Nursing Process/Critical Thinking
This step in the nursing process that requires the nurse to interpret data?
What is diagnosis
This stage of grief is characterized by statements such as "This can't be happening" and reflects the minds initial protective response.
What is denial?
The right patient, right time, right medication, right route, right indication, right dose, and right to refuse are.
What are the rights of medication administration?
This electrolyte is the primary determinant of extracellular fluid volume and is closely tied to water balance.
What is sodium?
This rhythm shows a regular pattern with upright P waves before every QRS and a rate of 70 bpm.
What is normal sinus rhythm?
The phase of the nursing process that focuses on setting measurable patient centered goals.
What is planning phase?
This type of grief occurs before an expected loss, such as during a terminal illness.
What is anticipatory grief?
This pain type results from damage to nerves and is often described as burning or tingling
What is nerve pain or neuropathic pain?
A patient with severe vomiting is most likely to develop this acid–base imbalance.
What is metabolic alkalosis?
An EKG strip shows chaotic, disorganized electrical activity with no identifiable P waves or QRS complexes.
What is ventricular Fibrillation?
The critical thinking component that requires the nurse to reflect on whether the intervention had the desired outcome.
What is evaluation?
A nurse providing end-of-life care focuses on comfort, dignity, and symptom management.
What is Hospice care?
This scale is commonly used to assess pain intensity in children who cannot verbalize their pain
This electrolyte imbalance is most associated with peaked T waves on ECG.
What is hyperkalemia?
This 6-second strip shows a ventricular rate of 160 bpm with wide QRS complexes and no visible P waves.
What is ventricular tachycardia?
This step of the nursing process involves carrying out interventions while using clinical judgement to adapt care as needed.
What is implementation?
Kubler - Ross stages are also known as.
What are the 5 stages of grief?
This route delivers medication directly into the bloodstream for rapid effect.
What is intravenous administration?
This electrolyte imbalance is most associated with neuromuscular irritability, including positive Chvostek’s sign.
What is hypocalcemia?
A patient with heart failure has crackles, dyspnea, and an S3 heart sound. S3 typically indicates this.
What is fluid overload?
This step of the nursing process requires the nurse to interpret data, identify patterns, and determine the patient's priority needs.
What is diagnosis?
This is often defined as one that is free from avoidable distress and suffering for
the patient, family, and caregivers, and is in general accord with the patient's and family's wishes.
What is a good death?
This is required before administering a high-alert medication such as insulin.
What is a double check with another nurse?
ABG results show pH 7.30, PaCO₂ 50 mmHg, HCO₃⁻ 24 mEq/L, is this acid base imbalance.
What is respiratory acidosis?
This electrolyte imbalance increases the risk of dangerous ventricular dysrhythmias.
What is hypokalemia?
OR
What is hyperkalemia?