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. Hyperactive bowel sounds are associated with hyperkalemia, not hypokalemia.
B. Hypertension is not typically associated with hypokalemia. In fact, hypokalemia is more likely to be associated with hypotension.
C. Cerebral edema is not a common manifestation of hypokalemia; it is more commonly associated with conditions like hyponatremia.
D. Muscle weakness is a classic manifestation of hypokalemia. Potassium is crucial for proper muscle function, and a deficiency can lead to weakness.

A. Research how to remove an IV catheter from the internet. B. Ask an assistive personnel (AP) to verbalize the steps for removing an IV catheter. C. Review the facility's policies and procedures manual about removing IV catheters. D. Find an article in a nursing journal that is less than 5 years old on how to remove IV catheters.

Correct Answer is C

Explanation

A. While researching information is valuable, using the facility's policies and procedures is the best source for specific, evidence-based guidelines.
B. An AP may not be qualified to provide accurate information on removing an IV catheter.
C. The facility's policies and procedures manual is a reliable source of evidence-based guidelines for nursing care.
D. While journal articles can provide information, the facility's policies and procedures manual is often more immediately relevant and specific.

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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 client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Correct Answer is D

Explanation

A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing a client who is at the end of life. Which of the following findings should the nurse expect?

A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

A nurse is organizing interprofessional team members to meet the needs of a client. Which of the following roles is the nurse taking?

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 medical record of a client who has a potassium level of 3.0 mEq/L. Which of the following findings should the nurse recognize as a potential causative factor?

A nurse is instructing a group of clients regarding calcium rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium?