Nokea
Place the steps of the evidence-based practice (EBP) process in order (0 being the first step; 6 being the last step).
- A. Create a spirit of inquiry
- B. Ask a clinical question
- C. Critically analyze the evidence
- D. Make recommendations for practice or generate data
Correct Answer: B
Rationale: The EBP process begins with creating a spirit of inquiry, followed by asking a clinical question, finding and analyzing evidence, making recommendations, and evaluating outcomes.
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Persons at risk are the target population for cancer screening programs. Which asymptomatic patient(s) needs extra encouragement to participate in cancer screening? (Choose all that apply.)
- A. A 19-year-old white-American female who is sexually inactive for a Pap smear.
- B. A 35-year-old white-American female for an annual mammogram.
- C. A 45-year-old African-American male for an annual prostate-specific antigen.
- D. A 49-year-old African-American male for an annual fecal occult blood test.
Correct Answer: D
Rationale: African-American males are at higher risk for prostate and colorectal cancers, making regular screening crucial for early detection.
You anticipate that the physician will order which drug for status epilepticus?
- A. PO phenytoin and carbamazepine
- B. IV lorazepam (Ativan)
- C. IV carbamazepine
- D. IV magnesium sulfate
Correct Answer: B
Rationale: Lorazepam is commonly used for rapid control of seizures in status epilepticus.
Which physiological response is often associated with surgery-related stress?
- A. Bronchial constriction.
- B. Decreased cortisol levels.
- C. Peripheral vasodilation.
- D. Sodium and water retention.
Correct Answer: D
Rationale: Stress activates the renin-angiotensin-aldosterone system, leading to sodium and water retention.
What is one reason that might apply to a client’s rationale for using alternative therapy?
- A. Desire to become more active in decision-making and self-care.
- B. Chronic incurable back condition.
- C. Difficulty meeting the rising costs of healthcare.
- D. Client does not share traditional American health beliefs and practices.
Correct Answer: A
Rationale: Clients often seek alternative therapies to take a more active role in their healthcare decisions and self-management.
Patients returning from the operating room (OR) should be monitored for atelectasis. Why is this important?
- A. Immobility, anesthesia, and lack of deep breathing place the patient at risk for collapsed lung.
- B. All postoperative patients are at risk for infection.
- C. Postoperative patients might have received too much oxygen during surgery.
- D. Postoperative patients do not receive enough oxygen during surgery.
Correct Answer: A
Rationale: Anesthesia and immobility can lead to atelectasis, where parts of the lung collapse.