Critical Thinking Nursing QUESTIONS AND ANSWERS 100 VERIFIED A GUARANTEED

Critical Thinking Nursing QUESTIONS AND ANSWERS 100% VERIFIED A+ GUARANTEED The nurse prioritizes care for a client with diabetes mellitus using​ Maslow's hierarchy of needs. Which need is identified as the priority for this​ client? A. The nurse teaches the client proper home safety techniques to prevent diabetic wounds. B. The nurse teaches the client how to properly change dressings on the​ right-leg amputation site. C. The client attends classes to deal with body image after amputation of the right leg. D. The client joins the local American Diabetes Association support group. Which client should the nurse assess first after receiving the​ change-of-shift report? A. A client with hypertension with a blood pressure of​ 168/88 mmHg B. A client with a bowel obstruction who is complaining of nausea C. A client with heart failure who is complaining of shortness of breath D. A client with type 1 diabetes mellitus with blood glucose of 82​ mg/dL The nurse is assessing a​ client's peripheral circulation after cardiac catheterization. Which finding is the highest​ priority? A. The femoral site is soft and free of hematoma or bleeding. B. The​ client's toes are warm and pink. C. The client is experiencing numbness in the toes. D. Pulses are palpable and bounding. A client is admitted to the emergency department with a rash on the trunk and extremities. The client reports difficulty​ breathing, chest​ tightness, and weakness. Respirations are 24​ breaths/min and​ even, pulse is 90​ beats/min and​ thready, and blood pressure is​ 96/70 mmHg. The client reports a recent history of a urinary tract infection and having been on sulfasalazine for the past 5 days. Which is the priority nursing assessment for this​ client? A. Urine discoloration B. Gastrointestinal disturbances C. Airway patency D. Peripheral edema The medical surgical nurse is planning the day immediately after receiving report. Which should be the primary nursing intervention when prioritizing​ care? A. Ascertaining interventions B. Assessing client situations C. Assigning staff to clients D. Analyzing collected data The home care nurse is planning the order of clients for the day. Which client should the nurse prioritize as needing to be seen first​? A. A client with daily dressing​ change, normally done at 0800 per client preference B. A client being seen poststroke for rehabilitation and education about poststroke care C. A newly diagnosed diabetic client who is administering morning insulin independently for the first time D. A client requiring indwelling catheter change due to leakage The nurse is prioritizing client care as​ low, medium, or high priority for the current assignment. Which client should the nurse identify as having a ​high-priority​ circumstance? (Select all that​ apply.) A. A client who is receiving warfarin​ (Coumadin) B. A client with emphysema and a pulse oximeter reading of 88 C. An extremely confused older client D. A client who is experiencing extreme bouts of diarrhea E. A client with congestive heart failure and shortness of breath The nurse is planning the day on a general medical unit. Which activity should the nurse prioritize as​ "must do" and not advisable to be delegated to unlicensed assistive personnel​ (UAP)? A. Collecting vital signs on assigned clients B. Health teaching for a client being discharged poststroke C. Assisting clients with hygienic care activities D. Ambulating a stable client to the bathroom A client presents to the emergency department​ (ED) complaining of pain and burning on urination. The client also tells the triage nurse that she noted blood in the urine the past few times she​ urinated, so she thought she should come to the emergency department. In which category should the nurse classify the​ client's problem to prioritize care in relation to other clients in the​ ED? A. Emergent B. Urgent C. Nonurgent D. Immediate The nurse administered blood pressure medications to the wrong client. Upon realizing the​ error, the nurse notes that the last blood pressure assessment of the client who received the wrong medication was​ 82/50 mmHg. Which level of urgency would be required to address this​ situation? A. Critical B. Acute C. Nonacute D. Imminent death The nurse is providing care for several clients with neurologic dysfunction. Which client should be placed closest to the​ nurses' station? A. A​ 72-year-old client who is 2 days postoperative for a carotid endarterectomy B. A preoperative​ 68-year-old client who was diagnosed with an astrocytoma C. An​ 80-year-old client with viral meningitis who was admitted 3 days ago D. A newly admitted​ 65-year-old client who experienced an acute