The dressing covering the pressure ulcer on a client's heel frequently becomes loosened and re-quires repeated reinforcement. The nurse asks, "What can be done to improve the adhering prop-erties of this type of dressing?" The nurse has just formulated a:
1. PICO-formatted question
2. Research question (hypothesis)
3. Problem-focused triggered question
4. Knowledge-focused triggered question
ANS: 3
A problem-focused trigger question is one you face while caring for a client or a trend you see on a nursing unit. For example, while caring for an unconscious client, you think, "What is the best solution to use when giving mouth care to this client?"
The more focused a question you ask, the easier it will be to search for evidence in the scientific literature. PICO is a formatting process used when searching the literature for information on a specific topic.
Hypotheses are predictions made about the relationship or difference between study variables (a concept, characteristic, or trait that varies within subjects).
A knowledge-focused trigger is a question regarding new information available on a topic. For example, "What is the current evidence to improve pain management in clients with migraine headaches?"
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A 73-year-old man presents to his family physician with complaints of recent urinary hesitation and is eventually diagnosed with benign prostatic hyperplasia (BPH)
Which of the following clinical consequences would his care provider expect prior to the resolution of his health problem? A) Hydroureter and pain B) Development of renal calculi and renal cysts C) Unilateral hydronephrosis and pain D) Development of glomerulonephritis or nephrotic syndrome Ans:
What pieces of client information need to be verified by two licensed personnel before a blood transfusion? (Select all that apply.)
a. client's name e. type of product or-dered b. client's diet f. Rh factor c. client's identification number g. client's activity level d. ABO group h. type of blood product ordered
Which of the following clients is most at risk for fluid volume deficit?
1. 25-year-old male near-drowning victim 2. 56-year-old woman with salicylate poisoning 3. 45-year-old woman with second-degree burns over 20% of her body 4. 13-year-old boy with an oral temperature of 103.4° F