Evidence-based practice in nursing involves integrating the best research evidence with clinical expertise and patient preferences.

A client describes a history of Heart Failure, mild hypertension and moderate to severe anxiety. The client is taking digoxin, furosemide, and alprazolam. The client reports to have had a difficult time relaxing and sleeping until trying Kava Kava, which they take 3 times a day.  What is of most concern to the nurse?

It is most important for the nurses to understand their own culture as well as the culture of their clients. What is the best reason for this action?

A client is prescribed lorazepam 0.5mg PO TID PRN for anxiety. The bottle on hand contains 0.25mg per tablet. How many tablets will you give for the prescribed dose of 0.5mg? Record your answer as a whole number.

A male client taking citalopram complains of the following bothersome, but expected side effects related to anti-depressant use:  Select all that apply.

A client plans to go to the acupuncturist for complementary treatment of alcoholism. The client asks the nurse to explain how acupuncture works. What response by the nurse is most accurate? 

A hospice nurse who has become close to a terminally ill client is present in the home when the client dies and feels saddened and tearful as the family members begin to cry. What actions will the nurse take at this time?

A nurse is caring for a terminally ill client who is being transferred to hospice care. Which information regarding hospice care will the nurse include in the teaching plan? Select all that apply.

A young adult client with metastatic cancer, who is very close to death, appears restless. The client keeps repeating, “I’m not ready to die.” Which action is best for the nurse to take?

A 15 year-old, recently lost their parent in a plane crash. The client has begun to question their belief in religion. The client cries out, “No God would have let my parent die like that! I’m so angry I could scream!” What is the nurse’s priority intervention?