Which is true about evidence-based practice?
a. Evidence-based guidelines are unrelated to accreditation regulations.
b. Evidence-based practice is determined only through experimental studies.
c. Most nursing interventions are based on evidence-based principles.
d. The use of evidence-based practice results in improved patient outcomes.
ANS: D
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Which type of cerebrovascular accident has the slowest rate of recovery and the highest probability of causing extensive neurological deficits?
a. Reversible ischemic neurological deficit (RIND) b. Cerebral aneurysm c. Subarachnoid hemorrhage (SAH) d. Thrombotic stroke
When assessing the pulse of a 6-year-old boy, the nurse notices that his heart rate varies with his respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration. The nurse's next action would be to:
a. Immediately notify the physician. b. Consider this finding normal in children and young adults. c. Check the child's blood pressure, and note any variation with respiration. d. Document that this child has bradycardia, and continue with the assessment.
The nurse is evaluating the integrity of the ventrogluteal injection site. How does the nurse find the site?
a. By locating the middle third of the lateral thigh b. By locating the greater trochanter, anterior iliac spine, and iliac crest c. By locating the anterior aspect of the upper thigh d. By locating the acromion process
Which of the following patients is most at risk for hypovolemic shock after emergency surgery?
a. 14-year-old adolescent with gastroenteritis b. 59-year-old patient with pneumonia c. 12-year-old patient with H1N1 flu d. 28-year-old patient with a fractured ankle