TEST BANK MEDICAL-SURGICAL NURSING CRITICAL THINKING IN CLIENT CARE, 4TH EDITION PRISCILLA LEMONE, KAREN M. BURKE ALL CHAPTERS COVERED QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED. ALL CHAPTERS 1-52

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MEDICAL-SURGICAL NURSING CRITICAL THINKING IN CLIENT CARE,
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4TH EDITION PRISCILLA LEMONE, KAREN M. BURKE ALL
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CHAPTERS COVERED QUESTIONS AND ANSWERS GRADED A+ 100%
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VERIFIED.
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,Chapter 1 mm




1. The nurse is caring for four clients on a medical–surgical unit. Which client
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should the nurse see initially?
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1.
A client admitted with hepatitis A who has had severe diarrhea
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for the last 24 hours
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2.
A client admitted with pneumonia who is has small amounts of
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yellow productive sputum
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3.
A client admitted with fever of unknown origin (FUO) who
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has been without fever for the last 48 hours
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4.
A client admitted with a wound infection whose WBC is 8,500 mm3
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ANS >>> 1
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Rationale: The nurse must decide which client should be seen on the initial
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rounds of the day. The nurse must remember that the first client to be
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seen should be the client who needs the attention of the nurse
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initially. A client with hepatitis A does experience diarrhea, but
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diarrhea for the last 24 hours could cause the client to have a
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problem with dehydration and experience a state of fluid volume
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deficit.
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Cognitive Level: Application
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Client Needs: Safe, Effective Care
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Environment Nursing Process: Planning
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2. The nurse is preparing to administer influenza vaccines to a mass drive-
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through clinic. Which statement by a client would indicate further questioning
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prior to giving the client the influenza vaccine?
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1. ―I am allergic to horse hair.‖
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2. ―I try to get my vaccine every year.‖
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3. ―I am not allergic to anything except eggs.‖
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4. ―My husband had a severe allergic reaction after he received his
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influenza vaccine.‖
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ANS >>> 3
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Rationale: Influenza vaccines are recommended for person at high risk for
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serious sequelae of influenza. The nurse should be aware that client with
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a sensitivity to eggs should not receive the vaccine. Vaccines prepared
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, from chicken or duck embryos are contraindicated in clients who are
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allergic to eggs.
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, Cognitive Level: Application
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Client Needs: Safe, Effective Care Environment
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