The nurse is working with a committee to determine EBP approaches for patient care. Which steps will the committee members include when determining EBP? (Select all that apply.)

a. Evaluate the change.
b. Measure the outcome.
c. Ask the nursing experts.
d. Manipulate current practice.
e. Search for the best available evidence.


ANS: A, B
The steps in the EBP process are Ask, Search, Think, Measure, Make It Happen, and Evaluate. An acronym to remember these steps is ASKMME. C. D. Asking nursing experts and manipulating current practice are not steps in the EBP process.

Nursing

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The client is diagnosed with malignant neoplasms that have multiplied quickly and spread to distant body parts. The nurse is aware that this process is called:

a. cellular transition c. osmosis b. metastasis d. transposition

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A patient receiving head and neck radiation for larynx cancer has ulcerations over the oral mucosa and tongue and thick, ropey saliva. Which instructions should the nurse give to this patient?

a. Remove food debris from the teeth and oral mucosa with a stiff toothbrush. b. Use cotton-tipped applicators dipped in hydrogen peroxide to clean the teeth. c. Gargle and rinse the mouth several times a day with an antiseptic mouthwash. d. Rinse the mouth before and after each meal and at bedtime with a saline solution.

Nursing

The client that would be a poor candidate for treatment with an atropine-like drug is the client who has:

a. parkinsonism. b. a peptic ulcer. c. cirrhosis. d. glaucoma.

Nursing