A nurse performing triage in an emergency room makes assessments of patients using critical thinking skills. Which of the following are critical thinking activities linked to assessment? Select all that apply
A) carrying out a physician's order to intubate a patient
B) teaching a novice nurse the principles of triage
C) using the nursing process to diagnose a blocked airway
D) interviewing a patient suspected of being a victim of abuse privately
E) checking the data supplied by a patient with dementia with the family
F) teaching a diabetic patient about the importance of proper foot care
C, D, E
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A nurse who provides care on a reconstructive orthopedic unit has walked past the room of a patient who is receiving balanced suspension traction for the treatment of a femoral head fracture
The nurse observes a nursing assistant lifting the suspended weights to facilitate positioning a bedpan under the patient. How should the nurse best follow-up this observation? A) Ensure the nursing assistant knows that such transfers must be performed quickly and efficiently. B) Assess the patient for the ability to transfer to a commode rather than using a bedpan. C) Teach the nursing assistant that weights should not be removed from traction, except in an emergency. D) Teach the nursing assistant to apply temporary weights to compensate for positional changes.
A 30-year-old nurse who works on a busy medical–surgical unit has been diagnosed with multiple sclerosis (MS). What should the nurse identify as a priority for self-care?
1. Apply for nursing positions that are less stressful and demanding. 2. Work as hard as possible now because it may not be possible later. 3. Continue to work as scheduled without making changes. 4. Leave employment as a nurse due to the need for complete bed rest.
A nurse observes a new mother tenderly holding and softly talking to her baby. What does this observation tell the nurse about the baby's strengths?
A) Nothing; this observation is not important. B) The mother is just behaving as all mothers do. C) A baby is not capable of having strengths. D) Nurturing is a strength for developing infants.
The client has developed the female athlete triad. Which of the following is the most likely nursing diagnosis for this client, as the client ages?
1. Impaired skin integrity 2. Impaired physical mobility 3. Ineffective breathing pattern 4. Impaired tissue perfusion