Clinicians tend to buy into the need for practice change when (select all that apply):
a. there is a strong evidence base.
b. the topic addresses an identified need.
c. the practice change offers a relative ad-vantage.
d. the practice change is endorsed by orga-nizational executive leadership.
e. data demonstrate an opportunity for prac-tice improvement within the clinical area.
A, B, C, E
Clinicians tend to buy into the need for the practice change when there is a strong evidence base, the topic addresses an identified need, data demonstrate an opportunity for practice improvement within the clinical area, and the practice change offers a relative advantage. Localizing or adapting practice recommendations to fit the local setting and culture is an essential step in the process, often using the role of the opinion leader and team of local experts.
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A 59-year-old patient with history of alcohol abuse is admitted for hematemesis. On physical examination, you note ascites and caput medusa. A likely cause for the hematemesis is:
A. Peptic ulcer disease B. Barrett's esophagus C. Pancreatitis D. Esophageal varices
The nurse is concerned that a client is experiencing health problems caused by a nutritional imbalance. Which action should the nurse take first?
a. Add snacks to the client's menu selections b. Contact the registered dietitian for assistance c. Offer liquid nourishment supplements between meals d. Suggest the health care provider prescribe vitamin supplements
When performing a bed bath, a nurse should do which of the following? Select all that apply
1. Cover the patient with a bath blanket. 2. Uncover the entire body when washing. 3. Wash extremities from distal to proximal. 4. Fold the washcloth into a mitt around the hand. 5. Wash from the dirtiest areas to the cleanest areas.
Administer enema solutions within 30 minutes of eating a meal
Indicate whether the statement is true or false