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Test Bank For Understanding Medical-Surgical Nursing 6th by Williams Download PDF

The document provides information on various test banks and solution manuals for nursing and other educational subjects, including the 6th edition of 'Understanding Medical-Surgical Nursing' by Williams. It includes links to download these resources and highlights the importance of evidence-based practice (EBP) in nursing through multiple-choice questions and answers related to EBP concepts. The document serves as a resource for nursing students and professionals seeking to enhance their knowledge and practice through structured questions and evidence-based guidelines.

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0% found this document useful (0 votes)
15 views42 pages

Test Bank For Understanding Medical-Surgical Nursing 6th by Williams Download PDF

The document provides information on various test banks and solution manuals for nursing and other educational subjects, including the 6th edition of 'Understanding Medical-Surgical Nursing' by Williams. It includes links to download these resources and highlights the importance of evidence-based practice (EBP) in nursing through multiple-choice questions and answers related to EBP concepts. The document serves as a resource for nursing students and professionals seeking to enhance their knowledge and practice through structured questions and evidence-based guidelines.

Uploaded by

watnekidus6a
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Chapter 2. Evidence-Based Practice

MULTIPLE CHOICE

1. The nurse working in a radiation oncology department wants to reduce the incidence of skin
breakdown in patients who receive beam radiation. Which question should the nurse use to
guide a literature search about this topic?
1. How often do patients with beam radiation experience skin breakdown?
2. Why do patients who get radiation beam therapy have skin breakdown?
3. What nursing interventions minimize the occurrence of skin breakdown in patients
receiving beam radiation?
4. How does our rate of skin breakdown in patients receiving beam radiation compare
to other institutions in the city?
ANS: 3
Chapter: Chapter 2 Evidence-Based Practice
Objective: 4. Describe the EBP process.
Page: 10
Heading: Step 1: Ask the Burning Question
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: PHYS: Reduction of Risk Potential
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 The frequency of skin breakdown and why patients develop skin breakdown
does not help identify ways to prevent skin breakdown.
2 The frequency of skin breakdown and why patients develop skin breakdown
does not help identify ways to prevent skin breakdown.
3 Asking a burning clinical question is the first step in the evidence-based practice
(EBP) process. It is important to include related factors in the question and to
focus on nursing interventions and care. In this situation, the nurse should focus
on nursing care that may reduce the occurrence of skin breakdown for the
specific patient population of interest.
4 Information on statistics from other organizations will not help the nurse
identify ways to prevent skin breakdown.

PTS: 1 CON: Evidence-Based Practice


2. A licensed practical nurse (LPN) working on the pediatric floor is interested in improving
patient outcomes for children with asthma. Which clinical question would best guide the
nurse’s next steps?
1. How many patients with asthma have a pet dog or cat?
2. What is the monthly admission rate of patients with asthma to the unit?
3. What patient education materials are available to address effective management of
asthma in pediatric patients?
4. How has the occurrence rate of asthma in children under the age of 5 changed
since the hospital instituted a no smoking policy for the hospital grounds?
ANS: 3
Chapter: Chapter 2 Evidence-Based Practice
Objective: 4. Describe the EBP process.
Page: 11
Heading: Step 1: Ask the Burning Question
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 Information about pets, admission rates of patients with asthma, and asthma
occurrence since the implementation of a no smoking policy will not help
improve patient outcomes for children with asthma.
2 Information about pets, admission rates of patients with asthma, an asthma
occurrence since the implementation of a no smoking policy will not help
improve patient outcomes for children with asthma.
3 Asking a burning clinical question is the first step in the EBP process. It is
important to include related factors in the question and to focus on nursing
interventions and care. For this scenario, the nurse would focus on nursing care
that affects patient outcomes for the specific patient population of interest.
Patient education is a critical component of nursing care.
4 Information about pets, admission rates of patients with asthma, and asthma
occurrence since the implementation of a no smoking policy will not help
improve patient outcomes for children with asthma.

PTS: 1 CON: Evidence-Based Practice

3. The nurse is preparing to give oral care to a patient receiving tube feedings. Which approach
should the nurse use to provide care that is based on EBP?
1. Use a soft toothbrush and toothpaste to brush the teeth.
2. Have the patient use swish-and-swallow Nystatin twice a day.
3. Increase oral suctioning to every 2 hours using toothette suction devices.
4. Use mouthwash and toothettes to swab the teeth and mouth three times a day.
ANS: 1
Chapter: Chapter 2 Evidence-Based Practice
Objective: 3. Explain how to identify nursing evidence that should be put into practice.
Page: 12
Heading: Step 3: Think Critically
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: PHYS: Basic Care and Comfort
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 Evidence-based information shows the use of toothbrushes for oral care is much
more effective than foam swabs in removing plaque from the teeth.
2 Swish-and-swallow Nystatin is a medication that treats oral thrush and is not
routinely used to provide oral care.
3 Oral suctioning is not an approach to provide oral care.
4 Toothettes are not an effective mechanism for providing oral care.

PTS: 1 CON: Evidence-Based Practice

4. The nurse is reviewing four articles for research and notes the evidence presented in one
article is weaker than the others. Which level of research is the nurse most likely reviewing?
1. Level I
2. Level II
3. Level III
4. Level IV
ANS: 4
Chapter: Chapter 2 Evidence-Based Practice
Objective: 3. Explain how to identify nursing evidence that should be put into practice.
Page: 11
Heading: Identifying Nursing Evidence
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordination of Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Easy

Feedback
1 The rating scale used to level the quality of evidence ranges form level I
(strongest) to level IV (weakest).
2 The rating scale used to level the quality of evidence ranges form level I
(strongest) to level IV (weakest).
3 The rating scale used to level the quality of evidence ranges form level I
(strongest) to level IV (weakest).
4 The rating scale used to level the quality of evidence ranges form level I
(strongest) to level IV (weakest).

