A nurse manager is determining the correct procedure for performing nasotracheal suctioning. Which of the following is the priority guideline in the hierarchy of evidence for the nurse to implement?
Review case control studies about the process.
Conduct a systematic review of current information.
Collect expert opinions regarding techniques.
Research qualitative studies related to the procedure.
The Correct Answer is B
Rationale:
A. Case control studies provide useful data but are lower on the hierarchy of evidence than systematic reviews.
B. A systematic review of current information synthesizes multiple high-quality studies and is considered one of the highest levels of evidence, making it the priority guideline.
C. Expert opinions are valuable when higher levels of evidence are not available, but they rank low in the evidence hierarchy.
D. Qualitative studies provide insight into experiences and perceptions but do not provide the strongest evidence for determining clinical procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E","F","H","I"]
Explanation
Rationale:
A. Hydration status: Nausea, vomiting, and limited oral intake put the client at risk for dehydration, requiring monitoring and possible intervention.
B. Heart rate: Increased from 80/min at 1730 to 102/min at 2300, indicating possible systemic stress or dehydration.
E. Headache: Client reports a severe headache (7/10), which can indicate systemic worsening or complications.
F. Temperature: Rose to 39° C (102.2° F), showing worsening infection.
H. Emesis: Client vomited 230 mL, which can contribute to fluid and electrolyte imbalance.
I. Blood pressure: Increased from 118/72 mm Hg to 152/92 mm Hg, suggesting possible stress response, pain, or early complications.
Correct Answer is D
Explanation
Rationale:
A. Personal beliefs about family relationships are subjective and not necessary for a change-of-shift or transfer report.
B. Detailed wound care procedures belong in the medical record or care plan, not in the transfer report.
C. A client’s bathing preference is relevant to daily care but not essential for continuity of care during transfer.
D. The time of the last pain medication is critical information for continuity of care and client safety, ensuring the next care team can manage pain effectively and avoid overdosing.
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