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al Surgical Nursing 7th Edition by Williams
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All Chapters 1-57
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1
,(DaviskAdvantagekforkUnderstandingkMedical-SurgicalkNursing,k7ekLindakWilliams,kPaulakHopper)
Answers
CHAPTERk 1 tokcollectkappropriatekdata,kidentifykakpati
entkproblem,kandkdeterminekthekbestkpossib
CRITICALk THINKING,
lekplankofkaction.kClinicalkjudgmentkiskbased
CLINICALkJUDGMENT,kANDkTHEkNURSINGk konkgoodkcriticalkthinking.
PROCESS
Cue
k Definition:kSignificantkorkrelevantkdata.kNotkallkdatak
are
cuesk(relevant),kbutkallkcueskarekdata.
AUDIOk CASEk STUDY Criticalkthinking
JanekPracticeskClinicalkJudgment Definition:kThekusekofkthosekcognitivek(kn
1. Identifykandkanalyzekcues;kprioritizekhypothes owledge)kskillskorkstrategieskthatkincrea
es;kgenerateksolutions;ktakekaction;kevaluateko sekthekprobabilitykofkakdesirablekoutco
utcomes;krepeat. me.kAlsokinvolveskreflection,kproblem-
2. Janekwaskexhausted,kfailedkaktest,kandkwas solving,kandkrelatedkthinkingkskills.
kpulledkinktookmanykdirections.kShekwaskals Clinicalkjudgment
okcryingkinkherkcarkandkhadkpoorkstudykhab
Definition:kThekobservedkoutcomekofkcritic
itskandknotkenoughksleep.
alkthinkingkandkdecisionkmaking.kAkproc
3. Jane’skresourceskincludedkakgoodkfriend,ksic
esskthatkusesknursingkknowledge
kktimekfromkwork,kandkwastedktimekbetwee
nkclasseskthatkshekcouldkbetterkutilize.kYourk
resourceskwillkbekdifferent,kbutktheykexist!
4. Criticalkthinking—
thekwhy:kJanekuseskcriticalkthinkingktokdeterm
inekwhykherkcurrentkplankisn’tkworking.kShekt
hinkskhonestlykaboutkherkpoorkstudykhabits,k
herktime-
kmanagementkproblems,kandkthekimpactkthis
kiskhavingkonkherkandkherkfamily.
Clinicalkjudgment—
thekdo:kJanekuseskherkthinkingktokdevelopkand
kcarrykoutkakplankthatkuseskherkresourceskand
kprovideskmorekproductivekstudyktimekandkmo
rekqualityktimekwithkherkkids.
VOCABULARY
SampleksentenceskwillkvarykforkthekVocabularykpr
oblems.
Nursingk process
Definition:kAnkorganizingkframeworkkthatklinkskt
hinkingkwithknursingkactions.kStepskincludekass
essment/datakcollection,knursingkdiagnosis,kpl
anning,kimplementation,kandkevaluation.
,Collaboration
Definition:kWorkingktogetherkwithkthekhealthktea
mktokimprovekpatientkoutcomes.
Intervention
Definition:kTakingkactionktokcarrykoutkakplan.
Evaluation
Definition:kComparingkthekoutcomeskyoukexpectedk
withkactualkoutcomes.kDidkthekplankwork?kWerek
expectedkoutcomeskmet?
Vigilance
Definition:kThekactkofkbeingkattentive,kalert,kandkwatchf
ul.
CRITICALkTHINKINGk ANDk CLINICALkJUDGMENT
Criticalkthinkingkandkclinicalkjudgmentkbothkfollowkaksi
milarkformat.kBothkfollowkstepskfromkcollectingkdatakt
okdetermin-
kingkproblemskandkoutcomes,kdevelopingkandktakingk
actions,kandkevaluatingkoutcomes.kHowever,kcriticalkthi
nkingkhelpskyoukthinkkaboutkthekproblem:kWhatkiskit?k
Whykiskitkhappen-
king?kAndkclinicalkjudgmentkleadskyouktokdoksomethin
gktokmanagekthekproblem.
CUEk RECOGNITION
Youkwillkdokmanykthingskforkeachkindividual,kbutkthekF
IRSTkthingkisklistedkbelow.
