Which of the following is considered the highest level or best evidence supporting practice?
a. Level IV
b. Level III
c. Level II
d. Level I
ANS: D
Level I is the best evidence and is an analysis of many well-conducted, randomized, controlled trials. It is a systematic review of studies.
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The nurse is aware that for the 3-month-old who has a surgery time of 2:30 PM, the start order for NPO should be no earlier than ____________________
ANS:
A new nurse in the emergency department is examining a 4-year-old child who is sitting upright, is drooling, and is restless. Which action by the new nurse causes an experienced nurse to intervene?
A. Attaches a cardiac monitor and oximeter B. Attempts to assess throat with a tongue blade C. Permits child to remain in an upright position D. Prepares to administer racemic epinephrine (MicroNefrin)
An elderly client complains of a disturbed sleep pattern and impaired memory. The nurse would document the patient's complaints as which type of nursing diagnosis?
a. risk nursing diagnosis c. syndrome nursing diagnosis b. actual nursing diagnosis d. health-promotion nursing diagnosis
An older adult comes to the clinic complaining of pain in the left foot. While assessing the patient, the nurse notes smooth, shiny skin that contains no hair on the client's lower legs. Which condition does this finding suggest?
a. Venous insufficiency b. Hyperthyroidism c. Arterial insufficiency d. Dehydration