Author Question: The experienced nurse working in the ICU is interested in investigating the care delivered to the ... (Read 47 times)

Brittanyd9008 · **on:** Jul 22, 2018

The experienced nurse working in the ICU is interested in investigating the care delivered to the clients on the unit in an effort to incorporate the best nursing research. The nurse plans to:

1. Suggest that individual staff members try new means of delivering care.
2. Seek to establish a committee of staff interested in research.
3. Compile a list of questions.
4. Evaluate the results of different research projects.

Question 2

The nurse is preparing the client for treatment of renal calculi that have not responded well to medication therapy. The nurse explains that the preferred treatment now is which of the following?

1. Surgery on the kidney to remove the stones
2. Diet control
3. Lithotripsy
4. Increasing fluids

scrocafella · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Seek to establish a committee of staff interested in research.

Rationale:
At the unit level, a nurse would ask the unit manager to help set up a committee of staff nurses interested in improving care by searching results of nursing studies. Suggesting that staff nurses try new methods of care may violate the nursing policies and should be conducted in an orderly fashion. Once the committee is formed, a list of questions can be formulated that are relevant to that unit. Results cannot be evaluated until research has been reviewed and practice has been changed.

Answer to Question 2

3. Lithotripsy

Rationale:
When medication fails to dissolve stones, the preferred method of treatment is lithotripsy, which is using sound waves to crush the stones so they can be passed out of the urinary system. Depending on the location of the stones, surgery may be the next step in the treatment process. Diet and fluids are used to prevent further stone formation.