Clinical judgment practice questions
Recognizing and analyzing cues, early warning signs.
5 questions with answers and explanations · 3 flashcards
Key ideas
- NGN items follow the Clinical Judgment Measurement Model: recognize cues → analyze cues → prioritize hypotheses → generate solutions → take action → evaluate outcomes.
- A finding matters most when it's new, changing, or outside the client's baseline.
- Early hypoxia: restlessness, anxiety, tachycardia, tachypnea. Late: cyanosis, bradycardia, decreased level of consciousness.
- Poor perfusion: new confusion, delayed capillary refill, low urine output (under 0.5 mL/kg/hr, about 30 mL/hr in adults).
Questions
- A client is 1 day post-op after an open abdominal surgery. Which finding requires the nurse's immediate follow-up?Multiple choiceMedium
- Which findings are early signs of hypoxia in an adult? Select all that apply.Select all that applyMedium
- A 72-year-old client is admitted from a long-term care facility with a urinary tract infection. Highlight the findings in the nurse's note that require…Highlight textHard
- A client with heart failure started furosemide 40 mg PO daily 2 days ago. For each finding, indicate whether it is expected or requires follow-up.Matrix / gridMedium
- A 24-year-old client with type 1 diabetes has been vomiting for 2 days. Findings: blood glucose 486 mg/dL, arterial pH 7.21, bicarbonate 12 mEq/L, deep and…BowtieHard