complete solu on RATED A+ NEW EDITION
What is evidence based prac ce? - Ans integra on of research evidence, clinical exper se,
clinical knowledge, and pa ent values and preferences
-clinical decision
What are the 5 steps of evidence based prac ce? - Ans 1. Ask the Clinical ques ons
2. Collect the best evidence
3. Appraise & synthesize the evidence
4. Apply the relevant evidence
5. Evaluate the outcomes
What is included in the first level priority? - Ans Airway
Breathing
Circula on
What is included in the second level priority? - Ans Mental status change
Acute pain
Infec on risk
Abnormal values
Climate
What is included in the third level priority? - Ans Lack of knowledge
Mobility problems
Family coping
,A0er comple ng an ini al assessment of a pa ent, the nurse has charted that his respira ons
are eupneic and
his pulse is 58 beats per minute. These types of data would be:
a. Objec ve
b. Reflec ve
c. Subjec ve
d. Introspec ve - Ans a. Objec ve
A pa ent tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
a. Objec ve
b. Reflec ve
c. Subjec ve
d. Introspec ve - Ans c. Subjec ve
The pa ents record, laboratory studies, objec ve data, and subjec ve data combine to form
the:
a. Data base
b. Admi:ng data
c. Financial statement
d. Discharge summary - Ans a. Data base
When listening to a pa ents breath sounds, the nurse is unsure of a sound that is heard. The
nurses next
ac on should be to:
a. Immediately no fy the pa ents physician
b. Document the sound exactly as it was heard
,c. Validate the data by asking a coworker to listen to the breath sounds
d. Assess again in 20 minutes to note whether the sound is s ll present - Ans c. Validate the
data by asking a coworker to listen to the breath sounds
The nurse is conduc ng a class for new graduate nurses. During the teaching session, the nurse
should keep
in mind that novice nurses, without a background of skills and experience from which to draw,
are more likely
to make their decisions using:
a. Intui on
b. A set of rules
c. Ar cles in journals
d. Advice from supervisors - Ans b. A set of rules
Expert nurses learn to a=end to a pa=ern of assessment data and act without consciously
labeling it. These
responses are referred to as:
a. Intui on
b. The nursing process
c. Clinical knowledge
d. Diagnos c reasoning - Ans a. Intui on
The nurse is reviewing informa on about evidence-based prac ce (EBP). Which statement best
reflects
EBP?
a. EBP relies on tradi on for support of best prac ces
b. EBP is simply the use of best prac ce techniques for the treatment of pa ents
, c. EBP emphasizes the use of best evidence with the clinicians experience
d. The pa ents own preferences are not important with EBP - Ans c. EBP emphasizes the use of
best evidence with the clinicians experience
The nurse is conduc ng a class on priority se:ng for a group of new graduate nurses. Which is
an example
of a first-level priority problem?
a. Pa ent with postopera ve pain
b. Newly diagnosed pa ent with diabetes who needs diabe c teaching
c. Individual with a small lacera on on the sole of the foot
d. Individual with shortness of breath and respiratory distress - Ans d. Individual with shortness
of breath and respiratory distress
When considering priority se:ng of problems, the nurse keeps in mind that second-level
priority problems
include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely abnormal vital signs - Ans c. Abnormal laboratory values
Which cri cal thinking skill helps the nurse see rela onships among the data?
a. Valida on
b. Clustering related cues
c. Iden fying gaps in data
d. Dis nguishing relevant from irrelevant - Ans b. Clustering related cues