Which of the following statements most accurately captures a guiding principle of the nurse's task?

The clinical educator of a hospital medical unit has the mandate of establishing evidence-based practice guidelines for the nursing care on the unit. Which of the following statements most accurately captures a guiding principle of the nurse’s task?
Answers:
A. Evidence-based practice guidelines will be rooted in research rather than nurses’ subjective practice preferences and experiences.
B. Guidelines are synonymous with systematic research reviews.
C. The need for continuity and standardization of guidelines will mean that they will be fixed rather than changeable.
D. The guidelines will combine individual expertise with external systematic evidence.

Which of the following statements best conveys an aspect of the use of beta-blockers?

A nurse who provides care in a geriatric subacute medicine unit of a hospital has noted that a large number of patients receive ?-adrenergic blocking medications such as metoprolol. Which of the following statements best conveys an aspect of the use of beta-blockers?
Answers:
A. They counteract arrhythmias and tachycardias by increasing vagal stimulation.
B. They can be used to treat supraventricular arrhythmias and decrease automaticity by depressing phase 4 of the action potential.
C. They decrease myocardial oxygen demand by blocking the release of intracellular calcium ions.
D. They inhibit the potassium current and repolarization, extending the action potential and refractoriness.

Which of the following teaching points would be most appropriate for a group of older adults who are concerned about their cardiac health?

Which of the following teaching points would be most appropriate for a group of older adults who are concerned about their cardiac health?
Answers:
A. “The plaque that builds up in your heart vessels obstructs the normal flow of blood and can even break loose and lodge itself in a vessel.”
B. “Infections of any sort are often a signal that plaque disruption is in danger of occurring.”
C. “The impaired function of the lungs that accompanies pneumonia or chronic obstructive pulmonary disease is a precursor to plaque disruption.”
D. “People with plaque in their arteries experience attacks of blood flow disruption at seemingly random times.”

Which of the following statements that he reads on various Web sites is most reliable?

A 40-year-old male client is shocked to receive a diagnosis of mature B-cell lymphoma and is doing research on his diagnosis on the Internet. Which of the following statements that he reads on various Web sites is most reliable?
Answers:
A. “Like most forms of Hodgkin lymphoma, mature B-cell lymphoma often requires radiation treatment.”
B. “Doctors are able to diagnose mature B-cell lymphoma by the presence of Reed-Sternberg cells.”
C. “The lymph nodes are usually affected, and often the spleen and bone marrow.”
D. “Unlike many other lymphomas, mature B-cell lymphoma is often self-limiting, and treatment is focused on symptoms.”