A nurse is caring for an elderly man recently admitted to the ICU following a stroke. She assesses his cognitive function using a new cognitive assessment test she learned about in a recent article in a nursing journal
She then brings a cup of water and a straw to the patient because she observes that his lips are dry. Later, she has the patient sit in a wheelchair and takes him to have some blood tests performed. He objects at first, saying that he can walk on his own, but the nurse explains that it is hospital policy to use the wheelchair. That evening, she recognizes signs of an imminent stroke in the patient and immediately pages the physician. Which action taken by the nurse is the best example of evidence-based practice?
A) Giving the patient a cup of water
B) Transferring the patient in a wheelchair
C) Using the cognitive assessment test
D) Recognizing signs of imminent stroke and paging the physician
C
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A client with HIV/AIDS asks the nurse why gabapentin (Neurontin) is part of the drug regimen when the client does not have a history of seizures. What response by the nurse is best?
a. "Gabapentin can be used as an antidepressant too." b. "I have no idea why you should be taking this drug." c. "This drug helps treat the pain from nerve irritation." d. "You are at risk for seizures due to fungal infections."
The nurse assumes responsibility for a blood transfusion that was initiated 2.5 hours ago. The patient is tolerating the procedure well, and there is roughly 50% of the blood remaining. The best action by the nurse is to
1. Increase the transfusion rate. 2. Stop the infusion and return the unused blood to the blood bank. 3. Chart the current vital signs. 4. Notify the charge nurse.
What type of challenge occurred when the problem employees encountered was clearly defined but difficult to solve?
a. An adaptive challenge b. A technical challenge c. A technical and adaptive challenge d. A non-challenge
Compare and contrast thrombus versus embolus
What will be an ideal response?