Successful implementation of each step of the nursing process requires high-level skills in critical thinking. Which of the following statements accurately describe a guideline for using this process?
A) Trust clinical judgment and experience over asking for help.
B) Respect clinical intuition, but never allow it to determine a diagnosis.
C) Recognize personal biases as a strength in formulating diagnoses.
D) Keep an open mind and trust your intuition when formulating diagnoses.
D
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The nurse is reviewing electrolytes and their functions with a client who has a history of electrolyte imbalance. One of the major cations noted in teeth and bones is:
1. Magnesium. 2. Calcium. 3. Potassium. 4. Phosphorus.
When technology such as a bar-code medication administration (BCMA) system is used as part of the process of medication administration, fewer errors are made. The proper procedure when using the BCMA includes:
a. signing into the system using the patient's ID number. b. typing in the patient's name and room number. c. scanning the patient's ID, MAR, and medication. d. discontinuing the medication if the system signals an error.
The nurse provides teaching on the diagnosis Risk for Deficient Fluid Volume to a client with ulcerative colitis. Which client statement indicates understanding of this information?
A) "I will drink 1 liter of fluid each day." B) "I will continue to use a moisturizer on my skin." C) "I should report dry patches of skin immediately to my doctor." D) "If I have two liquid stools in any day, I will report this to my health care provider."
A nurse on the burn unit is caring for a patient who has gone into the acute phase of her burn. What would be important for the nurse to monitor the patient for?
A) Hypometabolism B) Hyponatremia C) Hyperkalemia D) Hypoglycemia