Author Question: A nurse wants to explore why clients who receive patient-controlled analgesia (PCA) after abdominal ... (Read 24 times)

Evvie72 · **on:** Jun 25, 2018

A nurse wants to explore why clients who receive patient-controlled analgesia (PCA) after abdominal surgery ambulate sooner than clients who receive nurse-administered pain medications. Which action should the nurse take first?

a. Contact the medical center's clinical pharmacist.
b. Search the medical library for the best evidence.
c. Recommend PCA for all clients.
d. Appraise data obtained through client chart audits.

Question 2

A nurse who wants to incorporate evidence-based practices into client care on a medical unit is meeting resistance. Which barrier does the nurse identify as preventing nurses from engaging in evidence-based practices?

a. Difficulty accessing research materials
b. Lack of value for client preferences
c. Trouble understanding client needs
d. Inadequate nurse-client ratios

sarajane1989 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
After asking the burning question, the nurse should find the very best evidence to try to answer it. The clinical pharmacist may be knowledgeable, but this is not the best evidence available. Information from client chart audits may demonstrate better outcomes with PCA, but this again is not the best evidence. The nurse should wait and recommend clinical practice changes until best evidence is found, appraised, and synthesized.

Answer to Question 2

ANS: A
Major barriers that prevent nurses from engaging in evidence-based practice include lack of time, lack of value for research in practice, lack of understanding of organization or structure of electronic databases, difficulty accessing research materials, lack of computer skills, and difficulty understanding research articles.