Which of these findings, if identified in a plan of care, should the registered nurse revise because it is not characteristic of critical thinking and the nursing process?
a. Patient's reactions to diagnostic testing
b. Nurse's assumptions about hospital discharge
c. Identification of five different nursing diagnoses
d. Documentation of patient's ability to cope with loss
B
The nurse should not assume when a patient is going to be discharged and document this information in a plan of care. Making assumptions is not an example of a critical thinking skill. The patient's reactions to testing, having several nursing diagnoses, and a description of the patient's coping abilities are all appropriate to document in the nursing plan of care.
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The nurse administers a medication to the patient. Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?
a. Hair loss and sweaty skin b. Nausea and constipation c. Heartburn and nasty taste in the mouth d. Itchy rash and difficulty breathing
Mr. Y visits his elderly mother weekly at an assisted living facility 70 miles from his home. Mr. Y has noted that in recent months his mother frequently fixates their conversations on the treatment and prognosis of her various health challenges
Mr. Y admits to his mother's nurse that as an only child he now feels an overwhelming guilt around the infrequency of his visits, a fact that his mother constantly emphasizes. How can the nurse best respond to Mr. Y's concerns? A) "It's not uncommon for some older people to emphasize their ailments in order to manipulate others' behavior in some way.". B) "If your mother's health has become such a priority to her, it may be time to consider placing her in long-term care rather than assisted living.". C) "Your best strategy is to ignore anything that your mother says about her failing health and her physical challenges.". D) "This is often a sign of an underlying cognitive deficit that remains undiagnosed; I'll be sure to mention this to your mother's physician.".
The nurse is caring for a mechanically ventilated patient and is charting outside the patient's room when the ventilator alarm sounds
What is the priority order for the nurse to complete these actions: _______________, _______________, _______________, _______________? (Put a comma and space between each answer choice.) A. Check quickly for possible causes of the alarm that can be fixed. B. After troubleshooting, connect back to mechanical ventilator and reassess patient. C. Go to patient's bedside. D. Manually ventilate the patient while getting respiratory therapist. Fill in the blank(s) with correct word
The patient is being treated for biological agent exposure and is resting in the emergency department bay. It is important that the nurse evaluate changes in airway, breathing, and circulation, as well as ________
Fill in the blanks with correct word