Which of the following actions is most likely to promote acceptance of a new, evidence-based initiative aimed at reducing the incidence of pressure ulcers among stroke patients on a rehabilitative medicine unit?
A) Having an expert talk to staff about the deleterious effects that pressure ulcers have on the quality of life of patients
B) Quantifying and distributing the baseline incidence of pressure ulcers on the unit
C) Encouraging staff to search the health literature for possible new interventions for pressure ulcer prevention
D) Directing staff to be vigilant when charting interventions related to the prevention or treatment of pressure ulcers
B
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Which of the following situations related to transition from fetal to perinatal circulation would be most likely to necessitate medical intervention?
A) Pressure in pulmonary circulation and the right side of the infant's heart fall markedly. B) Alveolar oxygen tension increases causing reversal of pulmonary vasoconstriction of the fetal arteries. C) Systemic vascular resistance and left ventricular pressure are both increasing. D) Pulmonary vascular resistance, related to muscle regression in the pulmonary arteries, rises over the course of the infant's first week.
The emergency room nurse's initial intervention for a patient presenting with a chemical burn to the eye is to:
A) Generously flush the affected eye with an antibiotic solution B) Generously flush the affected eye with normal saline or water C) Apply a patch to the affected eye D) Apply direct pressure to the affected eye
The nurse is critiquing a qualitative research study. Which question would be appropriate for the nurse to ask when critiquing the study's sample selection?
a. Are the informants who were chosen appropriate to inform the research? b. If a particular approach is used to guide the inquiry, does the researcher complete the study according to the processes described? c. Does the researcher address the credibility, auditability, and fittingness of the data? d. Does the researcher place the report in the context of what is already known about the phenomenon (e.g., the existing literature)?
A patient, recovering from thoracic surgery, is demonstrating evidence of impaired gas exchange with a dropping oxygen saturation level. Which of the following interventions would be appropriate for the patient at this time?
1. Splint the chest when coughing. 2. Turn every 2 hours and coach to use the incentive spirometer every 1 to 2 hours. 3. Encourage fluids up to 2.5 liters per day. 4. Suction as necessary.