1. Define Autonomy
Answer
Clients rights to make her own decisions. Must accept consequences of their own decisions and
respect others' decisions.
2. Explain the difference between critical thinking and clinical judgment?
Answer
Critical Judgement
Answer
observed outcome of critical thinking. an iterative process that uses nursing knowledge to
observe and access presenting situation
Clinical Thinking
Answer
The skill of using logic and reasoning to identify the strengths and weaknesses of alternative
health care solutions, conclusions, or approaches to clinical or practice problems
3. Critical thinking requires which elements to be present?
Answer
Patient centered care, safety, evidence based practice, informatics, teamwork and collaboration,
quality improvement, clinical reasoning
4. What is patient-centered care? What information would you need to provide this care?
Answer
recognizing that the pt, with his or her own autonomy is at the center of decision making.
, competent, precise, and personalized care
5. Acidotic pt.
why the client is breathing rapidly?
Answer
the kidneys typically de- crease the amount of bicarbonate ions. that excrete through the urine.
the lungs may try to rid the body of CO2 through increased deep respirations
6. Thromboembolism - define and review pt. education for prevention
Answer
a circulating blood clot that gets stuck and can cause an obstruction.
drink plenty of fluid, avoid crossing your legs, ambulate frequently, explore smoking programs
to help quit, call pcp if redness, pain, swelling and warmth occur in the lower extremities.
7. What is the importance of Daily early morning pt. weights being completed?
Answer
your body has had hours to digest and process what you've eaten and drunk the day before.
8. Which laboratory value is the priority for your malnutrition pt.?
Answer
vitamin D, HGB, calcium, prealbumin and albumin
9. Your client with severely impaired mobility- what actions can you take to prevent potential
complications?
Answer
exercise programs, walking at least 30 mins three to five days a day, swimming. start excising
slowly and gradually increase frequency and duration.
10. Your hospitalized older adult has been assessed at high risk for skin breakdown- what
measures can you take to prevent injury?
Answer
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