Parents ask why invasive diagnostic tests were prescribed for ...

[LaDunn]

Parents ask why invasive diagnostic tests were prescribed for their ill child. The nurse has just gotten out of report and has not had a chance to review additional information. What should the nurse respond to the parents?
 
  1. I'm not sure I can answer your question just now.
  2. It's a good idea to listen to what your physician wants.
  3. Your child's doctor is the best there is. I don't see why you wouldn't follow his advice.
  4. Maybe you should get another opinion if you're not comfortable with your doctor.

Question 2

A client complaining of extreme low back pain is pale and diaphoretic and walks bent at the waist. Before taking vital signs, the nurse suspects that the blood pressure and heart rate will be elevated. What thought process did the nurse use to
 
  What thought process did the nurse use to come to this conclusion?
  1. Fact
  2. Inference
  3. Judgment
  4. Opinion

[Tonny]

Answer to Question 1

Correct Answer: 1
Rationale 1: Suspending judgment means tolerating ambiguity for a time. If an issue is complex, it may not be resolved quickly and judgment should be postponed. In this case, the nurse just doesn't have enough information to give a good answer to the parents. For a while, the nurse will need to say I don't know and be comfortable with that answer.
Rationale 2: Telling the parents to agree with the physician before the nurse knows all the facts might be premature, even if he is the best physician in the area.
Rationale 3: Nurses should not give advice or counsel.
Rationale 4: It would be premature to tell the parents to get another opinion.

Answer to Question 2

Correct Answer: 2
Rationale 1: A fact can be verified through investigation. In this case, facts would be the elevated pulse and blood pressure readings.
Rationale 2: Inferences are conclusions drawn from facts, going beyond facts to make a statement about something that is not currently known. In this case, acute, severe pain will most likely cause the blood pressure as well as pulse rate to be elevated as the body's response to the painful experience.
Rationale Judgment is evaluating facts and information that reflect values or other criteria; it is a type of opinion. Because the nurse understands the pathophysiology of pain, thinking about changes in vital signs is more than a judgmentit is an inference.
Rationale 4: Opinions are beliefs formed over time and include judgments that may fit facts or be in error.

[LaDunn]

Thanks

[Tonny]

Welcome