Level: Advanced
Difficulty: Hard
Subtopic: Translating evidence into practice
NCLEX: The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and translating evide…
Statistics or evidence-based practice Management of Care
Case Study
The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and translating evidence into practice. Assessment data include a small study reports benefit but has no randomization and a high dropout rate. Which finding requires the nurse to intervene immediately?
Question
A. A stable, long-standing finding that matches the expected care plan.
B. The new finding that a small study reports benefit but has no randomization and a high dropout rate.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
B. The new finding that a small study reports benefit but has no randomization and a high dropout rate.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: B. The new finding that a small study reports benefit but has no randomization and a high dropout rate.
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.