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 D
Explanation
A: End-stage renal failure is associated with fluid retention, making this client less likely to be at risk for fluid volume deficit.
B: Left-sided heart failure with an elevated BNP level suggests fluid overload, not deficit.
C: The client who has been NPO since midnight for endoscopy is not at risk for fluid volume deficit because the duration of fasting is not long enough to cause significant dehydration.
D: The client who has gastroenteritis and is febrile is at risk for fluid volume deficit because of the loss of fluids and electrolytes from vomiting and diarrhea, as well as the increased insensible water loss from fever.
Correct Answer is A
Explanation
A. Metabolic acidosis is characterized by a low pH, indicating an excess of acid in the body.
B. HCO3 above 26 mEq/L is more indicative of metabolic alkalosis.
C. PaCO2 above 45 mm Hg is indicative of respiratory acidosis.
D. PaO2 below 70 mm Hg is more related to oxygenation status and is not a direct indicator of metabolic acidosis.
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