{"id":205,"date":"2019-10-17T17:02:07","date_gmt":"2019-10-17T21:02:07","guid":{"rendered":"https:\/\/opentextbc.ca\/nursingpharmacology\/chapter\/4-17-module-learning-activities\/"},"modified":"2023-08-01T14:42:20","modified_gmt":"2023-08-01T18:42:20","slug":"4-17-module-learning-activities","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/nursingpharmacology\/chapter\/4-17-module-learning-activities\/","title":{"raw":"4.17 Clinical Reasoning and Decision-Making Learning Activities","rendered":"4.17 Clinical Reasoning and Decision-Making Learning Activities"},"content":{"raw":"
\r\n

Lightbulb Moment<\/p>\r\n\r\n<\/header>\r\n

\r\n\r\n\"\"Test your knowledge and application.<\/strong>\r\n\r\nPractice applying your knowledge regarding ANS neuroreceptors to the following client scenarios where a nurse must use clinical judgment for a solution:\r\n
    \r\n \t
  1. A client begins a nicotine patch in an attempt to stop smoking. The client reports feelings of nausea, weakness, and a rapid heartbeat. What is the likely cause of these symptoms, and what is the nurse's best response?<\/li>\r\n \t
  2. A client with benign prostatic hyperplasia (BPH) has a new order for tamsulosin.\u00a0 He asks, \"How will tamsulosin help me? I already take so many pills.\r\n
      \r\n \t
    1. What is the nurse's best response?<\/li>\r\n \t
    2. What does the nurse plan to monitor carefully, especially after administering the first dose of tamsulosin?<\/li>\r\n<\/ol>\r\n<\/li>\r\n \t
    3. A client with asthma is taking albuterol to help when she feels increased shortness of breath.\r\n
        \r\n \t
      1. How will albuterol assist in her breathing?The client states, \"After I take albuterol, it feels like my heart is racing.\"<\/li>\r\n \t
      2. What is the likely cause of this symptom?<\/li>\r\n \t
      3. What is the nurse's best response to the client's concern?<\/li>\r\n<\/ol>\r\n<\/li>\r\n \t
      4. A client with high blood pressure is prescribed propranolol.\r\n
          \r\n \t
        1. How will propranolol help to lower his blood pressure?<\/li>\r\n \t
        2. What will the nurse assess before administering the propranolol?The nurse listens to the client's lungs a few hours after administering propranolol and notices new wheezing.<\/li>\r\n \t
        3. What\u00a0 could be a potential cause of this new finding?<\/li>\r\n \t
        4. What is the nurse's next best response?<\/li>\r\n<\/ol>\r\n<\/li>\r\n \t
        5. A client is prescribed metoprolol to help control his atrial fibrillation, an irregular heart rhythm.\r\n
            \r\n \t
          1. What will the nurse assess before administering the metoprolol?<\/li>\r\n \t
          2. What findings would cause the nurse to call the provider before administering the metoprolol?Upon reassessment the next day, the nurse notices a new finding of edema in the client's feet and lower legs.<\/li>\r\n \t
          3. What could be a potential cause of this new finding?<\/li>\r\n \t
          4. What is the nurse's next best response?<\/li>\r\n<\/ol>\r\n<\/li>\r\n \t
          5. A client with an acute episode of heart failure is admitted and is prescribed dobutamine.\r\n
              \r\n \t
            1. How will dobutamine improve the client's condition?<\/li>\r\n \t
            2. What will the nurse monitor carefully during administration?<\/li>\r\n<\/ol>\r\n<\/li>\r\n<\/ol>\r\nNote: Answers to the Light Bulb Moment can be found in the \"Answer Key<\/a>\" sections at the end of the book.\r\n\r\n<\/div>\r\n<\/div>","rendered":"
              \n
              \n

              Lightbulb Moment<\/p>\n<\/header>\n

              \n

              \"\"Test your knowledge and application.<\/strong><\/p>\n

              Practice applying your knowledge regarding ANS neuroreceptors to the following client scenarios where a nurse must use clinical judgment for a solution:<\/p>\n

                \n
              1. A client begins a nicotine patch in an attempt to stop smoking. The client reports feelings of nausea, weakness, and a rapid heartbeat. What is the likely cause of these symptoms, and what is the nurse’s best response?<\/li>\n
              2. A client with benign prostatic hyperplasia (BPH) has a new order for tamsulosin.\u00a0 He asks, “How will tamsulosin help me? I already take so many pills.\n
                  \n
                1. What is the nurse’s best response?<\/li>\n
                2. What does the nurse plan to monitor carefully, especially after administering the first dose of tamsulosin?<\/li>\n<\/ol>\n<\/li>\n
                3. A client with asthma is taking albuterol to help when she feels increased shortness of breath.\n
                    \n
                  1. How will albuterol assist in her breathing?The client states, “After I take albuterol, it feels like my heart is racing.”<\/li>\n
                  2. What is the likely cause of this symptom?<\/li>\n
                  3. What is the nurse’s best response to the client’s concern?<\/li>\n<\/ol>\n<\/li>\n
                  4. A client with high blood pressure is prescribed propranolol.\n
                      \n
                    1. How will propranolol help to lower his blood pressure?<\/li>\n
                    2. What will the nurse assess before administering the propranolol?The nurse listens to the client’s lungs a few hours after administering propranolol and notices new wheezing.<\/li>\n
                    3. What\u00a0 could be a potential cause of this new finding?<\/li>\n
                    4. What is the nurse’s next best response?<\/li>\n<\/ol>\n<\/li>\n
                    5. A client is prescribed metoprolol to help control his atrial fibrillation, an irregular heart rhythm.\n
                        \n
                      1. What will the nurse assess before administering the metoprolol?<\/li>\n
                      2. What findings would cause the nurse to call the provider before administering the metoprolol?Upon reassessment the next day, the nurse notices a new finding of edema in the client’s feet and lower legs.<\/li>\n
                      3. What could be a potential cause of this new finding?<\/li>\n
                      4. What is the nurse’s next best response?<\/li>\n<\/ol>\n<\/li>\n
                      5. A client with an acute episode of heart failure is admitted and is prescribed dobutamine.\n
                          \n
                        1. How will dobutamine improve the client’s condition?<\/li>\n
                        2. What will the nurse monitor carefully during administration?<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

                          Note: Answers to the Light Bulb Moment can be found in the “Answer Key<\/a>” sections at the end of the book.<\/p>\n<\/div>\n<\/div>\n","protected":false},"author":90,"menu_order":17,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[50],"contributor":[],"license":[],"class_list":["post-205","chapter","type-chapter","status-publish","hentry","chapter-type-numberless"],"part":150,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/users\/90"}],"version-history":[{"count":6,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/205\/revisions"}],"predecessor-version":[{"id":1726,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/205\/revisions\/1726"}],"part":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/parts\/150"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/205\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/media?parent=205"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapter-type?post=205"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/contributor?post=205"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/nursingpharmacology\/wp-json\/wp\/v2\/license?post=205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}