Evidence Based Practice
What is evidence-based practice?
Using the best current research, clinical expertise, and patient preferences to guide nursing care.
A nurse is preparing to call the provider about a client whose blood pressure has dropped from 124/78 to 86/54 mmHg in the past hour. Which statement represents the Situation portion of SBAR?
A. “The client’s BP was stable this morning.”
B. “I am calling about Mr. Jones in room 412 who has hypotension.”
C. “He has a history of hypertension and heart failure.”
D. “I recommend starting IV fluids.”
B. “I am calling about Mr. Jones in room 412 who has hypotension.”
A nurse is reviewing a patient’s electronic chart at the nurses’ station. A visitor asks the nurse about the patient’s diagnosis. What is the nurse’s best response?
Do not disclose any information and explain privacy rules.
What does "T" stand for in PICOT?
Time
Which of the following statements belong in the Background portion of SBAR?
(Select all that apply.)
A. “The client was admitted with pneumonia.”
B. “The oxygen saturation is 88% on 2 L nasal cannula.”
C. “The client has a history of COPD.”
D. “The respiratory rate is 32.”
E. “The client received IV morphine 1 hour ago.”
A. “The client was admitted with pneumonia.”
C. “The client has a history of COPD.”
E. “The client received IV morphine 1 hour ago.”
Which statement best explains why documentation is important in nursing care?
It serves as a legal record of care
A Way to identify knowledge, improve professional education & practice, and use resources effectively.
Nursing Research
Which documentation entry is correctly written in SOAP format?
A. S: Client states pain is 8/10. O: Grimacing and guarding abdomen. A: Acute abdominal pain. P: Administer morphine as prescribed.
B. Client appears uncomfortable and may be exaggerating pain.
C. Patient is probably having appendicitis.
D. Gave pain medication. Will continue to monitor.
A. S: Client states pain is 8/10. O: Grimacing and guarding abdomen. A: Acute abdominal pain. P: Administer morphine as prescribed.
Which charting entry by a nurse is most appropriate?
Patient states pain is 2/10, respirations 16, unlabored
Scientific peer reviwed journals,are an example of?
Research based evidence
The nurse documents the following note:
“S: Patient is noncompliant and difficult.
O: Refuses medication.
A: Manipulative behavior.
P: Will notify provider.”
Which action is most appropriate?
A. Leave documentation as written.
B. Add more descriptive language about personality.
C. Revise documentation to remove judgmental language.
D. Delete the note entirely
C. Revise documentation to remove judgmental language.
The nurse is calling the provider about a patient’s low blood pressure. Which communication method should the nurse use?
SBAR
What are patient preferences (or patient values)?
The patient’s values, beliefs, and preferences that must be considered when applying evidence to care.
A client with diabetes has a blood glucose of 42 mg/dL and is diaphoretic and confused. Which statement represents the Recommendation portion of SBAR?
A. “The client is confused and diaphoretic.”
B. “The blood glucose is 42.”
C. “The client has Type 1 diabetes.”
D. “I recommend administering IV dextrose.”
D. “I recommend administering IV dextrose.”
When should an incident report be completed?
When an event is inconsistent with routine patient care