Author Question: A nurse is admitting a 73-year-old woman with a fractured ulna and radius to the trauma unit of the ... (Read 57 times)

ec501234 · **on:** Jul 22, 2018

A nurse is admitting a 73-year-old woman with a fractured ulna and radius to the trauma unit of the hospital. The patient's daughter and son-in-law are present.

The nurse notices that the patient does not make eye contact when answering questions and the nurse senses that something is not right about the situation. Which technique did the nurse use? a. Intuition
b. Critical thinking
c. Nursing process
d. Reflection

Question 2

Which of the following situations is most likely to contribute to a health careacquired infection?

a. A closed urinary drainage system
b. Use of aseptic technique during dressing changes
c. Foley catheter drainage bag touching the floor
d. Changing IV access site when site is red and warm

aloop · **Reply #1 on:** Jul 22, 2018

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.