The forerunner of evidence-based nursing practice was:
1. The Hippocratic Oath
2. The science of Medicine
3. Evidenced-based medicine
4. Research utilization
4
Research utilization projects in the 1970s provided a guide to clinical practice.
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A client is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for treatment of gout. Which nursing instruction should be provided?
1. "Your initial dose will be low during your acute attack, but we will raise it over the next few weeks." 2. "This drug will help with inflammation, but I will give you a second medication for pain." 3. "If you have stomach pain, please call me for a medication adjustment." 4. "You may find that you cannot sleep while taking this medication."
The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This finding is associated with which congenital heart defect?
a. Pulmonary stenosis b. Patent ductus arteriosus c. Ventricular septal defect d. Coarctation of the aorta
A client post-delivery is concerned about getting back to her prepregnancy weight. She had only gained 15 pounds during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?
a. Client has lost 35 pounds during the 6-week period prior to her scheduled checkup. b. Client states that she is eating healthy and limiting intake of processed foods. c. Client relates increased consumption of fruits and vegetables in her diet postbirth. d. Client has resumed her usual exercise pattern of walking around the neighborhood for 10 minutes each night.
The primary care nurse measures the client's blood pressure and obtains 145/90 mm Hg. Which should the nurse implement?
1. Collaborate on antihypertensive therapy. 2. Ask client about caffeine and sodium intake. 3. Ask for date of initial hypertension diagnosis. 4. Repeat the blood pressure after client relaxation.