Answer to Question 1
A
Part of diagnostic reasoning is clinical inference, the process of drawing conclusions from related pieces of evidence and previous experience with the evidence. An inference involves forming patterns of information from data before making a nursing diagnosis. Reflective writing requires you to record your clinical experiences in your own words in a personal journal. Intuition is an inner sensing or gut feeling about something. Accountability refers to being answerable for one's actions.
Answer to Question 2
C
The nurse's responsibility in meeting the client's basic needs increases as the client is restrained and unable to meet their own needs. Restraints must be released once every 2 hours, the nurse must assess the color, temperature, sensation motion, and capillary refill in the area distal to the restraint and perform range-of-motion exercises. The client should also be toileted at this time minimally and have fluids in reach at all times unless contraindicated. The call light must also be in reach at all times so the client may call for assistance as needed.
Palpating the Apical Impulse with the Patient on the Left Side
Bill Viola. Room for St. John of the Cross. 1983.
Lucas Samaras, Room No. 2 (popularly known as the Mirrored Room) (detail).
The physician uses auscultation to listen to a patient’s heart.
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.
The nurse begins the general survey