A nurse is caring for a patient in the ER who was injured in a snow mobile accident. The nurse documents the following patient data:
uncontrollable shivering, weakness, pale and cold skin, and suspects the patient is experiencing hypothermia. Upon further assessment, the nurse notes a heart rate of 53 BPM and core internal temperature of 90F, which confirms the initial diagnosis. The nurse then devises a plan of care and continues to monitor the patient to evaluate the outcomes. This nurse is using which of the following types of problem solving in her care of this patient?
A) trial-and-error B) scientific C) intuitive D) critical thinking
Question 2
Which of the following best summarizes the evaluating step of the nursing process?
A) The nurse completes a health assessment to establish a database.
B) The patient and family have met healthcare goals and no longer need care.
C) The nurse and patient identify nursing diagnoses and appropriate interventions.
D) The nurse and patient measure achievement of planned outcomes of care.
Positioning the Patient in the Prone Position
A goniometer is used to measure range of motion of the patient’s arm.
Muscle weakness caused by myasthenia gravis is evident in the eyes of this patient.
After multiple injections of a local anesthetic, the patient developed herpetic lesions.
The nurse begins the general survey