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rry, Patricia A. Potter Chapter 1-43 Complete Guide
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Table Of Content fk fk
Chapter1. Using Evidence in Nursing Practice Cha p
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ter 2. Communication and Collaboration Chapter
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3. Admitting, Transfer, and Discharge Chapter 4.
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Documentation and Informatics Chapter 5. Vital S i fk fk fk fk fk fk fk
gns
Chapter 6. Health Assessment Ch fk fk fk fk fk
apter 7. Specimen Collection Cha
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pter 8. Diagnostic Procedures Cha
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pter 9. Medical Asepsis Chapter 1
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0. Sterile Technique
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Chapter11. Safe PATIENT Handling and Mobility (SPHM) Ch
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apter 12. Exercise and Mobility
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Chapter13. Support Surfaces and Special Beds Ch a
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pter 14. PATIENT Safety
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Chapter 15. Disaster Preparedness fk fk fk fk
Chapter 16. Pain Management Ch fk fk fk fk fk
apter 17. End-of-Life Care fk fk fk
Chapter 18. Personal Hygiene and Bed Making Cha p
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ter 19. Care of the Eye and Ear
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Chapter 20. Safe Medication Preparation C fk fk fk bn fk fk
hapter 21. Nonparenteral Medications Cha
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pter 22. Parenteral Medications Chapter 23
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. Oxygen Therapy
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Chapter24.PerformingChest Physiotherapy Chapt fk fk fk bn fk fk
er 25. Airway Management
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Chapter26. Cardiac Care fk fk fk
Chapter 27. Closed Chest Drainage Systems Chap t
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er 28. Emergency Measures for Life Support
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Chapter29.Intravenous and VascularAccess Therapy Chapte r
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30. Blood Therapy
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Chapter 31. Oral Nutrition Chapt e fk fk fk fk fk
r 32. Enteral Nutrition Chapter3
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3. Parenteral Nutrition Chapter34 fk fk fk
. Urinary Elimination
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Chapter35.Bowel Elimination and Gastric Intubation Chapte r
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36. Ostomy Care fk fk
Chapter37.Preoperative and PostoperativeCare C fk fk fk bn fk fk fk
hapter 38. Intraoperative Care fk fk fk
Chapter 39. Wound Care and Irrigations fk fk fk fk fk
Chapter40. Impaired Skin Integrity Prevention and Care Cha pt
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er 41. Dressings, Bandages, and Binders
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Chapter 42. Home Care Safety C ha fk fk fk fk fk fk
pter 43. Home Care Teaching
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,Chapter 01: Using Evidence in Nursing Practice
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Perryet al.: Clinical Nursing Skills & Techniques, 1st Edition
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MULTIPLE CHOICE fk
1. Evidence-based practice is a problem- bn fk fk fk
solving approach to making decisions about PATIENT carethat is grounded in:
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a. the latest information found in textbooks.
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b. systematically conducted research studies. fk fk fk
c. tradition in clinical practice. fk fk fk
d. quality improvement and risk-management data. fk fk fk fk
ANS: B f k
The best evidence comes from well-
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designed, systematically conducted research studies described in scientific journals. Portions of a
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textbook often become outdated by the time it is published. Many health care settings do not h ave
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a process to help staff adopt new evidence in practice, and nurses in practice settings lack ea sy acc
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ess to risk- fk fk
management data, relying instead on tradition or convenience. Some sources of evidence do not o
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riginate from research. These include quality improvement and risk-
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management data; infection control data; retrospective or concurrent chart reviews; and clinicia n
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s‘ expertise. Although
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non–research-
based evidence is often very valuable, it is important that you learn to rely more on research-
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based evidence. fk
DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: Discuss the benefits of evidence- fk fk f k fk fk fk bn fk
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)
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2. When evidence-based practice is used, PATIENT care will be:
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a. standardized for all. fk fk
b. unhampered by PATIENT culture. fk fk fk
c. variable according to the situation. fk fk fk fk
d. safefrom the hazards of critical thinking. fk fk fk fk fk fk
ANS: C f k
Using your clinical expertise and considering PATIENTs‘ cultures, values, and preferenc e
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s ensures that you will apply available evidence in practice ethically and appropriately. Ev
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enwhen you use the best evidence available, application and outcomes will differ; as a nurs
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e,you will develop critical thinking skills to determine whether evidence is relevant a nd ap
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propriate.
DIFFERENCE: CognitiveLevel: Application OBJECTIVE: Discuss the benefits of evidence- fk fk fk fk fk fk fk
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)
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3. When a PICOT question is developed, the letter that corresponds with the usual standard of car
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e is:fk
a. P.
b. I.
c.
, c. CHOICE BLANK fk
d. O.
ANS: C f k
C =Comparison of interest. What standard of care or current intervention do you usually use no w in
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practice?
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P =PATIENT population of interest. Identify your PATIENT by age, gender, ethnicity, disease, orh
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ealth problem. fk
I = Intervention ofinterest. What intervention (e.g., treatment, diagnostic test, and prognostic fac tor
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) do you think is worthwhile to use in practice?
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O = Outcome. What result (e.g., change in PATIENT‘s behavior, physical finding, and change in PATIENT
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‘s perception) do you wish to achieve or observe as the result of an intervention?
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DIFFERENCE: CognitiveLevel: Knowledge fk
OBJECTIVE: Develop a PICO question.TOP: P fk fk fk fk
ICO KEY: Nursing Process Step: Implementation fk fk fk fk
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. fk fk
b. include all five elements of the sequence. fk fk fk fk fk fk
c. find as many articles as possible in a literature search.
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d. accept standard clinical routines. fk fk fk
ANS: A f k
The more focused a question that you ask is, the easier it is to search for evidence in the scien tif
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ic literature. A well-
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designed PICOT question does not have to include all five elements, nor does it have to follo w
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the PICOT sequence. Do not be satisfied with clinical routines. Always question and use cri tical
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thinking to consider better ways to provide PATIENTcare.
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DIFFERENCE: CognitiveLevel: Analysis fk
OBJECTIVE: Describe the six steps of evidence- fk fk fk fk fk fk
based practice.TOP: Evidence-Based Practice
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KEY: Nursing Process Step: Implementation MS fk fk fk fk fk
C: 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 th
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e situation. Utilizing which of the following resources would be the quickest way to revi
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ewresearch on the topic? fk fk fk
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database fk fk
ANS: D f k
The Cochrane Community Database of Systematic Reviews is a valuable source of synthesiz e
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d evidence (i.e., pre-
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appraised evidence). TheCochrane Database includes the full text of regularly updated system at
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ic reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubM ed
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are among the most comprehensive databases and represent the scientific knowledge base of he
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alth care. fk
DIFFERENCE: CognitiveLevel: Synthesis fk
OBJECTIVE: Describe the six steps of evidence- fk fk fk fk fk fk
based practice.TOP: Evidence-Based Practice
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KEY: Nursing Process Step: Implementation MS fk fk fk fk fk
C: NCLEX: Safe and Effective Care Environment (management of care)
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