Author Question: The student nurse is doing a literature review on evidence-based practice (EBP). Which of the ... (Read 52 times)

ENagel · **on:** Jul 22, 2018

The student nurse is doing a literature review on evidence-based practice (EBP). Which of the following demonstrates that the student understands the benefits of EBP?

1. Presenting a paper about skin assessment .
2. Repositioning a client at risk for skin breakdown every 2 hours.
3. Explaining literature searches to fellow students.
4. Trying to find other problems to implement EBP.

Question 2

The nurse caring for a client diagnosed with peripheral vascular disease who is at risk for impaired skin integrity would include which of the following in the plan of care?

1. Keep the skin clean, dry, and moisturize areas of dryness
2. Dietary consult for low-protein diet
3. Restrict fluids
4. Encourage bed rest with legs elevated on pillows

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

Answer to Question 1

2. Repositioning a client at risk for skin breakdown every 2 hours.

Rationale:
In evidence-based practice, the nurse integrates research findings with clinical experience, the client's preferences, and available resources in planning and implementing care. Evidence-based practice would support frequent repositioning to prevent skin breakdown in an at-risk client, demonstrating that this student is able to incorporate research into practice. Presenting papers about assessment or explaining what EBP is to someone else does not demonstrate the ability to put into practice that which is learned. Trying to find other problems to implement does not demonstrate that the nurse understands the benefits of EBP.

Answer to Question 2

1. Keep the skin clean, dry, and moisturize areas of dryness

Rationale:
The client with peripheral vascular disease who is at risk for impaired skin integrity should have meticulous skin care to keep the skin clean, dry, and well-moisturized to prevent skin breakdown. A low-protein diet is not beneficial for wound healing and may not be indicated for this client. A fluid restriction would dry tissues and not promote good skin turgor. Bed rest with legs elevated on pillows could increase the client's pain and would not help with preventing skin breakdown.