The nurse is caring for a patient with chronic low back pain. In providing care for this patient, the nurse wonders whether the guidelines utilized for this type of pain are adequate

The nurse wants to determine the best evidence-based practice regarding these guidelines. What is the best database for the nurse to access?
a. MEDLINE
b. EMBASE
c. PsycINFO
d. AHRQ


ANS: D
The Agency for Healthcare Research and Quality (AHRQ) includes clinical guidelines and evidence summaries. MEDLINE includes studies in medicine, nursing, dentistry, psychiatry, veterinary medicine, and allied health. EMBASE includes biomedical and pharmaceutical studies. PsycINFO deals with psychology and related health care disciplines.

Nursing

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The nursing student predominantly uses knowledge about the history of nursing for what purpose?

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The nurse is caring for a patient who recently received a kidney transplant. Which of the following would most likely put the patient at risk for organ rejection?

a. Cytotoxic lymphocytes have been activated by the anesthetic used during sur-gery. b. The sequence of amino acids in the major histocompatibility complex molecules differs from that in the donor. c. An allergic response occurs to the natural immunosuppressants the body produces. d. The immune system cannot activate against foreign antigens after an organ is transplanted.

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Patient education for a patient who is prescribed antibiotics for sinusitis includes:

1. Use of nasal saline washes 2. Use of inhaled corticosteroids 3. Avoiding the use of ibuprofen while ill 4. Use of laxatives to treat constipation

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In story theory, reflective awareness of self occurs through

A. Connecting with self-in-relation. B. Intentional dialogue. C. Creating ease. D. Story-sharing.

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