A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?

The advice of an expert nephrology nurse

Retrospective chart reviews

Facility critical pathway

A recent peer-reviewed nursing research article

Answer and Explanation

The Correct Answer is D

A. The advice of an expert nephrology nurse. While experienced nurses provide valuable clinical insights, their knowledge may be based on personal experience rather than the latest evidence-based research. Best practices should be supported by scientific studies rather than anecdotal expertise.

B. Retrospective chart reviews. Chart reviews can offer useful data on past interventions and outcomes, but they do not always reflect the most current evidence-based practices. Additionally, they may contain inconsistencies or lack standardized guidelines necessary for broad application.

C. Facility critical pathway. Critical pathways are developed based on evidence-based guidelines, but they may not always reflect the most up-to-date research. These protocols are useful for standardizing care within a specific institution but should be supplemented with current peer-reviewed research to ensure best practices.

D. A recent peer-reviewed nursing research article. Peer-reviewed nursing research articles provide the most current and scientifically validated evidence. These sources undergo rigorous evaluation before publication, ensuring that recommendations are based on high-quality research rather than opinion or outdated protocols.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E"]

Explanation

A. Log out of the computer terminal before leaving: Logging out of the computer terminal is a crucial step in maintaining client confidentiality. It prevents unauthorized individuals from accessing sensitive client information when the nurse is away from the terminal.

B. Share passwords for computer access with colleagues: Sharing passwords compromises the security of client information and violates confidentiality protocols. Each nurse should use their unique login credentials to ensure accountability and protect client data.

C. Change computer access passwords on a regular basis: Regularly changing passwords enhances security and helps protect client confidentiality. This practice reduces the risk of unauthorized access to electronic medical records.

D. Avoid accessing information about clients admitted to other units: Avoiding access to information about clients in other units is an essential practice for maintaining confidentiality. Nurses should only access information relevant to their assigned clients to ensure compliance with privacy regulations.

E. Shred computer-generated client worksheets after use: Shredding printed materials containing client information is vital for protecting confidentiality. Proper disposal of sensitive documents prevents unauthorized access to client data and ensures compliance with privacy policies.

A. Hospice care B. Meals on Wheels C. Home health services D. American Association of Retired Persons

Correct Answer is B

Explanation

A. Hospice care: Hospice care is intended for clients with terminal illnesses who require end-of-life support, pain management, and comfort care. It is not appropriate for this client, who is experiencing challenges related to transportation and meal preparation but does not have a terminal diagnosis.

B. Meals on Wheels: Meals on Wheels is a community resource that provides home-delivered meals to older adults who are unable to cook for themselves. This service ensures that the client receives nutritious meals while addressing their fear of cooking on the stove.

C. Home health services: Home health services provide skilled nursing care, therapy, and medical assistance for clients recovering from illness, injury, or surgery. Since this client’s needs are primarily related to meal preparation and transportation rather than medical care, home health services may not be the most appropriate recommendation.

D. American Association of Retired Persons (AARP): AARP offers various resources for older adults, including financial planning, social engagement, and advocacy. However, it does not directly address immediate concerns such as meal preparation and transportation.

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A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is completing an assessment of a recently widowed older adult client. They state that they are unable to drive and are afraid to cook on the stove. Which of the following community resources should the nurse recommend?

Correct Answer is B

Explanation

An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment? (Select all that apply.)

A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?

A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

A nurse manager is implementing a quality improvement project to reduce the number of methicillin-resistant Staphylococcus aureus (MRSA) infections at the facility. Which of the following actions should the nurse manager take first?

After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take?

A nurse manager is participating in the care of a client. Exhibits Which of the following client statements indicate an understanding of the teaching? Select all that apply.

During an initial visit, a home health nurse is assessing a client who has cultural beliefs different than their own. Which of the following questions should the nurse ask to determine the client's beliefs about environmental control?

A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health?