A patient at 34 weeks' gestation presents to labor and delivery with a complaint of burning on urination
The nurse then inquires about the presence of other signs and symptoms, such as frequency of urination, a backache that comes and goes in a regular manner, unusual vaginal discharge, increased pelvic pressure, and any menstrual-like cramping. She is assessing the patient for the possibility of preterm labor. This is an example of which component of critical thinking? a. inference c. interpretation
b. evaluation d. analysis
A
Inference speculates, derives, or reasons a specific premise based on information and assumptions obtained from the patient.
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The mother of a child who is recovering from surgery says to the nurse, "I don't understand why that other nurse told me to stroke his forehead when he is in pain
Why will that make him feel better?" The nurse's response will be based on the knowledge that: 1. Stroking the child's forehead reminds the child of the mother's continued presence, which is reassuring to the child. 2. Stroking causes a non-pain transmission to the brain that competes with the pain transmission and inhibits the pain message from reaching the brain. 3. Stroking causes the release of biochemicals, such as prostaglandins, which block pain transmission. 4. Stroking causes the release of endorphins, which reduce the perception of pain.
When should the nurse expect jaundice to be present in a full-term infant with hemolytic disease?
a. At birth b. Within 24 hours after birth c. 25 to 48 hours after birth d. 49 to 72 hours after birth
A person has continuous pulse oximetry monitoring. Which is correct?
a. An alarm sounds when the person has hy-poxia. Observations are not necessary. b. The nurse tells you how often to check the sensor site. c. The doctor tells you what sensor and what type of tape to use. d. The person's apical or radial pulse rate should be greater than the pulse rate dis-played.
The nurse is discussing measures to minimize the risk of injury from an automobile accident with an 83-year-old adult client who lives alone and claims to drive only to church, the doctor's of-fice, and for groceries
Which of the following suggestions has the greatest potential for affecting this client's safety? 1. Take public transportation whenever it is available. 2. Plan errands around church or doctor's appointments. 3. Plan driving for short trips and only during the daylight hours. 4. Arrange for family or friends to drive you whenever it is possible.