A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?

Develop a clinical question.

Collect evidence from a variety of sources.

Apply research to client care practice.

Critically assess the evidence.

Answer and Explanation

The Correct Answer is A

Evidence based practice is the care where the provider uses the best clinical expertise available in clients’ care. Having a relevant research question is the first step that guides the nature of research and the applicability of evidence

B, C and D are important step that follows development of a clinically relevant question

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Correct Answer is B

Explanation

Stroke in certain parts of the brain affects can lead to difficulty swallowing which may cause aspiration. Lack of a proper voluntary cough indicates involvement of muscles involved in swallowing and can be life threatening. A speech-language pathologist addresses this function to improve swallowing.

A, C and D. Diminished hand. to-mouth coordination, unilateral ptosis and altered level of consciousness shows involvement of the cerebellum, optic nerve and brain respectively which is not directly related to a speech language pathologist.

A. "We'll need to have the nursing supervisor review the client's advance directives." B. "As the health care surrogate, the client's partner can make this decision." C. "You should contact the provider about your wishes for your family member." D. "You should speak with the facility's ethics committee about your concerns."

Correct Answer is B

Explanation

As the healthcare surrogate, the partner is legally allowed to make decisions on behalf of the client. A healthcare surrogate is an individual upon whom the legal mandate is given to make healthcare decisions on behalf of the client in the event where the client lacks capacity to do so.

A. No further review of the advanced directives is necessary if the surrogate is known

C and D. If clearly stated, no further review by the facility committee or provider is needed as they undermine the role of the surrogate.

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A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel?

Nurses on an inclient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost- containment plan?

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A nurse in a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department?

A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?

A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?