What is the first component of the critical thinking model for clinical decision making?
a. Experience
b. Nursing process
c. Attitude
d. A scientific knowledge base
D
A scientific knowledge base is the first component for clinical decision making. After acquiring a sound knowledge base, the nurse can then apply knowledge to different clinical situations using the nursing process to gain valuable experience. A critical thinking attitude is a guideline for how to approach a problem and apply knowledge to make a clinical decision.
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A patient has been prescribed a drug that can be self-administered at home. Which of the following would be the most important information for the nurse to relate to the patient concerning self-administration of a drug?
A) Where to purchase the medication B) The cost of the drug C) The therapeutic effects and possible adverse effects D) The pharmacokinetics of the drug
A pregnant patient at 24 weeks' gestation complains of shortness of breath on exertion, fatigue, weakness, and constant cravings for ice chips
On physical examination, vital signs are T 98.6, pulse 100, resps 18/min, BP 120/ 70. On physical examination, heart has regular rate and rhythm at 100 beats/min, no S3, no murmurs. Lungs are clear to auscultation. Abdominal examination is negative. Uterus fundus is above umbilicus. Ankles: no edema. Dorsalis pedis pulses +2/4 bilaterally. Urine dipstick is negative for protein. Laboratory tests reveal CBC: Hgb 10 microcytic hypochromic RBCs. Which of the following conditions should be suspected? A. Iron deficiency anemia B. Folic acid deficiency anemia C. Vitamin B12 deficiency anemia D. None of the above
A patient presents at the clinic with white patches on his penis and enlarged inguinal lymph nodes. The diagnosis is penile cancer. The nurse is aware that the treatment for penile cancer is treatment of the primary lesion followed by what?
A) Chemotherapy B) Radiation therapy C) Palliative care D) Broad-spectrum antibiotics
The nurse is aware that when Korsakoff's syndrome is suspected from behavioral cues, the syndrome can be confirmed by:
a. liver biopsy. b. brain scan. c. magnetic resonance imaging. d. spinal tap.