TableOfContent
Chapter1UsingEvidenceinNursingPractice
Chapter2CommunicationandCollaboration
Chapter3.Admitting,Transfer,andDischarge
Chapter4DocumentationandInformatics
Chapter5.VitalSigns
Chapter6.HealthAssessment
Chapter7SpecimenCollection
Chapter8.DiagnosticProcedures
Chapter9MedicalAsepsis
Chapter10.SterileTechnique
Chapter11.SafePatientHandlingandMobility(SPHM)
Chapter12ExerciseandMobility
Chapter13.SupportSurfacesandSpecialBeds
Chapter14PatientSafety
Chapter15.DisasterPreparedness
Chapter16.PainManagement
Chapter17End-of-LifeCare
Chapter18.PersonalHygieneandBedMaking
Chapter19CareoftheEyeandEar
Chapter20SafeMedicationPreparation
Chapter21.NonparenteralMedications
Chapter22ParenteralMedications
Chapter23.OxygenTherapy
Chapter24.PerformingChestPhysiotherapy
Chapter25AirwayManagement
Chapter26.CardiacCare
Chapter27ClosedChestDrainageSystems
Chapter28.EmergencyMeasuresforLifeSupport
Chapter29.IntravenousandVascularAccessTherapy
Chapter30BloodTherapy
Chapter31.OralNutrition
Chapter32EnteralNutrition
Chapter33.ParenteralNutrition
Chapter34.UrinaryElimination
Chapter35BowelEliminationandGastricIntubation
Chapter36.OstomyCare
Chapter37PreoperativeandPostoperativeCare
Chapter38IntraoperativeCare
Chapter39.WoundCareandIrrigations
Chapter40ImpairedSkinIntegrityPreventionandCare
Chapter41.Dressings,Bandages,andBinders
Chapter42.HomeCareSafety
Chapter43HomeCareTeaching
MULTIPLECHOICE
1
WhenaPICOTquestionisdeveloped,theletterthatcorrespondswiththeusualstandardof careis: a.P.
bI c. cCHOICEBLANK
dO
ANS:C
C=Comparisonofinterest.Whatstandardofcareorcurrentinterventiondoyouusuallyuse nowinpractice?
P=PatientpopulationofinterestIdentifyyourpatientbyage,gender,ethnicity,disease,or healthproblem.
I=InterventionofinterestWhatintervention(eg,treatment,diagnostictest,andprognostic factor)doyouthinkisworthwhiletouseinpractice?
O=Outcome.Whatresult(e.g.,changeinpatient‘sbehavior,physicalfinding,andchangein patient‘sperception)doyouwishtoachieveorobserveastheresultofanintervention?
DIF:CognitiveLevel:KnowledgeOBJ:DevelopaPICOquestion.
TOP:PICOKEY:NursingProcessStep:Implementation
MSC:NCLEX:SafeandEffectiveCareEnvironment(managementofcare)
2Evidence-basedpracticeisaproblem-solvingapproachtomakingdecisionsaboutpatientcare thatisgroundedin:
athelatestinformationfoundintextbooks.
b.systematicallyconductedresearchstudies.
ctraditioninclinicalpractice
d.qualityimprovementandrisk-managementdata.
ANS:B
Thebestevidencecomesfromwell-designed,systematicallyconductedresearchstudies describedinscientificjournals.Portionsofatextbookoftenbecomeoutdatedbythetimeitis published.Manyhealthcaresettingsdonothaveaprocesstohelpstaffadoptnewevidencein practice,andnursesinpracticesettingslackeasyaccesstorisk-managementdata,relying insteadontraditionorconvenience.Somesourcesofevidencedonotoriginatefromresearch. Theseincludequalityimprovementandrisk-managementdata;infectioncontroldata; retrospectiveorconcurrentchartreviews;andclinicians‘expertise.Although non–research-basedevidenceisoftenveryvaluable,itisimportantthatyoulearntorelymore onresearch-basedevidence
DIF:CognitiveLevel:ComprehensionOBJ:Discussthebenefitsofevidence-basedpractice. TOP:Evidence-BasedPractice KEY:NursingProcessStep:Assessment
MSC:NCLEX:SafeandEffectiveCareEnvironment(managementofcare)
3.Whenevidence-basedpracticeisused,patientcarewillbe:
a.standardizedforall.
bunhamperedbypatientculture
cvariableaccordingtothesituation.
dsafefromthehazardsofcriticalthinking
ANS:C