Exam 5: Evidence Based Practice in Medical Surgical Nursing

A health care facility is implementing a new evidence-based nursing protocol.Which action is necessary to ensure successful implementation?

A nurse wants to explore why clients who receive patient-controlled analgesia (PCA)after abdominal surgery ambulate sooner than clients who receive nurse-administered pain medications.Which action should the nurse take first?

A nurse identifies clinical practice problems on a cardiac unit.Which question is a background question?

A nurse assesses this PICOT question: "In the adult hospitalized client,does a COX-2 inhibitor decrease the risk of gastrointestinal bleeding compared with other NSAIDs?" What is the outcome component in this question?

A nurse is developing a clinical question in a PICOT format.What components are included in the question? (Select all that apply.)

A nurse is searching for evidence related to a qualitative PICOT question.Which type of evidence should the nurse search first?

A nurse is looking for the best interventions for postoperative pain control.When are the facility's policies and procedures an appropriate source of evidence?

A research nurse meets with the nurse manager to discuss plans for the development of evidence-based practice (EBP)guidelines using the Reavy and Tavernier model.Which statement should the nurse include in the discussion?

A medical-surgical nurse asks the nurse researcher,"What is the difference between qualitative and quantitative questions?" How should the nurse researcher respond?

A nurse manager educates staff nurses in the use of clinical practice guidelines.Which statement should the nurse include in this teaching?

A nurse who wants to incorporate evidence-based practices into client care on a medical unit is meeting resistance.Which barrier does the nurse identify as preventing nurses from engaging in evidence-based practices?

A nurse researcher is evaluating clinical questions.Which is a quantitative question?

-A cardiac nurse wants to know about the best practices to prevent pneumonia after open-heart surgery.In what order do the steps of the evidence-based practice (EBP)process take place? 1)Asking "burning" clinical questions 2)Making recommendations for practice improvement 3)Implementing accepted recommendations 4)Finding the very best evidence to try to answer those questions 5)Evaluating outcomes 6)Critically appraising and synthesizing the relevant evidence

A nurse plans evidence-based care for a client on a medical-surgical unit.Which elements should the nurse assess when developing this plan of care? (Select all that apply.)