Choose the statements that incorporate the characteristics of evidence-based practice. (Select all that apply.)
a. The nurse's clinical experience is fundamental to the evidence-based practice process.
b. Evidence-based practice provides a theoretical framework for accuracy and safety in patient care.
c. Evidence-based practice involves the use of a holistic approach to patient care in health care.
d. Evidence-based practice is designed to create a generic plan of patient care in clinical settings.
A, B, C
Evidence-based practice (EBP) is problem solving in its approach, which takes into account the clinical experience of the nurse. Clinical experience refers to the nurse's ability to use clinical skills and past experience to identify the patient's health state, diagnosis, and the risks and bene-fits of the prospective interventions. EBP combines researched evidence with knowledge and theory. The use of patient-centered researched evidence allows for accuracy and precision of di-agnostic tests and prognosis markers, in addition to the effectiveness and safety of therapeutic treatment. EBP allows for patient values to be expressed and incorporated in treatment regimens. Patients bring their individual preferences, concerns, and expectations to the clinical setting.
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Which assessment made by the nurse should be addressed first?
a. Reddened area to coccyx b. Decreased urinary output c. Shortness of breath d. Drainage from surgical incision
A nurse assigned to a child does not know how to perform a treatment that has been prescribed for the child. What should the nurse's first action be?
a. Delay the treatment until another nurse can do it. b. Make the child's parents aware of the situation. c. Inform the nursing supervisor of the problem. d. Arrange to have the child transferred to another unit.
The nurse is caring for a child who has a temperature of 30° C (86° F). What physical effects of hypothermia should the nurse expect to observe in this child? (Select all that apply.)
a. Reduced urinary output b. Injury to peripheral tissue c. Increased blood pressure d. Tachycardia e. Irritability with loss of consciousness f. Rigid extremities
To assess the child with severe burns for adequate perfusion, the nurse monitors which area?
a. Distal pulses b. Skin turgor c. Urine output d. Mucous membranes