A nurse is concerned that the policy of using povidone-iodine (Betadine) to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue
A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse: (Select all that apply.)
a. is applying evidence-based practice to the clinical setting.
b. is using critical thinking to change procedures performed in the care of foot ulcers.
c. is minimally educated at the master's level and participating in research to provide cost-effective care (soap is less expensive than povidone-iodine).
d. lacks clinical competence in health assessment and in application of theory to the clinical setting.
e. is using information to problem-solve and ensure safe, competent care.
ANS: A, B, E
Correct: Critical thinking is an essential part of applying evidence-based practice—that is using research findings to guide actual practice.
Incorrect:
c. Evidence-based research, not cost, should be used to guide actual practice.
d. The nurse is demonstrating clinical competence by using assessment skills and by noting the effects of povidone-iodine and applying evidence-based practice to change procedures performed in the care of foot ulcers.
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