A group of nurses wishes to create an evidenced-based environment within the institution where they work. Which of the following is an attribute of such an environment?
a. Maintaining the status quo
b. Using the organizational external structure
c. Maintaining the culture
d. Creating a capacity to change
D
Three specific attributes of establishing an evidence-based environment within an institution are (1)
create a capacity for change, (2) establish the culture, and (3) use the organizational infrastructure to
sustain and reinforce change.
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The triage nurse notes upon assessment in the emergency room that the patient with anxiety is hyperventilating. The nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?
A) Respiratory acidosis B) Respiratory alkalosis C) Increased PaCO2 D) Central nervous system (CNS) disturbances
The family of an older male patient asks why the patient needs to be hospitalized for pneumonia when the youngest daughter had the same infection a few months ago and was treated at home. How should the nurse respond to the family?
1. "The patient has chronic illnesses that put him at risk." 2. "I don't think you can compare your grandfather to yourself." 3. "There are some differences between men and women and illness." 4. "Aging decreases the body's ability to restore balance to body systems with an infection."
The nurse would include in the instruction related to a stress test on a treadmill that the test is a noninvasive procedure that:
1. is monitored continuously by blood pressure and EKG 2. will last about 1 hour. 3. is meant to stimulate claudication and dyspnea. 4. will require a period of bed rest afterward.
A type 2 diabetic patient is admitted to the hospital with a gastrointestinal illness and a blood glucose of 480 mg/dL. After stabilizing the patient, what action by the nurse is best?
a. Educate the patient on safe food handling. b. Ask if the patient took the diabetic medi-cation. c. Teach the patient ways to avoid dehydra-tion d. Delegate frequent blood sugars to the aide.