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8th Edition by Mariann M. Harding;
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Chapter 1 - 15
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,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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Contents:
Chapter 1. Perfusion
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Chapter 2. Gas Exchange
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Chapter 3. Mobility
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Chapter 4. Digestion
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Chapter 5. Urinary Elimination
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Chapter 6. Intracranial Regulation
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Chapter 7. Metabolism and Glucose Regulation
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Chapter 8. Immunity
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Chapter 9. Cellular Regulation
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Chapter 10. Tissue Integrity
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Chapter 11. Cognition
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Chapter 12. Infection and Inflammation
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Chapter 13. Developmental
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Chapter 14. Reproductive
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Chapter 15. Mood, Stress, and Addiction
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,Chapternj1.njPerfusion
ClinicalnjReasoningnjCasesnjinnjNursingnj8thnjEditionnjHardingnjSnydernjTestnjBank
MULTIPLEnjCHOICE
1.njThenjnursenjisnjexplainingnjtonjanjstudentnjnursenjaboutnjimpairednjcentralnjperfusion.njThenjnursenjkno
wsnjthenjstudentnjunderstandsnjthisnjproblemnjwhennjthenjstudentnjstates,njCentralnjperfusion
a. Isnjmonitorednjonlynjbynjthenjphysician.
b. Involvesnjthenjentirenjbody.
c. Isnjdecreasednjwithnjhypertension.
d. Isnjtoxicnjtonjthenjcardiacnjsystem.
ANSWER:njB
Centralnjperfusionnjdoesnjinvolvenjthenjentirenjbodynjasnjallnjorgansnjarenjsuppliednjwithnjoxygennjandnjvit
alnjNutrients.njThenjphysiciannjdoesnjnotnjcontrolnjthenjbodysnjabilitynjfornjperfusion.njCentralnjperfusio
nnjisnjnotdecreasednjwithnjhypertension.njCentralnjperfusionnjisnjnotnjtoxicnjtonjthenjcardiacnjsystem.
2.njAnjpatientnjwasnjdiagnosednjwithnjhypertension.njThenjpatientnjasksnjthenjnursenjhownjthisnjdiseasenjco
uldnjhavenjhappenednjtonjthem.njThenjnursesnjbestnjresponsenjisnjHypertension
a. Happensnjtonjeveryonenjsoonernjornjlater.njDontnjbenjconcernednjaboutnjit.
b. Cannjhappennjfromnjeatingnjanjpoornjdiet,njsonjchangenjwhatnjyounjarenjeating.
c. Cannjhappennjfromnjarterialnjchangesnjthatnjimpedenjthenjbloodnjflow.
d.
Happensnjwhennjpeoplenjdonjnotnjexercise,njsonjyounjshouldnjwalknjev
erynjday.
ANSWER:njC
Hardeningnjofnjthenjarteriesnjfromnjatherosclerosisnjcannjcausenjhypertensionnjinnjthenjpatient.njHyperte
nsionnjdoesnjnotnjhappennjtonjeveryone.njChangingnjthenjpatientsnjdietnjandnjexercisingnjmaynjbenjanjposit
ivenjlifenjchange,njbutnjthesenjanswersnjdonjnotnjexplainnjtonjthenjpatientnjhownjthenjdiseasenjcouldnjhavenjh
appened.
3.njThenjpatientnjasksnjthenjnursenjtonjexplainnjthenjsinoatrialnjnodenjinnjthenjheart.njThenjnursesnjbestnjresp
onsenjwouldnjbe,njThenjsinoatrialnjnode
a. Providesnjthenjheartnjwithnjthenjstimulationnjtonjbeatnjinnjanjnormalnjrhythm.
b. Protectsnjthenjheartnjfromnjatheroscleroticnjchanges.
c. Providesnjthenjheartnjwithnjoxygenatednjblood.
d.
Protectsnjthenjheartnjfro
mnjinfection.
