Answer to Question 1
A
The fact that the nurse senses something is not right about the situation is intuition. Intuition is the inner sensing or gut feeling that something is so. For example, a nurse walks into a patient's room and, by looking at the patient's appearance without the benefit of a thorough assessment, senses that he or she has worsened physically. Reflection is a part of critical thinking that involves the process of purposefully thinking about or recalling a situation to discover its purpose or meaning. Critical thinking involves recognizing that an issue (e.g., patient problem) exists, analyzing information related to the issue (e.g., clinical data about a patient), evaluating information (including assumptions and evidence), and drawing conclusions. The nursing process is a five-step approach that incorporates diagnostic reasoning and clinical decision making.
Answer to Question 2
C
Causes of health careacquired infection include contact between drainage bag port and conta-minated surface, an open urinary drainage system, failure to use aseptic technique during dressing changes, and failure to change IV access site when inflammation first appears.
The nurse applies a pulse oximeter sensor on the client’s finger.
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