A nurse is teaching a group of newly hired nurses about evidence-based practice. The nurse should include which of the following as the first step in the process?

Evaluate the outcomes

Implement the findings

Formulate a question

Search for evidence

Answer and Explanation

The Correct Answer is C

Choice A reason: Evaluating the outcomes is not the first step in the evidence-based practice process, but the last one. The nurse should evaluate the outcomes after implementing the findings and comparing them with the expected results.

Choice B reason: Implementing the findings is not the first step in the evidence-based practice process, but the fourth one. The nurse should implement the findings after searching for evidence, appraising the quality and relevance of the evidence, and synthesizing the evidence.

Choice C reason: Formulating a question is the first step in the evidence-based practice process, as it helps to define the problem, the population, the intervention, the comparison, and the outcome. The nurse should formulate a question that is clear, specific, and answerable.

Choice D reason: Searching for evidence is not the first step in the evidence-based practice process, but the second one. The nurse should search for evidence after formulating a question, using appropriate sources, keywords, and strategies.

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Correct Answer is A

Explanation

Choice A reason: The charge nurse should address the situation of the emergency department nurse waiting to give report on a new admission first. This is the most urgent and time-sensitive issue that affects the client's safety and continuity of care. The charge nurse should assign a staff nurse to receive the report and prepare for the admission.

Choice B reason: The charge nurse should address the situation of a nurse on the previous shift writing an incident report about a medication error second. This is an important and serious issue that requires follow-up and corrective actions. The charge nurse should review the incident report, talk to the nurse involved, and implement measures to prevent future errors.

Choice C reason: The charge nurse should address the situation of two staff members calling to say they will be absent third. This is a significant and challenging issue that affects the staffing and workload of the unit. The charge nurse should contact the staffing office, request replacements, and adjust the assignments accordingly.

Choice D reason: The charge nurse should address the situation of transport assistance being unavailable to take a client to occupational therapy last. This is a minor and temporary issue that does not compromise the client's health or well-being. The charge nurse should contact the transport department, reschedule the therapy session, and inform the client and the therapist.

A. A client who has bipolar disorder and is exhibiting signs of hallucination B. A client who has major burns over 75% of their body surface area C. A client who has two open chest wounds with a left tracheal deviation D. A client who has a neck injury and is unable to breathe spontaneously

Correct Answer is D

Explanation

Choice A reason: A client who has bipolar disorder and is exhibiting signs of hallucination is not the highest priority for treatment. The client may have a psychiatric emergency, but their condition is not life-threatening or unstable. The nurse should assess the client's safety and provide emotional support, but they can wait for further intervention.

Choice B reason: A client who has major burns over 75% of their body surface area is a high priority for treatment, but not the highest. The client has a serious injury that can cause shock, infection, and organ failure. The nurse should monitor the client's vital signs, fluid status, and wound care, but they can wait for a short time.

Choice C reason: A client who has two open chest wounds with a left tracheal deviation is a high priority for treatment, but not the highest. The client has a tension pneumothorax, which is a life-threatening condition that causes air to accumulate in the pleural space and compress the lung and the heart. The nurse should seal the wounds with an occlusive dressing and prepare for chest tube insertion, but they can wait for a few minutes.

Choice D reason: A client who has a neck injury and is unable to breathe spontaneously is the highest priority for treatment. The client has a respiratory emergency, which is the most urgent condition that requires immediate intervention. The nurse should establish an airway, provide oxygen, and stabilize the neck, as well as call for help and notify the provider.

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A nurse is teaching a group of newly hired nurses about evidence-based practice. The nurse should include which of the following as the first step in the process?

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