The nurse caring for a critically ill patient implements several components of care. What component is an example of the use of evidence-based practice?
A) Use of a protocol for admission of a patient to the unit
B) Application of an insulin sliding scale method from research
C) Checking the patient's armband before giving a medication
D) Limiting visits to immediate family only for 2 hours a day
B
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The informatics nurse finds an article to support a change in the clinical information system. What should the nurse look for to ensure that the information in the article is valid?
A) Current date B) Symbol of validity C) Last reviewed date D) Name of the author
A client on a full liquid diet receives a milkshake from a family member. Which of the following actions would be appropriate?
1. Ask the dietitian to analyze the nutritive value of this outside source of nourishment. 2. Request the client to wait 30 minutes before consuming the milkshake so it can come to room temperature. 3. Observe and document the amount consumed. 4. Tell the client the milkshake is not permitted on his or her special diet.
Client teaching for patients receiving beta blockers includes instructing the client:
a. to take the beta blocker when symptoms occur. b. to have blood pressure and pulse rate checked monthly or quarterly. c. that GI upset is a common problem and if it occurs to stop the drug. d. not to abruptly stop taking the beta blocker because of the possible occurrence of rebound hypertension.
The nurse is talking to the parent of a 13-month-old child. The mother states, "My child does not make noises like ‘da' or ‘na' like my sister's baby, who is only 9 months old." Which statement by the nurse would be most appropriate to make?
a. "I am going to request a referral to a hearing specialist." b. "You should not compare your child to your sister's child." c. "I think your child is fine, but we will check again in 3 months." d. "You should ask other parents what noises their children made at this age."