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 D
Explanation
Rationale:
A. Documenting assessment data is important but should follow planning and prioritization of care.
B. Reviewing new laboratory values is necessary for informed care but is part of the assessment and planning process, not the first step.
C. Completing required tasks without prioritization can lead to inefficient use of time and missed critical care.
D. Determining client care goals allows the nurse to prioritize tasks and plan the shift effectively, making it the first and most important step in time management.
Correct Answer is A
Explanation
Rationale:
A. A social worker can assist the family in obtaining financial resources, insurance coverage, or community programs to help cover the cost of the nebulizer, making this the correct referral.
B. A pharmacist can provide medication education and possible cost-saving alternatives for prescriptions but cannot arrange funding or equipment access.
C. Child protective services is not appropriate, as the parent is seeking help and there is no indication of neglect or abuse.
D. A respiratory therapist can teach proper use of the nebulizer and asthma management techniques but cannot address the family’s financial barrier to obtaining the equipment.
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