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Nursing Interventions & Clinical Skills, 7th Edition Potter Chapters 1-32| Complete Guide A+
Nursing Interventions & Clinical Skills, 7th Edition Potter Chapters 1-32| Complete Guide A+
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Answerdone.comTEST BANK FOR ll ll
Nursing Interventions & Clinical Skills, 7th
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Edition
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Authors: Anne Griffin Perry & Patricia A. Potter & Wendy
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Ostendorf
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Chapter 1: Using Evidence in Nursing Practice
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Chapter 2: Communication & Collaboration
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Chapter 3: Documentation and Informatics
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Chapter 4: Patient Safety & Quality Improvement
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Chapter 5: Infection Control
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Chapter 6: Disaster Preparedness
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Chapter 7: Vital Signs
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Chapter 8: Health Assessment
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Chapter 9: Specimen Collection
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Chapter 10: Diagnostic Procedures
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Chapter 11: Bathing and Personal Hygiene
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Chapter 12: Care of the Eye and Ear
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Chapter 13: Promoting Nutrition
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Chapter 14: Parenteral Nutrition
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Chapter 15: Pain Management
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Chapter 16: Promoting Oxygenation
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Chapter 17: Safe Patient Handling
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Chapter 18: Exercise, Mobility & Immobilization Devices
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Chapter 19: Urinary Elimination
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Chapter 20: Bowel Elimination
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21: Ostomy Care
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Chapter 22: Preparation for Safe Medication Administration
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Chapter 23: Nonparenteral Medications
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Chapter 24: Parenteral Medications
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Chapter 25: Wound Care and Irrigation
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Chapter 26: Pressure Injury Prevention and Care
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Chapter 27: Dressings Bandages and Binders
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Chapter 28: Intravenous Therapy
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Chapter 29: Pre-Operative and Post-Operative Care
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Chapter 30: Emergency Measures for Life Support
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Chapter 31: End-of-Life Care
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Chapter 32: Home Care Safety
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Chapter 01: Using Evidence in Nursing Practice
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Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
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MULTIPLE CHOICE ll
1. A nursing educator is explaining how the best clinical practices are determined. Which
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statement best explains the purpose of evidence-based practice?
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a. It ensures that all patients receive holistic care.
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b. It provides a definite reason for providing care in a specific manner.
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c. It prevents errors when care is being delivered.
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d. It guarantees that care delivered is based on research.
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ANS: B ll
Evidence-based practice is the use of the current best evidence in making patient care ll ll ll ll ll ll ll ll ll ll ll ll ll
decisions. It applies to all types of health care professionals. Currently there is no method that
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can ensure that all patients receive holistic care, that all errors can be prevented, or that a
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guarantee exists that care given is based on research.
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DIF: Cognitive Level: Understanding ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Implementation
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2. Which question is a problem-focused trigger for initiating the evidence-based practice method
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in nursing care?
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a. What is known about reduction of urinary tract infections in the older adult with
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diabetes?
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b. How can chronic pain best be described when the patient is nonverbal?
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c. How long can an IV catheter remain in place in a patient with obesity?
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d. What measures can the nurse take to reduce the rising incidence of urinary tract
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infections on the older adult care unit?
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ANS: D ll
Evidence-based practice (EBP) questions tend to arise from two sources: recurrent problems ll ll ll ll ll ll ll ll ll ll ll
or new knowledge. In the correct option, the increase in urinary tract infections indicates a
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trend or recurring problem in a specific group of patients. The other questions are general
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information questions, not based on what is happening in a specific area or to a group of
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specific patients in an area or relating to an observed trend.
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DIF: Cognitive Level: Applying ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Implementation
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3. What does the ―I‖ indicate in a ―PICO‖ question?
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a. Intervention of interest ll ll
b. Incorporation of concepts ll ll
c. Implementation by nursing ll ll
d. Interest of personnel ll ll
ANS: A ll
The ―I‖ stands for intervention of interest, meaning what the nurse hopes to use in practice
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and believes is worthwhile or valuable. This could be a treatment for a specific type of wound
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or an approach on how to teach food preparation for a patient with impaired sight.
