The nurse is planning to use evidence-based practice to plan a patient's care. What actions should the nurse include when using this approach?
Select all that apply.
1. Review internal evidence
2. Identify external evidence
3. Discuss patient preferences
4. Consider individual expertise
5. Analyze costs associated with care
Correct Answer: 1, 2, 3, 4
EBP has been described as a problem-solving approach for clinical practice that includes the three foundational legs of external evidence, clinical expertise and internal evidence, and patient preferences and values. Analysis of the costs for care is not a part of the evidence-based practice process.
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The nurse receives a laboratory report that states her patient's digoxin level is 1.2 ng/mL; therapeutic range for this drug is 0.5 to 2 ng/mL. Which action should the nurse take?
1) Notify the prescriber to reduce the dose. 2) Withhold the next dose of digoxin. 3) Administer the next dose as prescribed. 4) Notify the prescribing healthcare provider to increase the dose.
A hospitalized patient is complaining of shortness of breath, but the student does not notice cyanosis. The patient’s hemoglobin is 9 g/dL, so the student asks the healthcare professional to explain. The professional tells the student that what amount of hemoglobin must be desaturated before cyanosis occurs?
a. 3 b. 5 c. 7 d. 9
The nurse is preparing to examine a client's internal ear. Which equipment would be necessary?
A) Watch with a second hand B) Tuning fork C) Otoscope D) Measuring tape
The nurse is teaching a patient with diverticulosis how to avoid complications. Which of the following statements, if made by the patient, would indicate understanding to the nurse?
a. "I will avoid milk and milk products." b. "I should cook vegetables thoroughly before eating." c. "I will increase fluids and fiber in my diet." d. "I should avoid very hot and spicy foods."