Hesi a2 critical thinking latest-update
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,Hesi a2 critical thinking latest-update
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Critical Thinking g
1. The Patient: A 65-year- old male.
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The Situation: The family brings the patient to the emergency room because he
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justtook an entire bottle of pills.
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The Question: What action should the nurse take first?
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Answer – Determine the patient’s level of consciousness.
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2. The Patient: An 80 year-old male who has used continuous oxygen for the past
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threeyears.
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The Situation: While making a home visit, the wife tells the nurse that her
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husbandwas doing well on 2 litres of oxygen per minute until late last night when
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he developed severe shortness of breath on the way to the bathroom.
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The Question: What action should the nurse take first?
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Answer – Assess the patient’s oxygen saturation by pulse oximeter.
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3. The Patient: A 41-year-old male.
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The Situation: The patient is complaining of severe stomach pain and states that
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hehas been “vomiting all the time.”
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The Question: What should the nurse do first?
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Answer – Administer a prescribed pain medication.
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4. The Patient: The wife of a wealthy owner of the town’s bank.
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The Situation: The patient and her husband arrive on the unit. While orienting
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thepatient to the hospital room, the nurse notices that the patient has placed a
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large amount of cash and some expensive earrings in the drawer of the bedside
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table.
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The Question: What is the best action for the nurse to take?
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Answer – Advise the patient to have her husband take the items home when he leaves.
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5. The Patient: A 45-year-old female who is 5’ 2” tall, weighs 200 pounds, and
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hassmoked since age 21.
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The Situation: The patient comes to the clinic with a complaint of “leg pain.”
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The Question: It is most important for the nurse to obtain information about
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whichprevious occurrence?
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Answer – A previous blood clot in the leg.
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, Hesi a2 critical thinking latest-update
g g g g
6. The Patient: A 61-year-old female.
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The Situation: The patient has a fever of unknown origin. The nurse administered a
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fever-reducing medication 30 minutes ago. At this time there has been no decrease
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inthe patient’s fever.
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The Question: What action would be best for the nurse to take?
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Answer – Sponge the patient with cool water.
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7. The Patient: A 70-year-old male who is relatively healthy.
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The Situation: A liquid mediation is prescribed for this patient.
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The Question: Prior to administering the prescribed medication, what intervention
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hasthe highest priority?
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Answer – Determine if the patient is allergic to the medication.
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8. The Patient: A fifty-eight-year-old female.
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The Situation: While the nurse is offering the patient her morning medications,
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shetells the nurse that she does not recall ever taking a pill that was pink-colored.
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The Question: What should the nurse do in response to this patient’s comment?
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Answer – Withhold the mediation until the patient’s prescription is verify.
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9. The Patients:
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1. A 63-year-old with a burn on the left lower leg who is complaining of pain.
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2. A 45-year-old with pneumonia, complaining of shortness of breath.
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3. A 31-year-old with abdominal pain who has just vomited blood.
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4. An 88-year-old who has right-sided paralysis and wants to be helped to
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thebathroom immediately.
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The Situation: The nurse is caring for these
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patients.The Question: Who should the nurse see
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first?
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Answer – The 45-years old with pneumonia and shortness of breath.
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10. The Patients:
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1. A 13-year-old female with a kidney infection who reports that there is “lots
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ofblood” in her urine.
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2. An 18-year-old male with acute alcohol poisoning who is seeing “bugs on
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thewalls.”
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3. A 21-year-old female with inflammatory bowel disease who has soaked a
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dressingthree hours after surgery.
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4. A 25-year old male who is sobbing in his room after being told that he
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hastesticular cancer.
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The Situation: The nurse is caring for these four
g g g g g g g g
patients.The Question: Who should the nurse see first?
g g g g g g g g g
g g g g
,Hesi a2 critical thinking latest-update
g g g g
Critical Thinking g
1. The Patient: A 65-year- old male.
g g g g g
The Situation: The family brings the patient to the emergency room because he
g g g g g g g g g g g g
justtook an entire bottle of pills.
g g g g g g g
The Question: What action should the nurse take first?
g g g g g g g g
Answer – Determine the patient’s level of consciousness.
g g g g g g g
2. The Patient: An 80 year-old male who has used continuous oxygen for the past
g g g g g g g g g g g g g
threeyears.
g g
The Situation: While making a home visit, the wife tells the nurse that her
g g g g g g g g g g g g g
husbandwas doing well on 2 litres of oxygen per minute until late last night when
g g g g g g g g g g g g g g g g
he developed severe shortness of breath on the way to the bathroom.
