During a staff meeting, nurses discuss problems with accessing research studies to incorporate EBP into their practice. Which suggestion by the nurse manager would best help these problems?

Correct Answer: D

Rationale: The correct answer is D because teaching nurses how to conduct electronic searches for research studies empowers them to independently access relevant information efficiently. This approach promotes self-directed learning and increases the likelihood of incorporating evidence-based practice (EBP) into their daily routines. Forming a committee (A) may not address immediate needs, posting studies on bulletin boards (B) may not be practical or up-to-date, and visiting the library (C) may not be convenient or time-effective for all nurses.

Correct Answer: C

Rationale: The correct answer is C: Right homonymous hemianopsia. This term describes the loss of vision on the same side in both eyes. In this case, the patient is unable to see on the entire right side with either eye covered, indicating a lesion in the left optic tract or radiation. A: Bitemporal hemianopsia is a loss of vision from the outer half of both visual fields, typically due to a pituitary tumor compressing the optic chiasm. B: Right temporal hemianopsia refers to a loss of vision on the right side of both visual fields, which is not consistent with the patient's presentation. D: Binasal hemianopsia is characterized by a loss of vision on the inner half of both visual fields, usually seen in pituitary tumors involving the optic chiasm.

Correct Answer: B

Rationale: Step 1: Dullness in the last intercostal space in the anterior axillary line on the left side suggests possible splenomegaly. Step 2: The dullness indicates an abnormality in that area and warrants further examination to confirm the presence of an enlarged spleen. Step 3: Option B is correct as it acknowledges the possibility of splenomegaly and emphasizes the need for close attention to further examination. Step 4: Options A and C are incorrect as they assert the presence of an enlarged spleen without confirming it, leading to unnecessary workup. Step 5: Option D is incorrect as it definitively states the spleen is normal, which contradicts the physical examination findings.

Correct Answer: B

Rationale: The correct answer is B because the statement accurately describes the function of a stethoscope. A stethoscope doesn't magnify sound but rather blocks out extraneous room noise to allow for clear auscultation. This is essential for accurate assessment. Choice A is incorrect as the slope of the earpieces should point towards the nose, not the occiput. Choice C is incorrect because fit and quality are crucial for accurate auscultation, not just the ability to magnify sound. Choice D is incorrect as there isn't an ideal tubing length specified for all stethoscopes, and the focus should be on optimal sound transmission rather than dampening sound.

Correct Answer: B

Rationale: The correct answer is B: Firmness over the left upper quadrant. This finding is abnormal as the left upper quadrant should normally be soft on palpation. Firmness could indicate an underlying issue such as organ enlargement or inflammation. A: Soft, non-tender abdomen is normal. C: Generalized tympany on percussion is also normal as it indicates air-filled intestines. D: No palpable masses is a normal finding as well. Therefore, B is the correct answer as it deviates from the expected normal abdominal palpation findings.