A nurse is caring for a patient who underwent an above-the-knee amputation that requires a dressing change, a skill the nurse has never done. The nurse asks another nurse to help with the dressing change for the amputated leg
The nurse is demonstrating which critical thinking atti-tude? a. Humility
b. Confidence
c. Risk-taking
d. Fairness
A
Critical thinkers who use humility admit what they do not know and try to find the knowledge they need to make a proper decision. Humility is recognizing when one needs more information to make a decision. When a nurse is new to a clinical division and unfamiliar with the patients, he or she should ask for an orientation to the area and ask nurses regularly assigned to the area for assistance. If your knowledge causes you to question a health care provider's order, do so. This illustrates risk taking. To be confident is to feel certain in your ability to accomplish a task or goal such as performing a nursing procedure or making a diagnostic decision; do not let a patient think that you are unsure of performing care safely. Fairness is listening to both sides in any discussion and dealing with situations justly.
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The patient is being evaluated for acute myocardial infarction. Elevation in what laboratory value would confirm an acute MI?
A) Troponin I or T B) CK-MB or CK-MM C) Myoglobin after 12 hours D) Leukocyte count
The blood test used to standardize PT results among clinical laboratories worldwide is known as
a. aPTT. c. HDL. b. ACT. d. INR.
A patient with SLE has come to the clinic for a routine check-up. When auscultating the patient's apical heart rate, the nurse notes the presence of a distinct "scratching" sound. What is the nurse's most appropriate action?
A) Reposition the patient and auscultate posteriorly. B) Document the presence of S3 and monitor the patient closely. C) Inform the primary care provider that a friction rub may be present. D) Inform the primary care provider that the patient may have pneumonia.
A postpartum nurse is observing a client holding the baby she delivered less than 24 hours ago. Her husband is watching his wife and asking questions about newborn care. The 4-year-old big brother is punching his mother on the back
Which action should the nurse should take? a. Report the incident to the social services department. b. Advise the parents that the older son needs to be reprimanded. c. No action; this is a normal family adjusting to family change. d. Report to oncoming staff that the mother is probably not a good disciplinarian.