A group of nurses implement a pilot study to evaluate a proposed evidence-based change to providing client care. Evaluation indicates successful outcomes and the nurses want to integrate the change throughout the facility. Which actions should be taken? Select all that apply.

Submit a sentinel event report to the research committee.

Arrange inservice training through the education department.

Invite data review by the quality improvement department.

Propose clinical practice guidelines to the nursing committee.

Obtain informed consent from clients who will receive care.

Answer and Explanation

Correct Answer : B,C,D

Rationale:

A. Submit a sentinel event report to the research committee: A sentinel event refers to an unexpected occurrence involving death or serious injury, not a successful pilot study. Submitting such a report does not support positive practice change implementation.

B. Arrange inservice training through the education department: To ensure consistent and safe adoption of the new evidence-based practice, staff must be trained appropriately. Inservice sessions help standardize understanding and application across all shifts and units.

C. Invite data review by the quality improvement department: The QI department plays a key role in evaluating outcomes, ensuring ongoing effectiveness, and identifying areas for refinement. Their review supports evidence-based decision-making and broader facility implementation.

D. Propose clinical practice guidelines to the nursing committee: The nursing committee evaluates and approves practice changes for system-wide integration. Presenting guidelines ensures alignment with institutional policies and facilitates formal adoption of the new approach.

E. Obtain informed consent from clients who will receive care: Informed consent is not typically required when implementing standard evidence-based care unless the intervention is experimental. Since the pilot was successful and no longer a research study, consent is not necessary.

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Correct Answer is C

Explanation

Rationale:

A. Assess lung sounds for signs of infection: While lung assessment is important, there's no indication of fever or increased sputum to suggest infection. It does not immediately relieve the client's current dyspnea.

B. Encourage client to initiate a smoking cessation program: Smoking cessation is vital but is a long-term intervention and not appropriate as the first action for acute shortness of breath following exertion.

C. Administer a prescribed albuterol inhaler: Albuterol acts as a bronchodilator and can relieve acute shortness of breath due to bronchospasm or exertional dyspnea in clients with emphysema. This is the most immediate and appropriate action.

D. Notify the healthcare provider of the low pulse oximetry value: Although communication with the provider may be needed if symptoms persist, the pulse ox of 88% can be common in COPD clients. Immediate symptom relief with the prescribed bronchodilator is the priority.

A. Use fans to provide external cooling. B. Encouraging liberal fluid intake. C. Encourage the client to eat a bland diet. D. Cover the client with warm blankets.

Correct Answer is B

Explanation

Rationale:

A. Use fans to provide external cooling: While fans can help reduce temperature, they may cause chills or discomfort if used excessively. Internal cooling through medication and hydration is more effective and safer than relying on environmental cooling measures alone.

B. Encouraging liberal fluid intake: Fever increases insensible fluid losses through sweating and rapid breathing. Promoting fluid intake helps maintain hydration, supports thermoregulation, and assists the body in clearing toxins or infections more efficiently.

C. Encourage the client to eat a bland diet: Dietary considerations are not directly related to fever reduction. While bland foods may help during illness, they are not a primary intervention after administering an antipyretic.

D. Cover the client with warm blankets: Covering the client with warm blankets may increase body temperature and interfere with the medication’s effect. It is important to avoid excessive warmth after giving an antipyretic, unless the client is shivering or reports feeling cold.

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A group of nurses implement a pilot study to evaluate a proposed evidence-based change to providing client care. Evaluation indicates successful outcomes and the nurses want to integrate the change throughout the facility. Which actions should be taken? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

After administering an antipyretic medication, which intervention should the nurse implement?

Correct Answer is B

Explanation

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