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SURGICAL NURSING: CLINICAL REASONING I
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N HOSPITAL CLIENT CARE 7TH EDITION/ALL C
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HAPTERS 1-52
f7
,Chapterf71
1. Thef7caregiverf7isf7caringf7forf7fourf7Hospitalf7clientsf7onf7af7medical–
surgicalf7unit.f7Whichf7Hospitalf7clientf7shouldf7thef7caregiverf7seef7initially?
1. Af7Hospitalf7clientf7admittedf7withf7hepatitisf7Af7whof7hasf7hadf7se
veref7diarrheaf7forf7thelastf724f7hours
2. Af7Hospitalf7clientf7admittedf7withf7pneumoniaf7whof7isf7hasf7s
mallf7amountsf7ofyellowf7productivef7sputum
3. Af7Hospitalf7clientf7admittedf7withf7feverf7off7unknownf7originf7(F
UO)f7whof7hasbeenf7withoutf7feverf7forf7thef7lastf748f7hours
4. Af7Hospitalf7clientf7admittedf7withf7af7woundf7infectionf7whosef7WB
Cf7isf78,500f7mm3ACCURATEf7ANSWER:-1
Reasoning:-
>>>Thef7caregiverf7mustf7decidef7whichf7Hospitalf7clientf7shouldf7bef7seenf7onf7th
ef7initialf7roundsf7off7thef7day.f7Thef7caregiverf7mustf7rememberf7thatf7thef7first
Hospitalf7clientf7tof7bef7seenf7shouldf7bef7thef7Hospitalf7clientf7whof7needsf7thef7at
tentionf7off7thef7caregiverf7initially.f7Af7Hospitalf7clientf7withf7hepatitisf7Af7doesf
7experiencef7diarrhea,butf7diarrheaf7forf7thef7lastf724f7hoursf7couldf7causef7thef7H
ospitalf7clientf7tof7havef7af7problemf7withdehydrationf7andf7experiencef7af7statef7o
ff7fluidf7volumef7deficit.
Cognitivef7Level:f7Application
Hospitalf7clientf7Needs:f7Safe,f7Effectivef7Caref7
EnvironmentNursingf7Process:f7Planning
2. Thef7caregiverf7isf7preparingf7tof7administerf7influenzaf7vaccinesf7tof7af7massf7drive-
throughf7clinic.f7Whichf7statementf7byf7af7Hospitalf7clientf7wouldf7indicatef7furtherf7quest
ioningf7priorf7tof7givingf7thef7Hospitalf7clientf7thef7influenzaf7vaccine?
1. ―If7amf7allergicf7tof7horsef7hair.‖
2. ―If7tryf7tof7getf7myf7vaccinef7everyf7year.‖
3. ―If7amf7notf7allergicf7tof7anythingf7exceptf7eggs.‖
4. ―Myf7husbandf7hadf7af7severef7allergicf7reactionf7afterf7hef7receivedf7hisf7infl
uenzaf7vaccine.‖
ACCURATEf7ANSWER:-3
Reasoning:-
>>>Influenzaf7vaccinesf7aref7recommendedf7forf7personf7atf7highf7riskf7forf7seriou
sf7sequelaef7off7influenza.f7Thef7caregiverf7shouldf7bef7awaref7thatf7Hospitalf7client
f7withf7af7sensitivityf7tof7eggsf7shouldf7notf7receivef7thef7vaccine.f7Vaccinesf7prepar
,edf7fromf7chickenf7orf7duckf7embryosf7aref7contraindicatedf7inf7Hospitalf7clientsf7w
hof7aref7allergicf7tof7eggs.
, Cognitivef7Level:f7Application
Hospitalf7clientf7Needs:f7Safe,f7Effectivef7Caref7
EnvironmentNursingf7Process:f7Assessment
3. Thef7caregiverf7isf7caringf7forf7fourf7Hospitalf7clientsf7onf7af7medical–
surgicalf7unit.f7Thef7secretaryf7givesf7thef7caregiverf7thef7morningf7labs.f7Whichf7off7thef7fo
llowingf7labsf7wouldf7requiref7thatf7thef7caregiverf7callf7thef7physicianf7andf7informf7thef7he
althcaref7providerf7aboutf7thef7Hospitalf7client‘sf7abnormalities?
1. WBCf714,600f7mm3
2. Serumf7proteinf76.9f7g/dL
3. If7&f7Df7(incisionf7andf7drainage)f7showingf7nof7 growthf7forf7thef7lastf724f7hours
4. Albuminf74.2f7g/d
Lf7ACCURATEf7ANSWER:-1
Reasoning:-
>>>Whenf7thef7caregiverf7isf7caringf7forf7severalf7Hospitalf7clients,f7allf7off7thef7labssho
uldf7bef7checkedf7frequentlyf7throughoutf7thef7shiftf7tof7assessf7forf7anyf7abnormalities.f7
TheWBCf7inf7optionf71f7isf7abnormal.f7(Normalf7WBCf74,000–
10,000f7mm3.)f7Allf7off7thef7otherf7labresultsf7aref7withinf7acceptablef7range;f7therefore,f7
thef7resultsf7shouldf7notf7bef7calledf7inf7tof7thephysician.
Cognitivef7Level:f7Applicationf7Hospi
talf7clientf7Needs:
Physiologicf7Integrityf7Nursi
ngf7Process:
Assessment
4. Thef7caregiverf7isf7orientingf7af7newf7graduate.f7Thef7caregiverf7isf7reinforcingf
7thef7importancef7off7standardf7precautions.f7Whichf7off7thef7followingf7observati
onsf7byf7thef7caregiverf7wouldf7requiref7furtherf7educationf7regardingstandardf7pr
ecautions?
1. Thef7graduatef7caregiverf7understandsf7tof7washf7handsf7whenenter
ingf7andf7exitingf7thef7Hospitalf7client‘sf7room.
2. Thef7graduatef7caregiverf7wearsf7glovesf7whenf7servingf7breakfasttray
sf7tof7variousf7Hospitalf7clients.
3. Thef7graduatef7caregiverf7wearsf7af7gown,f7gloves,f7andf7gogglesf7
whenf7suctioningf7af7Hospitalf7client.
4. Thef7graduatef7caregiverf7leavesf7allf7suppliesf7inf7thef7roomf7off7aHo
spitalf7clientf7whof7isf7inf7contactf7isolation.
ACCURATEf7ANSWER:-2