PTS: 1 CON: Evidence-Based Practice


5. The nurse working on an oncology unit wants to know if it is best practice to clean a central
line in a circular motion or a back-and-forth motion. What action should the nurse take first?
1. Ask the physicians what they think is best.
2. Ask the patient what their preference is.
3. Develop a research question to guide a literature search.
4. Continue performing the procedure per hospital policy.
ANS: 3
Chapter: Chapter 2 Evidence-Based Practice
Objective: 4. Describe the EBP process.
Page: 11
Heading: Step 1: Ask the Burning Question
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 Physicians do not determine best practice.
2 The patient’s preference may not be reflective of what is best practice.
3 The nurse should formulate a question to guide a literature search to determine
the best practice for cleaning a central line.
4 The nurse should not take no action—the current practice may not be the best
practice.

PTS: 1 CON: Evidence-Based Practice

6. A group of nurses conducted a pilot study about implementing a team to turn patients every
hour to prevent skin breakdown. The results proved the intervention to be a success. What
step should the nurses take next to implement the turn team hospital wide?
1. Educate individuals in the facility about implementing the change hospital wide.
2. Collect evidence to support implementation of a turn team.
3. Plan a pilot study to determine if implementing a turn team will reduce skin
breakdown.
4. Propose the change to a policy and procedure committee.
ANS: 1
Chapter: Chapter 2 Evidence-Based Practice
Objective: 4. Describe the EBP process.
Page: 13
Heading: Step 5: Make It Happen
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: PHYS: Reduction of Risk Potential
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 Since turning a patient is an independent nursing intervention, a literature
review has been conducted, and a pilot study has been implemented where
results have been proved to be successful, the next step is to educate other
nurses in the facility about how to implement the turn team.
2 A literature review has already been done.
3 A pilot study has already been conducted.
4 Since turning patients is an independent nursing intervention, it is not required
to go to a committee for policy and procedure change.

PTS: 1 CON: Evidence-Based Practice

7. A nursing student asks the registered nurse (RN) preceptor why EBP is important. How
should the nurse respond to the student?
1. “EBP makes nursing more professional.”
2. “EBP helps ensure we can demand more pay.”
3. “EBP helps validate the difference nurses really make.”
4. “EBP guides nursing decisions to optimize effective care.”
ANS: 4
Chapter: Chapter 2 Evidence-Based Practice
Objective: 2. Discuss why EBP should be used.
Page: 11
Heading: Reasons For Using EBP
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 EBP is not used to support professionalism in nursing or as a mechanism to
increase nurses’ salaries.
2 EBP is not used to support professionalism in nursing or as a mechanism to
increase nurses’ salaries.
3 EBP is not used to validate the importance of nursing care.
4 Evidence-based nursing practice is much more than just evaluating research
studies to determine what results to apply to nursing practice. Evidence-based
nursing practice is a systematic process that utilizes current evidence to make
decisions about the care of patients, including evaluation of quality and
applicability of existing research, patient preferences, costs, clinical expertise,
and clinical settings.

PTS: 1 CON: Evidence-Based Practice

8. The nurse is reviewing a proposal for changing the type of needleless systems currently used
to administer IV medications in the hospital. Which part of the proposal most effectively
supports the proposed change?
1. A pilot study is planned.
2. Two cases of staff injury related to needle sticks have occurred in the past 3 years.
3. A single randomized clinical trial is cited as evidence to support the new policy.
4. The supporting evidence includes research conducted at an outpatient hematology
center.
ANS: 1
Chapter: Chapter 2 Evidence-Based Practice
Objective: 5. List the six steps of EBP.
Page: 12
Heading: Step 4: Measure Outcomes Before and After Change
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Difficult

Feedback
1 A small pilot study is typically done before an institute-wide change is made.
2 This would not be a statistically significant number to support the need for
change.
3 More evidence or evidence of a higher level would better support the proposed
change.
4 It is important to consider the context in which the evidence will be used, and
research involving a population similar to that of the nurse’s institution is
helpful.

PTS: 1 CON: Evidence-Based Practice

9. The nurse is planning a Quality and Safety Education for Nurses (QSEN) project to focus on
informatics. Which would the nurse include in this project?
1. Collecting data on repeat admissions
2. Implementing a medication barcode system
3. Collaborating with a pharmacist about medication reconciliation
4. Including the patient in a care plan meeting
ANS: 2
Chapter: Chapter 2 Evidence-Based Practice
Objective: 8. Describe how the Quality and Safety Education for Nurses (QSEN) project can
promote safe patient care.
Page: 12
Heading: Quality and Safety Education for Nurses Project
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordination of Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 Collecting data on repeat admissions is an example of quality improvement.
2 Implementing a medication barcode system is an example of informatics.
3 Collaborating with a pharmacist about medication reconciliation is an example
of teamwork and collaboration.
4 Including a patient in a care plan meeting demonstrates patient-centered care.

PTS: 1 CON: Evidence-Based Practice

10. The nurse is teaching a group of students about implementing EBP to control pain. Which
statement best describes understanding of evidence?
1. “I saw a commercial for pain medication that works well.”
2. “The patient has chronic pain and will need more medication.”
3. “We could give this patient Morphine every 4 hours. It works for the other
patient.”
4. “There are studies that prove nonpharmacological methods can relieve pain.”
ANS: 4
Chapter: Chapter 2 Evidence-Based Practice
Objective: 1. Define evidence-based practice (EBP) and evidence-informed practice.
Page: 12
Heading: Reasons For Using EBP
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 Watching a commercial does not demonstrate an understanding of evidence.
2 Not all patients who experience chronic pain need more medication; this
statement does not demonstrate an understanding of evidence.
3 Just because a drug regimen works for one patient does not mean it will work
for another. This statement does not demonstrate evidence.
4 Basing care on studies demonstrates an understanding of evidence.

