The nurse finds a patient unresponsive in bed. After assessing that the patient is breathing and has a pulse, the nurse raises the head of the bed and measure the oxygen saturation level. Which aspect of the wisdom-in-action framework did the nurse demonstrate?
A) Setting
B) Environment
C) Personal factor
D) Insight and intuition
D) Insight and intuition
Explanation: A) The setting is an antecedent to wisdom.
B) The environment is an antecedent to wisdom.
C) Personal factors are antecedents to wisdom.
D) The nurse assessed the patient first for breathing and circulation. Raising the head of the bed reduces intracranial pressure, which could be causing the unresponsiveness. Measuring oxygen saturation helps determine if the unresponsiveness could be caused by a low oxygen level. The nurse is demonstrating problem-solving or using knowledge and previous experience to guide actions.
You might also like to view...
The nurse suspects that a patient has otitis media. Early signs of otitis media include which of these findings of the tympanic membrane?
a. Red and bulging b. Hypomobility c. Retraction with landmarks clearly visible d. Flat, slightly pulled in at the center, and moves with insufflation
The client becomes lightheaded toward the end of the HD and the nurse determines the client has hypotension. Which should the nurse implement so dialysis can finish?
1. Administer IV fluids. 2. Order a unit of blood. 3. Increase rate of dialysis. 4. Lower head of the bed.
Which part of the brain is responsible for fine motor coordination?
a. Medulla b. Thalamus c. Cerebellum d. Temporal lobe
The nurse is providing instructions to the mother of a 3-year-old child with hemophilia regarding care of the child. Which of the following statements, if made by the mother, indicates a need for further education?
1. "I need to cancel all the dental appointments that I made for my child." 2. "If my child gets a cut, I should hold pressure on it until the bleeding stops." 3. "I should check the house and remove any household items that can easily fall over." 4. "I should move furniture with sharp corners out of the way and pad the corners of the furniture."