A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?
The advice of an expert nephrology nurse
Retrospective chart reviews
Facility critical pathway
A recent peer-reviewed nursing research article
The Correct Answer is D
A. The advice of an expert nephrology nurse. While experienced nurses provide valuable clinical insights, their knowledge may be based on personal experience rather than the latest evidence-based research. Best practices should be supported by scientific studies rather than anecdotal expertise.
B. Retrospective chart reviews. Chart reviews can offer useful data on past interventions and outcomes, but they do not always reflect the most current evidence-based practices. Additionally, they may contain inconsistencies or lack standardized guidelines necessary for broad application.
C. Facility critical pathway. Critical pathways are developed based on evidence-based guidelines, but they may not always reflect the most up-to-date research. These protocols are useful for standardizing care within a specific institution but should be supplemented with current peer-reviewed research to ensure best practices.
D. A recent peer-reviewed nursing research article. Peer-reviewed nursing research articles provide the most current and scientifically validated evidence. These sources undergo rigorous evaluation before publication, ensuring that recommendations are based on high-quality research rather than opinion or outdated protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "If you accept this assignment today, I will let you choose your assignment tomorrow.": This statement exemplifies smoothing as a conflict resolution strategy. By offering a compromise or incentive, the charge nurse is attempting to reduce tension and create a more favorable situation for the staff nurse, thereby smoothing over the disagreement about the assignment.
B. "Let's just focus on giving out client medications on time.": This statement diverts attention from the conflict but does not actively seek to resolve it. It may minimize the issue temporarily but does not address the underlying disagreement or concern regarding the assignment.
C. "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor.": This statement is confrontational and may escalate the conflict rather than resolve it. It places pressure on the staff nurse and does not foster a collaborative atmosphere for finding a solution.
D. "You have a lot of experience, so I'm sure you're capable of these tasks.": While this statement acknowledges the staff nurse's experience, it may not effectively address the conflict regarding the assignment. It could come across as dismissive of the nurse's concerns rather than facilitating a resolution to the disagreement.
Correct Answer is A
Explanation
A. I should get assistance when lifting more than 35 pounds: The recommended guideline for safe lifting is to seek assistance or use mechanical aids when lifting objects heavier than 35 pounds. This helps prevent musculoskeletal injuries, particularly in healthcare settings where lifting and repositioning patients is common.
B. I will twist at my waist when moving an object: Twisting at the waist while lifting or moving objects increases the risk of back strain and injury. Proper body mechanics involve pivoting with the feet rather than twisting the torso to reduce stress on the spine and prevent injury.
C. I should hold objects 1 foot away from my body when I walk: Holding objects away from the body increases strain on the arms, shoulders, and back. Keeping objects close to the body, at waist level, helps maintain balance, reduces muscle fatigue, and minimizes the risk of injury.
D. I will roll my shoulders forward to reduce strain on my back: Rolling the shoulders forward can lead to poor posture and increased back strain. Maintaining a neutral spine, keeping the shoulders relaxed and aligned, and engaging core muscles help reduce the risk of injury when lifting or moving objects.
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