The nurse documents that patient laboratory results often take 4 hours to populate into the electronic medical record. The lengthy time frame has contributed to delayed antibiotic administration
From this point, what should the nurse do to produce change using the evidence-based process? (Select all that apply.)
a.
Assess the need for change and identify a problem.
b.
Reconstruct the information into an answerable question.
c.
Review pertinent journal articles from the literature search.
d.
Apply the findings to clinical practice through collaboration.
ANS: B, C, D
The application of EBP includes the following basic components: Assessing the need for change and identifying a problem, linking the problem with interventions and outcomes by formulating a well-built question to search the literature, identifying articles and other evidence-based resources that answer the question, critically appraising the evidence to assess its validity, synthesizing the best evidence, designing a change for practice, implementing and evaluating the change by applying the synthesized evidence, and integrating and maintaining change while monitoring process and outcomes by reevaluating the application of evidence and assessing areas for improvement. By identifying the problem, assessing the need for change and identifying the problem has already been completed.
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Which situation best reflects the deontologic theory?
a. Initiating resuscitative measures on a 90-year-old patient with terminal cancer b. Using experimental medications for the treatment of AIDS c. Supporting the transplant of fetal tissue and organs d. Approving of a physician-assisted suicide
To effectively achieve a change goal/outcome in a change situation, the wound care specialist will:
a. Preserve the status quo. b. Diminish facilitators and reinforce barriers. c. Weigh the strength of forces. d. Strengthen facilitating forces.
A teenaged male patient who wrestles in high school is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
a. Ringlike rashes with red, scaly borders over the entire scalp b. Papular, wheal-like lesions with white deposits on the hair shaft c. Patchy areas of alopecia with small vesicles and excoriated areas d. Red, hivelike papules and plaques with sharply circumscribed borders
Explain why you should encourage the patient to assist in his own care as much as possible.
What will be an ideal response?