Critical Thinking

Is the following statement subjective or objective? Blood pressure 145/80

• Subjective

• Objective

Is the following statement subjective or objective? Patient reports "I feel tired today"

• Subjective

• Objective

Is the following statement subjective or objective? Skin is warm, dry, and intact.

• Subjective

• Objective

Is the following statement subjective or objective? 2+ dorsalis pedis pulse bilaterally

• Subjective

• Objective

Is the following statement subjective or objective? Patient appears restless

• Subjective

• Objective

What is incorrect about these nursing diagnoses?

• Acute Pain related to bone cancer as evidenced by patient rated pain 8/10.

• Ineffective Breathing Pattern related to shallow respirations.

• Risk for Confusion and Impaired Skin Integrity related to recent stroke.

• Potential for Intravenous Complications related to poor vascular access.

Tags

NGSS.HS-ETS1-3

For the Nursing Diagnosis: Impaired Gas Exchange related to alveolar capillary membrane changes as evidenced by restlessness and dyspnea. Which is the Goal (1) and which are the Expected Outcomes (2)?

• Patient will demonstrate correct use of the incentive spirometer (breathing exercise) 10 times per hour while awake through the remainder of this shift.

• Patient will exhibit adequate oxygenation by end of shift.

• Patient will verbalize two strategies to improve their gas exchange within one hour.

Tags

NGSS.HS-LS1-7

NGSS.HS-LS2-3

What is incorrect with the following goals and expected outcomes?

• Blood pressure will be stable by end of shift.

• Patient will demonstrate wound care and verbalize signs and symptoms of infection.

• Patient will rate pain 3 on a scale of 0-10.

• Patient’s tumor will shrink by 90% within one week.

A patient is suffering from shortness of breath. The correct expected outcome statement would be written as:

• The patient will be comfortable by the morning.

• The patient will breathe unlabored at 14-18 breaths/minute by end of the shift.

• The patient will not complain of breathing problems within the next 8 hours.

• The patient will have a respiratory rate of 14 to 18 breaths/minute.

Tags

NGSS.HS-LS1-3

Which type of interview question does the nurse first use when assessing the reason for a patient seeking healthcare?

• Probing

• Problem-centered

• Confirmation

• Open-ended