A nurse manager is determining the correct procedure for performing nasotracheal suctioning. Which of the following is the priority guideline in the hierarchy of evidence for the nurse to implement?
Review case control studies about the process.
Conduct a systematic review of current information.
Collect expert opinions regarding techniques.
Research qualitative studies related to the procedure.
The Correct Answer is B
Rationale:
A. Case control studies provide useful data but are lower on the hierarchy of evidence than systematic reviews.
B. A systematic review of current information synthesizes multiple high-quality studies and is considered one of the highest levels of evidence, making it the priority guideline.
C. Expert opinions are valuable when higher levels of evidence are not available, but they rank low in the evidence hierarchy.
D. Qualitative studies provide insight into experiences and perceptions but do not provide the strongest evidence for determining clinical procedures.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. An aPTT of 34 seconds is within the expected reference range for a client on heparin, so no interdisciplinary conference is required.
B. A client with type 1 diabetes using an insulin pump requires routine management and education, which can be handled by the primary nurse without a formal conference.
C. A client with orthostatic hypotension requiring IV fluids may need collaboration between nursing, medicine, physical therapy, and dietary services to manage fall risk, hydration, and mobility—making an interdisciplinary conference appropriate.
D. An albumin level of 4.2 g/dL is within the normal range, so this client is not at increased risk for pressure injuries requiring interdisciplinary planning.
Correct Answer is B
Explanation
Rationale:
A. Discussing the risks of the procedure is the provider’s responsibility, not the nurse’s. The provider must ensure informed consent.
B. If the client expresses concerns after signing consent, the nurse should notify the provider immediately so the provider can clarify information, answer questions, and reconfirm consent.
C. The nurse does not have the authority to postpone the procedure; that decision must be made by the provider.
D. Emphasizing the importance of the procedure could be seen as coercive and does not respect the client’s right to informed decision-making.
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