Level: Advanced
Difficulty: Hard
Subtopic: Outcome evaluation
NCLEX: The RN evaluating a clinical practice guideline is being evaluated for evidence-based practice and outcome evalua…
Statistics or evidence-based practice Management of Care
Case Study
The RN evaluating a clinical practice guideline is being evaluated for evidence-based practice and outcome evaluation. Assessment data include a guideline recommends chlorhexidine bathing for central-line infection prevention. Which finding requires the nurse to intervene immediately?
Question
A. The new finding that a guideline recommends chlorhexidine bathing for central-line infection prevention.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: A. The new finding that a guideline recommends chlorhexidine bathing for central-line infection prevention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.