A nurse is searching for evidence related to a qualitative PICOT question. Which type of evidence should the nurse search first?
a. Meta-analyses with credible synthesized findings
b. Systematic reviews
c. Multi-site randomized clinical trials
d. Meta-syntheses
ANS: D
If searching for answers to qualitative questions, the nurse should first look for meta-syntheses. Top-level evidence for quantitative questions includes meta-analyses, systematic reviews, and multi-site randomized clinical trials.
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The physical therapist notifies the nurse that a patient with coronary artery disease (CAD) experiences an increase in heart rate during physical therapy at the bedside
The nurse recognizes that an increase in heart rate in a patient with CAD may result in what? A) Increased myocardial perfusion B) Myocardial ischemia C) Formation of a pulmonary embolism D) Electrolyte imbalances
The physician states that the patient with Alzheimer disease has progressed from the preclinical stage of the disease to the mild cognitive impairment stage. What would the nurse expect to find upon assessment of the patient?
a. Inability to communicate b. Incontinent episodes c. Total dependency d. Forgetfulness
Headaches and migraines are common in children and adolescents. In assessing the severity of the headaches in children, the nurse must understand the ability of the child to describe his/her symptoms
What would be an incorrect step for a nurse to take when assessing headache pain in a young child? 1. Use an approved pain scale, such as the Wong-Baker Faces Pain Rating Scale. 2. Note the mother or caregiver's report. 3. Note the child's behavior. 4. Note the nurse's own beliefs about children's perception of pain.
A parent asks a nurse about giving diphenhydramine (Benadryl) to a child to relieve cold symptoms. Which response by the nurse is correct?
a. "Benadryl must be given in higher doses to provide relief for cold symptoms." b. "Intranasal glucocorticoids are more effective for treating cold symptoms." c. "Nasal antihistamines are more effective for treating cold symptoms." d. "Because histamine doesn't cause cold symptoms, Benadryl would not be effective."