subdural hematoma A homeless client presents to the emergency department​ (ED) complaining of severe chest pain. The client is well known to the​ ED, coming in frequently for various minor complaints. Which ethical principles should be most important for the nurse to​ consider? A. Justice and fairness B. Nonmaleficence and beneficence C. Accountability and responsibility D. Privacy and confidentiality The nurse is organizing care for the day for the assigned clients. Which client should the nurse give highest prioritization to ensure appropriate medication​ administration? A. A client with diabetes requiring insulin coverage QID B. A client with unstable vital signs receiving multiple blood pressure medications C. A client who is receiving daily dialysis D. A client receiving several intravenous​ antibiotics, each to be infused over 30-60 minutes The nurse working on a busy medical surgical unit is caring for five clients. As the nurse is preparing to administer routine medications to the assigned​ clients, she is informed that a new admission will be arriving to the unit shortly. Which type of situation challenges the​ nurse's time management and organizational​ skills? A. Pitfall B. Urgent C. ​Pop-up D. Emergent The nurse in an emergency department​ (ED) shares with a fellow nurse​ that, due to the busy pace of the​ day, he has not even been able to go to the bathroom since he arrived for his shift 6 hours ago. Which response by the fellow nurse should best address this​ situation? A. Discussing better ways to prioritize and manage time with the nurse so that in the future he will be able to take needed breaks B. Encouraging the nurse to let the supervisor know so that appropriate actions can be taken C. Listening to the​ nurse's concerns and offering verbal encouragement to make it through the rest of the shift D. Offering to oversee the​ nurse's clients so that a​ 15-minute break can be taken Which action by the nurse can help to avoid pitfalls that can result in client​ harm? (Select all that​ apply.) A. Prioritizing client care appropriately B. Following ethical care practices C. Incorporating client preferences as possible when prioritizing care D. Knowing client healthcare concerns E. Delegating care only when absolutely necessary The nurse caring for a client with diabetes mellitus receives a report from another nurse that the client is experiencing a hypoglycemic episode. The nurse immediately prepares to administer 50 mL of D50 IVP. Upon entering the​ room, the nurse notes that the client seems alert and does not have any current complaints and decides not to administer the D50. Which pitfall was avoided by the nurse in this​ situation? A. Incomplete assessment B. Poor time management C. Relying solely on​ another's assessment D. Failure to do periodic assessments The nurse working in a community clinic is reviewing the clients to be seen for the day. Which client should require more time in the​ schedule? A. A​ 75-year-old with recent cognitive decline B. A​ 32-year-old with newly diagnosed diabetes who is returning for a blood glucose recheck C. A​ 20-year-old who is being seen for evaluation of insulin pump management D. A​ 50-year-old who is being seen for blood pressure recheck A new graduate nurse is having difficulty prioritizing care and leaving the shift in a timely manner. The nurse manager notes that the new nurse rarely delegates tasks to the unlicensed assistive personnel​ (UAP) since a recent incident in which the new nurse delegated an inappropriate task to a UAP. Which action by the nurse manager should best help to address this​ situation? A. Reminding the nurse that she will quickly burn out if she does not delegate some care to the UAP B. Encouraging the nurse not to let the recent experience impact future actions C. Having the UAP discuss with the nurse appropriate activities that he can do to assist the nurse with client care D. Reviewing state and facility guidelines concerning delegation with the nurse Which action should the nurse take to best involve hospitalized clients in their care and avoid pitfalls related to not involving clients in their own​ care? A. Orienting the client and family to the hospital facility and routines B. Informing clients of the daily schedule of care C. Observing client behaviors for cues about preferences D. Asking the​ client's family about usual patterns of behavior Which of the following measures would be most directly aimed at upholding the principle of respect for​ persons? A. A policy stating that a research project must be immediately suspended should any of the participants experience an unexpected adverse event B. A policy stating that all data gathered during research must be stripped of information