Which of the following adaptations may be required to teach a patient who is hearing impaired?

You have just assisted in the delivery of a 34-week-gestation infant in the office of a methadone clinic. The mother had been in the clinic with her boyfriend, who was there for his methadone. The infant has a 5-minute APGAR score of 5 after drying, warming, suctioning, stimulating, and providing bag-valve-mask ventilations. Your partner advises that the mother denies narcotic use but is lethargic and has constricted pupils. Which of the following is the MOST appropriate action to take at this point?

A) Intubate the trachea, continue ventilations, contact medical control for consultation concerning intravenous access and administration of naloxone, and prepare to transport to a NICU. B) Intubate the trachea, administer 0.4 mg of naloxone through the endotracheal tube, ventilate, reassess, and prepare to transport to a NICU if no improvement. C) Continue bag-valve-mask ventilations, perform chest compressions for 1 minute, reassess, establish intravenous access, continue chest compressions if the heart rate remains less than 100, consult with medical control concerning administration of naloxone and transport destination. D) Continue bag-valve-mask ventilations, secure intravenous access, administer naloxone, reassess, and prepare for transport to a NICU regardless of improvement.

There are many benefits to a quality improvement process. Encouraging decision making at the most appropriate level, improving communication, developing leadership skills, and using the expertise and knowledge of the people who do the work are examples of benefits for the _______________

A. customer B. organization C. investors D. employees