A nurse wants to change a patient procedure. Which action will the nurse take to easily find research evidence to support this change?

a. Read all the articles found on the Internet.
b. Make a general search of the Internet.
c. Use a PICOT format for the search.
d. Start with a broad question.


ANS: C
The more focused the question is, the easier it becomes to search for evidence in the scientific literature. The PICO format allows the nurse to ask focused questions that are intervention based. Inappropriately formed questions (general search or broad question) will likely lead to irrelevant sources of information. It is not beneficial to read hundreds of articles. It is more beneficial to read the best four to six articles that specifically address the question.

Nursing

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A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of "spasm-like" pain over his lower abdomen. What should the initial intervention be by the nurse?

a. Inform the nurse in charge b. Decrease the continuous bladder irrigation flow c. Administer the prescribed analgesic d. Check the catheter and drainage system for obstruction

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What is an example of an unintentional tort?

A) Professional negligence B) Assault C) Battery D) False imprisonment

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A small nuclear weapon has been detonated in a nearby city. For which immediate symptoms of radiation sickness will the nurse assess in patients who have been exposed?

1. Dilated pupils and aggression 2. Nausea, vomiting, and diarrhea 3. Weight loss and fatigue 4. Anorexia and fatigue

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The nurse assesses an adolescent who complains of ear pain. The patient exhibits pronounced tenderness of the auricle when it is manipulated for insertion of the otoscope. Based on this sign, the nurse should suspect:

1. allergic rhinitis. 2. serous otitis media. 3. otitis media. 4. otitis externa.

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