A patient in the unit has a blood pressure of 55/30, is lethargic, has slurred speech, and is unable to get back to bed from the bathroom. The nurse calls for a rapid response team. Which component of critical thinking is the nurse exhibiting?
1. Analysis of situation, distinguishing normal from abnormal
2. Selection of alternative by developing outcomes and plans
3. Collection of information, subjective and objective
4. Evaluation of situation, determination of outcomes achieved
1
Rationale 1: Analysis of the situation is the second component of critical thinking. This component includes the ability to distinguish normal from abnormal.
Rationale 2: Selection of alternatives is the fourth step in the critical thinking process and is used when developing outcomes and plans.
Rationale 3: Collection of information is the first step in the critical thinking process and is used during the health assessment.
Rationale 4: Evaluation of the situation is the last step of the critical thinking process and is used to determine if the expected outcomes have been achieved.
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The nurse knows that when clients are unable or unwilling to perform assigned family roles, the family experiences:
1. Stress and disequilibrium. 2. Recognition and communication. 3. Personal and political advocacy. 4. Acceptance.
The pediatric nurse is providing education to a new mother regarding ways to decrease the risk of sudden infant death syndrome (SIDS). Which statement by the nurse is appropriate?
A) "You should the baby with you at all times to assess for apnea." B) "There is no one cause for the syndrome; the best thing is to keep the baby healthy." C) "It is recommended that you place your baby in a face-down position for sleep." D) "SIDS has been linked to immunizations. I recommend that you avoid immunizing your baby."
A nurse is providing care to a patient who had surgery 5 days ago. Today the patient's right calf is red, warm, swollen, and painful
Which interventions should the nurse implement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Measure the circumference of both calves and compare the readings. 2. Place the patient on bed rest. 3. Collaborate with the patient's primary health care provider. 4. Place a pillow under the patient's knee on the affected side. 5. Palpate for pedal pulses bilaterally.
Which of the following interventions demonstrates the appropriate technique for removing a mask?
A) Tie the strings in a bow. B) Loop the ties over the ears. C) Touch the mask by the strings only. D) Bend the strip at the top of the mask.