PTS: 1 CON: Evidence-Based Practice

11. A licensed practical nurse/licensed vocational nurse (LPN/LVN) is preparing to insert an


indwelling urinary catheter. The policy states to test the balloon before inserting the
catheter, although evidence supports not testing the balloon. Which action should the nurse
take?
1. Continue to test the balloon per hospital policy.
2. Refuse to insert the catheter until policy is changed.
3. Conduct a literature search and present the literature to the policy committee.
4. Begin the practice of not testing the balloon when inserting urinary catheters.
ANS: 3
Chapter: Chapter 2 Evidence-Based Practice
Objective: 4. Describe the EBP process.
Page: 12
Heading: Step 2: Search for and Collect the Most Relevant and Best Evidence Available
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Safety and Infection Control
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Difficult

Feedback
1 The nurse is not practicing using evidence if he or she does nothing and
continues to follow policy.
2 The patient needs an indwelling urinary catheter, so refusing to complete the
procedure is not beneficial to the patient.
3 The nurse should review the literature and present the literature to the policy
review committee for an update to the current policy.
4 The nurse still needs to follow policy and should first present information to the
policy committee.

PTS: 1 CON: Evidence-Based Practice

12. The nurse is providing diabetic education to a patient with a low literacy level. Which
statement best promotes health literacy?
1. “You will frequently rotate sites when administering insulin.”
2. “You will need to self-administer insulin subcutaneously.”
3. “If you experience hypoglycemia, consume 15 grams of carbohydrates.”
4. “You will need to call your doctor if your blood sugar is over 300.”
ANS: 4
Chapter: Chapter 2 Evidence-Based Practice
Objective: 7. Explain health literacy.
Page: 14
Heading: Health Literacy
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Health Promotion and Maintenance
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 This statement has big words and may not be understood by a patient with low
health literacy.
2 This statement has medical terminology that may not be understood by a patient
with low health literacy.
3 This statement has medical terminology that may not be understood by a patient
with low health literacy.
4 This statement uses smaller words, avoids medical jargon, and is most likely to
be understood by a patient with low health literacy.

PTS: 1 CON: Evidence-Based Practice


13. The nurse wants to conduct a pilot study on frequency of readmission for patients with heart
failure. Which question should the nurse use to guide a literature review?
1. “What can nurses do to improve hospital readmission rates for patients with heart
failure?”
2. “What causes patients with heart failure to have repeat admissions?”
3. “Why do patients with heart failure have a high incidence of readmission?”
4. “How often are patients with heart failure readmitted?”
ANS: 4
Chapter: Chapter 2 Evidence-Based Practice
Objective: 4. Describe the EBP process.
Page: 14
Heading: Step 1: Ask the Burning Question
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 The nurse is wanting to look at frequency of readmission rates for patients with
heart failure. Asking what nurses can do to improve rates of readmission does
not relate to frequency of readmission.
2 A question asking about the cause of readmission rates for patients with heart
failure does not relate to frequency of readmissions.
3 A question asking why patients have a high incidence of readmission does not
relate to frequency of readmissions.
4 A question asking how often patients with heart failure are readmitted is an
appropriate question.

PTS: 1 CON: Evidence-Based Practice

14. While reviewing a patient care assignment with an unlicensed assistive personnel (UAP),
the nurse explains the reason for turning and repositioning a patient every 2 hours. Why did
the nursing include this information?
1. Ensures that evidence-based care is provided
2. Guarantees that the patient will receive morning care
3. Helps a UAP focus on the action being performed
4. Helps a UAP with time management of tasks to complete
ANS: 1
Chapter: Chapter 2 Evidence-Based Practice
Objective: 2. Discuss why EBP should be used.
Page: 14
Heading: Reasons For Using EBP
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Analysis (Analyzing)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 Evidence-based care should be given at all times, if possible, and in all settings
where nursing care is given. A way to ensure that evidence-based care is
provided is to explain why the care should be given at the time the care is
delegated.
2 Explaining the reason for the care is not done to guarantee that the patient will
receive morning care, help the UAP focus on actions, or help with time
management.
3 Explaining the reason for the care is not done to guarantee that the patient will
receive morning care, help the UAP focus on actions, or help with time
management.
4 Explaining the reason for the care is not done to guarantee that the patient will
receive morning care, help the UAP focus on actions, or help with time
management.

PTS: 1 CON: Evidence-Based Practice

15. A low health literacy level can lead to which outcome?


1. Improved self-esteem
2. Poor health outcome
3. Low health care cost
4. Decrease in hospitalizations
ANS: 2
Chapter: Chapter 2 Evidence-Based Practice
Objective: 7. Explain health literacy.
Page: 14
Heading: Health Literacy
Integrated Process: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application (Applying)
Concept: Communication
Difficulty: Moderate

Feedback
1 The patient will experience a decrease in self-esteem, not an increase.
2 Poor health outcomes are common in patients with low health literacy.
3 A patient with low health literacy will experience an increase in health care cost.
4 A patient with low health literacy will experience an increase in hospitalizations.

PTS: 1 CON: Communication

16. The nurse is working on ensuring all care plans are individualized to meet each patient’s
specific needs. This focuses on which area of QSEN?
1. Evidence-Based Practice
2. Safety
3. Patient-Centered Care
4. Informatics
ANS: 3
Chapter: Chapter 2 Evidence-Based Practice
Objective: 8. Describe how the Quality and Safety Education for Nurses (QSEN) project can
promote safe patient care.
Page: 14
Heading: Quality and Safety Education for Nurses Project
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1 Evidence-based practice is not specific to providing individualized patient care.
2 Safety is not specific to providing individualized patient care.
3 Patient-centered care is ensuring the care plan is individualized to meet the
patient’s needs and schedules rather than those of the institution or caregiver.
4 Informatics is not specific to providing individualized patient care.

