You have noticed an increased incidence of cannula infection rates on your ward and decide to search the literature for the latest information on prevention and treatment. Identify at least three keywords/phrases that you could use to begin the search. Use an appropriate literature database and identify: (1) How much literature is there? and (2) What type of literature is it (i.e

nursing/midwifery or medical or both; primary or secondary or both)?

What will be an ideal response?


Discussion for this topic could be a reflection on the use of keywords on a given topic and how they came to identify these. The group could discuss what they found and why this differed. Alert the group to the fact that keywords exist with every journal article they look at and these link this article to others. Refining and combining search terms can limit the number of papers found or even increase them and this then poses a question about how best to manage all this information and what to include and exclude.

Nursing

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A 35-year-old man is examined in an urgent care clinic. His presenting symptoms suggest polycythemia vera. Which extreme laboratory value would confirm this possible diagnosis?

a. High hemoglobin level b. Low white cell count c. Low platelet count d. High iron level

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The nurse is caring for a client with mitral valve stenosis. What clinical manifestation alerts the nurse to the possibility that the client's stenosis has progressed?

a. Oxygen saturation of 92% b. Dyspnea on exertion c. Muted systolic murmur d. Upper extremity weakness

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In which location would carotid bruits be heard best?

a. Posterior cervical triangle b. Anterior margin of the sternocleidomas-toid muscle c. Over the aortic valve d. At the angle of the mandible

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A nurse is educating a physically handicapped client about the government policies

available to make public places accessible and safe for disabled people. What statement is true regarding the advantages of removing architectural barriers in public places? A) Helps clients with disabilities to become employed B) Aids in reimbursement for rehabilitation from long term-illness C) Provides organizational support during financial crisis D) Provides education to clients about the benefits of rehabilitation

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