The leadership of a large, tertiary care hospital is under pressure from various sources to implement both evidence-based practice (EBP) and quality improvement (QI). Which of the following statements most accurately conveys an aspect of these philosophies?
A) EBP integrates patient preferences into clinical care decisions.
B) QI allows for the expertise of clinicians to be taken into account.
C) QI does not account for effects on patients who will be excluded from care.
D) EBP is linked to better patient outcomes than QI.
Answer: A) EBP integrates patient preferences into clinical care decisions.
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An elderly client has an order for a tuberculin skin test. The correct technique to give the two-step test purified protein derivative (PP
D) is to A) administer an injection of 5-TU subcutaneously; observe for induration in 48 hours; repeat the test and measure the induration. B) administer an injection of 5-TU intradermally and measure the induration in 72 hours; if the test is negative, repeat the test within 1 to 2 weeks and measure the induration in 72 hours. C) administer 5 units of BCG vaccine subcutaneously; in 72 hours administer an injection of 5-TU intradermally and measure the induration in 24 hours. Repeat the test in two weeks. D) administer an injection of 5-TU intradermally at one site and administer an injection of 5-TU subcutaneously and measure the induration of both sites in 72 hours.
The public health informatics nurse learns of a potential shortage of a type of antibiotic because a large number of prescriptions are being written for a particular illness. In which way should the nurse use infodemiology to learn which disease process is being treated?
A) Follow Twitter feeds to see who is reporting a disease treated by the antibiotic. B) Search the Internet to learn which disease is most likely treated by the antibiotic. C) Analyze geographic information to find out where the people with the disease live. D) Review geographic information to see which providers are prescribing the antibiotic.
When defining nursing philosophy, which of the following is appropriate?
A) Refers to the belief system of the profession and provides perspectives for practice, scholarship, and research. B) The substantive, discipline-specific knowledge that focuses on the human-universe-health process. C) Refers to the system of relationship of human response in health and illness. D) Responsible for generation of knowledge, which provides direction for future.
The nurse is evaluating a post-thoracotomy patient who has a chest tube. To properly maintain chest tube function the nurse's best action is to:
A. strip the tube every hour to maintain drainage. B. place the device below the patient's chest. C. double clamp the tubes except during assessments. D. remove the tubing from the drainage device to check for proper suctioning.