PICOT Questions

Question 0

Do short, natural nails reduce the future risk of quality of care compared to artificial nails?

Answer 0

Yes

Question 1

Does circumcision increase or decrease the rate of STI’s?

Answer 1

Decreases

Question 2

In geriatric patients, how does the use of side rails compared with no side rails affect the number of patient falls from bed?

Answer 2

Inconclusive

Question 3

Should you instill normal saline solution prior to endotracheal suctioning?

Answer 3

No

Question 4

Can you use sea bands in place of anti-emetic drugs?

Answer 4

No

Question 5

When a patient is critically ill or ventilated, which kind of treatment should be utilized?

Answer 5

VAP bundle criteria

Question 6

Should you use alcohol-based scrubs or wash hands with soap and water?

Answer 6

Alcohol-based scrubs

Question 7

In hospitalized patients, how does intermittent urinary catheterization as compared to indwelling catheterization affect the incidence of UTI?

Answer 7

UTIs were associated with dwell time and frequency, but there is no strong correlation of which type of catheter used

Question 8

With obese patients, will the use of ventrogluteal site versus the dorsogluteal site prevent bad injection?

Answer 8

Ventrogluteal site is most recommended for clinical use because it is thicker and there is o chance of hitting the sciatic nerve

Question 9

How long should an IV stay inserted?

Answer 9

96 hours with no signs of of phlebitis or inflammation, but 72 if aggravating IV solution

Question 10

What type of control should be maintained in surgical patients?

Answer 10

Maintain tight glycemic control

Question 11

Should you aspirate IM injections?

Answer 11

Yes, but only because there is no evidence supporting or denying it

Question 12

Does scheduled oral hydration decrease the risk for dehydration in the elderly compared to non-scheduled?

Answer 12

Yes

Question 13

Should a patient with a DVT be placed on bed rest?

Answer 13

Evidence contradicts, because placing a patient on bed rest causes PEs, but does shorten time and severity of the DVT

Question 14

During circumcision of male infants, how does glucose water compare to nerve block as a method for pain relief?

Answer 14

Use both together

Question 15

Should cancer patients be given TPN?

Answer 15

Yes

Question 16

Does fasting prevent pulmonary aspiration during non-abdominal surgery?

Answer 16

Yes, in patients with GERD and gastric paresis

Question 17

How does the use of mechanical prophylaxis reduce the future risk of DVT compared with chemical prophylaxis?

Answer 17

Chemical is better if not contraindicated

Question 18

Should manual or mechanical lifts be implemented?

Answer 18

Mechanical

Question 19

Does therapeutic hypothermia reduce neural damage in cardiac arrest patients upon discharge compared with normothermic treatment?

Answer 19

Yes

Question 20

Should a patient be kept warm or cold during general anesthesia?

Answer 20

Warm

Question 21

Should abstinence only health education be used or comprehensive?

Answer 21

Comprehensive

Question 22

Should normal saline or heparin flush be used on intermittent IV access devices?

Answer 22

Normal saline

Question 23

Does the use of anesthetic cream prior to inserting an IV decrease pain compared to not using any?

Answer 23

Yes if not contraindicated

Question 24

Isopropryl Inhalation vs. Antiemetics

Answer 24

Yes, if not contraindicated; needs more research

Question 25

Electronic versus paper charting

Answer 25

Electronic

Question 26

Routine versus restrictive use of episiotomies

Answer 26

Restrictive use is favored

Question 27

Music therapy in pain management

Answer 27

Supplemental, to be used with analgesics

Question 28

12 versus 8 hour shifts

Answer 28

8