Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant
ANS: B
Clustering related cues helps the nurse see relationships among the data.
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The nurse is obtaining a bowel elimination history from her 80-year-old patient. The patient states, "Sometimes when I go to the bathroom I push real hard, hold my breath, and plug my nose." Which action should the nurse take first?
a. Warn the patient, "You should not hold your breath while straining." b. Assure the patient, "This does seem to help some people to have a bowel movement." c. Check the patient's medical history for heart disease, glaucoma, increased intracranial pressure, or a new surgical wound. d. Notify the primary care provider that the patient has reported performing this action.
A patient was admitted to the ICU 3 days ago with a diagnosis of myocardial infarction. The patient is complaining of increased chest pain when coughing, swallowing, and changing positions
The nurse hears a systolic scratching sound upon auscultation of the apical pulse. The nurse notifies the physician. Based on the symptoms, the physician suspects a(n) a. acute mitral regurgitation. c. chronic mitral regurgitation. b. aortic insufficiency. d. pericardial friction rub.
What would be appropriate actions of the nurse when dealing with a bereaved family at the time of death? (Select all that apply.)
a. Review the stages of dying with them. b. Ensure privacy. c. Observe cultural and spiritual preferences. d. Legally pronounce the death. e. Allow the bereaved to express their feelings.
Type of birth (vaginal or cesarean) is measured on the:
a. Nominal scale b. Ordinal scale c. Interval scale d. Ratio scale