A nurse is caring for a client who has unstable cardiac dysrhythmias. The client has orders for medications, one of which is by oral route, the other by IV delivery
The nurse realizes that the IV route would be fastest, but is also concerned about the side effects that this drug may produce and the fact that the client has never taken the drug, so any adverse effect is unknown. The nurse is implementing which step of the decision-making process?
1. Identify the purpose
2. Seek alternatives
3. Project
4. Implement
Correct Answer: 2
Rationale: In this step, the decision maker (nurse) identifies possible ways to meet the criteria. Alternatives considered are which route to give a certain medication: IV versus oral. The nurse is utilizing his experience, taking what he knows about cardiac problems and pharmacology, and will make a selection based on that information. Identifying the purpose, in this case, would be determining that the client needs intervention to control the dysrhythmia. Projecting is when the nurse applies creative thinking and skepticism to determine what might go wrong as a result of a decision and develops plans to prevent, minimize, or overcome any problems. Implementation is taking the plan into action.
You might also like to view...
A nurse manager on the OB unit is auditing patient charts. One record documents the care of a patient having a seizure. The record describes the time and length of the seizure, medications given, maternal and fetal vital signs, and outcome of treatment
Which action by the manager is best? A. Compare the chart with charts of similar patients. B. Educate the staff on better documentation practices. C. Have the nurse rewrite the documentation. D. No action is needed; continue with chart audits.
A nurse is preparing a paper for a conference on mental illness nursing throughout history. How does she present the concept of a curative point as a shift in the treatment of the mentally ill?
1. It envisioned the possibility of recovery in mental illness. 2. It incorporated herbal remedies in the treatment of mental illness. 3. It was the first treatment to provide specific treatment interventions. 4. It was the first treatment focused on the humane treatment of individuals with mental illness.
The nurse is teaching a group of nurses about communicable diseases
The nurse asks, "Which patient population or populations should be advised to avoid preparations containing lindane?" The nurses correctly name which of the following? (Select all that apply.) a. Patients allergic to sulfa b. Children with seizure disorders c. Adults with autoimmune disorders d. Breast-feeding women e. Individuals who consume large amounts of alcohol
Which of the following statements is true of the effects of sympathetic stimulation on the body?
A. It increases the rate of atrioventricular conduction. B. It stimulates the urinary bladder to contract. C. It causes the pupils of the eyes to constrict. D. It decreases the rate at which the heart contracts and relaxes.