PTS: 1 CON: Evidence-Based Practice

MULTIPLE RESPONSE

1. The nurse works in a clinic where many of the patients did not attend school beyond
elementary level. What interventions can the nurse implement to promote health literacy for
this particular group? (Select all that apply.)
1. Ask an interpreter to explain the material.
2. Provide easy-to-understand written materials.
3. Use video or computer for learning purposes.
4. Encourage the patient to attend speech therapy.
5. Provide brochures with pictured instructions.
ANS: 2, 3, 5
Chapter: Chapter 2 Evidence-Based Practice
Objective: 7. Explain health literacy.
Page: 14
Heading: HEALTH LITERACY
Integrated Process: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis (Analyzing)
Concept: Communication
Difficulty: Difficult

Feedback
1. The patients read at a low level; an interpreter will not resolve this issue.
2. Providing easy-to-understand written materials will promote health literacy.
3. Use of a video or computer to provide teaching is a technique to promote
health literacy.
4. Speech therapy is not a method used to promote health literacy.
5. Providing brochures with pictures may be effective since the patients may
read at a low level.

PTS: 1 CON: Communication

2. The nurse is working with a committee to determine EBP approaches for patient care.
Which steps will the committee members include when determining EBP? (Select all that
apply.)
1. Evaluate the change.
2. Measure the outcome.
3. Ask the nursing experts.
4. Manipulate current practice.
5. Search for the best available evidence.
ANS: 1, 2, 5
Chapter: Chapter 2 Evidence-Based Practice
Objective: 5. List the six steps of EBP.
Page: 14
Heading: The EBP Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1. The steps in the EBP process are Ask, Search, Think, Measure, Make It
Happen, and Evaluate. An acronym to remember these steps is ASKMME.
2. The steps in the EBP process are Ask, Search, Think, Measure, Make It
Happen, and Evaluate. An acronym to remember these steps is ASKMME.
3. Asking nursing experts and manipulating current practice are not steps in the
EBP process.
4. Asking nursing experts and manipulating current practice are not steps in the
EBP process.
5. The steps in the EBP process are Ask, Search, Think, Measure, Make It
Happen, and Evaluate. An acronym to remember these steps is ASKMME.

PTS: 1 CON: Evidence-Based Practice

3. The nurse is implementing the QSEN focus of patient-centered care. Which nursing actions
support this focus? (Select all that apply.)
1. Individualize interventions.
2. Schedule interventions to meet the patient’s needs.
3. Evaluate interventions for applicability to the patient.
4. Scan prescribed medications using the bar-coding system.
5. Document responses to treatment in the electronic medical record.
ANS: 1, 2, 3
Chapter: Chapter 2 Evidence-Based Practice
Objective: 8. Describe how the Quality and Safety Education for Nurses project can
promote safe patient care.
Page: 14
Heading: Quality and Safety Education for Nurses Project
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Analysis (Analyzing)
Concept: Evidence-Based Practice
Difficulty: Moderate

Feedback
1. When collaborating on the development of nursing care plans, it is important
to individualize interventions to provide patient-centered care.
2. As nursing interventions are performed, they should meet the patient’s
preferred schedules.
3. Nurses should always evaluate each suggested intervention to see if it fits the
patient.
4. Scanning medication using a bar-coding system and documenting in the
electronic medical record are actions that support the focus of informatics.
5. Scanning medication using a bar-coding system and documenting in the
electronic medical record are actions that support the focus of informatics.

PTS: 1 CON: Evidence-Based Practice

ORDERED RESPONSE

1. List in order the six steps of EBP using 1 through 6.


____Search for and collect relevant evidence.
____Think critically.
____Ask the burning question.
____Make it happen.
____Evaluate the practice change.
____Measure outcomes before and after change.

ANS:
2, 3, 1, 5, 6, 4
Chapter: Chapter 2: Evidence-Based Practice
Objective: 5. List the six steps of EBP.
Page: 11
Heading: The EBP Process
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE: Coordinated Care
Cognitive Level: Application (Applying)
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback: Step 1: Ask the burning question: What do you want to know? Step 2: Search for
and collect relevant and best evidence available. Step 3: Think critically: Appraise the
evidence you find for validity, relevance to the situation, and applicability. Step 4: Measure
outcomes before and after change. Step 5: Make it happen: Implement the desired change.
Step 6: Evaluate the practice change to determine if it made a significant difference.

PTS: 1 CON: Evidence-Based Practice


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Een (of meer) pond varkensvleesch, 2 eetlepels fijngesneden uien, 6
sioongs fijngesneden bawang-poetih, 1 eetlepel fijngesneden seréh,
1 lombok, een vingerlengte koenjit, 1 theelepel suiker, 1 dito zout, 1
dito trassie, 2 lepels asem-water, santen van ¼ klapper, 3 lepels
boter, water.

Bereiding:

Het vleesch wordt aan dobbelsteentjes gesneden, de kruiden bij


elkander fijngestampt, het vleesch er mede ingewreven en in boter
opgebraden. Daarna voegt men er het asem-water en een kopje
santen bij, dekt dit toe en laat het zoo eenigen tijd smoren.

Men kan het vleesch met de jus aldus in een schotel aan tafel laten
voordienen, of men kan het vleesch aan pinnen (stokjes) steken, dit
roosteren en met de jus besprenkelen.

