The nurse manager is evaluating the use of evidence-based practice guidelines to guide care on a patient care area. Which observations indicate that these guidelines are being used appropriately?
1. Guidelines are posted on the staff bulletin board in the break room.
2. A guideline was quoted in a narrative note in a patient's medical record.
3. A guideline is placed in the Kardex to support the use of a nursing diagnosis for a patient's health problem.
4. Guidelines are accessed through the clinical documentation system by nurses prior to writing patient care plans.
5. A guideline was referenced prior to implementing skin care interventions for a patient prone to pressure ulcer formation.
Correct Answer: 2, 3, 4, 5
Evidence-based practice guidelines are collections of practical information used to help guide decisions related to specific circumstances. These guidelines help identify appropriate interventions for a given nursing care problem or diagnosis. Quoting a guideline in a nurse's note, placing a copy of a guideline in a Kardex, accessing guidelines through the clinical documentation system, and referencing a guideline before planning skin care interventions indicate appropriate use of the guidelines. Posting a guideline on a bulletin board is not an appropriate use of a guideline.
You might also like to view...
A 35-year-old pregnant woman comes to the clinic for a monthly appointment. During the assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face. The nurse continues the skin assessment aware that another finding may be:
a. Keratoses. b. Xerosis. c. Chloasma. d. Acrochordons.
A patient being treated for major depression is the CEO of her own business. She has shown significant improvement and is about to be discharged after completing a course of 15 electroconvulsive therapy sessions
She will continue on SSRI medications. The patient has been counseled not to make a major business decision for a month. The rationale for this is that: a. SSRIs may cause confusion in susceptible persons. b. ECT often causes temporary memory impairment. c. Lingering depression makes the patient incompetent. d. The patient needs months to readjust to work pressures.
A client with loss of control over his voluntary movements is admitted to a healthcare
facility. Which functions performed by the motor neurons should the nurse be aware of? A) Receive and transmit messages from the central nervous system (CNS) B) Associate impressions and information C) Maintain constant level of blood pressure (BP) D) Regulate the release of hormones
A woman complains of cracking fissures in the corner of her mouth. Which instruction should the nurse include in the information provided to the client?
A) Increase intake of eggs and milk. B) Avoid citrus fruits for the next few weeks. C) Nuts and legume intake should be increased. D) Potatoes and other starch containing foods should be restricted.