Which is not a common step in a practice-based evidence study?
a. Assemble a multidisciplinary project team
b. Measure patient severity
c. Obtain patient consent
d. Collect data
ANS: C
It is not necessary to obtain patient consent when treatment is not altered.
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While assessing a client's peripheral IV site, the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord. How should the nurse document this finding?
a. "Grade 3 phlebitis at IV site" b. "Infection at IV site" c. "Thrombosed area at IV site" d. "Infiltration at IV site"
A patient was given the diagnosis of congestive heart failure (CHF) 2 years ago. The patient complains of increased daytime sleepiness and states his support system has been complaining more and more about snoring. Central sleep apnea is suspected
Treatment depends on whether the patient has hypercapnic or nonhypercapnic central sleep apnea. Which of the following indicates a diagnosis of nonhypercapnic central sleep apnea (CSA)? a. Polysomnography with absence of airflow for at least 5 seconds b. Apnea–hypopnea index of 10 c. Peripheral edema, polycythemia, and obesity d. Insomnia, awakenings accompanied by choking, and normal body mass index
A nurse caring for a patient in the last stages of leukemia is aware that the patient is at risk even from the bacteria of his own body as an infection risk source, such as:
1. beta-hemolytic streptococci. 2. Streptococcus pneumoniae. 3. Streptococcus viridans. 4. Pseudomonas aeruginosa.
The nurse is preparing to give an injection to a 4-year-old child. Which intervention is age appropriate for this child?
a. Give the injection without any advanced preparation. b. Give the injection, and then explain the reason for the procedure afterward. c. Offer a brief, concrete explanation of the procedure at the patient's level and with the parent or caregiver present. d. Prepare the child in advance with details about the procedure without the parent or caregiver present.