Which action by a nurse indicates application of the critical thinking model to make the best clinical decision?
Relying on recall of information from past lectures and textbooks.
Using the nursing process
Drawing on past clinical experiences to formulate standardized care plans.
Depending on the charge nurse to determine priorities of care
The Correct Answer is B
A. Relying on recall of information from past lectures and textbooks. Critical thinking involves applying knowledge, not just recalling it. Nurses must analyze patient-specific data and adapt care accordingly.
B. Using the nursing process. The nursing process (assessment, diagnosis, planning, implementation, evaluation) is a structured approach that guides clinical decision-making and ensures patient-centered care.
C. Drawing on past clinical experiences to formulate standardized care plans. Past experiences can inform decision-making, but care plans must be individualized to the patient’s current condition rather than relying solely on standardization.
D. Depending on the charge nurse to determine priorities of care. While charge nurses provide leadership, each nurse is responsible for critical thinking and independent decision-making based on their assessment.
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Related Questions
Correct Answer is D
Explanation
A. Hold her breath for at least 10 seconds. Diaphragmatic breathing focuses on slow, deep breaths to promote lung expansion and oxygenation. Holding the breath is not part of this technique and may increase discomfort.
B. Place her hands on the sides of her rib cage. While hand placement is encouraged, the correct position is on the abdomen (below the rib cage), not the sides. This helps the client feel the diaphragm expanding.
C. Exhale forcefully through the nose. Exhalation should be slow and controlled through the mouth, not forceful through the nose, to prevent airway irritation.
D. Inhale slowly and evenly through her nose. The correct technique for diaphragmatic breathing is to inhale deeply through the nose while the abdomen expands. This promotes lung expansion and prevents atelectasis postoperatively.
Correct Answer is ["C","D"]
Explanation
A. Nonproductive cough: Diphenhydramine is an antihistamine, not a cough suppressant. It does not cause a nonproductive cough as a side effect.
B. Drowsiness: First-generation antihistamines (like diphenhydramine) cause CNS depression, leading to drowsiness.
C. Urinary retention: Diphenhydramine has anticholinergic effects, which can lead to urinary retention, especially in older adults or those with prostate issues.
D. Dry mouth: Diphenhydramine blocks muscarinic receptors, reducing saliva production and causing dry mouth.
E. Skin rash: Skin rash is not a common adverse effect of diphenhydramine but can be a sign of an allergic reaction.
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