1. Sitkthekpatientkupright.
2. Callk911kwhilekrunningkacrosskthekstreet.
3. Elevatekthekfeetkoffkthekbedkbykplacingkakpillowku
nderkthekcalveskandkallowingkthekfeetktokhangkoffk
thekedgekofkthekpillow.
4. Checkkbloodkglucosekandkhavekakglucoseksourcekrea
dy.
5. Turnkthekpatientktoktheksidektokpreventkaspiration.
1
, 2 Chapterk1 Answers
CRITICALk THINKING
Thiskiskjustkonekpossiblekwayktokcompletekakcognitivekmap.
Couldkitkbeklow Amk Ik diabetic? Frontalkarea "Sick"k feeling Hard Tylenolkhelps Hungerkmakes
bloodksugar? itkworse
Patient's Wherekiskit? Quality Aggravatingk and
perception alleviatingk factors
Foodk helps
Headache
Usefulk other Severity Timing
data
Sometimesk feel Motherkis 7–8k onk 0–10 Lastsk1–2khours Beforekmeals Earlykinkthe
sickk tok stomach diabetic scale oncek starts morning
REVIEWk QUESTIONS takingkvitalksigns;kdatakcollectionkiskthekfirstk
Thekcorrectkanswerskarekinkboldface. stepkinktheknursingkprocess.k(2,k3,k4)karekall
kstepskinktheknursingkprocess,kforkwhichkthekr
1. (2)kCriticalkthinkingkcankleadktokbetterkoutco egisteredknursekiskresponsible;kthekLPN/LVNk
meskforkthekpatient.k(1,k3,k4)kmaykbektruekb maykassistkthekregisteredknursekwithkthese.k
utkareknotkthekbestkanswer. Nitroglycerinkshouldknotkbekadministeredkwit
2. (4)kiskcorrect.kTheknursekwhokcankadmitktokn houtkfirstkknowingkthekpatient’skbloodkpressur
otkknowingksomethingkiskexhibitingkintellectua e.
lkhumility.k(1)kshowskexpertisekbutknotknecess 7. (2)kindicateskthatkthekpatientkiskconcernedka
arilykintellectualkhumility; boutkfreedomkfromkinjurykandkharm.k(1)krelat
(2) reportingkankerrorkshowskintellectualkintegr esktokbasickneedsksuchkaskair,koxygen,kandk
ity; water.k(3)krelatesktokfeelingkloved.k(4)kiskrel
(3) empathizingkiskpositivekbutkdoeskiskno atedktokhavingkpositivekself-esteem.
tkevidencekofkhumility. 8. (3,k1,k2,k4)kiskthekcorrectkorderkaccordingktokMas
3. (3,k4,k5,k1,k2)kiskthekcorrectkorder. low.
4. (1)kiskthekbestkdefinition.k(2,k3,k4)kdoknotk 9. (5,k2,k1,k4,k6,k3)kiskthekcorrectkorder.
definekcriticalkthinkingkbutkarekexampleskof 10. (3)kshowskthekpatientkiskactuallyktakingkacti
kgoodkthinking. on.k(1,k2,k4)karekallkpositivekbutkdoknotksho
5. (4)kiskcorrect.kEvaluationkdetermineskwhetherk wkintentktoktakekaction.
goalskarekachievedkandkinterventionskeffectiv 11. (4)kisktheknurse’skanalysiskofktheksituation.
e.k(2)kiskthekrolekofkthekphysician.k(1,k3)kenco k(1,k2)karekdata;k(3)kiskakrecommendatio
mpasskdatakcollectionkandkimple- n.
kmentation,kwhichkarekearlierkstepskinktheknur 12. (1,k2,k3,k4)kshouldkbekpresent.kSincekthek
singkprocess. datakprovideskonlykhipkreplacementkaskthe
6. (1)kiskcorrect.kTheklicensedkpracticalknurse/lice kpatient’skproblem,k(5)kthekdietitiankisknotk
nsedkvoca- necessary.
ktionalknursek(LPN/LVN)kcankcollectkdata,kwhic
hkincludes