The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople. gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal, and suggest ways in which identified barriers may be addressed.

You began membership in a new health and fitness club which has access to a dietician and personal trainer. they you develop a special eight-week diet and exercise program. the data in the following table represents your weight, w, as a function of time, t, over an eight-week period. time (weeks) 0 1 2 3 4 5 6 7 8 weight (lb) 150 144 143 141 140 137 137 132 129 your weight decreases during each of the first five weeks of the program. determine the actual change in weight over the first five weeks of the program by subtracting your initial weight from your weight at the end of the first five weeks. what is the sign of your answer? what is the significance of this sign? a. 137-150 = -13 lb; a change in weight is negative because the weight decreases. b. 137-150 = 13 lb; a change in weight is positive because the weight decreases. c. 150-137 = -13 lb; a change in weight is negative because the weight increases. d. 150-137 = 13 lb; a change in weight is positive because the weight increases.

5. in case of an emergency, once you or someone already on the scene has contacted 9-1-1, the next thing to do is:

A32-year-old woman presents for a routine gynecological exam. she has been married for 5 years and plans to start a family with her husband in the near future. her first menstrual period was at the age of 11. she is in a 28/4 cycle with no irregularities or discomfort. at age 18, she had an induced abortion and has used oral contraceptives since then. in the recto-vaginal exam, you palpate a mass on the left side. an ultrasound confirms a complex cystic tumor 6cm in diameter on the left ovary. there is no free fluid in the pelvis. there is no family history of any malignant tumors. what is your therapeutic approach?