Download Critical Thinking in the Obstetrics Unit: Skills to Assess, by Shelley Cohen PDF

By Shelley Cohen

Serious pondering within the Obstetrics Unit: talents to evaluate, study, and Act is a brand new, easy-to-read source that explains the foundations at the back of severe considering and the way to inspire nurses to take advantage of serious pondering equipment. This crucial booklet presents recommendations for managers and nurse educators to take advantage of in constructing serious considering abilities, in addition to instruments and assets to exploit in school room education periods. serious considering within the Obstetrics Unit covers the way to lead lecture room periods for brand spanking new graduates or more matured nurses, together with pointers on profitable lecture room strategies and studying innovations. Examples of serious considering abilities that may be taught comprise constructing prioritization abilities, understanding whilst to name the medical professional, and generating potent documentation.

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The one-day postoperative patient may be restless due to pain, but has shock been ruled out? How would you do that? This is particularly important to stress during a critical-thinking class, but it should also be brought up again and again. Remember, repetition is the mother of all learning. ” so that this may be ruled out as necessary, and the process should eventually become automatic. ” It illustrates the overarching principle that nurses should first consider the most common causes for a patient’s presentation, but be alert to the fact there are some “zebras” out there.

Which patient should nurses provide care to first? a. Patient with bronchitis who can speak phrases b. Patient with emphysema with a PO2 of 92% on 2L/min c. Patient three days post-operative with a cough productive of green phlegm d. Patient with asthma on whom the nurse cannot auscultate breath sounds Answer: D AIRWAY Risk for airway problems • Decreased level of consciousness • Sedated • Vomiting • Allergic reactions (unpredictable progression) Signs of airway distress • Hoarseness (after smoke inhalation, unrelated to a cold) • Singed nasal hairs • Snoring respirations (tongue falling back in an unconscious patient) • Presence of vomitus, bleeding, secretions • Edema of the lips/mouth tissues • Preferred position (tripod) • Drooling in an adult (throat is too swollen to swallow spit, epiglottis) • Dysphagia • Abnormal signs, such as strider, burgling, “death rattle” from secretions Assess • Look, listen, feel • Level of consciousness r/t oxygenation Critical Thinking in the Obstetrics Unit ©2006 HCPro, Inc.

Nurses should first a. administer the ordered prn analgesic c. obtain a description of the pain b. assess for the presence of bowel sounds d. check the vital signs Answer: C. Do not assume the pain is postoperative. Postoperative patients can have MIs or cholecystitis. Prioritization with individual patients Maslow Self-actualization needs Esteem needs Safety needs Physiologic needs ABCD: A before B before C before D A Airway If the patient is talking, the airway is intact B Breathing Normal respirations are quiet and effortless C Circulation Pink, warm, orientation r/t perfusion D Disability Pain Neurological assessment Mental status changes Quick Tip: 30-2-CAN DO means patient is adequately oxygenated and perfused to allow you to proceed.

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