NURSING INTERVENTIONS AND CLINICALSKILLS 7THEDITION BY
n n n n n n n n
POTTER PERRY ALL CHAPTERS 1-32 COVERED GRADED A+
n n n n n n n n n
NEWESTVERSION.n
,Unit 1: Quality and Safety in Nursing Practice
n n n n n n n
1. Using Evidence in Nursing Practice
n n n n
2. Communication& Collaboration n n
3. Documentationand Informatics n n
4. Patient Safety& Quality Improvement
n n n n
5. InfectionControl n
6. Disaster Preparedness n
Unit 2: Patient Assessment Skills
n n n n
7. Vital Signs
n
8. HealthAssessment n
9. SpecimenCollection n
10. DiagnosticProcedures n
Unit 3: Basic Human Needs
n n n n
11. Bathing and Personal Hygiene n n n
12. Care of the Eye and Ear
n n n n n
13. PromotingNutrition n
14. ParenteralNutrition n
15. Pain Management
n
16. PromotingOxygenation n
Unit 4: Activity and Mobility
n n n n
17. Safe Patient Handling
n n
18. Exercise, Mobility& ImmobilizationDevices n n n n
Unit 5: Promoting Elimination
n n n
19. UrinaryElimination n
20. BowelElimination n
21. Ostomy Care n
Unit 6: Medication Administration
n n n
22. Preparation for Safe Medication Administration n n n n
23. Nonparenteral Medications n
24. Parenteral Medications n
Unit 7: Dressings and Wound Care
n n n n n
25. Wound Care and Irrigation n n n
26. PressureInjury Prevention and Care n n n n
27. Dressings Bandages andBinders n n n
Unit 8: Complex Nursing Interventions
n n n n
28. IntravenousTherapy n
29. Pre-Operativeand Post-OperativeCare n n n
30. Emergency Measures for Life Support n n n n
Unit 9: Supportive Nursing Interventions
n n n n
31. End-of-LifeCare n
32. Home Care Safety n n
,Chapter01:Using Evidence inNursing Practice
n n n n n n
Perryet al.:Nursing Interventions & Clinical Skills, 7thEdition
n n n n n n n n n
MULTIPLE CHOICE n
1. A nursing educator is explaining how the best clinicalpractices are determined. Which
n n n n n n n n n n n n
n statement best explains the purpose of evidence-based practice? n n n n n n n
a. It ensures that allpatients receive holistic care.
n n n n n n n
b. It provides a definite reason for providing care in a specific manner.
n n n n n n n n n n n
c. It prevents errors when care is being delivered.
n n n n n n n
d. It guarantees that care delivered is based on research.
n n n n n n n n
ANS: B n
Evidence-based practice is the use of the current best evidence in making patient care decisions. n n n n n n n n n n n n n n
It applies to alltypes ofhealth care professionals. Currently there is no method that can ensure that
n n n n n n n n n n n n n n n n n n
all patients receive holistic care, that all errors can be prevented, or that a guarantee exists that
n n n n n n n n n n n n n n n n n
care given is based on research.
n n n n n n
DIF: Cognitive Level: Understanding n n OBJ: NCLEX: SafeandEffectiveCare Environment
n n n n n n
TOP: Nursing Process: Implementation
n n n n
2. Which question is a problem-focused trigger for initiating the evidence-based practice method in
n n n n n n n n n n n n
nursing care?
n n
a. What is known about reduction ofurinarytract infections in the older adult with
n n n n n n n n n n n n n
diabetes? n
b. Howcan chronic pain best be described when the patient is nonverbal?
n n n n n n n n n n n
c. How long can an IV catheter remain in place in a patient with obesity?
n n n n n n n n n n n n n
d. What measures can the nurse take to reduce the rising incidence ofurinarytract
n n n n n n n n n n n n n
infections on the older adult care unit?