384. Sesatée babi II. (Zonder lombok).

1 pond varkensvleesch, aan dobbelsteenen gesneden, 1 lepel


ketoembar, ½ lepel djienten, 2 eetlepels fijngesneden uien, 8
sioongs bawang-poetih, 8 kemiries, 1 theelepel trassie, 5 schijfjes
laos, een vingerlengte koenjit, een klein stukje kentjoor, 1 theelepel
suiker of goela-djawa, 1 theelepel zout, 2 lepels asem-water, 1 kop
bouillon, 1 kop santen, 2 djeroek-poeroet-schillen.

Bereiding:

De kruiden worden met elkander fijngestampt en ¾ gedeelte van de


hoeveelheid door het vleesch gewreven met asem-water. Het overige
¼ gedeelte kookt men met de santen, den bouillon en de djeroek-
poeroet-schillen op, tot het dik begint te worden. Vervolgens wordt
het vleesch aan pinnen of sesatée-stokjes gestoken en geroosterd,
onder aanhoudend [153]besprenkelen met deze dikke saus, totdat het
aan beide kanten bruin ziet.

385. Sesatée bali.

1 pond vleesch of het vleesch van een groote kip, aan


dobbelsteenen gesneden; 3 lepels fijngesneden uien, 2 sioongs
bawang-poetih, 5 schijfjes laos, een kwart vingerlengte fijngesneden
seréh, dito koenjit, 4 schijfjes djahé, 1 lepel ketoembar, ½ lepel
djienten poetih, 1 theelepel trassie, 2 theelepels zout, ¾ lepel asem
zonder pit, 2 djeroek-poeroet-bladeren, santen van ¼ klapper,
versche klapperolie, 4 kemiries.

Bereiding:

Alle kruiden, ook de asem en de kemiries worden met elkander


fijngestampt en het vleesch er goed mede ingewreven, daarna de
santen er door gedaan. Steek vervolgens het vleesch aan de pinnen,
rooster het, terwijl het onder het roostereen met de versche
klapperolie wordt bestreken. Is het vleesch gaar en aan weêrszijden
genoegzaam bruin, dan kan het gerecht worden opgediend.

386. Sesatée djapit van vleesch.

Een pond vleesch, 1 lepel ketoembar, ½ lepel djienten, 2 lepels


fijngesneden uien, 5 schijfjes laos, 3 lepels geraspte klapper, 5
kemiries, 1 theelepel zout, 1 lepel asem zonder pit, 1 theelepel
trassie, 1 theelepel suiker of goela-djawa, santen van ¼ klapper,
klapperolie.

Bereiding:

Het vleesch wordt even gekookt, om dit gemakkelijk aan reepen te


kunnen scheuren, daarna worden de kruiden bij elkander
fijngestampt, met olie even opgebraden en de santen er bij gedaan.
Hierna doet men er het gescheurde vleesch bij en laat dit braden tot
de olie er uitkomt; laat het daarna koud worden. Vervolgens knijpt
men de stukken vleesch tusschen gespleten bamboestokjes
(soedjèn) en roostert deze, terwijl men ze nu en dan met den
bouillon van het vleesch besprenkelt.

387. Sesatée djapit ajam

bevat dezelfde bestanddeelen en wordt op dezelfde wijze [154]bereid


als No. 386. Men neemt natuurlijk een kip in plaats van vleesch,
terwijl het kippenvleesch eveneens aan reepen wordt gescheurd,
nadat het even heeft gekookt.

388. Sesatée lombok.

Dezelfde bestanddeelen als van No. 259, “Frikadel tjabé”. Men kan,
voor het vulsel der lomboks, in plaats van kalfs- of rundvleesch, ook
fijn gehakt kippenvleesch of fijn gehakte garnalen nemen.

Bereiding:

Als van No. 259.


389. Sesatée ikan.

Visch, ½ geraspte en bruin gebraden klapper, 3 volle eetlepels


fijngesneden uien, 1 lepel ketoembar, ½ lepel djienten, 1 lepel
fijngesneden seréh, ¼ theelepel peper, 5 schijfjes laos, 3 sioongs
bawang-poetih, 1 volle eetlepel fijngesneden prij, 1 eetlepel
fijngesneden pieterselie, 1 theelepel witte suiker, 2 eierdooiers, het
wit er van geklopt, meel, broodkruim of gestampte beschuit, 2
kopjes dikke santen.

Bereiding:

De visch wordt schoongemaakt, van de graten ontdaan en daarna


het vleesch er van rauw fijn gehakt. De kruiden (ook geraspte
klapper) worden, met uitzondering van prij en pieterselie, bij
elkander fijngestampt. Drie kwart gedeelte hiervan doet men, met
de prij en pieterselie (goed vermengd) èn de twee eierdooiers, door
de visch. Vervolgens maakt men hier balletjes van, die eerst in het
geslagen eiwit, daarna in het meel of de broodkruim gewenteld,
vervolgens aan pinnen gestoken en eindelijk boven een zacht vuur
geroosterd worden. De overgeschoten kruiden worden met de
santen aangelengd en de balletjes worden hiermede bestreken.

Men kan deze balletjes ook in kokend heete boter of olie bruin
braden en er allengs de gekruide santen bij doen.

390. Sesatée mentool betawi.

1 kip, 3 eetlepels fijne roode uien, 1 eetlepel fijngesneden en


gebraden bawang-poetih, 5 stuks gebrande kemiries, [155]8
peperkorrels, 1 theelepel djienten, 2 lepels ketoembar, ¼ geraspte
klapper, 4 djeroek-poeroet-bladeren. een stuk goela-djawa, zoo
groot als een duivenei, 1½ theelepel zout, 1 eetlepel trassie-water
en 1 eetlepel asem-water.

Voor de saus: een halve vingerlengte koenjit, 3 gebrande kemiries, 1


kopje dikke santen.

