A registered nurse is caring for a postoperative patient whose systolic blood pressure has dropped 10 points during the shift
The nurse remembers that this was similar to a situation that happened in the past when a patient developed an internal bleed. Based upon the nurse's thoughts, which skill did the nurse use? a. Intuition
b. Critical thinking
c. Nursing process
d. Reflection
D
The nurse is using reflection when thinking about a situation in the past that was similar. Reflec-tion is a part of critical thinking that involves the process of purposefully thinking about or recal-ling a situation to discover its purpose or meaning. Critical thinking involves recognizing that an issue (e.g., patient problem) exists, analyzing information related to the issue (e.g., clinical data about a patient), evaluating information (including assumptions and evidence), and drawing con-clusions. Intuition is an inner sensing or "gut feeling" that something is so. The nursing process is a five-step approach that incorporates diagnostic reasoning and clinical decision making.
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The nurse performs a transillumination of an infant's head in order to
a. assess for swelling or masses. b. assess closure of the anterior and posterior fontanels. c. ascertain if the suture lines are open, untied, or overlapping. d. rule out anencephaly.
Which of the following is an example of a research question based on a clinical problem?
a. Published observations of a nurse who practiced many years in elder care b. Nursing intuition about what measures are most useful with anxious patients before surgery c. Stories of a flight nurse's experiences with posttraumatic stress disorder d. Relationship between hours of bright light and irritability of preterm infants
A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity
Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the client to be: a. discharged home with a sedative. b. admitted for extended observation. c. admitted and prepared for a cesarean birth. d. discharged home to await the onset of true labor.
A registered nurse witnesses another nurse violating a patient's autonomy. Even though she did not participate in the action, the nurse who witnessed the act experiences powerlessness, frustration, and anger
This reaction describes which of the following? a. Moral distress c. Moral outrage b. Moral uncertainty d. Moral dilemma