While assessing a patient, the nurse observes the patient's IV line is not infusing at
the ordered rate. The nurse assesses the patient for pain at the
... [Show More] IV site, checks the
flow regulator on the tubing, looks to see if the patient is lying on the tubing,
checks the point of connection between the tubing and the IV catheter, and then
checks the condition of the site where the IV catheter enters the patient's skin.
After the nurse readjusts the flow rate, the infusion begins at the correct rate. This
is an example of:
A. inference
B. Diagnostic reasoning
C. Competency
D. Problem solving - D. Problem Solving
The nurse sits down to talk with a patient who lost her sister 2 weeks ago. The
patient reports she is unable to sleep, feels very fatigued during the day, and is
having trouble at work. The nurse asks her to clarify the type of trouble. The
patient explains she can't concentrate or even solve simple problems. The nurse
records the results of the assessment, describing the patient as having ineffective
coping. This is an example of :
A. diagnostic reasoning
B. Competency
C. Inference
D. Problem Solving - A. Diagnostic reasoning
A patient on a surgical unit develops sudden shortness of breath and a drop in BP.
The staff respond, but the patient dies 30 minutes later. the manager on the nursing
unit calls the staff involved in the emergency response together, The staff discusses
what occurred over the 30 minute time frame, the actions taken, and whether other
steps should have been implemented. The nurses in this situation are:
A. problem solving
B. showing humility
C. conducting reflective practice
D. Exercising responsibility - C. Conducting reflective practice
A nurse has worked on an oncology unit for 3 years. One patient has become
visibly weaker and states, "I feel funny". The nurse knows how patients often have
behavior changes before developing sepsis when they have cancer. The nurse asksthe patient questions to assess thinking skills and notices the patient shivering. The
nurse goes to the phone, calls the physician, and begins the conversation by saying,
"I believe that your patient is developing sepsis. I want to report symptoms I'm
seeing." What examples of critical thinking concepts does the nurse show? (Select
all that apply)
A. Experience
B. Ethical
C. Analyticity
D. Self-confidence
E. Risk taking - C. Analyticity
D. Self confidence
A nurse who is working on a surgical unit is caring for four different patients.
Patient A will be discharged home and is in need of instruction about wound care.
Patients B and C have returned from the operating room within an hour of each
other, and both require vital signs and monitoring of their intravenous (IV) lines.
Patient D is resting following a visit by physical therapy. Which of the following
activities by the nurse represent(s) use of clinical decision making for groups of
patients? (Select all that apply.)
A. consider how to involve patient A in deciding whether to involve the family
caregiver in wound care instruction
B. Think about past experience with patients who develop postoperative
complications
C. Decide which activities can be combined for patients B and C
D. Carefully gather any assessment info and identify patient problems - A & C
The surgical unit has initiated the use of a pain-rating scale to assess patients' pain
severity during their postoperative recovery. The registered nurse (RN) looks at the
pain flow sheet to see the pain scores recorded for a patient over the last 24 hours.
Use of the pain scale is an example of which intellectual standard?
A. deep
B. Relevant
C. Consistent
D. Significant - C [Show Less]