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DIF: Cognitive Level: Remembering ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Implementation
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4. Who will the clinical research nurse contact to search relevant databases in preparation for an
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upcoming study?
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a. The physician whose patients may be involved in the study
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b. The medical librarian ll ll
c. The nurse manager of the unit where the study will be conducted
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d. The director of nursing of the facility
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ANS: B ll
The medical librarian is most knowledgeable regarding databases relevant to a study. The
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other individuals do not have the knowledge regarding relevant databases.
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DIF: Cognitive Level: Understanding ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Implementation
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5. Which database contains summaries of clinical guidelines and their development?
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a. MEDLINE
b. CINAHL
c. Cochrane Database of Systematic Reviews ll ll ll ll
d. The National Guideline Clearinghouse
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ANS: D ll
The National Guideline Clearinghouse is a database supported by the Agency for Healthcare
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Research and Quality. It contains summaries of clinical guidelines for practice. MEDLINE is
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a database for studies in mediciNne, nursing, dentistry, psychiatry, veterinary medicine, and
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allied health. CINAHL (Cumulative Index of Nursing and Allied Health Literature) includes
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studies in nursing, allied health, and biomedicine. The Cochrane Database Full text of
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regularly updated systematic reviews prepared by the Cochrane Collaboration includes
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completed reviews and protocols.
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DIF: Cognitive Level: Remembering ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Implementation
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6. Which does the nurse researcher identify as the strongest type of research?
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a. Randomized controlled trials ll ll
b. A qualitative study
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c. A descriptive study
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d. A case controlled study
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ANS: A ll
Individual randomized controlled trials are close to the top of the research pyramid. Only
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systematic reviews and meta-analyses are higher. This type of study tests an intervention
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against the usual standard of care. The other types of studies are useful but do not give the
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same type of information as a randomized controlled trial provides.
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DIF: Cognitive Level: Remembering ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Assessment
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, Answerdone.com
7. What is the nurse attempting to determine when critiquing the evidence related to a PICOT
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question?
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a. The ethical conduct of the research the nurse read
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b. The strength of the evidence found in the literature
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c. If there are any experts in the clinical question needing to be researched
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d. If the study demonstrates cost-effectiveness if a change in practice occurs
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ANS: B ll
Once a literature search is complete and data are gathered about the question, it is time to
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critique the evidence. Critiquing the evidence involves a systematic approach to looking at the
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strength of the work reviewed and its relevance. The other questions are not applicable to
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critiquing the evidence.
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DIF: Cognitive Level: Understanding ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Implementation
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8. A nurse finds a cohort study comparing one group taking hormone treatment with another
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group not taking hormone treatment to determine the incidence of changes in bone density of
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the lower spine. What can the nurse imply from this study?
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a. Low level of strength makes the study limited in value.
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b. Moderate level of strength makes the study probably useful. ll ll ll ll ll ll ll ll
c. Opinions of the individuals in the cohort are not research. ll ll ll ll ll ll ll ll ll
d. This could be the basis for a Quality Improvement project.
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ANS: B ll
A cohort study is Level 4 evidence as it is a single, non-experimental study. This moderate
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level of evidence makes the study probably useful but the nurse should strive to find stronger
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evidence.
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DIF: Cognitive Level: Applying ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Evaluation
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9. Which question would be the best example of a knowledge-focused trigger for conducting an
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evidence-based practice project?
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a. What is the best method for treatment of leg swelling when a patient is taking
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gabapentin (Neurontin)?
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b. How can we decrease the incidence of skin cancer in adults over the age of 65?
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c. What is the current evidence for improving oral intake for cancer patients with
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stomatitis?ll
d. What is the maximal length of time our hospital allows irrigation kits to be used?
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ANS: C ll
Evidence-based practice (EBP) questions tend to arise from two sources: recurrent problems ll ll ll ll ll ll ll ll ll ll ll
or new knowledge. In this example, the new knowledge that drives the question is the one
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looking at current evidence. The other questions do not look at the newest knowledge to form
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a question to research.
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DIF: Cognitive Level: Analyzing ll ll OBJ: NCLEX: Safe and Effective Care Environment
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TOP: Nursing Process: Implementation
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MULTIPLE RESPONSE ll
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