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 B

Explanation

A. Dry, sticky mucous membranes are associated with dehydration, not low calcium levels.
B. Muscle tremors are a potential manifestation of hypocalcemia.
C. Polyuria is not typically associated with low calcium levels.
D. Chvostek's sign is a facial twitching that can be associated with hypocalcemia; a negative Chvostek's sign would not be expected in this case.

A. Increased calcification of bones B. Increased muscle mass C. increased joint stiffness D. increased balance

Correct Answer is C

Explanation

A. In older adults, bones tend to lose calcium, becoming less dense, and more prone to fractures.
B. Generally, older adults may experience a decrease in muscle mass due to factors such as decreased physical activity and hormonal changes.
C. This is the correct answer. Joint stiffness is a common age-related change due to wear and tear on the cartilage.
D. Balance tends to decline with age due to factors such as changes in vision, muscle strength, and joint flexibility.

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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

A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is assessing an older adult client who is experiencing age-related changes. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects metabolic acidosis. Which of the following results should the nurse expect to see?

A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 48 mm Hg a the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate of which of the following acid base balances?

A nurse is caring for a client who is receiving IV fluids to correct dehydration. Which of the following laboratory values should indicate to the nurse that the client is effectively responding to treatment?

A nurse is caring for a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?