When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The nurse's next action should be to: Document the sound exactly as it was heard. Assess again in 20 minutes to note whether the sound is still present. Immediately notify the patient's physician. Validate the data by asking a coworker to listen to the breath sounds.

Validate the data by asking a coworker to listen to the breath sounds.

The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? EBP is simply the use of best practice techniques for the treatment of patients. The patient's own preferences are not important with EBP. EBP relies on tradition for support of best practices. EBP emphasizes the use of best evidence with the clinician's experience.

EBP emphasizes the use of best evidence with the clinician's experience.

The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem? Individual with shortness of breath and respiratory distress Newly diagnosed patient with diabetes who needs diabetic teaching Patient with postoperative pain Individual with a small laceration on the sole of the foot

Individual with shortness of breath and respiratory distress

Comprehensive Nursing Assessment and Clinical Decision-Making Flashcards

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Medicine - Nursing

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Cards in this deck(30)

After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be classified as:

A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be classified as:

The patient's record, laboratory studies, objective data, and subjective data combine to form the:

When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The nurse's next action should be to:

The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses are more likely to make their decisions using:

Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as:

The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?

The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem?

When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?

Which critical thinking skill helps the nurse see relationships among the data?

The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the _____ diagnosis.

The nursing process is a sequential method of problem solving that nurses use and includes which steps?

A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems?

Which of these would be formulated by a nurse using diagnostic reasoning?

Barriers to incorporating EBP include:

What step of the nursing process includes data collection by health history, physical examination, and interview?

During a staff meeting, nurses discuss the problems with accessing research studies to incorporate evidence-based clinical decision making into their practice. Which suggestion by the nurse manager would best help these problems?

When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these?

The nurse recognizes that the concept of prevention in describing health is essential because:

The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the:

A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of data base is most appropriate to collect in this setting?

Which situation is most appropriate during which the nurse performs a focused or problem-centered history?

A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should:

A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection?

A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to:

In the health promotion model, the focus of the health professional includes:

The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action?

Which statement best describes a proficient nurse? A proficient nurse is one who:

The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that would be clustered together during data analysis? Select all that apply.

A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer. This situation is classified as a:

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Comprehensive Nursing Assessment and Clinical Decision-Making Flashcards

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