To demonstrate clinical reasoning skills, what action does the nurse take?

Questions 20

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Question 1 of 4

To demonstrate clinical reasoning skills, what action does the nurse take?

Correct Answer: B

Rationale: Clinical reasoning involves assessing and acting on patient needs, like delegating vital signs post-op to monitor stability. Lunch collaboration is social, not clinical. Documentation records, not reasons. Requesting medication is specific but less reasoning-focused than delegation. B shows prioritization and teamwork, key reasoning skills, making it the demonstration.

Question 2 of 4

An older client had hip replacement surgery and the surgeon prescribed morphine sulfate for pain. The client is allergic to morphine and reports pain and muscle spasms. When the nurse calls the surgeon, which medication would he or she suggest in place of the morphine?

Correct Answer: B

Rationale: Morphine allergy requires an alternative. Hydromorphone is a safe opioid for pain, per the document, unlike Beers-listed cyclobenzaprine (A, spasms), ketorolac (C, NSAID), and meperidine (D, risky in elderly). B addresses pain and spasms effectively, avoiding adverse effects, making it the suggested choice.

Question 3 of 4

An older adult is brought to the emergency department because of sudden onset of confusion. After the client is stabilized and comfortable, what assessment by the nurse is most important?

Correct Answer: B

Rationale: Sudden confusion often stems from new medications, per the document, making their assessment most important post-stabilization. Orthostatic hypotension , gait , and delirium screening are relevant but secondary without medication context. B identifies reversible causes like antibiotics, critical in the elderly, making it the priority.

Question 4 of 4

A nurse working with older adults in the community plans programming to improve morale and emotional health in this population. What activity would best meet this goal?

Correct Answer: A

Rationale: Exercise to improve function , per the document, boosts morale and emotional health by maintaining independence, countering feelings of worthlessness. Financial planning , social events , and abuse prevention help but don't address ADLs' emotional link. A directly enhances life satisfaction, making it the best goal-meeting activity.

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