Clinical Nursing Skills and Techniques
11th Edition by Perry,All Chapters 1-43,
Latest Exam Update.
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,TABLE OF CONTENTS
Chapter 1. Using Evidence in Nursing Practice
Chapter 2. Communication and Collaboration
Chapter 3. Admitting, Transfer, and Discharge
Chapter 4. Documentation and Informatics
Chapter 5. Vital Signs
Chapter 6. Health Assessment
Chapter 7. Specimen Collection
Chapter 8. Diagnostic Procedures
Chapter 9. Medical Asepsis
Chapter 10. Sterile Technique
Chapter 11. Safe Patient Handling and Mobility (SPHM)
Chapter 12. Exercise and Mobility
Chapter 13. Support Surfaces and Special Beds
Chapter 14. Patient Safety
Chapter 15. Disaster Preparedness
Chapter 16. Pain Management
Chapter 17. End-of-Life Care
Chapter 18. Personal Hygiene and Bed Making
Chapter 19. Care of the Eye and Ear
Chapter 20. Safe Medication Preparation
Chapter 21. Non-parenteral Medications
Chapter 22. Parenteral Medications
Chapter 23. Oxygen Therapy
Chapter 24. Performing Chest Physiotherapy
Chapter 25. Airway Management
Chapter 26. Cardiac Care
Chapter 27. Closed Chest Drainage Systems
Chapter 28. Emergency Measures for Life Support
Chapter 29. Intravenous and Vascular Access Therapy
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,Chapter 30. Blood Therapy
Chapter 31. Oral Nutrition
Chapter 32. Enteral Nutrition
Chapter 33. Parenteral Nutrition
Chapter 34. Urinary Elimination
Chapter 35. Bowel Elimination and Gastric Intubation
Chapter 36. Ostomy Care
Chapter 37. Preoperative and Postoperative Care
Chapter 38. Intraoperative Care
Chapter 39. Wound Care and Irrigations
Chapter 40. Impaired Skin Integrity Prevention and Care
Chapter 41. Dressings, Bandages, and Binders
Chapter 42. Home Care Safety
Chapter 43. Home Care Teaching
Chapter 01: Using Evidence in Nursing Practice
1 . Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk-management data.
ACCURATE ANSWER: B
The best evidence comes from well-designed, systematically conducted research studies described in scientific
journals. Portions of a textbook often become outdated by the time it is published. Many health care settings do not
have a process to help staff adopt new evidence in practice, and nurses in practice settings lack easy access to risk -
management data, relying instead on tradition or convenience. Some sources of evidence do not originate from
research. These include quality improvement and risk-mana gement data; infection control data; retrospective or
concurrent chart reviews; and clinicians‘ expertise. Although non–research-based evidence is often very valuable, it
is important that you learn to rely more on research-based evidence.
DIF: Cognitive Level: Comprehension OBJ: Discuss the benefits of evidence-based practice. TOP: Evidence-
Based Practice KEY: Nursing Process Step: Assessment
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, MSC: NCLEX: Safe and Effective Care Environment (management of care)
2 . When evidence-based practice is used, patient care will be:
a. standardized for all.
b. unhampered by patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ACCURATE ANSWER: C
Using your clinical expertise and considering patients‘ cultures, values, and preferences ensures that you will apply
available evidence in practice ethically and appropriately. Even when you use the best evidence available,
application and outcomes will differ; as a nurse, you will develo p critical thinking skills to determine whether
evidence is relevant and appropriate.
DIF: Cognitive Level: Application OBJ: Discuss the benefits of evidence-based practice. TOP: Evidence-
Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3 . When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
a. P.
b. I.
c. CHOICE BLANK
d. O.
ACCURATE ANSWER: C
C = Comparison of interest. What standard of care or current intervention do you usually use now in practice?
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or health problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic factor) do you think is
worthwhile to use in practice?
O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change in patient‘s perception)
do you wish to achieve or observe as the result of an intervention?
DIF: Cognitive Level: Knowledge OBJ: Develop a PICO question. TOP: PICO KEY: Nursing Process
Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4 . A well-developed PICOT question helps the nurse:
a. search for evidence.
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