A nurse is using evidence-based practice (EBP) to decrease the incidence of catheter- associated urinary tract infections (CAUTIS) on a unit. Which of the following actions should the nurse take first?

Look for credible sources of evidence to reduce CAUTIS.

Implement recommendations to reduce CAUTIS.

Ask a clinical question regarding CAUTIS.

Review the Information gathered about reducing CAUTIS.

Answer and Explanation

The Correct Answer is C

A.   Before looking for evidence, the nurse should formulate a specific clinical question related to CAUTIs.
B.   Implementation should follow the evidence-based recommendations, but formulating a clear question is the initial step.
C.   Asking a clinical question is the first step in the EBP process, as it helps guide the search for relevant evidence.
D.   Reviewing information comes after formulating a question and searching for evidence to answer that question.

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Correct Answer is D

Explanation

A. Diminished urine output is a later sign of hypovolemic shock and is associated with decreased perfusion to the kidneys.
B. Cold clammy skin is also a later sign of shock, indicating poor tissue perfusion.
C. Unconsciousness is a late sign of hypovolemic shock and occurs when there is significant impairment of cerebral perfusion.
D. Tachycardia is an early compensatory mechanism in response to hypovolemia, aiming to maintain cardiac output and perfusion to vital organs.

A. Vomiting Hypoglycemia B. Hypertension C. Altered mental status D. Elevated WBC’s count

Correct Answer is C

Explanation

A. Vomiting is not a specific manifestation of sepsis.
B. Hypertension is not a typical finding in sepsis; hypotension is more common.
C. Altered mental status, such as confusion or lethargy, can be a sign of sepsis- induced organ dysfunction.
D. While an elevated white blood cell (WBC) count is often seen in infection, it alone does not indicate sepsis. The key in sepsis is the body's dysregulated response to infection leading to organ dysfunction.

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A nurse is using evidence-based practice (EBP) to decrease the incidence of catheter- associated urinary tract infections (CAUTIS) on a unit. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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