g g g g g g g g g g g g
The Question: What action should the nurse take first?
g g g g g g g g
Answer – Assess the patient’s oxygen saturation by pulse oximeter.
g g g g g g g g g
3. The Patient: A 41-year-old male.
g g g g
The Situation: The patient is complaining of severe stomach pain and states that
g g g g g g g g g g g g
hehas been “vomiting all the time.”
g g g g g g g
The Question: What should the nurse do first?
g g g g g g g
Answer – Administer a prescribed pain medication.
g g g g g g
4. The Patient: The wife of a wealthy owner of the town’s bank.
g g g g g g g g g g g
The Situation: The patient and her husband arrive on the unit. While orienting
g g g g g g g g g g g g
thepatient to the hospital room, the nurse notices that the patient has placed a
g g g g g g g g g g g g g g g
large amount of cash and some expensive earrings in the drawer of the bedside
g g g g g g g g g g g g g g
table.
g
The Question: What is the best action for the nurse to take?
g g g g g g g g g g g
Answer – Advise the patient to have her husband take the items home when he leaves.
g g g g g g g g g g g g g g g
5. The Patient: A 45-year-old female who is 5’ 2” tall, weighs 200 pounds, and
g g g g g g g g g g g g g
hassmoked since age 21.
g g g g g
The Situation: The patient comes to the clinic with a complaint of “leg pain.”
g g g g g g g g g g g g g
The Question: It is most important for the nurse to obtain information about
g g g g g g g g g g g g
whichprevious occurrence?
g g g
Answer – A previous blood clot in the leg.
g g g g g g g g
, Hesi a2 critical thinking latest-update
g g g g
6. The Patient: A 61-year-old female.
g g g g
The Situation: The patient has a fever of unknown origin. The nurse administered a
g g g g g g g g g g g g g
fever-reducing medication 30 minutes ago. At this time there has been no decrease
g g g g g g g g g g g g g
inthe patient’s fever.
g g g g
The Question: What action would be best for the nurse to take?
g g g g g g g g g g g
Answer – Sponge the patient with cool water.
g g g g g g g
7. The Patient: A 70-year-old male who is relatively healthy.
g g g g g g g g
The Situation: A liquid mediation is prescribed for this patient.
g g g g g g g g g
The Question: Prior to administering the prescribed medication, what intervention
g g g g g g g g g
hasthe highest priority?
g g g g
Answer – Determine if the patient is allergic to the medication.
g g g g g g g g g g
8. The Patient: A fifty-eight-year-old female.
g g g g
The Situation: While the nurse is offering the patient her morning medications,
g g g g g g g g g g g
shetells the nurse that she does not recall ever taking a pill that was pink-colored.
g g g g g g g g g g g g g g g g
The Question: What should the nurse do in response to this patient’s comment?
g g g g g g g g g g g g
Answer – Withhold the mediation until the patient’s prescription is verify.
g g g g g g g g g g
9. The Patients:
g
1. A 63-year-old with a burn on the left lower leg who is complaining of pain.
g g g g g g g g g g g g g g
2. A 45-year-old with pneumonia, complaining of shortness of breath.
g g g g g g g g
3. A 31-year-old with abdominal pain who has just vomited blood.
g g g g g g g g g
4. An 88-year-old who has right-sided paralysis and wants to be helped to
g g g g g g g g g g g
thebathroom immediately.
g g g
The Situation: The nurse is caring for these
g g g g g g g
patients.The Question: Who should the nurse see
g g g g g g g g
first?
g
Answer – The 45-years old with pneumonia and shortness of breath.
g g g g g g g g g g
10. The Patients:
g
1. A 13-year-old female with a kidney infection who reports that there is “lots
g g g g g g g g g g g g
ofblood” in her urine.
g g g g g
2. An 18-year-old male with acute alcohol poisoning who is seeing “bugs on
g g g g g g g g g g g
thewalls.”
g g
3. A 21-year-old female with inflammatory bowel disease who has soaked a
g g g g g g g g g g
dressingthree hours after surgery.
g g g g g
4. A 25-year old male who is sobbing in his room after being told that he
g g g g g g g g g g g g g g
hastesticular cancer.
g g g
The Situation: The nurse is caring for these four
g g g g g g g g
patients.The Question: Who should the nurse see first?
g g g g g g g g g
