The nurse is reviewing the outcome of a research study to help plan client care. The nurse is utilizing research according to Carper's empirical pattern of knowing which is which of the following?
a. Interprets, engages, and envisions clues to knowledge
b. Encounters and focuses on self and others
c. Extends knowledge of valuing, clarifying, and advocating
d. Uses research to explain, describe, and predict
ANS: D
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The nurse is having difficulty inserting a large caliber intravenous catheter to facilitate fluid resuscitation to a hypotensive trauma patient
The nurse recommends which of the following emergency procedures to facilitate rapid fluid administration? a. Placement of an intraosseous catheter b. Placement of a central line placement c. Insertion of a femoral catheter by a trauma surgeon d. Rapid transfer to the operating room
A patient inadvertently took an excessive dose of warfarin (Coumadin) and was immediately treated with IV vitamin K (Phytonadione). The symptoms that would most concern the nurse after administration of vitamin K are
a. mild pruritus, pulse of 92. b. respirations of 32, bronchoconstriction, O2 sats of 83%. c. prolonged sensitization to warfarin (Coumadin). d. blood pressure of 107/52 and bleeding gums.
Vacarro (2001) noted that there are several types of traps into which nurses can fall that can hinder effective prioritizing of tasks. Which of the following are some of these traps?
a. relying on others to prioritize b. doing what hits first c. taking the path of least resistance d. relying on misguided inspiration e. not responding to the squeaky wheel f. completing tasks by default
A 73-year-old man receives hydralazine (Apresoline) 20 mg PO at 0800 . When the nurse checks his blood pressure at 0900, she obtains a reading of 72/44 mm Hg. The client has been taking this same dose of medication for 3 years
The nurse finds all of the following data in the client's chart. Identify the finding that is most significant for producing the client's current blood pressure. a. Pedal pulses 1 + and weak b. 24-hour fluid intake 1000 mL x 3 days c. Serum potassium 3.3 mEq/L d. Apical pulse 150 BPM, slightly irregular