The first step in evidence-based practice is to ask a clinical question. In doing so, the nurse needs to realize that in researching interventions, the question
a. Is more important than its format.
b. Will lead you to hundreds of articles that must be read.
c. May be easier if in PICO format.
d. May be more useful the more general it is.
C
The PICO format allows the nurse to ask questions that are intervention focused. Inappropriately formed questions will likely lead to irrelevant sources of information. It is not beneficial to read hundreds of articles. It is more beneficial to read the best four to six articles that specifically address the question. The more focused the question asked, the easier it will become to search for evidence in the scientific literature.
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The traditional diet of Asian women includes little meat or dairy products and may be low in calcium and iron. The nurse can help a client increase her intake of these foods by:
a. Emphasizing the need for increased milk intake during pregnancy. b. Suggesting she eat more "hot" foods during pregnancy. c. Telling her husband that she must increase her intake of fruits and vegetables for the baby's sake. d. Suggesting she eat more tofu, bok choy, and broccoli.
Your supervisor comments that you have a great deal of personal power. The supervisor's comment is most likely related to which of your assets?
a. Decision-making ability c. Charisma when speaking to people b. Connections to other nurses d. Expertise as a nurse
A nurse is assessing a neonate. Which assessment finding indicates that the neonate's respiratory status is worsening?
1. Acrocyanosis 2. Arterial CO2 of 40 3. Periorbital edema 4. Grunting respirations with nasal flaring
After initiating a blood transfusion for a client, the nurse should now:
1. Stay with the client and closely observe him for the first 5 to 10 minutes of the transfusion. 2. Assign the UAP to sit with the client for 15 minutes. 3. Advise the client to notify the nurse if he experiences any chilling, nausea, flushing, or rapid heart rate. 4. Return to the room and take a set of vital signs in 15 minutes.