The nurse is interested in implementing evidence-based care in practice and is conducting a search for pertinent research studies. Which type of research is most likely to produce best evidence?
1. Literature review of the topic
2. Randomized clinical trial
3. Research that explains phenomena
4. Descriptive research
Correct Answer: 2
Randomized clinical trials are typically the gold standard for producing the best evidence. Literature reviews and descriptive research may provide ideas for the nurse to consider when looking for evidence-based topics. Research that explains phenomena is interesting, but less likely to produce best evidence practices.
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The nurse notices the patient's ECG alarm is triggering excessively. The first intervention to troubleshoot this problem is
A) turn off the alarm. B) check electrode placement and adherence. C) sit the patient up in high-Fowler's position. D) replace the cables.
A patient admitted after abdominal surgery has a nursing diagnosis of risk for infection. Which is the most appropriate goal?
a. Patient will ambulate length of hallway this shift. b. Patient will consume 20% of meals by the end of the week. c. Patient's incision will be without signs or symptoms of infection at discharge. d. Patient will verbalize need to stop antibiotics medication when symptom free.
The nurse should complete the Geriatric Depression Scale as part of the assessment if an elderly patient answers which question affirmatively?
a. "Would you say your mood is often low?" b. "Are you having any trouble with your memory?" c. "Have you noticed an increase in your alcohol use?" d. "Do you often experience moderate to severe pain?"
Misinterpreting her physician's instructions, a 69-year-old woman with a history of peripheral artery disease has been taking two 325 mg tablets of aspirin daily. How has this most likely affected her hemostatic status?
A) Irreversible acetylation of platelet cyclooxygenase activity has occurred. B) The patient's prostaglandin (TXA2) levels are abnormally high. C) She is at risk of developing secondary immune thrombocytopenic purpura (ITP). D) The binding of an antibody to platelet factor IV produces immune complexes.