Clinical judgment / Next Gen NCLEX case studies · practice question

The nurse reviewing updated assessment data is being evaluated for nursing care related to analyze cues. Assessment data include the exhibit shows rising oxygen needs, new crackles, and decreasing urine output. Using the clinical judgment model, what is the nurse's first step?

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Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.Evaluate discharge readiness before addressing acute findings.Implement the first intervention on the existing care plan without reviewing new data.Document the assessment at the end of the shift and continue the prior plan.

Answer and explanation

Correct answer

A. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.

Why

NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.

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The nurse reviewing updated assessment data is being evaluated for nursing care related to analyze cues. Assessment data include the exhibit shows rising oxygen needs, new crackles, and decreasing urine output. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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