Roger, a 34-year-old patient with cancer, is undergoing outpatient chemotherapy. Nancy, the nurse caring for him at the clinic where he goes for his treatments notes that Roger's white blood cell count is very low and he has little energy
Roger's plan of care is based upon the nursing diagnosis Risk for infection. Nancy provides patient teaching in order to reduce Roger's risk for infection. Nancy is using which skill in this situation? A. Medical diagnosis
B. Scientific method
C. Diagnostic reasoning
D. Data collection
C
Diagnostic reasoning involves the use of cognitive thinking, metacognition (thinking about thinking), and assessment skills to structure situations so a nurse can apply knowledge. Expert nurses make diagnostic conclusions in the form of nursing diagnoses.
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The nurse is caring for a patient admitted with a suspected malabsorption disorder. The nurse knows that one of the accessory organs of the digestive system is the pancreas
What digestive enzymes does the pancreas secrete? (Mark all that apply.) A) Pepsin B) Lipase C) Amylase D) Trypsin E) Ptyalin
A nurse on the Neuro ICU is mentoring a new graduate working on the unit
Today they are talking about autonomic dysreflexia. What would the mentoring nurse tell the new graduate are the objectives of the care provided a patient experiencing autonomic dysreflexia? A) Improving mobility B) Improving sensory perception C) Empty the bladder completely D) Remove the triggering stimulus
A patient who is trying not to get pregnant calls the nurse on Saturday at 11 AM reporting that she had unprotected sex on Thursday at 10 PM
She believes she has just ovulated and wants to verify that she has no risk of pregnancy. What can the nurse tell her? A) Because she did not ovulate before the unprotected coitus, she will not get pregnant B) If she ovulated on Saturday around 11 AM, the egg could be fertilized any time before about 11 AM on Sunday C) If she ovulated on Saturday around 11 AM, the egg could be fertilized any time before about 10 PM on Sunday D) If she ovulated on Saturday around 11 AM, the egg could be fertilized any time before about 11 AM on Monday
Amber, a 10 year old, has been in fixed traction for a femur fracture for the past two weeks. Her parents are currently getting breakfast in the cafeteria
The nursing plan of care indicates that she should be moved every two hours and assess for skin breakdown. Today, Amber is refusing to move and tells the nurse "I am not going to do it.". The best way for the nurse to handle this situation is: 1. "I will speak with the doctor to see if we can change your orders so you do not need to be moved so often.". 2. "We will call your mother to come back and move you.". 3. "I will give you 10 minutes to think about how you want to be positioned. After that, you can ring your call light, and we will move you to the position of your choosing.". 4. "I understand that you do not want to move today, but we have to make sure you do not get any sores on your back or leg. I will let you be for 10 minutes, and then when you ring the call light, I will come in and move you to the position of your choosing.".