1. I've got to get this recorded and take the rest of the vital signs.

Usually, thinking is routine, as in scenario one, or aimless with random

thoughts running through your head.

Usually, thinking is not purposeful.:

Answer:

A nursing assistant is taking a blood pressure (BP) reading on a patient before

surgery.

BP is 90/60 mm Hg.

The nursing assistant is thinking:

2. I've got to get this recorded and take the rest of the vital signs.

Usually, thinking is routine, as in scenario one, or aimless with random

thoughts running through your head.

Usually, thinking is not purposeful.:

Answer:

A nursing assistant is taking a blood pressure (BP) reading on a patient before

surgery.

BP is 90/60 mm Hg.

The nursing assistant is thinking:

3. Is this a normal blood pressure for this client? Is this patient hypovolemic?

Is he heading into shock? What more should I assess? Could he be septic?

What are the other vital signs?

•Pulse

•Respirations

•Temperature

Do they show a pattern?:

Answer:

A registered nurse (RN) takes a blood pressure reading on the same patient

awaiting surgery.

BP is 90/60 mm Hg.

The RN is thinking:

4. Scenario two is an example of clinical reasoning::