MED SURG 120 Midterm Exam Questions with Verified Solutions Graded A+
What are your options for helping a patient in pain on a scale of 8/10 with no pain meds allowed
for 40 minutes? Go through the steps of how you will care for this patient. - Answers 1. Use the
EBP process to come up with a plan
gather data: what is causing pain
identify problem: current pain meds are not sufficient
what outcome is desirable: needs to be at pain level 3 or lower
plan what to do (options): have patient wait in pain for 40 min, non-drug pain coping methods,
report to RN/HCP pain level is not controlled with dosage
implement intervention: HCP has updated analgesic orders and you administer meds and
inform of side effects
evaluate: pain is now 2/10 patient is content
who is the center of the health team? - Answers patient
What is the best way to prioritize care? - Answers Maslow's Hierarchy :
1. physiological
2. safety and security
3. love and belonging
4. self-esteem
5. self-actualization
What are the ABCs of nursing - Answers priority in the following order
, A-airway clearance
B-breathing
C-circulation
What is the goal of evidence based practice? - Answers to give patient's the best possible with
improved patient outcomes.
What is the definition of EBP? - Answers "conscientious, explicit and judicious use of current
best evidence in making decisions about the care of individual patients"
and
"integrating individual clinical expertise with the best available external clinical evidence from
systematic research"
What is the EBP process? - Answers A- ask the burning question
S- search and collect data
K- thinK critically
M- measure the outcomes before and after
M- make it happen
E- evaluate the change
Describe the levels of evidence - Answers Levels 1-4 1 being the best
1- systematic reviews
2- randomized controlled variables
3- quasi-experimental studies
4- expert opinion
what is a systematic review? - Answers a structured, comprehensive synthesis of the research
literature to determine the best research evidence available to address a healthcare question.
examples: Cochrane and Joanna Briggs Inst.
What are your options for helping a patient in pain on a scale of 8/10 with no pain meds allowed
for 40 minutes? Go through the steps of how you will care for this patient. - Answers 1. Use the
EBP process to come up with a plan
gather data: what is causing pain
identify problem: current pain meds are not sufficient
what outcome is desirable: needs to be at pain level 3 or lower
plan what to do (options): have patient wait in pain for 40 min, non-drug pain coping methods,
report to RN/HCP pain level is not controlled with dosage
implement intervention: HCP has updated analgesic orders and you administer meds and
inform of side effects
evaluate: pain is now 2/10 patient is content
who is the center of the health team? - Answers patient
What is the best way to prioritize care? - Answers Maslow's Hierarchy :
1. physiological
2. safety and security
3. love and belonging
4. self-esteem
5. self-actualization
What are the ABCs of nursing - Answers priority in the following order
, A-airway clearance
B-breathing
C-circulation
What is the goal of evidence based practice? - Answers to give patient's the best possible with
improved patient outcomes.
What is the definition of EBP? - Answers "conscientious, explicit and judicious use of current
best evidence in making decisions about the care of individual patients"
and
"integrating individual clinical expertise with the best available external clinical evidence from
systematic research"
What is the EBP process? - Answers A- ask the burning question
S- search and collect data
K- thinK critically
M- measure the outcomes before and after
M- make it happen
E- evaluate the change
Describe the levels of evidence - Answers Levels 1-4 1 being the best
1- systematic reviews
2- randomized controlled variables
3- quasi-experimental studies
4- expert opinion
what is a systematic review? - Answers a structured, comprehensive synthesis of the research
literature to determine the best research evidence available to address a healthcare question.
examples: Cochrane and Joanna Briggs Inst.
