8th Edition by Mariann M. Harding;
Chapter 1 - 15
,Clinical OL,Reasoning OL,Cases OL,in OL,Nursing OL,8th OL,Edition OL,Harding OL,Snyder OL,Test OL,Bank
Contents:
Chapter OL,1. OL,Perfusion
Chapter OL,2. OL,Gas OL,Exchange
Chapter OL,3. OL,Mobility
Chapter OL,4. OL,Digestion
Chapter OL,5. OL,Urinary OL,Elimination
Chapter OL,6. OL,Intracranial OL,Regulation
Chapter OL,7. OL,Metabolism OL,and OL,Glucose OL,Regulation
Chapter OL,8. OL,Immunity
Chapter OL,9. OL,Cellular OL,Regulation
Chapter OL,10. OL,Tissue OL,Integrity
Chapter OL,11. OL,Cognition
Chapter OL,12. OL,Infection OL,and OL,Inflammation
Chapter OL,13. OL,Developmental
Chapter OL,14. OL,Reproductive
Chapter OL,15. OL,Mood, OL,Stress, OL,and OL,Addiction
,Chapter OL,1. OL,Perfusion
Clinical OL,Reasoning OL,Cases OL,in OL,Nursing OL,8th OL,Edition OL,Harding OL,Snyder OL,Test OL,Bank
MULTIPLE OL,CHOICE
1. OL,The OL,nurse OL,is OL,explaining OL,to OL,a OL,student OL,nurse OL,about OL,impaired OL,central OL,perfusion.
OL,The OL,nurse OL,knows OL,the OL,student OL,understands OL,this OL,problem OL,when OL,the OL,student
OL,states, OL,Central OL,perfusion
a. Is OL,monitored OL,only OL,by OL,the OL,physician.
b. Involves OL,the OL,entire OL,body.
c. Is OL,decreased OL,with OL,hypertension.
d. Is OL,toxic OL,to OL,the OL,cardiac OL,system.
ANSWER: OL,B
Central OL,perfusion OL,does OL,involve OL,the OL,entire OL,body OL,as OL,all OL,organs OL,are OL,supplied OL,with
OL,oxygen OL,and OL,vital OL,Nutrients. OL,The OL,physician OL,does OL,not OL,control OL,the OL,bodys OL,ability
OL,for OL,perfusion. OL,Central OL,perfusion OL,is OL,notdecreased OL,with OL,hypertension. OL,Central
OL,perfusion OL,is OL,not OL,toxic OL,to OL,the OL,cardiac OL,system.
2. OL,A OL,patient OL,was OL,diagnosed OL,with OL,hypertension. OL,The OL,patient OL,asks OL,the OL,nurse OL,how
OL,this OL,disease OL,could OL,have OL,happened OL,to OL,them. OL,The OL,nurses OL,best OL,response OL,is
OL,Hypertension
a. Happens OL,to OL,everyone OL,sooner OL,or OL,later. OL,Dont OL,be OL,concerned OL,about OL,it.
b. Can OL,happen OL,from OL,eating OL,a OL,poor OL,diet, OL,so OL,change OL,what OL,you OL,are OL,eating.
c. Can OL,happen OL,from OL,arterial OL,changes OL,that OL,impede OL,the OL,blood OL,flow.
d. Happens OL,when OL,people OL,do OL,not OL,exercise, OL,so OL,you OL,should
OL,walk OL,every OL,day.
ANSWER: OL,C
Hardening OL,of OL,the OL,arteries OL,from OL,atherosclerosis OL,can OL,cause OL,hypertension OL,in OL,the
OL,patient. OL,Hypertension OL,does OL,not OL,happen OL,to OL,everyone. OL,Changing OL,the OL,patients OL,diet
OL,and OL,exercising OL,may OL,be OL,a OL,positive OL,life OL,change, OL,but OL,these OL,answers OL,do OL,not
OL,explain OL,to OL,the OL,patient OL,how OL,the OL,disease OL,could OL,have OL,happened.