n n n n n n n
ANS: D n
Evidence-based practice (EBP) questions tend to arise fromtwo sources: recurrent problems or n n n n n n n n n n n n
new knowledge. In the correct option, the increase in urinary tract infections indicates a trend or
n n n n n n n n n n n n n n n n
recurring problem in a specific group of patients. The other questions are general information
n n n n n n n n n n n n n n
questions, not based on what is happening in a specific area or to a group of specific patients in an
n n n n n n n n n n n n n n n n n n n n
area or relating to an observed trend.
n n n n n n n
DIF: Cognitive Level: Applying n n OBJ: NCLEX: SafeandEffective CareEnvironment
n n n n n n
TOP: Nursing Process: Implementation
n n n n
3. What doesthe ―I‖ indicate ina ―PICO‖ question?
n n n n n n n n
a. Intervention of interest n n
b. Incorporation of concepts n n
c. Implementation by nursing n n
d. Interest of personnel n n
ANS: A n
The ―I‖ stands for intervention of interest, meaning what the nurse hopes to use in practice and
n n n n n n n n n n n n n n n n
believes is worthwhile or valuable. This could be a treatment for aspecific type ofwound or an
n n n n n n n n n n n n n n n n n n
approach on how to teach food preparation for a patient with impaired sight.
n n n n n n n n n n n n n
, DIF: Cognitive Level: Remembering
n n n n n OBJ: NCLEX: Safe and Effective Care Environment
n n n n n n
TOP: Nursing Process: Implementation
n n n n
4. Who will the clinicalresearch nurse contact to search relevant databases in preparation for an
n n n n n n n n n n n n n n
upcoming study?
n n
a. The physician whose patients may be involved in the study
n n n n n n n n n
b. The medical librarian n n
c. The nurse manager ofthe unit where the studywill be conducted
n n n n n n n n n n n
d. The director of nursing of the facility n n n n n n
ANS: B n
The medical librarian is most knowledgeable regarding databases relevant to a study. The
n n n n n n n n n n n n
other individuals do not have the knowledge regarding relevant databases.
n n n n n n n n n n
DIF: Cognitive Level: Understanding
n n n n n OBJ: NCLEX: Safe and Effective Care Environment
n n n n n n
TOP: Nursing Process: Implementation
n n n n
5. Whichdatabase contains summaries ofclinical guidelines and their development?
n n n n n n n n n
a. MEDLINE
b. CINAHL
c. Cochrane Database ofSystematic Reviews n n n n
d. The National Guideline Clearinghouse n n n
ANS: D n
The National Guideline Clearinghouse is a database supported by the Agency for Healthcare
n n n n n n n n n n n n
Researchand Quality. It contains summaries ofclinical guidelines for practice. MEDLINE is
n n n n n n n n n n n n n
a database for studies in med ic N
n i ne, nursing, dentistry, psychiatry, veterinary medicine, and
n n n n n n n n n n
allied health. CINAHL (Cumulative Index of Nursing and Allied Health Literature) includes
n n n n n n n n n n n n
studies in nursing, allied health, and biomedicine. The Cochrane Database Full text of
n n n n n n n n n n n n n
regularly updated systematic reviews prepared by the Cochrane Collaboration includes
n n n n n n n n n
completed reviews and protocols.
n n n n
DIF: Cognitive Level: Remembering
n n n n n OBJ: NCLEX: Safe and Effective Care Environment
n n n n n n
TOP: Nursing Process: Implementation
n n n n
6. Whichdoes the nurse researcher identify as the strongest type ofresearch?
n n n n n n n n n n n
a. Randomized controlled trials n n
b. Aqualitative study
n n
c. A descriptive study
n n
d. A case controlled study
n n n
ANS: A n
Individual randomized controlled trials are close to the top of the research pyramid. Only
n n n n n n n n n n n n n
systematic reviews and meta-analyses are higher. This type of study tests an intervention
n n n n n n n n n n n n n
against the usual standard of care. The other types of studies are useful but do not give the same
n n n n n n n n n n n n n n n n n n n
type of information as a randomized controlled trial provides.
n n n n n n n n n
DIF: Cognitive Level: Remembering
n n n n n OBJ: NCLEX: Safe and Effective Care Environment
n n n n n n
TOP: Nursing Process: Assessment
n n n n