Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:

a. The latest information found in textbooks
b. Systematically conducted research studies
c. Tradition in clinical practice
d. Quality improvement and risk management data


B
The best evidence comes from well-designed, systematically conducted research studies found in scientific journals. Portions of a textbook often become outdated by the time it is published. Many health care settings do not have a process to help staff adopt new evidence in practice. And nurses in practice settings lack easy access to risk management data, relying instead on tradition or convenience.

Some sources of evidence do not originate from research. These include quality improvement and risk management data; infection control data, retrospective or concurrent chart reviews; and clinicians' expertise. Although non–research-based evidence is often very valuable, it is important that you learn to rely more on research-based evidence.

Nursing

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Nursing

The nurse is caring for a child with hypokalemia. The nurse evaluates the child for which signs and symptoms of hypokalemia? (Select all that apply.)

a. Twitching b. Hypotension c. Hyperreflexia d. Muscle weakness e. Cardiac arrhythmias

Nursing

A nurse is providing care to a child who has been abused. Which characteristics are most likely present in this child's family? (Select all that apply.)

a. The parents are unemployed. b. There is no support network willing to of-fer assistance. c. The parents are not knowledgeable about child development. d. The mother seems frightened of her part-ner. e. There is no primary caregiver in the home.

Nursing

If a patient with arthritis develops iron-deficiency anemia, he or she should be asked about use of

a. alcoholic beverages. b. stool softeners and laxatives. c. caffeinated foods and beverages. d. nonsteroidal antiinflammatory drugs.

Nursing