Recognize cues-what information is relevant-irrelevant

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Anthony is a 54-year-old male with a history of nausea and vomiting for the past week. He has been self-medicating himself with baking soda to control his abdominal discomfort. Recognize Cues-What information is relevant/irrelevant? What matters most right now? Analyze Cues-What issue is the client at risk for developing or what potential condition could the client be experiencing? Prioritize-What is most likely happening? What should the nurse address first? Generate Solutions-What is the best intervention? What is indicated/contraindicated? Which orders are anticipated? Take Actions-What intervention should be implemented immediately? What can be delegated? Evaluate Outcomes -How do you know the nurse's interventions were effective? What additional interventions should the nurse implement if the initial interventions were not effective?

Reference no: EM133718369

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