After reviewing the literature, the evidence-based practice committee institutes a practice change that bedrails should be left in the down position and hourly nursing rounds should be conducted

The results indicate over a 40% reduction in falls. What is the committee's next step?
a. Evaluate the changes in 1 month.
b. Implement the changes as a pilot study.
c. Wait a month before implementing the changes.
d. Communicate to staff the results of this project.


ANS: D
The last step of evidence-based practice (EBP) is to share the outcomes of EBP changes with others. Changes must be evaluated before the outcomes are shared. Once communicated, changes should be put in place as the committee deems reasonable (i.e., either hospital wide or as a pilot study). Waiting should not be an option unless the results are not to the committee's liking.

Nursing

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Parents express concern about the milia on the face and nose of their infant. What is the nurse's most helpful response when instructing the parents?

a. Contact a pediatric dermatologist for topical medication. b. Squeeze out the white material after cleansing the face. c. Wash the infant's face with a mild astringent several times a day. d. Leave the milia alone; it will disappear spontaneously. No treatment is needed.

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Which factor should the nurse remember when administering topical medication to an infant as compared with an adolescent?

a. Infants require a larger dosage because of a greater body surface area. b. Infants have a thinner stratum corneum that absorbs more medication. c. Infants have a smaller percentage of muscle mass. d. The skin of infants is less sensitive to allergic reactions.

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A nurse provides care to rural adults after working in an urban clinic for many years. Which of the following considerations should the nurse make when working with this population?

a. Rural adults are more likely to have health insurance. b. Rural adults are more likely to have access to health care providers. c. Rural adults are more concerned about their health status. d. Rural adults are more likely to experience mobility limitations.

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Sensory receptors that respond to stimuli from deeper tissues such as bone are termed:

A) neuroreceptors. B) interoceptors. C) proprioceptors. D) exteroceptors.

Nursing