Evidence Based Practice
According to the Nursing process this statement “The patient should maintain a low carb diet and monitor which foods affect their glucose levels” is an example of?
Implementation
Planning
Evaluation
Diagnosis
Patient comes to the ER presenting symptoms such as bloody urine, pain of an 8 out of 10 of the lower back, and a fever of 101°. What are some of the diagnostic tests that can be performed when diagnosing renal calculi? Select all that apply.
X-ray
Urine culture
Colonoscopy
MRI
CT scan
X-ray, urine culture, CT scan
Which of the following is an appropriate nursing action for a patient with hypotension?
Encourage the patient to stand quickly
Instruct the patient to change positions slowly
Restrict fluid intake to avoid fluid overload
Keep the patient in a flat, supine position at all times
Instruct patient to change positions slowly
A nurse is caring for a client who is considered a “high fall risk” after assessing the client’s current health status she makes sure to clear the pathway leading to the bathroom and assists the client with putting on grippy socks. Which part of the Nursing process is the nurse showing?
Implementation
Which of the following diagnostic tests is used to measure bladder volume and residual volume after urination, using non-invasive technology?
A) Renal ultrasound
B) X-ray
C) Bedside sonography (bladder scanner)
D) Intravenous pyelogram
C. bedside sonography (bladder scanner)
While performing an assessment of the head and neck what are unexpected findings?
A. Pain
B. Jaw clicking
C. Muscle spasms
D. Loss of sensation
E. Vertebral alignment
Pain, Muscle spasms, loss of sensation
Which of the following is the best example of empirical data collection in nursing research?
A) Asking nurses for their opinions about patient care
B) Observing a patient's vital signs over a 24-hour period
C) Reviewing patient satisfaction surveys from previous years
D) Discussing clinical outcomes with other healthcare providers
B) Observing a patient's vital signs over a 24-hour period
A 75-year-old patient with a history of frequent urinary tract infections reports burning urination and lowe abdominal pain. What is the nurse’s priority intervention?
Encourage the patient to drink at least 1 liter of fluid per day to flush the urinary tract
Teach the patient to avoid caffeine and alcohol to reduce bladder irritation
Obtain a clean-catch urine sample for culture and sensitivity testing
Instruct the patient to perform pelvic floor exercises to strengthen the bladder muscles
Obtain a clean-catch urine sample for culture and sensitivity testing
A 62 -year old male patient presents with shortness of breath and chest discomfort upon physical assessment, the nurse notes the following:
-Respiration rate: 24 breath per minute
-Oxygen saturation; 89% on room air
-Heart rate: 110 beats per minute
- Skin is cool and clammy
What is the nurse’s priority action
Administer supplemental oxygen to improve oxygen saturation
Notify the healthcare provider about the findings immediately
Perform a focused cardiac assessment to ryle out a myocardial infraction
Position the patient in a high Fowler’s position to aid breathing
Administer supplemental oxygen to improve oxygen saturation
Discussing altering dietary changes with a patient following a diabetes metellis diagnosis is an example of which nursing process?
Planning
What urinary diagnostic test would you perform on a patient that reports an inability to eliminate urine?
Renal scan
Intravenous pyelogram
Bladder scan
Renal ultrasound
Bladder scanner
A 40 year old man is experiencing a high heart rate after completing a karate class. Which system is being affected?
Parasympathetic system
Sympathetic system
Muscular system
Endocrine system
Sympathetic system
A nurse working in a clinical setting wants to implement a new intervention to reduce the occurrence of pressure ulcers in immobile patients. Using the evidence- based practice framework, what should the nurse do first?
Create a detail implementation plan for the new intervention
Evaluate client outcomes after the intervention is applied
Search for peer-reviewed literature on pressure ulcer prevention
Present the intervention idea to the unit’s nursing leadership team.
Search for peer-reviewed literature on pressure ulcer prevention
When performing an Intravenous pyelogram, what is a priority assessment to ensure patient safety?
Putting the client in a high fowler's position?
Apply an oxygen mask on to the patient.
Checking if the client is allergic to shellfish
Making sure the patient has eaten in the last 48 hours
Checking if the client is allergic to shellfish
The nurse is performing a physical assessment on her patient and is palpating the abdomen. What are considered abnormal findings? Select all that apply
A. Soft, normoactive bowel sounds
B. Distended, tenderness
C. Round, asymmetrical
D. Guarding, absent bowel sounds
E. Involuntary rigidity, bruising
B, C, D, E