Clinical Reasoning Cases in Nursing, 8th Edition TEST BANK by Mariann M. Harding, Verified Chapters 1 - 15, Complete Newest Version

Test Banks For Clinical Reasoning Cases in Nursing
8th Edition by Mariann M. Harding;
Chapter 1 - 15

,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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,Chapter 1. Perfusion sx sx



Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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MULTIPLE CHOICE sx


1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
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the student understands this problem when the student states, Central perfusion
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a. Is monitored only by the physician. sx sx sx sx sx



b. Involves the entire body. sx sx sx



c. Is decreased with hypertension.
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d. Is toxic to the cardiac system.
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ANSWER: B sx


Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
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Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is n
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otdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
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2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
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have happened to them. The nurses best response is Hypertension
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a. Happens to everyone sooner or later. Dont be concerned about it. sx sx sx sx sx sx sx sx sx sx



b. Can happen from eating a poor diet, so change what you are eating.
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c. Can happen from arterial changes that impede the blood flow.
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d.
Happens when people do not exercise, so you should walk ever
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y day.
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ANSWER: C sx


Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertensi
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on does not happen to everyone. Changing the patients diet and exercising may be a positive lif
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e change, but these answers do not explain to the patient how the disease could have happened.
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3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best respons
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e would be, The sinoatrial node
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a. Provides the heart with the stimulation to beat in a normal rhythm. sx sx sx sx sx sx sx sx sx sx sx



b. Protects the heart from atherosclerotic changes.
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c. Provides the heart with oxygenated blood. sx sx sx sx sx



d.
Protects the heart from sx sx sx s



infection.
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ANSWER: A sx


The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a Nor
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mal rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,and
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it does not directly provide the heart with oxygenated blood.
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4. The patient is brought to the emergency department after a motor vehicle accident. The patie
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nt is diagnosed with internal bleeding. The nurses primary concern is to monitor for
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a. Mental alertness. sx

, b. Perfusion.




c. Pain.
d.
Reaction to sx s



xmedications.
ANSWER: B sx


Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
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Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions areimp
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ortant but not the primary concern.
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5. A patients serum electrolytes are being monitored. The nurse notices that the potassium leve
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l is low. The nurse knows that the patient should be observed for
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a. Tissue ischemia. sx



b. Brain malformations. sx



c. Intestinal blockage. sx



d.
Cardiac
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ANSWER: D sx


Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain Malform
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ations, or intestinal blockage do not have a direct correlation to potassium irregularities.
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6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student underst
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ands the concept of perfusion when the student states, Perfusion
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a. Is a normal function of the body, and I dont have to be concerned about it.
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b. Is monitored by the physician, and I just follow orders.
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c. Is monitored by vital signs and capillary refill.
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d.
Varies as a person ages, so I would expect changes in th
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e body.
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ANSWER: C sx


The best method to monitor perfusion is to monitor vital signs and capillary refill. This allow
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s The nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to
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be concerned about perfusion. Perfusion is not only monitored by the physician but the nurse
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too. Perfusion does not always change as the person ages.
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7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoke
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d two packs of cigarettes per day for 27 years. The nurse may find which data upon assessm
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ent?
a. Blood pressure above the normal range sx sx sx sx sx



b. Bounding pedal pulses sx sx



c. Night blindness sx