TEST BANK for Clinical Reasoning Cases in Nursing by Harding 8th Edition – All Chapters (1–15) | Verified Answers for Exam Success

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TEST BANK
Clinical reasoning cases in nursing
by Mariann M. Harding
8th Edition
All Chapters (1-15) | Correct & Accurate Verified Answers |Graded A+

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Chapter 1.Perfusion

MULTIPLEGCHOICE
1.GTheGnurseGisGexplainingGtoGaGstudentGnurseGaboutGimpairedGcentralGperfusion.GThe
GnurseGknowsGt
heGstudentGunderstandsGthisGproblemGwhenGtheGstudentGstates,GCentralGperfusion



a. IsGmonitoredGonlyGbyGtheGphysician.
b. InvolvesGtheGentireGbody.
c. IsGdecreasedGwithGhypertension.
d. IsGtoxicGtoGtheGcardiacGsystem.
CORRECT ANSWER:GB
CentralGperfusionGdoesGinvolveGtheGentireGbodyGasGallGorgansGareGsuppliedGwithG
oxygenGandGvitalG
Nutrients.GTheGphysicianGdoesGnotGcontrolGtheGbodysGabilityGforGperfusion.GCentral
GperfusionGisGnot
decreasedGwithGhypertension.GCentralGperfusionGisGnotGtoxicGtoGtheGcardiacGsystem
.

2.GAGpatientGwasGdiagnosedGwithGhypertension.GTheGpatientGasksGtheGnurseGhowGthisG
diseaseGcouldG
haveGhappenedGtoGthem.GTheGnursesGbestGresponseGisGHypertension
a. HappensGtoGeveryoneGsoonerGorGlater.GDontGbeGconcernedGaboutGit.
b. CanGhappenGfromGeatingGaGpoorGdiet,GsoGchangeGwhatGyouGareGeating.
c. CanGhappenGfromGarterialGchangesGthatGimpedeGtheGbloodGflow.
d.
HappensGwhenGpeopleGdoGnotGexercise,GsoGyouGshouldGwalkGever
yGday.
CORRECT ANSWER:GC
HardeningGofGtheGarteriesGfromGatherosclerosisGcanGcauseGhypertensionGinGtheGpati
ent.GHypertensi
onGdoesGnotGhappenGtoGeveryone.GChangingGtheGpatientsGdietGandGexercisingGmay
GbeGaGpositiveGli
feGchange,GbutGtheseGanswersGdoGnotGexplainGtoGtheGpatientGhowGtheGdiseaseGco
uldGhaveGhappene d.
3.GTheGpatientGasksGtheGnurseGtoGexplainGtheGsinoatrialGnodeGinGtheGheart.GTheGnursesGbe
stGresponse
GwouldGbe,GTheGsinoatrialGnode

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a. ProvidesGtheGheartGwithGtheGstimulationGtoGbeatGinGaGnormalGrhythm.
b. ProtectsGtheGheartGfromGatheroscleroticGchanges.
c. ProvidesGtheGheartGwithGoxygenatedGblood.
d.
ProtectsGtheGheartGfrom
Ginfection.

CORRECT CORRECT ANSWER:GA
TheGsinoatrialGnodeGisGtheGnaturalGpacemakerGofGtheGheart,GandGitGassistsGtheGhe
artGtoGbeatGinGaGN
ormalGrhythm.GTheGsinoatrialGnodeGdoesGnotGprotectGfromGatheroscleroticGchangesGorGi
nfection,andG
itGdoesGnotGdirectlyGprovideGtheGheartGwithGoxygenatedGblood.
4.GTheGpatientGisGbroughtGtoGtheGemergencyGdepartmentGafterGaGmotorGvehicleGa
ccident.GTheGpatie
ntGisGdiagnosedGwithGinternalGbleeding.GTheGnursesGprimaryGconcernGisGtoGmonito
rGfor
a. MentalGalertness.

b. Perfusion.



c. Pain.
d.
ReactionGto
Gmedications.
CORRECT ANSWER:GB
PerfusionGisGtheGcorrectGanswer,GbecauseGwithGinternalGbleeding,GtheGnurseGshould
GmonitorGvital
SignsGtoGbeGsureGperfusionGisGhappening.GMentalGalertness,Gpain,GandGmedicationGreact
ionsGareimp ortantGbutGnotGtheGprimaryGconcern.
5.GAGpatientsGserumGelectrolytesGareGbeingGmonitored.GTheGnurseGnoticesGthatGtheGpot
assiumGlevelG
isGlow.GTheGnurseGknowsGthatGtheGpatientGshouldGbeGobservedGfor
a. TissueGischemia.
b. BrainGmalformations.
c. IntestinalGblockage.

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d.
Cardi
a cGdysthymia.


CORRECT ANSWER:GD
CardiacGdysthymiaGisGaGpossibilityGwhenGserumGpotassiumGisGhighGorGlow.GTissueGischemia,Gbra
inGMalformatio
ns,GorGintestinalGblockageGdoGnotGhaveGaGdirectGcorrelationGtoGpotassiumGirregularities.
6.GAGnurseGisGexplainingGtoGaGstudentGnurseGaboutGperfusion.GTheGnurseGknowsGtheG
studentGundersta ndsGtheGconceptGofGperfusionGwhenGtheGstudentGstates,GPerfusion
a. IsGaGnormalGfunctionGofGtheGbody,GandGIGdontGhaveGtoGbeGconcernedGaboutGit.
b. IsGmonitoredGbyGtheGphysician,GandGIGjustGfollowGorders.
c. IsGmonitoredGbyGvitalGsignsGandGcapillaryGrefill.
d.
VariesGasGaGpersonGages,GsoGIGwouldGexpectGchangesGinGth
eGbody.

CORRECT ANSWER:GC
TheGbestGmethodGtoGmonitorGperfusionGisGtoGmonitorGvitalGsignsGandGcapillaryGre
fill.GThisGallowsGT
heGnurseGtoGknowGifGperfusionGisGadequateGtoGmaintainGvitalGorgans.GTheGnurse
GdoesGhaveGtoGbe
GconcernedGaboutGperfusion.GPerfusionGisGnotGonlyGmonitoredGbyGtheGphysicianGbutGth
eGnurseGtoo. GPerfusionGdoesGnotGalwaysGchangeGasGtheGpersonGages.
7.GTheGnurseGisGconductingGaGpatientGassessment.GTheGpatientGtellsGtheGnurseGthatGheGhasGsmo
ked
GtwoGpacksGofGcigarettesGperGdayGforG27Gyears.GTheGnurseGmayGfindGwhichGdataGuponGa
ssessme
nt?
a. BloodGpressureGaboveGtheGnormalGrange
b. BoundingGpedalGpulses
c. NightGblindness

d. RefluxGdisease


CORRECT ANSWER:GA
SmokersGhaveGaGconstrictionGofGtheGbloodGvesselsGdueGtoGtheGtarGandGnicotineGinGcig
arettes.GThisGCo
nstrictionGmayGleadGtoGhypertension.GBoundingGpulses,GnightGblindness,GandGrefluxGdise
aseGdonotGh aveGaGdirectGlinkGtoGsmoking.