered are subsequently reabsorbed.
Correct Answer:

? Question 12
1 out of 1 points

A nurse is reviewing urinalysis results and notices glucose is present in the urine. A nurse realizes glucose will be excreted in the urine when:
Selected Answer: b.
The carrier molecules have reached their maximum
Correct Answer:

? Question 13
1 out of 1 points

A 19-year-old female was involved in a motor vehicle accident during which she sustained a closed head injury. She is now experiencing detrusor sphincter dyssynergia. Which of the following is the most beneficial medication treatment?
Selected Answer: a.
Alpha blocker
Correct Answer:

? Question 14
1 out of 1 points

NURS 6521N Advanced Pharmacology – Hemolytic Uremic Syndrome

When a child is admitted with acute renal failure, a clinician realizes the most common cause of acute renal failure is:
Selected Answer: d.
Hemolytic uremic syndrome (HUS)
Correct Answer:

? Question 15
1 out of 1 points

A 15-year-old female presents with flank pain, irritability, malaise, and fever. Tests reveal glomerulonephritis. When the parents ask what could have caused this, how should the nurse respond?
Selected Answer: a.
Poststreptococcal infection
Correct Answer:

? Question 16
1 out of 1 points

While turning a patient with chronic renal failure, which principle should the nurse recall? Bone fractures are a risk factor in chronic renal failure because:
Selected Answer: c.
The kidneys fail to activate vitamin D.
Correct Answer:

? Question 17
1 out of 1 points

When a nurse is preparing to teach about urine, which information should the nurse include? Just before entering the ureter, urine passes through the:
Selected Answer: b.
Renal pelvis
Correct Answer:

? Question 18
1 out of 1 points

A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by:
Selected Answer: c.
dilation of the renal pelvis and calyces proximal to a blockage.
Correct Answer:

? Question 19
0 out of 1 points

On average the kidneys receive approximately _____ of the cardiac output.
Selected Answer: d.
26% to 35%
Correct Answer:

? Question 20
1 out of 1 points

A 2-year-old male is diagnosed with Wilms tumor. Which of the following clinical conditions is often associated with this disease?
Selected Answer: b.
Aniridia
Correct Answer: