A nurse who recently joined the policy and procedure committee is reviewing a proposal for changing the type of needleless systems currently used to administer intravenous medications in the hospital
Which of the following would most effectively support the proposed change?
a. The proposal cites a single randomized clinical trial as evidence to support the new policy.
b. The proposal outlines a planned pilot study.
c. The supporting evidence involves research conducted at an outpatient hematology center.
d. There have been two cases of staff injury related to needlesticks in the past 3 years.
ANS: B
A small pilot study is typically done before an institution-wide change is made. A. More evidence or evidence of a higher level would better support the proposed change. C. It is important that the context in which the evidence will be used is considered, and research involving a population similar to that of the institution is more helpful. D. This would not be a statistically significant number to support the need for change.
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The Patient Self-Determination Act of 1991, as implemented today, is known as providing
a. informed consent. b. advance directives. c. patient bill of rights. d. HIPAA protections.
The nurse is instructing the caregivers in changing the diaper of their newborn daughter. The nurse will instruct the caregivers to wipe the baby from:
a. back to front using a wipe designed for a baby b. front to back using plain water and absorbent cotton or a fresh washcloth c. from the vagina forward and then from the vagina to the rectum d. from the vagina forward and then from the vagina to the rectum
The client presents her hand when the nurse makes this statement: "I need to start an IV so you can get your antibiotics." This is an example of which of the following?
1. Informed consent 2. Express consent 3. Implied consent 4. Compliance