After piloting an evidence-based clinical practice change, the nurse would (select all that apply):
a. Institute the change.
b. Pilot the project until the desired outcome is achieved.
c. Determine applicability for use.
d. Incorporate changes into practice
e. Pilot the project until consensus is achieved.
A, C, D
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Correct Following the appropriate piloting of a project, the changes should be im-plemented after determining applicability.
Following the appropriate piloting of a project, the changes should be im-plemented after determining applicability.
Following the appropriate piloting of a project, the changes should be im-plemented after determining applicability.
Incorrect This is counterproductive to legitimate research.
This is counterproductive to legitimate research.
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A child with suspected Down syndrome has been born to 32-year-old parents. The parents ask the nurse how the diagnosis will be made, and if there was a way that the diagnosis could have been made during the pregnancy
The best response by the nurse is: 1. "The baby's genes could have been tested during pregnancy by doing an amniocentesis." 2. "The doctor will check the baby's genes by doing a 24-hour urine collection on your child." 3. "Mom's blood could have been tested during the pregnancy to check for genetic problems with the baby." 4. "A swab of the baby's cheek or a stool sample will be used to check your baby's chromosomes."
A postpartum client comes to the clinic for her 6-week postpartum check-up. When assessing the client's cervix, the nurse would expect the external cervical os to appear:
A) Shapeless B) Circular C) Triangular D) Slit-like
Based on recent studies, which statement regarding touch and touch zones is most accurate?
a. Persons age 66 to 100 are the most often touched. b. Newly graduated nurses tend to touch clients less often than do nursing stu-dents. c. When performing peri-care the nurse is working within the zone of intimacy. d. The comfort of touch depends on place, situation, social status, and age.
The primary physician orders a narcotic analgesic for a patient in labor. Which situations would lead the nurse to hold the medication? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Contraction pattern every 3 minutes for 60 seconds 2. Fetal monitor tracing showing late decelerations 3. Patient sleeping between contractions 4. Blood pressure 150/90 5. Blood pressure 80/42