Author Question: Although the postoperative assessment of the client reveals no abnormalities, the nurse believes the ... (Read 194 times)

chads108 · **on:** Jul 8, 2018

Although the postoperative assessment of the client reveals no abnormalities, the nurse believes the clients condition is deteriorating and orders frequent vital signs.

This intervention was made on the basis of which type of problem solving? Select all that apply. 1. Trial and error method
2. Experimentation
3. Intuition
4. Satisficing
5. Past experiences

Question 2

A client has been told that chemotherapy must be postponed until he is hydrated. The client refuses the intravenous hydration and demands to go home. How would the nurse best categorize this situation?

1. As a nonreportable incident
2. As a medical-legal incident
3. As client dissatisfaction with care
4. As a medication error

amandalm · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

3, 5
Explanation: 1. Intuition and past experiences enable the expert nurse to make clinical judgments based upon
wisdom, sensitivity to the client, and a gut feeling that a change in the client is imminent. The
trial and error method is incorrect because the problem solving is not based on prior
experiences; rather one approach after the other is used until the problem is solved.
Experimentation is incorrect because experimentation involves testing a theory to produce a
prediction. Satisficing is incorrect because satisficing involves choosing a solution to meet
minimum standards of care.

Answer to Question 2

2
Rationale 1: Any incident that is unexpected or unplanned and that could potentially harm a client, family member, or staff is a reportable incident.
Rationale 2: A medical-legal incident occurs when a client or family refuses treatment as ordered.
Rationale 3: When a client or family member indicates general dissatisfaction with care and the situation cannot be resolved, an incident report is filed.
Rationale 4: A medication error occurs when the nurse unintentionally omits a medication or fluid, gives the wrong dose, gives the dose at the wrong time, or gives the medication or fluid to the wrong client.
Global Rationale: