Answer:
Client in the given case complains of shortness of breath. Nurse has observed edema in left sided leg. Nurse/caregiver now evaluates evidences and identifies similarities in the clinic actions. This is a sign of clinical reasoning.
Clinical judgment can be best explained as the process of making decisions to ensure the correct step to be taken. It is taken on right time such as in case of emergency. Intuition is a feeling or it can be defined as inner sense. It is a way of problem solving approach based on inner sense.
It could not be reflection as reflect is the act of nurses review of the care provided to the patient. It is done to determine the strategies of the future care to be followed.
Hence, the options 1, 3 and 4 are incorrect.
Clinical reasoning is an experienced based technique. Nurse has reviewed evidence based literature. Prior teachings in the care increase the ability of nurse to identify and answer in the queries of patient's care.
Hence, the correct answer is option
.
Answer:
In the given case, nurse decides particular procedure and performs the action. Reexamining patient for the purpose of making the decision will not be right. It is advised to decide the course of action keeping in mind all the problems eliminating the need of reexamination.
Clients and family are the first one to be consulted so that their views can be taken. They are consulted in priority in purpose setting and criteria determining steps. Proper procedure to be followed is not set until all the participants present their view points.
Hence, the options 1, 2 and 3 are incorrect.
It is important to know the problems which might interfere with the plan of action. Responses according to the plan should also be prepared along with the plan so that any interference can be avoided.
Hence, the correct answer is option
.
Answer:
The caregiver is concerned about the client who is breathing fast. Clinical reasoning is reflected by her action. Nurse should report the primary care provider in case she is feeling some unusual activity in the patient. It is a part of appropriate nursing action.
Chest X-ray is usually ordered by a physician. It is not ordered in the hospital. So this option cannot be right. Rapid response team is required in case of emergency when nurse is not able to control the circumstances.
Hence, the options 1, 3 and 4 are incorrect.
Caregiver's intuition is just like the sixth sense, the inner feeling which the nurse recognizes cues to reach to the appropriate decisions. The caregiver appropriately obtains vital signs (temp, blood pressure and so on) and oxygen to analyze the patient's respiratory status.
Hence, the correct answer is option
.