A patient receiving blood after an abdominal surgery notified the nurse that the IV pump was alarming. The nurse checked the pump and determined that the tubing was kinked. The tubing was straightened out and the nurse left the room
Five minutes later the IV pump again alarmed. The nurse returned to find the tubing was again kinked. On further investigation, the nurse dis-covered that the IV tubing had become twisted. This is an example of which behavior on the part of the nurse? a. Effective problem solving
b. Diagnostic reasoning
c. Scientific method
d. Commitment level of critical thinking
A
Effective problem solving involves evaluating the solution over time to be sure that it is still ef-fective and if a problem occurs you try different options, which the nurse did in this scenario. In commitment, you anticipate the need to make choices without assistance from others. The nurse did not anticipate the need as evidenced by the fact the nurse did not fully investigate until the second time. The scientific method is one formal way (in this scenario the nurse did not use the formal approach) to approach a problem, plan a solution, test the solution, and come to a conclu-sion; it is usually used in research. In diagnostic reasoning, the information a nurse collects and analyzes leads to a diagnosis of a patient's condition. Nurses do not make medical diagnoses; they make nursing diagnoses, which is a part of diagnostic reasoning. This scenario deals with an equipment problem, not a patient health problem (diagnostic reasoning).
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