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 ["125"]
Explanation
This is a question that tests the nurse's ability to calculate the infusion rate of an IV solution. To answer this question, the nurse needs to use the following formula: Infusion rate (mL/hr) = (Volume of solution (mL) x Dose ordered (mEq/hr)) / Dose available (mEq)
Plugging in the given values, we get:
Infusion rate (mL/hr) = (500 mL x 10 mEq/hr) / 40 mEq Simplifying, we get:
Infusion rate (mL/hr) = 125 mL/hr
Therefore, the nurse should set the IV pump to deliver 125 mL/hr.
Correct Answer is B
Explanation
A. The nurse should not withhold the dose without consulting the provider, especially with a low potassium level.
B. A client who is receiving diuretic therapy may lose potassium through urine and develop hypokalemia, which is a low level of potassium in the blood. Hypokalemia can cause cardiac arrhythmias, muscle weakness, and fatigue. The normal range of serum potassium is 3.5 to 5.0 mEq/L. A serum potassium level of 3.2 mEq/L indicates mild hypokalemia and requires potassium supplementation
C. While it's important to verify lab results, the nurse should first administer the prescribed dose of KCL since the patient has mild hypokalemia.
D. This is important but it may delay the treatment of hypokalemia and increase the risk of complications.
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