that links it to individual research subjects C. A policy requiring that any research involving pediatric subjects undergo an extra level of ethical scrutiny prior to approval D. A policy requiring that all participants in a research effort receive financial compensation The nurse manager for a​ medical-surgical nursing unit is talking to a group of nursing students. The nurse manager is explaining the types of nursing research studies that are conducted on the unit. Which statement by the students indicates understanding of the nature of nursing​ research? A. ​"Nursing research is used to enhance medical​ treatment." B. ​"Nursing research does not include nursing education or nursing​ leadership." C. ​"Nursing research impacts nursing by adding knowledge and changing nursing​ practice." D. ​"Nursing research does not include the study of nurses​ themselves." The nurse is working with a client who has agreed to participate in a research study. Which actions would constitute a violation of the​ client's right to full​ disclosure? Select all that apply. A. Suggesting that participating in the study would greatly benefit the​ client's financial situation B. Telling a mutual friend about the​ client's involvement in the study C. Giving the client false information about his or her participation in the study D. Withholding information about the study from the client E. Providing the​ client's name as a participant in the study The nurse working in a community hospital is caring for a client who does not seem to be responding well to the current plan of care that has been implemented by the nursing team. Given this​ information, which actions by the nurse are​ appropriate? Select all that apply. A. Trying a different approach to care even though it breaches hospital policy B. Networking online with other nurses who are giving similar care C. Accessing research journals for evidence that would support a change in the plan of care D. Proposing a nursing research project to the unit manager E. Asking the doctor for a new nursing approach to care The nurse is caring for a client who requires extensive wound care. The client has consented to participate in a nursing research study regarding the wound care. Which client statement indicates understanding of the research​ goal? A. ​"This research will not influence my​ care." B. ​"Nursing care is based solely on​ research." C. ​"I will be paid to participate in the research​ project." D. ​"I will be helping to validate nursing​ care." A nurse is preparing to conduct a research study and wants to do a literature search for relevant articles. Which of the following sections should the nurse expect to find in each search​ result? Select all that apply. A. References B. Funding C. Results D. Methods E. Abstract Which type of research investigates a question through narrative data that explores the subjective experiences of human beings and can provide nursing with a better understanding of​ clients' perspectives? A. Clinical research B. Thematic research C. Quantitative research D. Qualitative research A nurse researcher is preparing to give a presentation about​ evidence-based practice​ (EBP) to a group of nursing students. Which of the following statements would be appropriate for the nurse researcher to include in this​ presentation? A. ​"EBP focuses solely on​ research-based evidence, and it assumes that best practices for nursing care exist independent of client​ preferences." B. ​"EBP involves integrating research​ evidence, the​ nurse's own clinical​ expertise, and client values and​ preferences." C. ​"EBP is sometimes also referred to as translational​ research." D. ​"EBP is typically only associated with complex nursing​ tasks, such as preparing clients for surgery and monitoring for adverse​ effects." A nursing preceptor is working with a novice nurse on a​ medical-surgical unit. During client​ care, the novice nurse shares an​ evidence-based wound care technique that is being used with much success. Which of the following is being encouraged when the novice nurse shares this information with the​ preceptor? A. Use of existing unit modes of care B. Use of trial and error to gain knowledge C. Use of new knowledge gained through research D. Use of medical knowledge to perform care A nurse working in a home health agency is asked to participate on a committee that is looking to incorporate​ evidence-based nursing care. What should be the​ committee's first step in implementing​ evidence-based practice​ (EBP)? A. Suggest that individual staff members try new means of delivering care. B. Evaluate the results of different research projects. C. Research​ evidence-based practices that can be implemented. D. Compile a list of questions.