A nurse encounters a constant change of information from and about each client on a continuing basis. Each client must be continually monitored to ensure he or she is improving and to catch any potential problems before it can harm the client
How can critical thinking assist each nurse when used correctly?
A) Enables interpretation of clinical signs
B) Enables accurate thinking
C) Helps set priorities
D) Substantiates treatment response
B
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The student nurse attempts to take the vital sign of the newborn, but the newborn is crying. What nursing action would be appropriate?
1. Place a gloved finger in the newborn's mouth. 2. Take the vital signs. 3. Wait until the newborn stops crying. 4. Place a hot water bottle in the isolette.
The client who has used insulin for diabetes control for 20 years has a spongy swelling at the site used most frequently for insulin injection. What is the nurse's best action?
A. Apply ice to this area. B. Document the finding as the only action. C. Assess the client for other signs of cellulitis. D. Instruct the client to use a different site for insulin injection.
When caring for a client with a herpes simplex type 1 eye infection, the nurse would anticipate the health care provider to prescribe:
a. trifluridine. c. ciprofloxacin. b. epinephrine HCl. d. gentamicin.
The nurse is reviewing the physician's documentation in the record of a child admitted with a diagnosis of intussusception. The nurse expects to note that the physician has documented the presence of:
1. Scleral jaundice 2. Projectile vomiting 3. Currant jelly–type stools 4. Pale-colored and hard stools