TEST BANK
Medical-Surgical Nursing: Critical Thinking in Client Care
Priscilla LeMone
4th Edition
Chapter 1-51 (Rationalized Answers)
PR
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FD
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,Table of Contents — Medical-Surgical Nursing: Critical Thinking in Client Care
(4th Edition)
1. Medical-Surgical Nursing
2. Health and Illness in the Adult Client
3. Community-Based and Home Care of the Adult Client
4. Nursing Care of Clients Having Surgery
5. Nursing Care of Clients Experiencing Loss, Grief, and Death
6. Nursing Care of Clients with Problems of Substance Abuse
7. Nursing Care of Clients Experiencing Disasters
8. Genetic Implications of Adult Health
9. Nursing Care of Clients in Pain
PR
10. Nursing Care of Clients with Altered Fluid, Electrolyte, and Acid-Base Balance
11. Nursing Care of Clients Experiencing Trauma and Shock
12. Nursing Care of Clients with Infection
13. Nursing Care of Clients with Altered Immunity
O
14. Nursing Care of Clients with Cancer
15. Assessing Clients with Integumentary Disorders
16. Nursing Care of Clients with Integumentary Disorders
FD
17. Nursing Care of Clients with Burns
18. Assessing Clients with Endocrine Disorders
19. Nursing Care of Clients with Endocrine Disorders
20. Nursing Care of Clients with Diabetes Mellitus
O
21. Assessing Clients with Nutritional and Gastrointestinal Disorders
22. Nursing Care of Clients with Nutritional Disorders
C
23. Nursing Care of Clients with Upper Gastrointestinal Disorders
24. Nursing Care of Clients with Gallbladder, Liver, and Pancreatic Disorders
25. Assessing Clients with Bowel Elimination Disorders
26. Nursing Care of Clients with Bowel Disorders
27. Assessing Clients with Urinary Elimination Disorders
28. Nursing Care of Clients with Urinary Tract Disorders
29. Nursing Care of Clients with Kidney Disorders
30. Assessing Clients with Cardiac Disorders
31. Nursing Care of Clients with Coronary Heart Disease
32. Nursing Care of Clients with Cardiac Disorders
33. Assessing Clients with Hematologic, Peripheral Vascular, and Lymphatic Disorders
34. Nursing Care of Clients with Hematologic Disorders
35. Nursing Care of Clients with Peripheral Vascular Disorders
36. Assessing Clients with Respiratory Disorders
,37. Nursing Care for Clients with Upper Respiratory Disorders
38. Nursing Care of Clients with Ventilation Disorders
39. Nursing Care of Clients with Gas Exchange Disorders
40. Assessing Clients with Musculoskeletal Disorders
41. Nursing Care of Clients with Musculoskeletal Trauma
42. Nursing Care of Clients with Musculoskeletal Disorders
43. Assessing Clients with Neurologic Disorders
44. Nursing Care of Clients with Intracranial Disorders
45. Nursing Care of Clients with Cerebrovascular and Spinal Cord Disorders
46. Nursing Care of Clients with Neurologic Disorders
47. Assessing Clients with Eye and Ear Disorders
PR
48. Nursing Care of Clients with Eye and Ear Disorders
49. Assessing Clients with Reproductive System and Breast Disorders
50. Nursing Care of Men with Reproductive System and Breast Disorders
51. Nursing Care of Women with Reproductive System and Breast Disorders.
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FD
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, Chapter 1
1. The nurse is caring for four clients on a medical–surgical unit. Which client should the
nurse see initially?
1. A client admitted with hepatitis A who has had severe diarrhea for the last
24 hours
2. A client admitted with pneumonia who is has small amounts of yellow
productive sputum
3. A client admitted with fever of unknown origin (FUO) who has been
without fever for the last 48 hours
4. A client admitted with a wound infection whose WBC is 8,500 mm3
PR
Answer: 1
Rationale: The nurse must decide which client should be seen on the initial rounds of the
day. The nurse must remember that the first client to be seen should be the client
who needs the attention of the nurse initially. A client with hepatitis A does
experience diarrhea, but diarrhea for the last 24 hours could cause the client to
O
have a problem with dehydration and experience a state of fluid volume deficit.
Cognitive Level: Application
FD
Client Needs: Safe, Effective Care Environment
Nursing Process: Planning
2. The nurse is preparing to administer influenza vaccines to a mass drive-through clinic.
O
Which statement by a client would indicate further questioning prior to giving the client
the influenza vaccine?
1. “I am allergic to horse hair.”
C
2. “I try to get my vaccine every year.”
3. “I am not allergic to anything except eggs.”
4. “My husband had a severe allergic reaction after he received his influenza
vaccine.”
Answer: 3
Rationale: Influenza vaccines are recommended for person at high risk for serious
sequelae of influenza. The nurse should be aware that client with a sensitivity to
eggs should not receive the vaccine. Vaccines prepared from chicken or duck
embryos are contraindicated in clients who are allergic to eggs.
