Nursing Interventions and Clinical Skills (7th Edition) – Lecture summary and study guide

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NURSING INTERVENTIONS AND CLINICALSKILLS 7THEDITIONBY
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POTTER PERRY ALL CHAPTERS 1-32 COVERED GRADED A+
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NEWESTVERSION.e

,Unit 1: Quality and Safety in Nursing Practice
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1. Using Evidence in Nursing Practice
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2. Communication& Collaboration e e




3. Documentationand Informatics e e




4. Patient Safety& Quality Improvement
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5. InfectionControl e




6. Disaster Preparedness e




Unit 2:Patient Assessment Skills
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7. Vital Signs
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8. HealthAssessment e




9. SpecimenCollection e




10. DiagnosticProcedures e




Unit 3: Basic Human Needs
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11. Bathing and Personal Hygiene e e e




12. Care of the Eye and Ear
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13. PromotingNutrition e




14. ParenteralNutrition e




15. Pain Management
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16. PromotingOxygenation e




Unit 4: Activity and Mobility
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17. Safe Patient Handling
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18. Exercise, Mobility& ImmobilizationDevices e e e e




Unit 5:Promoting Elimination
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19. UrinaryElimination e




20. BowelElimination e




21. Ostomy Care e




Unit 6:Medication Administration
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22. Preparation for Safe Medication Administration e e e e




23. Nonparenteral Medications e




24. Parenteral Medications e




Unit 7: Dressings and Wound Care
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25. Wound Care and Irrigation e e e




26. PressureInjury Prevention and Care e e e e




27. Dressings Bandages andBinders e e e




Unit 8:Complex Nursing Interventions
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28. IntravenousTherapy e




29. Pre-Operativeand Post-OperativeCare e e e




30. Emergency Measures for Life Support e e e e




Unit 9:Supportive Nursing Interventions
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31. End-of-LifeCare e




32. Home Care Safety e e

,Chapter01:UsingEvidenceinNursingPractice
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Perryetal.:NursingInterventions &ClinicalSkills, 7thEdition
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MULTIPLECHOICE e




1. A nursing educator is explaining how the best clinicalpractices are determined. Which
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e statement best explains the purpose of evidence-based practice? e e e e e e e




a. It ensures that allpatients receive holistic care.
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b. It provides a definite reason for providing care ina specific manner.
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c. It prevents errors when care is being delivered.
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d. It guarantees that care delivered is based on research.
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ANS: B e




Evidence-based practice is the use of the current best evidence in making patient care decisions. It e e e e e e e e e e e e e e e




applies to alltypesofhealthcare professionals. Currentlythere is no method that can ensure that all
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patients receive holistic care, that all errors can be prevented, or that a guarantee exists that care
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given is based on research.
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DIF: Cognitive Level: Understanding e e OBJ:NCLEX:SafeandEffectiveCareEnvironment e e e e e e




TOP: Nursing Process: Implementation
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2. Whichquestion isa problem-focused trigger for initiating the evidence-based practice method in
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nursing care?
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a. What is knownabout reduction ofurinarytract infections inthe older adult with
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diabetes? e




b. Howcan chronic pain best be described when the patient is nonverbal?
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c. Howlong can an IV catheter remain in place in a patient with obesity?
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d. What measures can the nurse taketo reducethe rising incidence ofurinarytract
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infections on the older adult care unit?
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ANS: D e




Evidence-based practice (EBP) questionstendto arise fromtwo sources: recurrent problems or e e e e e e e e e e e e




new knowledge. In the correct option, the increase in urinary tract infections indicates a trend or
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recurring problem in a specific group of patients. The other questions are general information
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questions, not based on what is happening in a specific area or to a group of specific patients in an
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area or relating to an observed trend.
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DIF: Cognitive Level: Applying e e OBJ:NCLEX:SafeandEffectiveCareEnvironment e e e e e e




TOP: Nursing Process: Implementation
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3. What doesthe ―I‖ indicate ina ―PICO‖ question?
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a. Intervention of interest e e




b. Incorporation of concepts e e




c. Implementation by nursing e e




d. Interest of personnel e e




ANS: A e




The ―I‖ stands for intervention of interest, meaning what the nurse hopes to use in practice and
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believes is worthwhile or valuable. This could be a treatment for aspecific type ofwound or an
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approach on how to teach food preparation for a patient with impaired sight.
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, DIF: Cognitive Level: Remembering
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TOP: Nursing Process: Implementation
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4. Who willthe clinicalresearch nursecontact to search relevant databases inpreparation for an
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upcoming study?
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a. Thephysician whose patients may be involved inthe study
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b. The medical librarian e e




c. Thenurse manager ofthe unit where the studywill be conducted
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d. The director ofnursing of the facility e e e e e e




ANS: B e




The medical librarian is most knowledgeable regarding databases relevant to astudy. The other
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individuals do not have the knowledge regarding relevant databases.
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DIF: Cognitive Level: Understanding
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TOP: Nursing Process: Implementation
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5. Whichdatabase contains summaries ofclinical guidelines and their development?
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a. MEDLINE
b. CINAHL
c. Cochrane Database ofSystematic Reviews e e e e




d. The NationalGuideline Clearinghouse e e e




ANS: D e




The National Guideline Clearinghouse is a database supported by the Agency for Healthcare
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Researchand Quality. It contains summaries ofclinical guidelines for practice. MEDLINE is
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a database for studies in med ic N
e i ne, nursing, dentistry, psychiatry, veterinary medicine, and
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allied health. CINAHL (Cumulative Index of Nursing and Allied Health Literature) includes
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studies in nursing, allied health, and biomedicine. The Cochrane Database Full text of
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regularly updated systematic reviews prepared by the Cochrane Collaboration includes
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completed reviews and protocols.
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DIF: Cognitive Level: Remembering
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TOP: Nursing Process: Implementation
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6. Whichdoes the nurse researcher identify as the strongest type ofresearch?
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a. Randomized controlled trials e e




b. Aqualitative study e e




c. Adescriptive study e e




d. Acase controlled study
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ANS: A e




Individual randomized controlled trials are close to the top of the research pyramid. Only
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systematic reviews and meta-analyses are higher. This type of study tests an intervention
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against the usual standard of care. The other types of studies are useful but do not give the same
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type of information as a randomized controlled trial provides.
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DIF: Cognitive Level: Remembering
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TOP: Nursing Process: Assessment
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