HESI A2 Critical Thinking Latest UpdateCritical Thinking
1. The Patient: A 65-year- old male.
The Situation: The family brings the patient to the emergency room because he just
took an entire bottle of pills.
The Que
...
HESI A2 Critical Thinking Latest UpdateCritical Thinking
1. The Patient: A 65-year- old male.
The Situation: The family brings the patient to the emergency room because he just
took an entire bottle of pills.
The Question: What action should the nurse take first?
Answer – Determine the patient’s level of consciousness.
2. The Patient: An 80 year-old male who has used continuous oxygen for the past three
years.
The Situation: While making a home visit, the wife tells the nurse that her husband
was doing well on 2 litres of oxygen per minute until late last night when he
developed severe shortness of breath on the way to the bathroom.
The Question: What action should the nurse take first?
Answer – Assess the patient’s oxygen saturation by pulse oximeter.
3. The Patient: A 41-year-old male.
The Situation: The patient is complaining of severe stomach pain and states that he
has been “vomiting all the time.”
The Question: What should the nurse do first?
Answer – Administer a prescribed pain medication.
4. The Patient: The wife of a wealthy owner of the town’s bank.
The Situation: The patient and her husband arrive on the unit. While orienting the
patient to the hospital room, the nurse notices that the patient has placed a large
amount of cash and some expensive earrings in the drawer of the bedside table.
The Question: What is the best action for the nurse to take?
Answer – Advise the patient to have her husband take the items home when he leaves.
5. The Patient: A 45-year-old female who is 5’ 2” tall, weighs 200 pounds, and has
smoked since age 21.
The Situation: The patient comes to the clinic with a complaint of “leg pain.”
The Question: It is most important for the nurse to obtain information about which
previous occurrence?
Answer – A previous blood clot in the leg.
6. The Patient: A 61-year-old female.
The Situation: The patient has a fever of unknown origin. The nurse administered a
fever-reducing medication 30 minutes ago. At this time there has been no decrease in
the patient’s fever.
The Question: What action would be best for the nurse to take?
Answer – Sponge the patient with cool water.
7. The Patient: A 70-year-old male who is relatively healthy.
The Situation: A liquid mediation is prescribed for this patient.
The Question: Prior to administering the prescribed medication, what intervention has
the highest priority?
Answer – Determine if the patient is allergic to the medication.
8. The Patient: A fifty-eight-year-old female.
The Situation: While the nurse is offering the patient her morning medications, she
tells the nurse that she does not recall ever taking a pill that was pink-colored.
The Question: What should the nurse do in response to this patient’s comment?
Answer – Withhold the mediation until the patient’s prescription is verify.
9. The Patients:
1. A 63-year-old with a burn on the left lower leg who is complaining of pain.
2. A 45-year-old with pneumonia, com
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