Engage Fundamentals

Charge nurse is planning on discussing the factors that contribute to the clinical decision making process in client care to a new RN. What factors should the charge nurse discuss?

- Available resources - Support from other staff - Awareness of the client

Using ABCDE priority-approach setting framework what actions should the nurse take when completing the exposure component?

- Observe the clients lower extremities for indications of deep vein thrombosis - Measure temperature - check for bruising

A nurse caring for a patient in a acute care facility should recognize that the clients care requires clinical reasoning when its complicated by what factors?

- complex clinical situations -ongoing client and family concerns

A nurse at an urgent care clinic is auscultating the lungs of a client who reports a cough and shortness of breath. Which of the following steps of the nursing process is the nurse using?

Assessment

A RN is reviewing methods created to assist nurses in evidence based practices. What NCSBN model can assist the nurse with clinical thinking and decision making?

Clinical Judgement

A nurse is reviewing the concept of critical thinking with a new RN. What remark should be made?

Critical thinking is the foundation of clinical decision making

A nurse caring for a client who has been wheezing. The nurse asks an AP to to use the stethoscope and listen to the clients lung sounds to determine if the wheezing has improved. This is an example of?

Delegation of the wrong tasks

A nurse is preparing a discharge plan for a patient that has just had bilateral below-the-knee amputation. What is the priority intervention?

Determine whether the clients home is wheel chair accessible

Which of the following skills should the charge nurse discuss with new RN's when discussing critical thinking skills

Inference, creative thinking, inductive reasoning

A nurse is teaching new RN's about receiving and transcribing verbal prescriptions. What instructions should the nurse include?

Read back the prescription to the provider after transcribing

What should a nurse explain to new RN's when discussing safety and risk reduction priority setting framework?

The framework assigns the highest priority to the situation that poses a threat to the patients safety and well-being

A nurse is deciding who to give priority to?

patient who received digoxin and has a heart rate of 48/min