Explain the impact of relational inquiry when recognizing and analyzing cues to action in the process of clinical reasoning.
Integrate modes of inquiry to generate and evaluate hypotheses in the context of clinical reasoning.
Determine appropriate responses when integrating situated cognition into clinical reasoning.
Modify clinical judgement within an iterative, outcome-based cycle of clinical reasoning and client needs.
You are a student in the last term of a BSN Program. You are preparing for an end of term exam. To help you prepare, your instructor developed three real world clinical scenarios to provide opportunities for you to apply clinical reasoning and clinical judgement. The instructor stated, “You received reports on these clients. Decide which one you need to see first and then make appropriate nursing decisions based on relevant information to promote positive client outcomes.”
The three scenarios include:
Record your answers to these statements.
Rank the three scenarios provided in order of priority related to which client you will assess first, second and third.
Defend your selection for the three ranked scenarios.
Review the data below for the priority client to determine what to assess first.
Chest X-ray no abnormalities noted
Abdominal X-ray :diffuse gas throughout the small intestine
Hyperactive bowel sounds in all 4 quadrants and abdomen painful to touch