A charge nurse is discussing evidence-based practice (EBP) with a newly licensed nurse.
Which of the following information should the nurse include when discussing the hierarchy of evidence?

One of the highest levels of evidence are randomized, controlled, double-blind studies.

Ideas, editorials, and opinions are highly valued in determining EBP.

The purpose of the hierarchy of evidence is to help the nurse compare patient values with research findings.

All forms of evidence should be considered equally when.

Answer and Explanation

The Correct Answer is A

One of the highest levels of evidence are randomized, controlled, double-blind studies. This is because these studies reduce the risk of bias and confounding factors by randomly assigning participants to intervention or control groups, blinding the participants and researchers to the group allocation, and using a placebo or standard treatment as a comparison.

Choice B is wrong because ideas, editorials, and opinions are considered low levels of evidence as they are based on personal views and not on rigorous research methods.

Choice C is wrong because the purpose of the hierarchy of evidence is to help the nurse evaluate the quality and strength of the research findings, not to compare patient values with research findings.

Patient values are important for evidence-based practice, but they are not part of the hierarchy of evidence.

Choice D is wrong because all forms of evidence should not be considered equally when determining evidence-based practice. The hierarchy of evidence ranks different types of research designs according to their validity and applicability, and the nurse should use the highest level of evidence available for their clinical question.

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Correct Answer is ["A","B","C"]

Explanation

These actions ensure the safety of the client by reducing the risk of falls, confusion and injury.

Keeping a call bell within the client’s reach allows them to ask for help when needed.

Keeping a dim light on at night helps them orient themselves and see their surroundings.

Keeping unnecessary furniture out of the way prevents tripping and cluttering. Choice D is wrong because keeping all side rails up at all times can be considered a form of physical restraint, which is associated with many professional, legal and ethical challenges. Physical restraint should only be used as a last resort when other alternatives have failed or are not feasible. Keeping all side rails up can also increase the risk of injury if the client tries to climb over them.

Choice E is wrong because keeping all lights off at night can increase the risk of falls and confusion for the client.

Older adults may have impaired vision and cognition, and they may need to use the bathroom frequently at night. Keeping all lights off can make it difficult for them to find their way and increase their anxiety.

A. Cataracts. B. Diabetic retinopathy. C. Glaucoma. D. Macular degeneration.

Correct Answer is A

Explanation

The correct answer is choice A. Cataracts are a cloudy, opaque area over the lens of one eye that can impair vision

Choice B is wrong because diabetic retinopathy is a condition that affects the blood vessels of the retina, not the lens. It can cause blurred vision, floaters, or vision loss

Choice C is wrong because glaucoma is a condition that damages the optic nerve due to high pressure in the eye. It can cause blind spots, halos around lights, or vision loss

Choice D is wrong because macular degeneration is a condition that damages the macula, the central part of the retina. It can cause blurred or no vision in the center of the visual field

: https://www.nhs.uk/conditions/cataracts/

: https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and diseases/diabetic-retinopathy

: https://www.mayoclinic.org/diseases-conditions/glaucoma/symptoms causes/syc-20372839

: https://en.wikipedia.org/wiki/Macular_degeneration

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A charge nurse is discussing evidence-based practice (EBP) with a newly licensed nurse. Which of the following information should the nurse include when discussing the hierarchy of evidence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An elderly client is hospitalized for the first time. Which of the following actions ensures the safety of the client? (Select all that apply).

Correct Answer is ["A","B","C"]

Explanation

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

Correct Answer is A

Explanation

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A charge nurse is discussing evidence-based practice (EBP) with a newly licensed nurse.
Which of the following information should the nurse include when discussing the hierarchy of evidence?