A client with unstable cardiac dysrhythmias has orders for medications, one of which is by oralroute, the other by IV delivery. The nurse realizes that the IV route would be fastest, but is alsoconcerned about the side effects that this drug may produce and the fact that the client has nevertaken the drug, so any adverse effect is unknown. Which part of the decision-making process isthe nurse using?1. Identify the purpose2. Seek alternatives3. Project4. ImplementRationale:Identifying the purpose, in this case, would be determining that the client needsintervention to control the dysrhythmia. In this step, the decision maker (nurse) identifiespossible ways to meet the criteria. Alternatives considered are which by route to give a certainmedication: IV versus oral. The nurse is utilizing his experience, taking what he knows aboutcardiac problems and pharmacology, and will make a selection based on thatinformation. Projecting is when the nurse applies creative thinking and skepticism to determinewhat might go wrong as a result of a decision and develops plans to prevent, minimize, orovercome any problems. Implementation is taking the plan into action.
Prior to providing client care, the nurse reviews previous shift charting and the responses tonursing interventions. Which decision-making action is the nurse using?
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