The administrators of a long-term care facility are considered the use of specialized, pressure-reducing mattresses in order to reduce the incidence of pressure ulcers among residents
They have sought input from the nurses on the unit, all of whom are aware of the
need to implement the principles of evidence-based practice (EBP) in this decision. Which of
the following evidence sources should the nurses prioritize?
A) A qualitative study that explores the experience of living with a pressure ulcer
B) A case study that describes the measures that nurses on a geriatric unit took to reduce
pressure ulcers among patients
C) Testimonials from experienced clinicians about the effectiveness of the mattress in question
D) A randomized controlled trial that compared the pressure-reducing mattress with standard
mattresses
Ans: D
The most reliable evidence is considered RCTs. Qualitative studies, case studies,
and expert opinion are low on the hierarchy of evidence.
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The nurse is caring for a patient who is undergoing a major cardiac procedure. The patient tells you her heart is racing and she feels nauseated. You know this is part of hormone response known as:
a. sense of coherence. b. stress appraisal. c. fight or flight. d. sympathoadrenal response.
The nurse is teaching the parents of a 1-month-old infant with developmental dysplasia of the hip about preventing skin breakdown under the Pavlik harness. What statement by the parent would indicate a correct understanding of the teaching?
a. "I should gently massage the skin under the straps once a day to stimulate circulation." b. "I will apply a lotion for sensitive skin under the straps after my baby has been given a bath to prevent skin irritation." c. "I should remove the harness several times a day to prevent contractures." d. "I will place the diaper over the harness, preferably using a superabsorbent disposable diaper that is relatively thin."
Which skill is most important to a nurse working as a member of a community mental health team that strives to use a seamless continuum of care?
a. Case management b. Diagnostic ability c. Physical assessment skills d. Patients' rights advocacy
Which criterion would be most likely to eliminate a client from providing informed consent?
a. Client cannot state the correct ratio of benefits to risks of the drug. b. Client states the compensation that will occur if injury results. c. Client can state the name and only a partial phone number for the contact person. d. Client writes consent clearly and understands at the eighth-grade reading level.