Solutions - Chapter 10 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. Which reasoning process describes the nurse’s actions when the nurse evaluates possible solutions for care of an infected wound for optimal client outcomes?
1.  Intuition
2.  Research process
3.  Trial and error
4.  Problem solving
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1CTC. Mr. W. is a 63-year-old recently retired engineer with a history of irritable bowel syndrome that causes frequent diarrhea and rectal bleeding. His wife is a schoolteacher. In mid-December he comes to the acute care clinic complaining about “not feeling good.” You conclude he is having a recurrence of his intestinal problem.
What questions would you ask yourself to check this assumption?
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1TYK. A client with diarrhea also has a primary care provider’s order for a bulk laxative daily. The nurse, not realizing that bulk laxatives can help solidify certain types of diarrhea, concludes, “The primary care provider does not know the client has diarrhea.” What type of statement is this?
1.  A fact
2.  An inference
3.  A judgment
4.  An opinion
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2CTC. Mr. W. is a 63-year-old recently retired engineer with a history of irritable bowel syndrome that causes frequent diarrhea and rectal bleeding. His wife is a schoolteacher. In mid-December he comes to the acute care clinic complaining about “not feeling good.” You conclude he is having a recurrence of his intestinal problem.
How would you demonstrate that you are using the critical thinking attitude of “confidence in reasoning”?
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2TYK. A client reports feeling hungry, but does not eat when food is served. Using clinical reasoning skills, the nurse should perform which of the following?
1.  Assess why the client is not ingesting the food provided.
2.  Continue to leave the food at the bedside until the client is hungry enough to eat.
3.  Notify the primary care provider that tube feeding may be indicated soon.
4.  Believe the client is not really hungry.
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3CTC. Mr. W. is a 63-year-old recently retired engineer with a history of irritable bowel syndrome that causes frequent diarrhea and rectal bleeding. His wife is a schoolteacher. In mid-December he comes to the acute care clinic complaining about “not feeling good.” You conclude he is having a recurrence of his intestinal problem.
Socrates might ask you about the consequences of your conclusion by posing the question “What are the implications of your thinking?” How would you answer? Consider the implications if you are correct and if you are incorrect in your assumption.
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3TYK. A client complains of shortness of breath. During assessment the nurse observes that the client has edema of the left leg only. The nurse reviews evidence-based practice literature and reflects on a previous client with the same clinical manifestations. What do these actions represent?
1.  Clinical judgment
2.  Clinical reasoning
3.  Reflection
4.  Intuition
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4TYK. A client complains of shortness of breath. During assessment the nurse observes that the client has edema of the left leg only. The nurse reviews evidence-based practice literature and reflects on a previous client with the same clinical manifestations. What do these actions represent?
1.  Clinical judgment
2.  Clinical reasoning
3.  Reflection
4.  Intuition
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5TYK. In the clinical reasoning process, the nurse sets and weighs the criteria, examines alternatives, and performs which of the following before implementing a plan?
1.  Reexamines the purpose for making the decision.
2.  Consults the client and family members to determine their view of the criteria.
3.  Identifies and considers various means for reaching the outcomes.
4.  Determines the logical course of action should intervening problems arise.
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6TYK. The nurse is concerned about a client who begins to breathe very rapidly. Which action by the nurse reflects clinical reasoning?
1.  Notify the primary care provider.
2.  Obtain vital signs and oxygen saturation.
3.  Request a chest x-ray.
4.  Call the rapid response team.
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7TYK. The nurse is teaching a client about wound care during a follow-up visit in the client’s home. Which critical thinking attitude causes the nurse to reconsider the plan and supports evidence-based practice when the client states, “I just don’t know how I can afford these dressings”?
1.  Integrity
2.  Intellectual humility
3.  Confidence
4.  Independence
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8TYK. When the nurse considers that a client is from a developing country and may have a positive tuberculosis test due to a prior vaccination, which critical thinking attitude and skill is the nurse practicing?
1.  Creating environments that support critical thinking
2.  Tolerating dissonance and ambiguity
3.  Self-assessment
4.  Seeking situations where good thinking is practiced
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9TYK. A client in a cardiac rehabilitation program says to the nurse, “I have to eat a low-sodium diet for the rest of my life, and I hate it!” Which is the most appropriate response by the nurse?
1.  “I will get a dietary consult to talk to you before next week.”
2. “What do you think is so difficult about following a low-sodium diet?”
3. “At least you survived a heart attack and are able to return to work.”
4. “You may not need to follow a low-sodium diet for as long as you think.”
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