3. OL,The OL,patient OL,asks OL,the OL,nurse OL,to OL,explain OL,the OL,sinoatrial OL,node OL,in OL,the OL,heart. OL,The
OL,nurses OL,best OL,response OL,would OL,be, OL,The OL,sinoatrial OL,node
a. Provides OL,the OL,heart OL,with OL,the OL,stimulation OL,to OL,beat OL,in OL,a OL,normal OL,rhythm.
b. Protects OL,the OL,heart OL,from OL,atherosclerotic OL,changes.
c. Provides OL,the OL,heart OL,with OL,oxygenated OL,blood.
, d. Protects OL,the OL,heart
OL,from OL,infection.
ANSWER: OL,A
The OL,sinoatrial OL,node OL,is OL,the OL,natural OL,pacemaker OL,of OL,the OL,heart, OL,and OL,it OL,assists OL,the
OL,heart OL,to OL,beat OL,in OL,a OL,Normal OL,rhythm. OL,The OL,sinoatrial OL,node OL,does OL,not OL,protect OL,from
OL,atherosclerotic OL,changes OL,or OL,infection,and OL,it OL,does OL,not OL,directly OL,provide OL,the OL,heart
OL,with OL,oxygenated OL,blood.
4. OL,The OL,patient OL,is OL,brought OL,to OL,the OL,emergency OL,department OL,after OL,a OL,motor OL,vehicle
OL,accident. OL,The OL,patient OL,is OL,diagnosed OL,with OL,internal OL,bleeding. OL,The OL,nurses OL,primary
OL,concern OL,is OL,to OL,monitor OL,for
a. Mental OL,alertness.
b. Perfusion.
c. Pain.
d. Reaction
OL,to OL,medications.
ANSWER: OL,B
Perfusion OL,is OL,the OL,correct OL,answer, OL,because OL,with OL,internal OL,bleeding, OL,the OL,nurse OL,should OL,monitor
OL,vital
Signs OL,to OL,be OL,sure OL,perfusion OL,is OL,happening. OL,Mental OL,alertness, OL,pain, OL,and OL,medication
OL,reactions OL,areimportant OL,but OL,not OL,the OL,primary OL,concern.
5. OL,A OL,patients OL,serum OL,electrolytes OL,are OL,being OL,monitored. OL,The OL,nurse OL,notices OL,that
OL,the OL,potassium OL,level OL,is OL,low. OL,The OL,nurse OL,knows OL,that OL,the OL,patient OL,should OL,be
OL,observed OL,for
a. Tissue OL,ischemia.
b. Brain OL,malformations.
c. Intestinal OL,blockage.
d. Cardiac
OL,dysthymia.
ANSWER: OL,D
Cardiac OL,dysthymia OL,is OL,a OL,possibility OL,when OL,serum OL,potassium OL,is OL,high OL,or OL,low. OL,Tissue OL,ischemia,
OL,brain OL,Malformations, OL,or OL,intestinal OL,blockage OL,do OL,not OL,have OL,a OL,direct OL,correlation OL,to OL,potassium
OL,irregularities.
6. OL,A OL,nurse OL,is OL,explaining OL,to OL,a OL,student OL,nurse OL,about OL,perfusion. OL,The OL,nurse OL,knows
OL,the OL,student OL,understands OL,the OL,concept OL,of OL,perfusion OL,when OL,the OL,student OL,states,
OL,Perfusion
a. Is OL,a OL,normal OL,function OL,of OL,the OL,body, OL,and OL,I OL,dont OL,have OL,to OL,be OL,concerned OL,about OL,it.
b. Is OL,monitored OL,by OL,the OL,physician, OL,and OL,I OL,just OL,follow OL,orders.
c. Is OL,monitored OL,by OL,vital OL,signs OL,and OL,capillary OL,refill.