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You are a cardiac nurse with 12 years' floor experience, caring for a patient who is 2 days postoperative extensive cardiac bypass. The previous shift's nurse reports that the patient was resting comfortably an unremarkable shift. As you begin your first assessment, "something" prompts you that this could be an eventful shift with this patient. The patient is off the ventilator, conversing with you and his family. Everything seems to be fine, but you just can't get rid of the feeling that something may happen.
1. What data in this scenario are pertinent?
2. How would you explain the "something" that is giving you pause regarding the patient's condition? Contrast this experience with the other two approaches to problem solving.
3. What steps could you take in response to your inkling?
4. Where could you find help in your situation?
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