A nurse is documenting in a client's health record using the problem-intervention-evaluation charting model (PIE). Which of the following information should be included in the intervention component?
Client is asleep and resting
Client had 150 mL of emesis in last hour
Ondansetron 4 mg IV bolus for nausea and vomiting
Client reports nausea and vomiting 30 minutes following surgery
The Correct Answer is C
A. This statement pertains to the client's current state but does not represent an intervention taken by the nurse. It would be more appropriate for documentation in a narrative or assessment section rather than the intervention component.
B. This entry describes an outcome or finding related to the client’s condition rather than an intervention. While it is important data, it does not reflect an action taken by the nurse and thus would not be included in the intervention section.
C. It clearly describes a specific action taken by the nurse (administering medication) in response to the problem (nausea and vomiting). It directly addresses the client's needs and reflects an intervention aimed at treating the identified problem.
D. This statement indicates the problem or symptom that the client is experiencing but does not describe an intervention. While it is critical information for understanding the client’s condition, it belongs in the problem or assessment section rather than the intervention component.
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Correct Answer is D
Explanation
A. While EBP may involve following standardized protocols that are based on research, its primary purpose is broader. It aims to guide practice based on the best available evidence rather than just following protocols without questioning their efficacy.
B. Although established practices can be efficient, EBP is not primarily about saving time; it’s about ensuring that practices are scientifically validated. Relying solely on established practices without evidence can lead to outdated or ineffective care.
C. While traditions and personal beliefs can inform a nurse’s approach, EBP emphasizes using research and evidence rather than subjective beliefs. This ensures that care is based on what has been shown to be effective.
D. The ultimate goal of evidence-based practice is to enhance patient outcomes, safety, and the overall quality of care. By integrating the best research evidence, clinical expertise, and patient preferences, nurses can provide the most effective and appropriate care.
Correct Answer is ["C","E"]
Explanation
A. This represents an outcome rather than a time frame. It indicates a desired result from an intervention but does not specify a duration.
B. This identifies the population of interest but does not indicate a time frame, so it does not represent the "T" in PICOT.
C. This option specifies a time frame, making it suitable to represent "T" in PICOT. It indicates a specific period in which the intervention or study would take place.
D. This reflects an outcome of interest rather than a time component, so it does not fit the "T" in PICOT.
E. This is a clear representation of time, indicating a specific duration after an intervention (immunization). It fits the "T" in PICOT.
F. This indicates a population rather than a time frame, so it does not represent the "T" in PICOT.
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