Bereiding:

Van de kip wordt al het vleesch afgenomen en fijn gehakt; de


kruiden worden bij elkaar fijn gestampt en droog opgebraden, met
de gebraden uien vermengd, daarna, met de djeroek-poeroet-
bladeren, de suiker en het zout samen door het kippengehakt
gewerkt; vervolgens doet men er het trassie- en asem-water door en
maakt er platte kleine balletjes van, die men aan houten pinnen
steekt. Deze balletjes roostert men op een, met een pisang-blad
overdekten, rooster, onder aanhoudend besprenkelen met
onderstaande saus:

Het stukje koenjit wordt zeer fijn geraspt, de kemiries uitgehaald,


fijn gemaakt en met de koenjit en de santen opgekookt.

391. Sesatée pentool-ajam.

1 kip, ¼ geraspte bruin gebraden klapper, 3 eetlepels fijngesneden


gebraden uien, 6 sioongs fijngesneden bawang-poetih, 1 lepel
ketoembar, 1½ theelepel djienten, 1 theelepel peper, vervolgens 1
theelepel rauwe trassie, 1 eetlepel asem, ½ eetlepel zout, 3 lepels
water, 3 eierdooiers, een stukje goela-djawa, santen van ¼ klapper,
het geklopte wit van de 3 eieren.

Bereiding:
De kip wordt van het vleesch ontdaan en dit fijn gehakt. De kruiden
worden fijn gestampt, droog opgebraden en met de reeds gebraden
uien en klapper door het kippengehakt vermengd. De trassie, asem,
het zout en de suiker worden bij elkander met de 3 lepels water fijn
gemaakt, vermengd en óók door het gehakt gedaan. Vervolgens
roert men hierdoor de 3 eierdooiers, met zooveel santen er bij, dat
men er balletjes van kan maken. Steek deze balletjes aan stokjes,
rooster ze en besprenkel ze met een sausje dat gemaakt wordt van
de overgeschoten santen met het geklopte eiwit. Op den rooster
plaatse men eerst een pisang-blad, ter voorkoming dat het vleesch
der balletjes aan den rooster blijft vast zitten. [156]

392. Sesatée pentool.

Een pond rundergehakt, 2 lepels boemboe kerrie (No. 72), ¼


geraspte klapper, 4 sioongs bawang-poetih, 1 lombok, 1 theelepel
suiker, 1 theelepel trassie, een vingerlengte seréh, 1 theelepel zout,
1 eetlepel asem- of djeroek-water, 1 kop santen, boter of
klapperolie, één ei met en één ei zonder wit.

Bereiding:

Het vleesch wordt nog eens heel fijn overgehakt, vervolgens alle
kruiden bij elkander fijn gestampt en even in olie opgefruit, daarna
er uit geschept en op een zeef gedaan om uit te lekken; als ze droog
zijn, stampt men ze nog eens heel fijn over. Meng ¾ gedeelte
hiervan door het vleesch met de eieren en het asem- of djeroek-
water en maak hiervan balletjes, die men aan pinnen steekt.

Vervolgens maakt men het ¼ gedeelte der kruiden met de santen


aan en besprenkelt hiermede de balletjes, die men roostert, zooals
hierboven is aangegeven.

393. Sesatée toesoek van vleesch of


kip.

Een pond vleesch (liefst kalfsvleesch) of 1 kip, 2 eetlepels


fijngesneden uien, 3 sioongs bawang-poetih, 6 kemiries, ¾ lepel
suiker, ¾ lepel zout, 2 lomboks, 1 theelepel trassie, 1 lepel
ketoembar, ½ lepel djienten, 1 lepel fijngesneden seréh, een kwart
vingerlengte koenjit, 1 eetlepel asem- of djeroek-water, 2 djeroek-
poeroet-bladeren, boter of olie, santen van ¼ klapper.

Bereiding:

Het vleesch (ook van de kip) wordt aan dobbelsteentjes gesneden;


de kruiden bij elkaar fijn gestampt, met asem-water en santen
vermengd en het vleesch er door heen gewreven; vervolgens wordt
dit vleesch aan pinnen gestoken, geroosterd en gedurende het
roosteren met de overgeschoten saus besprenkeld.

394. Sesatée sampi.

1 pond rundervleesch, aan stukjes gesneden, 2 eetlepels


fijngesneden uien, 3 sioongs bawang-poetih, 4 à 5 kemiries, 4
schijfjes djahé, 5 schijfjes laos, 1 lombok, 1 theelepel trassie,
[157]een dito zout, 1 stukje goela-djawa, 1 lepel ketoembar, ½ lepel
djienten, een kwart vingerlengte kentjoor, een kwart vingerlengte
koenjit, een paar djeroek-poeroet-bladeren, 1 à 2 lepels asem-water,
1 kopje santen, zout naar smaak, boter of olie.
Bereiding:

Het aan stukjes gesneden vleesch wordt met de fijngestampte


kruiden en verdere specerijen ingewreven. Het asemwater met een
paar lepels santen werkt men er vervolgens doorheen. Steek nu de
stukjes vleesch aan stokjes en rooster en besprenkel ze met santen,
even als bij al de vorige sesatées is aangegeven.

395. Sesatée Zoetelief of Pak paheeng


Solo.

1 pond varkens- of kalfsvleesch, dan wel 1 vette kip, 2 lepels


fijngesneden uien, 8 sioongs bawang-poetih, 1 lepel ketoembar, ½
lepel djienten, 5 peperkorrels, ½ notemuskaat, ½ stokje zoethout
(kajoe-manis-tjina), 1 theelepel suiker, 1 theelepel zout, 1 kopje
santen.

