Applying evidence at the point of care requires:
a. Readily available evidence-based resources.
b. Ability to search research literature.
c. Single articles in journals.
d. Current textbooks.
ANS: A
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When completing a neurologic examination on a client, which question is most essential to evaluate the accuracy of the data?
A) When, if any, was your last narcotic use? B) Do you have any history of forgetfulness? C) Have you been diagnosed with any mental health issues? D) Have you experienced any unusual sensations?
The client who underwent a nephrolithotomy procedure 24 hours ago now has a fever of 101° F. What is the nurse's best action?
A. Apply a cooling blanket. B. Strain the urine. C. Notify the physician. D. Document the finding as the only action.
The nurse is providing care to a school-age client diagnosed with idiopathic thrombocytopenic purpura (ITP). Which nursing diagnosis is the priority for this client?
1. Risk for Injury 2. Ineffective Breathing Pattern 3. Nausea 4. Fluid-Volume Deficit.
The intensive care unit nurse is preparing to assess the level of consciousness of a client who is intubated and has both hands restrained to prevent the client from pulling out the endotracheal tube. The client's injury occurred due to a stabbing incident that ultimately caused the client to fall and hit his head. Which item related to the client will cause the nurse to report an incomplete Glasgow Coma Score (GCS)?
A. The client is intubated. B. The client's hands are restrained. C. The client was stabbed. D. The client fell and hit his head.