Cognitive Level: Application
Medical-Surgical Nursing: Critical Thinking in Client Care
Priscilla LeMone
4th Edition
Chapter 1-51 (Rationalized Answers)
PR
O
FD
O
C
,Table of Contents — Medical-Surgical Nursing: Critical Thinking in Client Care
(4th Edition)
1. Medical-Surgical Nursing
2. Health and Illness in the Adult Client
3. Community-Based and Home Care of the Adult Client
4. Nursing Care of Clients Having Surgery
5. Nursing Care of Clients Experiencing Loss, Grief, and Death
6. Nursing Care of Clients with Problems of Substance Abuse
7. Nursing Care of Clients Experiencing Disasters
8. Genetic Implications of Adult Health
9. Nursing Care of Clients in Pain
PR
10. Nursing Care of Clients with Altered Fluid, Electrolyte, and Acid-Base Balance
11. Nursing Care of Clients Experiencing Trauma and Shock
12. Nursing Care of Clients with Infection
13. Nursing Care of Clients with Altered Immunity
O
14. Nursing Care of Clients with Cancer
15. Assessing Clients with Integumentary Disorders
16. Nursing Care of Clients with Integumentary Disorders
FD
17. Nursing Care of Clients with Burns
18. Assessing Clients with Endocrine Disorders
19. Nursing Care of Clients with Endocrine Disorders
20. Nursing Care of Clients with Diabetes Mellitus
O
21. Assessing Clients with Nutritional and Gastrointestinal Disorders
22. Nursing Care of Clients with Nutritional Disorders
C
23. Nursing Care of Clients with Upper Gastrointestinal Disorders
24. Nursing Care of Clients with Gallbladder, Liver, and Pancreatic Disorders
25. Assessing Clients with Bowel Elimination Disorders
26. Nursing Care of Clients with Bowel Disorders
27. Assessing Clients with Urinary Elimination Disorders
28. Nursing Care of Clients with Urinary Tract Disorders
29. Nursing Care of Clients with Kidney Disorders
30. Assessing Clients with Cardiac Disorders
31. Nursing Care of Clients with Coronary Heart Disease
32. Nursing Care of Clients with Cardiac Disorders
33. Assessing Clients with Hematologic, Peripheral Vascular, and Lymphatic Disorders
34. Nursing Care of Clients with Hematologic Disorders
35. Nursing Care of Clients with Peripheral Vascular Disorders
36. Assessing Clients with Respiratory Disorders
,37. Nursing Care for Clients with Upper Respiratory Disorders
38. Nursing Care of Clients with Ventilation Disorders
39. Nursing Care of Clients with Gas Exchange Disorders
40. Assessing Clients with Musculoskeletal Disorders
41. Nursing Care of Clients with Musculoskeletal Trauma
42. Nursing Care of Clients with Musculoskeletal Disorders
43. Assessing Clients with Neurologic Disorders
44. Nursing Care of Clients with Intracranial Disorders
45. Nursing Care of Clients with Cerebrovascular and Spinal Cord Disorders
46. Nursing Care of Clients with Neurologic Disorders
47. Assessing Clients with Eye and Ear Disorders
PR
48. Nursing Care of Clients with Eye and Ear Disorders
49. Assessing Clients with Reproductive System and Breast Disorders
50. Nursing Care of Men with Reproductive System and Breast Disorders
51. Nursing Care of Women with Reproductive System and Breast Disorders.
O
FD
O
C
, Chapter 1
1. The nurse is caring for four clients on a medical–surgical unit. Which client should the
nurse see initially?
1. A client admitted with hepatitis A who has had severe diarrhea for the last
24 hours
2. A client admitted with pneumonia who is has small amounts of yellow
productive sputum
3. A client admitted with fever of unknown origin (FUO) who has been
without fever for the last 48 hours
4. A client admitted with a wound infection whose WBC is 8,500 mm3
PR
Answer: 1
Rationale: The nurse must decide which client should be seen on the initial rounds of the
day. The nurse must remember that the first client to be seen should be the client
who needs the attention of the nurse initially. A client with hepatitis A does
experience diarrhea, but diarrhea for the last 24 hours could cause the client to
O
have a problem with dehydration and experience a state of fluid volume deficit.
Cognitive Level: Application
FD
Client Needs: Safe, Effective Care Environment
Nursing Process: Planning
2. The nurse is preparing to administer influenza vaccines to a mass drive-through clinic.
O
Which statement by a client would indicate further questioning prior to giving the client
the influenza vaccine?
1. “I am allergic to horse hair.”
C
2. “I try to get my vaccine every year.”
3. “I am not allergic to anything except eggs.”
4. “My husband had a severe allergic reaction after he received his influenza
vaccine.”
Answer: 3
Rationale: Influenza vaccines are recommended for person at high risk for serious
sequelae of influenza. The nurse should be aware that client with a sensitivity to
eggs should not receive the vaccine. Vaccines prepared from chicken or duck
embryos are contraindicated in clients who are allergic to eggs.
Cognitive Level: Application