Bereiding:

Het vleesch wordt aan dobbelsteentjes of wel de kip wordt aan


stukken gesneden. Men stampt de kruiden fijn, neemt er ¾ gedeelte
van en wrijft er de stukken vleesch of kip meê in, steekt het vleesch
aan pinnen en roostert het, waarna men het besprenkelt met de
overgeschoten kruiden, die met de santen zijn aangelengd. De
kippenboutjes kan men ook met de kruiden inwrijven, in boter of olie
opbraden, waarna men er de santen bijvoegt.

396. Sapit van kip of vleesch.


1 kip of een pond vleesch, zout en water, 4 lepels fijngesneden uien,
10 sioongs fijngesneden bawang-poetih, 1 eetlepel asem en 1
eetlepel trassie-water, 2 eetlepels ketoembar, 1 eetlepel djienten, 3
theelepels peper, 1 theelepel zout, ½ klapper geraspt en droog
gebraden, bouillon van de kip of het vleesch, santen van ½ klapper,
2 djeroek-poeroet-schillen, boter of klapperolie.

Bereiding:

Het vleesch of de kip wordt in water en zout gekookt; daarna


ontdoet men de kip van de beenderen. [158]

De fijngesneden uien en bawang-poetih worden in boter bruin


gebraden, daarna het trassie- en asem-water er bij gevoegd.

Vervolgens stampt men de specerijen met den ½ geraspten,


gebraden klapper fijn en mengt dit door de gebraden uien.

Nu kookt men het vleesch of de kip nog eens op met wat santen en
bouillon, en doet er de gestampte kruiden doorheen. Daarna steekt
men het vleesch of de kip tusschen gespleten bamboe-stokjes,
roostert ze en overgiet ze dan met de overgeschoten saus.
[Inhoud]

N. Eiergerechten.
[Inhoud]
397. Amé koemoeté.
8 eieren, 2 lepels fijngesneden uien, 5 sioongs bawang-poetih, 1
lombok, een kwart vingerlengte koenjit, 1 theelepel zout, 1 à 2
kopjes santen, 2 lepels asem-water.

Bereiding:

De eieren worden half gaar gekookt, gepeld en een voor een


voorzichtig plat gedrukt, zoo, dat ze niet barsten; vervolgens stampt
men de bovenvermelde kruiden fijn en kookt ze op met de santen.
Heeft dit samen gekookt, dan doet men de eieren en het asem-
water er in en kookt dit samen op, tot de saus wat gebonden is.

[Inhoud]
398. Dadar djawa.
6 tot 8 eieren, 2 lepels fijngesneden uien, 1 fijngesneden lombok,
1½ theelepel zout, ¾ theelepel peper, boter of versche klapperolie.

Bereiding:

Men braadt eerst de lombok met de uien op, daarna haalt men ze er
uit, klutst de eieren, doet er zout en peper in en bakt ze tot een
omelette.

Hieroverheen strooit men de gebakken uien met de lombok.

Is de omelette voldoende gaar, om gekeerd te worden, dan vouwt


men ze dicht en bakt ze nog eens, aan den anderen kant, op. [159]

[Inhoud]
399. Dadar ham.
8 eieren, 4 of 5 sneedjes ham, per ei 1 lepel melk, peper, zout en
notemuskaat naar smaak, 2 theelepels maïzena, boter.

Bereiding:

Het wit en de dooiers der eieren worden elk afzonderlijk geklutst. De


maïzena wordt met de melk aangemaakt en door de geklutste
dooiers geroerd. Voeg daaraan peper, zout en notemuskaat naar
smaak toe en doe er dan het geklutste eiwit door, waarna men het
nog eens goed door elkander klutst.

Vervolgens doet men een paar lepels boter in een pannekoekspan en


laat dit goed heet worden; stort er dan de geklutste eieren in. De
ham snijdt men heel fijn, en als de omelette zoover is, dat zij bijna
kan gekeerd worden, strooit men er de ham over, vouwt haar daarna
dicht, keert haar om en laat ze aan die zijde ook licht bruin braden.

[Inhoud]
400. Dadar oedang of dadar isi.
Evenveel eieren en dezelfde bestanddeelen als bij de “dadar ham”
hierboven. In plaats van ham neemt men een theebordje vol
gekookte, gepelde gehakte garnalen, terwijl men ook een lepel
gehakte pieterselie aan de ingrediënten toevoegt.

Bereiding:

Dezelfde als hierboven bij de dadar ham (No. 399).

[Inhoud]
401. Gevulde eierstruif met kip.
8 eieren, de borst van 1 kip fijn gehakt, 1 lepel fijngesneden uien, 2
sioongs bawang-poetih, 1 lepel ketoembar, ½ lepel djienten, 3
schijfjes laos, 4 kemiries, 3 schijfjes koenjit, ½ theelepel trassie, 1
theelepel zout, 1 kopje santen, sap van 1 djeroek, boter of
klapperolie.

Bereiding:

Eerst stampt men al de kruiden en specerijen fijn en vermengt dit


met het gehakte kippenvleesch. Braad dit in boter op, doe er santen
bij en kook dit tot het gebonden wordt, (tot het bijna droog is), doe
er dan het djeroek-sap over. Vervolgens [160]gaat men de struif
bakken, doet er het gebraden gehakte vleesch in en rolt ze op.

Bak ze aan beide kanten licht bruin.

[Inhoud]
402. Gevulde eierstruif met kreeften.
8 eieren, 3 kreeften (kepitings) van middelmatige grootte, peper en
zout, 3 lepels fijngehakte ham, en handje vol fijngehakte selderie-
blaadjes, 2 lepels fijngesneden prij, 3 sioongs fijngesneden en
gebakken bawang-poetih, 2 lepels tot dobbelsteentjes gesneden en
gebakken rookspek, boter.

