Clinical nursing decisions are best made using:
1. Clinical pathways
2. Accurate assessment data
3. Previous nursing knowledge
4. Interdisciplinary collaboration
ANS: 2
When beginning an assignment with a client, the first nursing activity involves a focused but complete assessment of the client's condition. This information enables the nurse to make an ac-curate clinical decision as to the client's health problems and required nursing therapies. The re-maining options support the clinical decision-making process.
You might also like to view...
The nurse is taking a health history on a new patient who has been prescribed propantheline (generic) as adjunctive therapy for peptic ulcers. While collecting the health history, what will the nurse specifically assess for?
A) Diabetes mellitus B) Obsessive-compulsive disorder C) Insomnia D) Glaucoma
A client with an allergic disorder has received the first sensitizing dose. Now the client is given a second dose of a new drug. Which of the following nursing actions is most important at this stage of transition?
A) Assess the client for reduced urine output. B) Monitor the client for reactions. C) Assess the client for reduced appetite. D) Monitor the client for increased heart rate.
A nurse who is talking to a patient when he begins choking on his lunch and coughing forcefully should:
A) Stand him up and perform the abdominal thrust maneuver from behind. B) Lay him down, straddle him, and perform the abdominal thrust maneuver. C) Leave him to get assistance. D) Stay with him but not intervene at this time.
A patient is admitted to the emergency department complaining of severe abdominal pain. The patient is vomiting "coffee-ground" like vomitus. The patient is diagnosed with a bowel obstruction and is informed that he needs surgery
When can the patient anticipate the surgery will be scheduled? A) Within 24 hours B) Within the next week C) Without delay because the bowel obstruction is emergent D) Difficult to predict because the surgeon may be unavailable