In what ways does evidence-based practice support effective nursing care? (Select all that apply.)
a. Research on nursing care topics
b. Directives from the boards of nursing
c. Summation of studies
d. Recommendations for nursing care
e. Funding research
A, C, D
Evidence-based practice uses current information from independent nursing research entities that has been summarized and formed into recommendations for nursing practice.
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Donna is a 34-year-old patient with a spinal cord injury. After two months in the hospital, Donna expresses concern to the nurse that she hasn't had a menstrual period since her accident. The nurse explains that
A) it may take approximately 6 months for her periods to return. B) she will probably not have a normal menstrual cycle. C) she will most likely not have periods and will not need birth control. D) she should have started her periods by now so the nurse will report this finding to the physician.
Diuretic therapy with furosemide is started for a client with heart failure. Two days after the drug therapy is started, the nurse evaluates the furosemide as effective when the client has experienced which of the following outcomes?
a) Has an improved appetite and is eating better. b) Is less thirsty than she was before the drug therapy. c) Has clearer urine since starting furosemide. d) Weighs 6 lbs (3 kg) less than she did 2 days ago.
A patient is having difficulty achieving adequate anticoagulation with prescribed doses of warfarin. The nurse realizes that what might be indicated for this patient?
1. genetic testing to determine if the patient metabolizes warfarin slower 2. use of a different anticoagulant 3. review of the patient's diet 4. analysis of the patient's lifestyle
A toddler has a unilateral foul-smelling nasal discharge and frequent sneezing. The nurse should suspect what condition?
a. Allergies b. Acute pharyngitis c. Foreign body in the nose d. Acute nasopharyngitis