Which action should the nurse take when using critical thinking to make clinical decisions?
Reads and follows the health care provider's orders.
Accepts one established way to provide care.
Makes decisions based on intuition.
Consider what is important in any given situation.
The Correct Answer is D
A. Reads and follows the health care provider's orders. While following provider orders is important, critical thinking requires assessing the situation and considering all relevant factors, rather than just following orders without analysis.
B. Accepts one established way to provide care. Critical thinking involves evaluating different approaches and adapting to individual patient needs rather than rigidly adhering to a single method.
C. Makes decisions based on intuition. While intuition can be helpful, evidence-based practice and clinical reasoning should guide decision-making, not just intuition alone.
D. Consider what is important in any given situation. Critical thinking involves analyzing the situation, prioritizing information, and making decisions based on what is most important for patient safety and care.
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Related Questions
Correct Answer is B
Explanation
A. Making a clinical decision in the patient's best interest: Making decisions in the patient’s best interest is an essential part of nursing practice and demonstrates good clinical judgment.
B. Making a clinical decision based on previous shift assessments. Nursing assessments should be conducted for each shift, as a patient’s condition can change rapidly. Relying on previous assessments without reassessing can lead to missed changes in the patient’s status, potentially causing harm.
C. Making an ethical clinical decision. Ethical decision-making is an integral part of nursing practice and aligns with professional standards. There is no need for intervention if the decision is ethical.
D. Making an informed clinical decision. Informed clinical decision-making is based on current patient data, clinical guidelines, and critical thinking. This is a correct approach to nursing care and does not require intervention.
Correct Answer is D
Explanation
A. You will need to use a stethoscope properly. A portable electronic blood pressure device is automatic and does not require the use of a stethoscope. The device detects oscillations in arterial pressure to provide a reading.
B. You can move your arm during the reading. Movement during the reading can interfere with accuracy and produce incorrect results. The patient should keep the arm still and at heart level.
C. You can apply the cuff in any manner. The cuff must be applied correctly—snug but not too tight, with the lower edge about 1 inch above the antecubital fossa, and the bladder of the cuff positioned over the artery—to ensure accurate readings.
D. You will need to recalibrate the machine. Electronic blood pressure devices require periodic recalibration to maintain accuracy. The patient should follow the manufacturer’s guidelines for recalibration and compare readings with a manual blood pressure check at clinic visits.
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