The nurse is assessing a patient before hanging an IV solution of 0.9% NaCl with KCl in it. Which assessment finding should cause the nurse to hold the IV solution and contact the physician?

A) Weight gain of 2 pounds since last week
B) Dry mucous membranes and skin tenting
C) Urine output 8 mL/hr
D) Blood pressure 98/58

Which action by a nurse indicates application of the critical thinking model to make the best clinical decisions?

A) Drawing on past clinical experiences to formulate standardized care plans
B) Relying on recall of information from past lectures and textbooks
C) Depending on the charge nurse to determine priorities of care
D) Using the nursing process