Which clinical question reflects the PICOT format?
1. Do children who must have suture repair of lacerations do better when placed on a papoose board or when held by a parent?
2. How do 24-hours of postoperative inpatient care compared with 12 hours of postoperative outpatient care affect development of deep vein thrombosis in the first seven days after hysterectomy?
3. What is the mean heart rate decrease in patients treated with guided imagery rather than being treated with medication for anxiety?
4. In patients who sustain traumatic head injuries is it better to keep them immobilized in a head vise until they have returned from radiology or is it better to remove the head vise as soon as the x-rays have been read?
2
Rationale 1: This question lacks a time element and the word "better" is not measurable.
Rationale 2: T = first seven days post-op
Rationale 3: This statement lacks a time.
Rationale 4: "Better" is not measurable.
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A nurse is caring for a patient with impaired renal function. A creatinine clearance measurement has been ordered. The nurse is aware that the specimens needed for the calculation of the patient's creatinine clearance will include what?
A) A fasting serum potassium level and a random urine sample B) A 24-hour urine specimen collection and a serum creatinine level midway through the urine collection process C) A blood, urea, nitrogen level, and serum creatinine level on three consecutive mornings D) A sterile urine specimen and an electrolyte panel, including sodium, potassium, calcium, and phosphorus values
A nurse has determined that a patient is suffering from chemical dependency and mental health issues. The patient is sent to a type of rehabilitation facility that will provide medical care in the form of ____________________,
or the removal of drugs and alcohol from the person's body, which generally takes several days. Fill in the blank with correct word.
A client is leaving for surgery and because of preoperative sedation needs complete assistance to transfer from the bed to the stretcher. Which of the following should the nurse do first?
1. Elevate the head of the bed. 2. Explain the procedure to the client. 3. Place the client in the prone position. 4. Assess the situation for any potentially unsafe complications.
A patient with a history of chronic alcohol use is underweight and malnourished. What should the nurse expect to be prescribed to manage the patient's nutritional status?
A. Diazepam (Valium) B. Methadone C. Thiamine (vitamin B1) D. Naloxone (Narcan)