Which of the following is a component of clinical decision-making that the nurse should use to make an evidence-based decision?

Concept mapping

Clinical reasoning

Clinical judgement

Critical thinking

Answer and Explanation

The Correct Answer is C

- A) Concept mapping is a tool that helps in organizing and representing knowledge. It can aid in the understanding of relationships between different concepts but is not a decision-making component in itself.
- B) Clinical reasoning is the process used by practitioners to collect cues, process the information, come to an understanding of a patient situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process. It is part of the broader decision-making process.
- C) Clinical judgement is the conclusion or enlightened opinion at which a nurse arrives following a process of observation, reflection, and analysis of observable or available information or data. It is essential for making evidence-based decisions in clinical practice.
- D) Critical thinking is the objective analysis and evaluation of an issue in order to form a judgement. It is an important skill in the decision-making process but is not a component of the decision itself.

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Correct Answer is D

Explanation

A: Educator involves providing information and teaching, which is not explicitly related to analyzing a clinical situation.
B: Advocate involves supporting and defending the client's rights but doesn't necessarily imply analyzing a clinical situation.
C: Mentor involves guiding and advising, but it's not directly related to analyzing a clinical situation.
D: Critical thinker involves using knowledge and experience to analyze and solve complex problems in clinical situations.

A. Urine specific gravity 1.020 B. Sodium 165 mEq/L C. Hct 62% D. Potassium 5.2 mEq/L

Correct Answer is A

Explanation

A. A urine specific gravity of 1.020 indicates a concentration within the normal range, suggesting that the kidneys are effectively conserving water and concentrating urine, which is a positive response to fluid therapy.
B. A sodium level of 165 mEq/L is elevated and may indicate hypernatremia, which could be a sign of inadequate water intake or excess sodium.
C. Hct (hematocrit) of 62% may indicate hemoconcentration and is not a specific marker for fluid status.
D. A potassium level of 5.2 mEq/L is within the normal range and is not a specific indicator of the effectiveness of fluid resuscitation.

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Which of the following is a component of clinical decision-making that the nurse should use to make an evidence-based decision?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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