What is the purpose of evidence-based practice (EBP) in nursing?

To ensure that nurses follow standardized protocols and procedures

To save time by relying on established nursing practices

To provide care based on tradition and personal beliefs

To improve patient outcomes and quality of care

Answer and Explanation

The Correct Answer is D

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 Relying solely on established practices without evidence can lead to outdated or ineffective care.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.

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Correct Answer is D

Explanation

A. This action is not appropriate as it could stimulate the gag reflex and lead to choking or aspiration. It does not contribute to effective oral care. Instead, gentle techniques using appropriate tools should be used to clean the mouth.
B. Holding the toothbrush at a 90° angle can be effective for brushing teeth as it allows for better access to the surfaces of the teeth. However, for an unconscious patient, this angle might not be practical or safe depending on the circumstances.
C. Vigorous brushing is not recommended, especially for an unconscious client. It could cause damage to the gums, lead to discomfort, or risk aspiration of fluids. Gentle brushing is advised to clean the teeth and gums without causing injury.
D. Turning the client to the side helps prevent aspiration of saliva or any fluids that may be in the mouth. It also provides better access for oral care and minimizes the risk of choking. This position is often recommended for unconscious patients to maintain their safety during oral care.

A. To avoid putting pressure on the client's stronger leg B. To ensure proper positioning of the hands on the walker C. To provide support for the client's weight while moving their weaker leg D. To maintain the client's center of gravity close to the body

Correct Answer is C

Explanation

A. The goal is not to avoid pressure on the stronger leg; rather, the walker is used to assist with balance and support for both legs. The client typically puts weight on both legs when using the walker, especially when moving it forward.
B. While proper hand positioning is important for stability, the specific instruction to move the walker forward 6 to 8 inches is primarily focused on facilitating safe movement and balance, rather than just ensuring hand positioning. Therefore, this is not the main purpose.
C. Moving the walker forward provides a stable base of support before the client steps forward with their weaker leg. This technique allows the client to safely shift their weight onto the walker, minimizing the risk of falls and ensuring adequate support during ambulation.
D. While maintaining the center of gravity is important for balance, the specific instruction to move the walker forward 6 to 8 inches is primarily about creating a safe distance to support the client’s weight. This action does help with balance, but it’s not the primary reason for that specific movement.

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What is the purpose of evidence-based practice (EBP) in nursing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

What is the purpose of instructing the client to move the walker forward 6 to 8 inches, setting it down with all four feet on the floor when ambulating?

Correct Answer is C

Explanation

A nurse is collecting data on a client who has peripheral neuropathy. Which of the following findings should the nurse expect?

A nurse is assisting with the care of a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?

A nurse is assisting with teaching a class about alternative medicine. The nurse should include that which of the following practices is based on a balance of the body, mind, and spirit to prevent disease?

Which of the following is an essential component of patient safety in healthcare settings?

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take?

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?