The nurse describes evidence-based practice as a. Practice ...

[sc00by25]

The nurse describes evidence-based practice as
 
  a. Practice based on the evidence presented in court.
  b. Implementing interventions based on scientific rationale.
  c. Using standardized care plans.
  d. Planning care based on tradition.

Question 2

The nurse needs to obtain a radial pulse from a patient. To obtain the correct measure, what must the nurse do?
 
  a. Place the tips of the first two fingers over the groove along the thumb side of the patient's wrist.
  b. Place the thumb over the groove along the thumb side of the patient's wrist.
  c. Apply a very light touch so that the pulse is not obliterated.
  d. Apply very strong pressure to detect the pulse.

[sailorcrescent]

Answer to Question 1

B
The best answer is implementing interventions based on scientific rationale. Practice based on evidence presented in court is incorrect. Practice is based on current research. Using standardized care plans may be one example of evidence-based practice, but there are many others as well. The nurse must be careful in using standardized care plans to ensure that each patient's plan of care is still individualized. Planning care based on tradition is incorrect because nursing care should be based on current research.

Answer to Question 2

A
Place the tips of the first two or middle three fingers of the hand over the groove along the radial or thumb side of the patient's inner wrist. Fingertips are the most sensitive parts of the hand to palpate arterial pulsation. The thumb has a pulsation that interferes with accuracy. The pulse is more accurately assessed with moderate pressure. Too much pressure occludes the pulse and impairs blood flow.