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Perry, Patricia A. Potter Chapter 1-43 Complete Guide
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Table Of Content
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Chapter 1. UsingEvidence in Nursing Practice
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Chapter 2. Communication and Collaboration
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Chapter 3.Admitting, Transfer, and Discharge
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Chapter 4. Documentation and Informatics
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Chapter 5. Vital Signs
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Chapter 6. Health Assessment
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Chapter 7. Specimen Collection
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Chapter8.Diagnostic Procedures
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Chapter 9. Medical Asepsis
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Chapter 10. Sterile Technique
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Chapter11. Safe Patient Handlingand Mobility(SPHM)
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Chapter 12. Exercise and Mobility
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Chapter13.Support Surfaces and Special Beds
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Chapter 14. Patient Safety
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Chapter15.DisasterPreparedness b
Chapter 16. Pain Management
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Chapter 17. End-of-Life Care
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Chapter18.PersonalHygiene and Bed Making b b b
Chapter 19. Care of the Eye and Ear
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Chapter20.Safe MedicationPreparation b b
Chapter 21. Nonparenteral Medications
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Chapter 22. Parenteral Medications
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Chapter 23. Oxygen Therapy
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Chapter24.PerformingChestPhysiotherapy b b
Chapter 25. Airway Management
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Chapter 26. Cardiac Care
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Chapter 27. Closed Chest Drainage Systems
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Chapter28. Emergency Measures for Life Support
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Chapter29. Intravenous and Vascular Access Therapy
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Chapter 30. Blood Therapy
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Chapter 31. Oral Nutrition
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Chapter 32. Enteral Nutrition
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Chapter33.ParenteralNutrition
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Chapter 34. UrinaryElimination
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Chapter35. BowelElimination and Gastric Intubation
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Chapter 36. Ostomy Care
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Chapter37.Preoperative and Postoperative Care b b b
Chapter 38. Intraoperative Care
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Chapter 39. Wound Care and Irrigations
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Chapter40. Impaired Skin IntegrityPrevention and Care
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Chapter 41. Dressings, Bandages, and Binders
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bChapter 42. Home Care Safety
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Chapter43.Home Care Teaching b b b
,Chapter01: Using Evidencein Nursing Practice
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Perry et al.: Clinical Nursing Skills& Techniques, 11th Edition
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MULTIPLE CHOICE b
1. Evidence-based practice is a problem-solvingapproach to making decisions about patient care
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bthat is grounded in:
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a. the latest information found in textbooks.
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b. systematically conducted research studies. b b b
c. tradition in clinical practice. b b b
d. qualityimprovement and risk-management data. b b b
ANSWER: B b
The best evidence comes from well-designed, systematically conducted research studies
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bdescribed in scientific journals. Portions of a textbook often become outdated bythe time it is
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bpublished. Many health care settings do not have a processto help staffadopt new evidence in
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bpractice, and nurses in practice settings lack easy access to risk-management data, relying
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binstead on tradition or convenience. Some sources of evidence do not originate from research.
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bThese include quality improvement and risk-management data; infection control data;
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bretrospective or concurrent chart reviews; and clinicians‘ expertise. Although
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non–research-based evidence is often veryvaluable, it is important that you learnto relymore b b b b b b b b b b b
bon research-based evidence.
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DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice. b b b b b b b
TOP: Evidence-Based Practice
b b KEY: Nursing Process Step: Assessment b b b b b
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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2. When evidence-based practice is used, patient care will be:
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a. standardizedfor all. b
b. unhampered bypatient culture. b b
c. variable accordingto the situation. b b b
d. safe from the hazards of critical thinking.
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ANSWER: C b
Using your clinical expertise and considering patients‘ cultures, values, and preferences
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ensuresthat you willapply available evidence in practice ethicallyand appropriately. Even
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when you use the best evidence available, application and outcomes will differ; as a nurse, you
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will develop critical thinking skills to determine whether evidence is relevant and
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appropriate.
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DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice. b b b b b b b
TOP: Evidence-Based Practice
b b KEY: Nursing Process Step: Assessment b b b b b
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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3. When a PICOT question is developed, the letter that corresponds with the usualstandard of
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care is:
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a. P.
b. I.
c.
, c. CHOICE BLANK b
d. O.
ANSWER: C b
C = Comparison of interest. What standard ofcare or current intervention do you usuallyuse
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now in practice?
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P = Patient population of interest. Identify your patient byage, gender, ethnicity, disease, or
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health problem.
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I= Intervention of interest. What intervention (e.g., treatment, diagnostic test, andprognostic
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factor) do you think is worthwhile to use in practice?
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O= Outcome. What result (e.g., change in patient‘s behavior, physicalfinding, and change in
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patient‘s perception) do you wish to achieve or observe as the result of an intervention?
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DIF: CognitiveLevel: Knowledge OBJ: Developa PICO question. b b b b
TOP: PICO
b KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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4. A well-developed PICOT question helps the nurse:
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a. search for evidence. b b
b. include all five elements of the sequence. b b b b b b
c. find as manyarticles as possible in a literature search.
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d. accept standard clinical routines. b b b
ANSWER: A b
The more focused a question that you ask is, the easier it is to search for evidence in the
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scientific literature. A well-designed PICOT question does not have to include all five
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elements, nor does it have to follow the PICOT sequence. Do not be satisfied with clinical
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routines. Always question and use critical thinking to consider better waysto provide patient
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care.
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DIF: CognitiveLevel: Analysis OBJ: Describe the six steps ofevidence-based practice. b b b b b b b
TOP: Evidence-Based Practice
b b KEY: Nursing Process Step: Implementation b b b b b
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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5. The nurse is not sure that the procedure the patient requires is the best possible for the
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situation. Utilizingwhich ofthe following resourceswould be the quickest wayto review
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research on the topic?
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a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database b b
ANSWER: D b
The Cochrane Community Database of Systematic Reviews is a valuable source of
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synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includesthe full
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text of regularly updated systematic reviews and protocols for reviews currently happening.
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MEDLINE, CINAHL, and PubMed are among the most comprehensive databases and
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represent the scientific knowledge base of health care.
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DIF: CognitiveLevel: Synthesis OBJ: Describe the sixsteps of evidence-based practice. b b b b b b b
TOP: Evidence-Based Practice
b b KEY: Nursing Process Step: Implementation b b b b b
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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