The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. In order to effectively gather evidence to guide practice, what is the critical first step?
a. Develop the clinical question.
b. Identify the databases to be used.
c. Appraise the evidence.
d. Integrate available evidence with unit expertise.
ANS: A
Identifying the question may be the most challenging part of the process. Once the clinical question has been identified, writing it down will help in moving on to the next step of gathering evidence.
You might also like to view...
A female patient is complaining of vaginal spotting and sharp colicky pain. She informs the nurse that her period is 2 weeks late. The patient should be investigated for which of the following?
A) Trichomonas vaginalis B) Ectopic pregnancy C) Cervical cancer D) Yeast infection
Demerol 75 mg is ordered IVP q 4 to 6 hours PRN for pain. This medication is available in 100 mg/mL . How many mL will the nurse give every 4 to 6 hours PRN?
1. 0.75 mL 2. 75 mL 3. 0.15 mL 4. 0.26 mL
A patient with hypertension is prescribed terazosin (Hytrin). How does the nurse administer the first dose of this drug to the patient?
a. In the morning to avoid waking the patient at night b. With meals to avoid GI problems c. With a full glass of water d. At bedtime
Place the following steps for putting the first hand into a sterile glove in the order in which they would be performed
A) Carefully open the inner package. Fold open the top flap, then the bottom and sides. B) Place the inner package on the work surface with the side labeled 'cuff end' closest to the body. C) With the thumb and forefinger of the nondominant hand, grasp the folded cuff of the glove for dominant hand, touching only the exposed inside of glove. D) Keeping the hands above the waistline, lift and hold the glove up and off the inner package with fingers down. E) Place sterile glove package on clean, dry surface at or above your waist. F) Carefully insert dominant hand palm up into glove and pull on glove. G) Open the outside wrapper by carefully peeling the top layer back and remove inner package, handling only the outside of it.