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7th Edition by Mariann M. Harding; Julie S.
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Snyder. All Chapters, Complete Guide (A+).
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,TEST BANK p r
CLINICAL REASONING pr
CASES IN NURSING,
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7TH EDITION
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BY HARDING| SNYDER
pr pr
TEST BANK p r
,Chapter pr1. prPerfusion
Clinical prReasoning prCases prin prNursing pr7th prEdition prHarding prSnyder prTest prBank
MULTIPLE prCHOICE
1. prThe prnurse pris prexplaining prto pra prstudent prnurse prabout primpaired prcentral prperfusion. prThe
prnurse prknows prthe prstudent prunderstands prthis prproblem prwhen prthe prstudent prstates,
prCentral prperfusion
a. Is prmonitored pronly prby prthe prphysician.
b. Involves prthe prentire prbody.
c. Is prdecreased prwith prhypertension.
d. Is prtoxic prto prthe prcardiac prsystem.
ANS: prB
Central prperfusion prdoes prinvolve prthe prentire prbody pras prall prorgans prare prsupplied prwith
proxygen prand prvital prNutrients. prThe prphysician prdoes prnot prcontrol prthe prbodys prability prfor
prperfusion. prCentral prperfusion pris prnot prdecreased prwith prhypertension. prCentral prperfusion
pris prnot prtoxic prto prthe prcardiac prsystem.
2. prA prpatient prwas prdiagnosed prwith prhypertension. prThe prpatient prasks prthe prnurse prhow prthis
prdisease prcould prhave prhappened prto prthem. prThe prnurses prbest prresponse pris prHypertension
a. Happens prto preveryone prsooner pror prlater. prDont prbe prconcerned prabout prit.
b. Can prhappen prfrom preating pra prpoor prdiet, prso prchange prwhat pryou prare preating.
c. Can prhappen prfrom prarterial prchanges prthat primpede prthe prblood prflow.
d. Happens prwhen prpeople prdo prnot prexercise, prso pryou prshould
prwalk prevery prday.
ANS: prC
Hardening prof prthe prarteries prfrom pratherosclerosis prcan prcause prhypertension prin prthe
prpatient. prHypertension prdoes prnot prhappen prto preveryone. prChanging prthe prpatients prdiet prand
prexercising prmay prbe pra prpositive prlife prchange, prbut prthese pranswers prdo prnot prexplain prto
prthe prpatient prhow prthe prdisease prcould prhave prhappened.
3. prThe prpatient prasks prthe prnurse prto prexplain prthe prsinoatrial prnode prin prthe prheart. prThe
prnurses prbest prresponse prwould prbe, prThe prsinoatrial prnode
a. Provides prthe prheart prwith prthe prstimulation prto prbeat prin pra prnormal prrhythm.
b. Protects prthe prheart prfrom pratherosclerotic prchanges.
c. Provides prthe prheart prwith proxygenated prblood.
d. Protects prthe prheart
prfrom prinfection.
ANS: prA
The prsinoatrial prnode pris prthe prnatural prpacemaker prof prthe prheart, prand prit prassists prthe
prheart prto prbeat prin pra prNormal prrhythm. prThe prsinoatrial prnode prdoes prnot prprotect
prfrom pratherosclerotic prchanges pror prinfection, prand prit prdoes prnot prdirectly prprovide
prthe prheart prwith proxygenated prblood.
4. prThe prpatient pris prbrought prto prthe premergency prdepartment prafter pra prmotor prvehicle
praccident. prThe prpatient pris prdiagnosed prwith printernal prbleeding. prThe prnurses prprimary
, prconcern pris prto prmonitor prfor
a. Mental pralertness.
b. Perfusion.
c. Pain.
d. Reaction
prto prmedications.
prANS: prB
Perfusion pris prthe prcorrect pranswer, prbecause prwith printernal prbleeding, prthe prnurse prshould prmonitor prvital
Signs prto prbe prsure prperfusion pris prhappening. prMental pralertness, prpain, prand prmedication
prreactions prare primportant prbut prnot prthe prprimary prconcern.
5. prA prpatients prserum prelectrolytes prare prbeing prmonitored. prThe prnurse prnotices prthat prthe
prpotassium prlevel pris prlow. prThe prnurse prknows prthat prthe prpatient prshould prbe probserved
prfor
a. Tissue prischemia.
b. Brain prmalformations.
c. Intestinal prblockage.
d. Cardiac
prdysthymia.
ANS: prD
Cardiac prdysthymia pris pra prpossibility prwhen prserum prpotassium pris prhigh pror prlow. prTissue prischemia,
prbrain prMalformations, pror printestinal prblockage prdo prnot prhave pra prdirect prcorrelation prto prpotassium
prirregularities.
6. prA prnurse pris prexplaining prto pra prstudent prnurse prabout prperfusion. prThe prnurse prknows prthe
prstudent prunderstands prthe prconcept prof prperfusion prwhen prthe prstudent prstates, prPerfusion
a. Is pra prnormal prfunction prof prthe prbody, prand prI prdont prhave prto prbe prconcerned prabout prit.
b. Is prmonitored prby prthe prphysician, prand prI prjust prfollow prorders.
c. Is prmonitored prby prvital prsigns prand prcapillary prrefill.