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. The drip chamber should not be filled completely with blood, as this can cause clotting and occlusion.
B. The blood should not be infused for more than 4 hr, as this increases the risk of bacterial contamination and transfusion reactions.
C. Medications are usually administered separately from blood products to avoid incompatibility.
D. The packed RBCs should be connected by Y tubing to normal saline to prevent hemolysis and maintain fluid balance. This is an expected finding because it allows the nurse to flush the line with normal saline before and after the blood transfusion, and to switch to normal saline in case of a transfusion reaction.

A. Use blood that is less than a month old. B. Use an 18-gauge needle to obtain venous access. C. Obtain the client’s vital signs every 30 min throughout the transfusion. D. Administer each unit over 3 hr.

Correct Answer is C

Explanation

A. While using fresher blood is desirable, it is not always practical, and the primary consideration is the client's clinical condition.
B. An 18-gauge needle may be used for rapid infusion, but the size of the needle should be appropriate for the client's condition and the facility's policy.
C. Monitoring vital signs is essential during a blood transfusion to detect any potential adverse reactions promptly.
D. Administering blood units over a recommended time frame is important, but obtaining vital signs at regular intervals during the transfusion is a more immediate and continuous monitoring method.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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