ANSWER:njA
Thenjsinoatrialnjnodenjisnjthenjnaturalnjpacemakernjofnjthenjheart,njandnjitnjassistsnjthenjheartnjtonjbeatnjinnjanj
Normalnjrhythm.njThenjsinoatrialnjnodenjdoesnjnotnjprotectnjfromnjatheroscleroticnjchangesnjornjinfecti
on,andnjitnjdoesnjnotnjdirectlynjprovidenjthenjheartnjwithnjoxygenatednjblood.
4.njThenjpatientnjisnjbroughtnjtonjthenjemergencynjdepartmentnjafternjanjmotornjvehiclenjaccident.njThenjpa
tientnjisnjdiagnosednjwithnjinternalnjbleeding.njThenjnursesnjprimarynjconcernnjisnjtonjmonitornjfor
, a. Mentalnjalertness.
b. Perfusion.
c. Pain.
d.
Reactionnjto
njmedications.
ANSWER:njB
Perfusionnjisnjthenjcorrectnjanswer,njbecausenjwithnjinternalnjbleeding,njthenjnursenjshouldnjmonitornjvital
Signsnjtonjbenjsurenjperfusionnjisnjhappening.njMentalnjalertness,njpain,njandnjmedicationnjreactionsnjarei
mportantnjbutnjnotnjthenjprimarynjconcern.
5.njAnjpatientsnjserumnjelectrolytesnjarenjbeingnjmonitored.njThenjnursenjnoticesnjthatnjthenjpotassiumnjl
evelnjisnjlow.njThenjnursenjknowsnjthatnjthenjpatientnjshouldnjbenjobservednjfor
a. Tissuenjischemia.
b. Brainnjmalformations.
c. Intestinalnjblockage.
d.
Cardiac
njdysthymia.
ANSWER:njD
Cardiacnjdysthymianjisnjanjpossibilitynjwhennjserumnjpotassiumnjisnjhighnjornjlow.njTissuenjischemia,njbrainnjMalf
ormations,njornjintestinalnjblockagenjdonjnotnjhavenjanjdirectnjcorrelationnjtonjpotassiumnjirregularities.
6.njAnjnursenjisnjexplainingnjtonjanjstudentnjnursenjaboutnjperfusion.njThenjnursenjknowsnjthenjstudentnjund
erstandsnjthenjconceptnjofnjperfusionnjwhennjthenjstudentnjstates,njPerfusion
a. Isnjanjnormalnjfunctionnjofnjthenjbody,njandnjInjdontnjhavenjtonjbenjconcernednjaboutnjit.
b. Isnjmonitorednjbynjthenjphysician,njandnjInjjustnjfollownjorders.
c. Isnjmonitorednjbynjvitalnjsignsnjandnjcapillarynjrefill.
d.
Variesnjasnjanjpersonnjages,njsonjInjwouldnjexpectnjchangesnjinnj
thenjbody.
ANSWER:njC
Thenjbestnjmethodnjtonjmonitornjperfusionnjisnjtonjmonitornjvitalnjsignsnjandnjcapillarynjrefill.njThisnjal
lowsnjThenjnursenjtonjknownjifnjperfusionnjisnjadequatenjtonjmaintainnjvitalnjorgans.njThenjnursenjdoesnj
havenjtonjbenjconcernednjaboutnjperfusion.njPerfusionnjisnjnotnjonlynjmonitorednjbynjthenjphysiciannjbu
tnjthenjnursenjtoo.njPerfusionnjdoesnjnotnjalwaysnjchangenjasnjthenjpersonnjages.
7.njThenjnursenjisnjconductingnjanjpatientnjassessment.njThenjpatientnjtellsnjthenjnursenjthatnjhenjhasnjsm
okednjtwonjpacksnjofnjcigarettesnjpernjdaynjfornj27njyears.njThenjnursenjmaynjfindnjwhichnjdatanjuponnja
ssessment?
a. Bloodnjpressurenjabovenjthenjnormalnjrange
b. Boundingnjpedalnjpulses
c. Nightnjblindness