Which of the following best describes evidence-based practice?

a. Tool developed by a healthcare organization for its own use to guide best nursing practice
b. An approach that uses the best scientific data to guide nursing practice
c. Nurses who uses clinical judgment and expertise to guide nursing practice
d. A method of practice that uses tradition and folklore interventions to guide practice


B
Evidence-based practice is an approach that uses firm scientific data rather than anecdote, tradition, intuition, or folklore in making decisions about medical and nursing practice. In nursing, it includes blending clinical judgment and expertise with the best available research evidence and patient characteristics and preferences. A tool developed by a healthcare organization is usually in the form of a clinical pathway. These pathways are usually written per research evidence but not always.

Nursing

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A patient is receiving IV heparin 5000 U every 6 hours. An activated partial thromboplastin time (aPTT) is drawn 1 hour before the 08:00 am dose. The PTT is 92 seconds. What is the most appropriate action by the nurse?

A) Give the next two doses at the same time B) Give the dose and chart the patient response C) Check the patient's vital signs and give the dose D) Hold the dose and the call the aPTT result to the physician's attention

Nursing

The nurse is working with a family that has just delivered their third child, at 33 weeks' gestation. The mother tells the nurse, "This baby doesn't turn his head and suck like the older two children did

Why?" The best response by the nurse is: 1. "Every baby is different. This is just one variation of normal that we see on a regular basis." 2. "This baby might not have a rooting or sucking reflex because she is premature." 3. "When she is wide awake and alert, she will probably root and suck even if she is early." 4. "She may be too tired from the birthing process and need a couple days to recover."

Nursing

Pulses can be graded according to certain criteria. Which is a description of a normal pulse?

a. 0 b. +1 c. +2 d. +3

Nursing

Perceived stress elicits an emotional, anticipatory response that begins where?

a. Prefrontal cortex b. Anterior pituitary c. Limbic system d. Hypothalamus

Nursing