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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Stopping the transfusion is the priority action if the client is experiencing symptoms of a transfusion reaction.
B. Covering the client with a blanket may address chills but does not address the potential serious nature of the reaction.
C. Assessing the client's skin for a rash is important but should not delay the immediate action of stopping the transfusion.
D. Notifying the provider is important, but stopping the transfusion and addressing the immediate needs of the client take precedence.
Correct Answer is B
Explanation
A: Hypervolemia is often associated with increased fluid volume, which typically results in an increased heart rate (tachycardia), not bradycardia.
B: Peripheral edema is a common manifestation of hypervolemia due to the excess fluid in the extracellular space.
C: Hypervolemia is more likely to cause increased blood pressure (hypertension), not hypotension.
D: Oliguria (decreased urine output) is associated with hypovolemia, not hypervolemia.
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