A nurse working on a PICO question has found a large amount of literature available on the topic that she is interested in. There have been multiple studies that have been published
Which of the following types of studies should have the best evidence? A. Meta-analysis of randomized control trials
B. Opinion of an expert committee
C. One well-designed randomized control trial
D. Systematic review of descriptive and qualitative studies
A
Systematic reviews or meta-analyses are state-of-the-science summaries from an individual researcher or panel of experts. If a nurse is lucky to find a systematic review on the PICO question being asked, it means that a researcher has asked the same PICO question and reviewed the highest level of evidence available.
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A nurse in the emergency room (ER) tells the ER manager that she has been too busy with "traumas" to talk to people about advance directives. The ER manager informs the nurse that:
A) It is not a law to provide patient education about advance directives, but it is a professional expectation of this unit. B) All hospitals require advance directives to be completed prior to the patient being admitted. C) It is a federal law to provide patient education about advance directives at the time of hospital admission. D) Although advance directives are voluntary and are not legal in most states, it is a unit policy to complete the form.
The nurse is caring for a client who has recently undergone a partial gastrectomy. The client reports becoming dizzy and sweaty with heart palpitations about 2 hours after eating. The client is now afraid to eat anything
Which is the nurse's best response? a. "Drink at least 6 ounces of fluid before each meal." b. "Try a clear liquid diet for the next few days." c. "You probably should avoid dairy products." d. "Limit carbohydrate intake with meals."
Which of the following are some identified goals that contribute to being a professional nurse and keeping your patients safe?
a. Give and receive professional respect to and from the health care team. b. Monitor data that your patients are satisfied, pain-free, and feel cared about. c. Dress like a professional. d. Communicate pride in being a nurse. e. Pass the NCLEX-RN exam. f. Do not offer professional nursing service to the community; keep it where you work.
The nurse provides discharge teaching for a 61-year-old patient who has had a left modified radical mastectomy and lymph node dissection. Which statement by the patient indicates that teaching has been successful?
a. "I will need to use my right arm and to rest the left one." b. "I will avoid reaching over the stove with my left hand." c. "I will keep my left arm in a sling until the incision is healed." d. "I will stop the left arm exercises if moving the arm is painful."