After piloting an evidence-based clinical practice change, the nurse would (Select all that apply.)

a. institute the change.
b. pilot the project until the desired outcome is achieved.
c. determine applicability for use.
d. incorporate changes into practice.
e. pilot the project until consensus is achieved.


ANS: A, C, D
Following the appropriate piloting of a project, the changes should be implemented after deter-mining applicability. Options B and E are counterproductive to legitimate research.

Nursing

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The nurse has set a goal of becoming a clinical nurse leader (CNL). What actions should this nurse plan to reach this goal?

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Mild or chronic anemia in an infant may be treated adequately which of the following?

1. Transfusions with O-negative or typed and cross-matched packed red cells 2. Iron supplements or iron-fortified formulas 3. Steroid therapy 4. Antibiotics or antivirals

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A laboring multipara is having intense uterine contractions with incomplete uterine relaxation between contractions. Vaginal examinations reveal rapid cervical dilation and fetal descent. The nurse should:

A. Notify the physician of these findings. B. Place the woman in knee-chest position. C. Turn off the lights to make it easier for the woman to relax. D. Assemble supplies to prepare for a cesarean birth.

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When assessing a newborn for coagulation factors, the perinatal nurse recalls that coagulation factors to enable the newborn to effectively clot blood after childbirth are activated by __________

Fill in the blank with the appropriate word.

Nursing