1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Chapter 1 Contemporary Nursing Practice

2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.A nursing unit is implementing evidence-based nursing practice where possible. A new graduate nurse who has been assigned to this unit would expect that 1.all patient care provided is based on findings from research. 2. patient preferences do not influence care as much as research findings. 3. the care provided is based on the best evidence for quality care and desired outcomes. 4. clinical practice guidelines are used so that individual decisions about patient care are not necessary.

3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.A patient has a nursing diagnosis of Ineffective airway clearance related to retained secretions, excessive mucus, decreased airway humidity, and ineffective cough as evidenced by adventitious breath sounds and dyspnea. An appropriate NOC outcome and NIC intervention for this nursing diagnosis would be 1.Aspiration Prevention (NOC) and Aspiration Procedures (NIC). 2.Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC). 3.Respiratory Status: Ventilation (NOC) and Respiratory Monitoring (NIC). 4.Respiratory Status: Airway Patency (NOC) and Airway Management (NIC).