Matching questions
1-31 of 31
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The nurse is providing care to a group of clients. For which situation would the nurses
use of critical thinking be a priority?
1. Administering IV push meds to critically ill clients
2. Educating a home health client about treatment options
3. Teaching new parents car seat safety
4. Assisting an orthopedic client with the proper use of crutches
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2. Educating a home health client about treatment options
Rationale 1: Administering IV meds (even to critically ill clients) does not
require much reasoning. There are standard procedures to follow and, most
of the time, clear answers about the rationale.
Rationale 2: Nurses who utilize good critical thinking skills are able to think
and act in areas where there are neither clear answers nor standard
procedures. Treatment options, especially for the home health client, can
be extensive. There are many points to consider (good and bad), and
choosing between treatment options can cause conflict among family
members. The nurse in this case must use creativity, analysis based on
science, and problem-solving skills all of which contribute to critical
, thinking skills.
Rationale 3: Teaching new parents about car seat safety does not require
much reasoning. There are standard procedures to follow and, most of the
time, clear answers about the rationale.
Rationale 4: Teaching correct use of crutches does not require much
reasoning. There are standard procedures to follow and, most of the time,
clear answers about the rationale.
The nurse has documented that the client has orthostatic hypotension. Which
assessment finding would support this assessment?
1. Decrease in blood pressure when moving from supine to standing
2. Decrease in heart rate when moving from supine to sitting
3. Pale color in the legs when lying in bed
4. Complaints of dizziness when first sitting up
Give this one a try later!
1. Decrease in blood pressure when moving from supine to standing.
Rationale 1: Orthostatic hypotension occurs when the normal
vasoconstriction reflex in the legs is dormant and the clients central blood
pressure drops when moving from supine to sitting or to standing.
Rationale 2: Orthostatic hypotension is a drop in blood pressure not a drop
in heart rate.
Rationale 3: Paleness of the legs is not significant.
Rationale 4: The blood pressure drops, the heart rate increases, and the
client may complain of dizziness or may faint upon arising.
The nurse is preparing to bath a client on the first postoperative day. Which nursing
intervention should take priority?
, 1. Apply lotion to the extremities.
2. Change the water when it becomes cold.
3. Raise side rails when gathering supplies.
4. Remove the soiled dressing during the bath.
Give this one a try later!
3. Raise side rails when gathering supplies
Rationale 1: Applying lotion to the skin would be performed before or after,
not during, the bath.
Rationale 2: Changing the water needs to be done before it becomes cold,
but it is not a priority.
Rationale 3: Raising the side rails would take priority when planning care.
This is a safety issue, andsafety is second on Maslow's Hierarchy of Needs.
The client is only 1 day postop and may still besedated, posing a risk for a
potential fall.
Rationale 4: A dressing change would be performed before or after, not
during, the bath and only with adoctors order.
A clients hearing aid needs to be removed. What action should the nurse perform?
1. Assist the client with removal when necessary.
2. Instruct the client to remove the aid in the sunroom.
3. Leave the aid in place when bathing.
4. Send the aid home with the family.
Give this one a try later!
1. Assist the client with removal when necessary.
Rationale 1: The small size of hearing aids may make it difficult for older
adults to manipulate, so they may need assistance in the aids removal.
Rationale 2: Clients are instructed not to remove their aids in common
rooms like a sunroom.
1-31 of 31
Click a definition to match it with a term
The nurse is providing care to a group of clients. For which situation would the nurses
use of critical thinking be a priority?
1. Administering IV push meds to critically ill clients
2. Educating a home health client about treatment options
3. Teaching new parents car seat safety
4. Assisting an orthopedic client with the proper use of crutches
Give this one a try later!
2. Educating a home health client about treatment options
Rationale 1: Administering IV meds (even to critically ill clients) does not
require much reasoning. There are standard procedures to follow and, most
of the time, clear answers about the rationale.
Rationale 2: Nurses who utilize good critical thinking skills are able to think
and act in areas where there are neither clear answers nor standard
procedures. Treatment options, especially for the home health client, can
be extensive. There are many points to consider (good and bad), and
choosing between treatment options can cause conflict among family
members. The nurse in this case must use creativity, analysis based on
science, and problem-solving skills all of which contribute to critical
, thinking skills.
Rationale 3: Teaching new parents about car seat safety does not require
much reasoning. There are standard procedures to follow and, most of the
time, clear answers about the rationale.
Rationale 4: Teaching correct use of crutches does not require much
reasoning. There are standard procedures to follow and, most of the time,
clear answers about the rationale.
The nurse has documented that the client has orthostatic hypotension. Which
assessment finding would support this assessment?
1. Decrease in blood pressure when moving from supine to standing
2. Decrease in heart rate when moving from supine to sitting
3. Pale color in the legs when lying in bed
4. Complaints of dizziness when first sitting up
Give this one a try later!
1. Decrease in blood pressure when moving from supine to standing.
Rationale 1: Orthostatic hypotension occurs when the normal
vasoconstriction reflex in the legs is dormant and the clients central blood
pressure drops when moving from supine to sitting or to standing.
Rationale 2: Orthostatic hypotension is a drop in blood pressure not a drop
in heart rate.
Rationale 3: Paleness of the legs is not significant.
Rationale 4: The blood pressure drops, the heart rate increases, and the
client may complain of dizziness or may faint upon arising.
The nurse is preparing to bath a client on the first postoperative day. Which nursing
intervention should take priority?
, 1. Apply lotion to the extremities.
2. Change the water when it becomes cold.
3. Raise side rails when gathering supplies.
4. Remove the soiled dressing during the bath.
Give this one a try later!
3. Raise side rails when gathering supplies
Rationale 1: Applying lotion to the skin would be performed before or after,
not during, the bath.
Rationale 2: Changing the water needs to be done before it becomes cold,
but it is not a priority.
Rationale 3: Raising the side rails would take priority when planning care.
This is a safety issue, andsafety is second on Maslow's Hierarchy of Needs.
The client is only 1 day postop and may still besedated, posing a risk for a
potential fall.
Rationale 4: A dressing change would be performed before or after, not
during, the bath and only with adoctors order.
A clients hearing aid needs to be removed. What action should the nurse perform?
1. Assist the client with removal when necessary.
2. Instruct the client to remove the aid in the sunroom.
3. Leave the aid in place when bathing.
4. Send the aid home with the family.
Give this one a try later!
1. Assist the client with removal when necessary.
Rationale 1: The small size of hearing aids may make it difficult for older
adults to manipulate, so they may need assistance in the aids removal.
Rationale 2: Clients are instructed not to remove their aids in common
rooms like a sunroom.
