The nursing instructor has just completed a lecture on evidence-based practice that included a discussion of the different phases
Which response by a nursing student who is identifying the phases would indicate to the nursing instructor that further clarification is needed? a. Making the correct diagnosis
b. Locating the best practice
c. Clinical application of the best practice findings
d. Evaluation of the effectiveness of the care given
A
The steps involved in the total process of evidence-based practice are step 1, asking the correct clinical
question(s), finding the best practice, and validating the findings to the particular care situation; step 2,
clinical application of the best practice; and step 3, evaluation of the effectiveness of the care given
and continual process improvement. The nursing instructor would need to clarify that making the
correct diagnosis is always important, but it is not one of the steps in the process.
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A patient is lying on her back for more than 3 hours. She develops a reddened area on the coccyx. What response is noted with the development of the reddened area?
A) Decreased pH B) Increased protein catabolism C) Inhibition of cell growth D) Inflammation
A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors. The nurse will encourage her to stop trying to remove the corn with scissors because:
a. The woman could be at increased risk for infection and lesions because of her chronic disease. b. With her diabetes, she has increased circulation to her foot, and it could cause severe bleeding. c. She is 75 years old and is unable to see; consequently, she places herself at greater risk for self-injury with the scissors. d. With her peripheral vascular disease, her range of motion is limited and she may not be able to reach the corn safely.
The patient, family, social service agency, hospital, physician, or another agency all can provide the entry point to the home health care system. What is the entry point for the home health care system called?
a. Recommendation b. Survey c. Referral d. In-taking
The nurse is talking with a client about the need for immunosuppressant medications after a kidney transplant in the coming week
The client says, "I understand why I need these medications for the new kidney, but I don't understand why my body doesn't reject the kidneys I have." What is the nurse's best response? 1. "That is just the way we are made." 2. "You don't worry about that. It is so complicated and you need to focus on getting better." 3. "As we develop, our immune cells learn to identify self-cells." 4. "That doesn't happen because of clonal deletion."