Bereiding:

De eieren worden geklutst en met peper en zout vermengd. De


kreeften worden gekookt, het vleesch er daarna uitgehaald en klein
gepluisd. Bij dit vleesch doet men nu de ham, het spek, de selderie,
prij, gebakken bawang-poetih enz.

Bak nu de struif en, als ze bijna half gaar is, doet men er
bovenstaand mengsel in, vouwt ze toe en bakt ze aan den anderen
kant ook lichtbruin.

N.B. Gebruikt men alléén kreeften, dan volgt men het recept van
Dadar oedang (No. 400).

[Inhoud]
403. Kaber Kebèrtoe.
8 eieren, kip of kalfsvleesch, 2 lepels fijngesneden uien, 1½
theelepel ketoembar, 1 theelepel djienten, 3 schijfjes koenjit, ½
theelepel trassie, ½ fijngesneden lombok, 1½ theelepel zout, ½
theelepel peper, een vingerlengte fijngesneden seréh, 3 à 4 lepels
klapperwater of santen. Boter, rundervet of slaolie.

Bereiding:

Van de eieren bakt men, met peper en zout een struif. De


bovenvermelde kruiden worden bij elkander fijngestampt, het
vleesch van een kippetje of 1 ons kalfsgehakt er door heen gedaan,
hierna in boter opgebraden en er het klapperwater bijgevoegd. Laat
dit braden tot het droog is. Doe daarna dit gebraden gehakt in de
omelette, vouw deze dicht en braad haar eindelijk aan beide kanten
lichtbruin.

[Inhoud]
404. Kampersteur.
10 hardgekookte eieren, 1 lepel fijngehakte pieterselie, [161]1 lepel
mosterd, 3 lepels fijngesneden gebakken uien, 1 lepel meel, 1 lepel
azijn, 2 theekopjes bouillon, peper, geraspte notemuskaat en zout
naar smaak, boter, beschuitkruim.

Bereiding:

De eieren worden geschild en aan dikke schijven gesneden; den


mosterd en het meel roert men aan met den azijn en voegt er den
bouillon bij, met peper en zout. Kook dit in een pannetje, tot het
gebonden wordt.

Vervolgens doet men de schijfjes eieren met wat boter in een


vuurvaste schaal, giet hierover de saus, strooit ten overvloede over
dit alles notemuskaat en beschuitkruim en zet de schaal met van
onderen boven vuur, in den oven, gedurende tien minuten, te
bakken.

[Inhoud]
405. Omelette aux fines herbes.
Zes eieren, 2 lepels melk, 2 lepels water, ruim 2 theelepels zout, 2
lepels boter, 1 theelepel peper, 1 lepel meel, 1 lepel fijngehakte
pieterselie, 1 ui, en, als men het voorhanden heeft, een weinig
dragon en kervel.

Bereiding:

Men klutst de dooiers en het wit elk afzonderlijk, roert het water
door de dooiers en maakt het meel met de melk aan; dit doet men
dan door de eierdooiers, en voegt er het geklutste eiwit door met
peper en zout. Men zet de boter op, op een pannekoekspan, tot ze
goed warm is, zonder bruin te worden, giet vervolgens de geklutste
eieren hierin en bakt de omelette. Strooi er dan de gehakte
pieterselie onder het bakken in en vouwt de omelette dicht.

[Inhoud]
406. Omelette à l’indienne.
Zes eieren, 3 gehakte en in boter bruin gebraden uitjes, 1 theelepel
boemboe-kerrie, 2 lepels melk, 1 theelepel zout, een hand vol
fijngestampte in boter gesmoorde rijst, boter, 1 Bombay-ui, 1 kop
kokende bouillon.

Bereiding:

Men neemt een hand vol rijst, wascht ze en laat ze uitlekken tot ze
droog is. Daarna doet men 4 lepels boter in een pan en doet hierin
de rijst, die men eenige minuten laat bakken, terwijl men dit met
een houten lepel roert. Vervolgens giet [162]men er kokenden
bouillon bij, benevens de Bombay-ui en wat zout. Laat dit samen
gaar smoren. Als de rijst gaar is, haalt men de ui er uit en doet er
nog een stukje boter bij.

De eieren worden met peper en zout geklutst, vervolgens tot een


omelette gebakken. Wanneer deze half gaar is, doet men er de
gesmoorde rijst in, vouwt ze dicht en geeft er de volgende kerrie-
saus bij:

Het gehakte uitje wordt met de fijngesneden gekookte Bombay-ui,


het kerriepoeder en de 2 lepels melk, gedurende 2 minuten gekookt.

De omelette wordt, bij het voordienen, met deze saus omringd.

[Inhoud]
407. Paasch-eieren.
Eieren, water en kleurstoffen.

Bereiding:

De eieren moeten vooraf goed schoongewasschen worden. Als zij


daarna gekookt zijn, laat men ze nog vijf à zes minuten in het
gekleurde vocht liggen. Veeg ze dan af met een geolied lapje en
daarna met een drogen doek.

Roode eieren laat men tien minuten koken in een aftreksel van
campèche-hout, of in door cochenille of carmijn gekleurd water.
Groene eieren in water dat door spinazie groen gekleurd is. Gele
eieren in saffraan, koenjit of in water met uienschillen. Gemarmerde
eieren krijgt men door ze in nat gemaakte zijde van verschillende
kleuren te wikkelen en ze dan te koken.

[Inhoud]
408. Telor asin I.
Eendeneieren, 1 pond grof keukenzout, 3 liter kokend water.

Bereiding:

Men neemt drie liter kokend water op een pond zout; is dit zout
opgelost, dan doet men de eieren in een keulschen pot en giet er de
pekel op, zoo dat deze boven de eieren staat. Na drie weken kan
men de eieren gebruiken.

[Inhoud]
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