The nurse is planning to use evidence-based practice to help guide the care of a client. In which order should the nurse implement the steps of EBP?
1. Design practice change.
2. Assess the need for a change in practice.
3. Integrate and maintain change in practice.
4. Implement and evaluate the change.
5. Critically analyze the evidence.
6. Locate the best evidence.
Correct Answer: 2, 6, 5, 1, 4, 3
Rationale: The nurse should first assess the need for a change in practice. Then the best evidence should be located. The evidence should then be analyzed prior to designing a change in practice. The change should be implemented and then evaluated. Finally, the change in practice should be integrated and maintained.
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The spouse of a client on an antipsychotic medication asks the nurse why they routinely assess the client for movements, especially around the mouth and extremities. What nursing response is correct?
1. "Abnormal involuntary movements can be an irreversible side effect of antipsychotic medications." 2. "Antipsychotic medications can lead to this type of dystonia." 3. "Abnormal involuntary movements can be easily treated and less annoying to the client." 4. "Movements around the mouth herald the approaching medication tolerance that the client is developing."
A working goal for the nurse–client relationship is to achieve:
1. Facilitative intimacy. 2. Self-disclosure. 3. Interdependence. 4. Social superficiality.
A critical care patient has been receiving a continuous heparin drip for treatment of possible deep vein thrombosis for 4 days. The patient now has developed symptoms consistent with heparin-induced thrombocytopenia (HIT)
What change in therapy does the nurse anticipate? A) None, as the patient needs anticoagulation for deep vein thrombosis B) Change of heparin to subcutaneous low-molecular-weight heparin C) Discontinuation of all heparin and heparin-coated devices D) Replacement of platelets by transfusion and addition of aspirin therapy
A patient tells the nurse that she does not want to take a particular medication but does not want to tell the doctor because "he will be angry with me.". Which of the following should the nurse do to help this patient?
1. Encourage the patient to speak to the health care provider on her own behalf. 2. Tell the patient that the doctor does not need to know. 3. Offer to give the information to the doctor. 4. Tell the patient that if she does not take the medication, she might have more troubles in the future.