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Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10TH EDITION, LEWIS, BUCHER, HEITKEMPER, HARDING, KWONGR308,24
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2. The jnurse jdescribes jto ja jstudent jnurse jhow jto juse jevidence-based jpractice jguidelines
jwhen jcaring jfor jpatients. jWhich jstatement, jif jmade jby jthe jnurse, jwould jbe jthe jmost
jaccurate?
a. ―Inferences jfrom jclinical jresearch jstudies jare jused jas ja jguide.‖
b. ―Patient jcare jis jbased jon jclinical jjudgment, jexperience, jand jtraditions.‖
c. ―Data jare jevaluated jto jshow jthat jthe jpatient joutcomes jare jconsistently jmet.‖
d. ―Recommendations jare jbased jon jresearch, jclinical jexpertise, jand
jpatient jpreferences.‖
ANS: j D
Evidence-based jpractice j(EBP) jis jthe juse jof jthe jbest jresearch-based jevidence jcombined
jwith jclinician jexpertise. jClinical jjudgment jbased jon jthe jnurse‘s jclinical jexperience jis jpart
jof jEBP, jbut jclinical jdecision jmaking jshould jalso jincorporate jcurrent jresearch jand
jresearch-based jguidelines. jEvaluation jof jpatient joutcomes jis jimportant, jbut jinterventions
,jshould jbe jbased jon jresearch jfrom jrandomized jcontrol jstudies jwith ja jlarge jnumber jof
jsubjects.
5. A jpatient jwho jis jparalyzed jon jthe jleft jside jof jthe jbody jafter ja jstroke jdevelops ja jpressure
julcer jon jthe jleft jhip. jWhich jnursing jdiagnosis jis jmost jappropriate?
a. Impaired jphysical jmobility jrelated jto jleft-sided jparalysis
b. Risk jfor jimpaired jtissue jintegrity jrelated jto jleft-sided jweakness
c. Impaired jskin jintegrity jrelated jto jaltered jcirculation jand jpressure
d. Ineffective jtissue jperfusion jrelated jto jinability jto jmove jindependently
ANS: jC
The jpatient‘s jmajor jproblem jis jthe jimpaired jskin jintegrity jas jdemonstrated jby jthe jpresence
jof ja jpressure julcer. jThe jnurse jis jable jto jtreat jthe jcause jof jaltered jcirculation jand jpressure
jby jfrequently jrepositioning jthe jpatient. jAlthough jleft-sided jweakness jis ja jproblem jfor jthe
jpatient, jthe jnurse jcannot jtreat jthe jweakness. jThe j―risk jfor‖ jdiagnosis jis jnot jappropriate jfor
jthis jpatient, jwho jalready jhas jimpaired jtissue jintegrity. jThe jpatient jdoes jhave jineffective
jtissue jperfusion, jbut jthe jimpaired jskin jintegrity jdiagnosis jindicates jmore jclearly jwhat jthe
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