Clinical reasoning cases in nursing 7th edition harding snyder test bankv.pdf

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

,ClinicalaoReasoningaoCasesaoinaoNursingao8thaoEditionaoHardingaoSnyderaoTestaoBank

Contents:
Chapterao1.aoPerfusion

Chapterao2.aoGasaoExchange

Chapterao3.aoMobility

Chapterao4.aoDigestion

Chapterao5.aoUrinaryaoElimination

Chapterao6.aoIntracranialaoRegulation

Chapterao7.aoMetabolismaoandaoGlucoseaoRegulation

Chapterao8.aoImmunity

Chapterao9.aoCellularaoRegulation

Chapterao10.aoTissueaoIntegrity

Chapterao11.aoCognition

Chapterao12.aoInfectionaoandaoInflammation

Chapterao13.aoDevelopmental

Chapterao14.aoReproductive

Chapterao15.aoMood,aoStress,aoandaoAddiction

,Chapterao1.aoPerfusion
ClinicalaoReasoningaoCasesaoinaoNursingao8thaoEditionaoHardingaoSnyderaoTestaoBank

MULTIPLEaoCHOICE
1.aoTheaonurseaoisaoexplainingaotoaoaaostudentaonurseaoaboutaoimpairedaocentralaoperfusion.aoTheaon
urseaoknowsaotheaostudentaounderstandsaothisaoproblemaowhenaotheaostudentaostates,aoCentralaoperf
usion
a. Isaomonitoredaoonlyaobyaotheaophysician.
b. Involvesaotheaoentireaobody.
c. Isaodecreasedaowithaohypertension.
d. Isaotoxicaotoaotheaocardiacaosystem.
ANSWER:aoB
Centralaoperfusionaodoesaoinvolveaotheaoentireaobodyaoasaoallaoorgansaoareaosuppliedaowithaooxyge
naoandaovitalaoNutrients.aoTheaophysicianaodoesaonotaocontrolaotheaobodysaoabilityaoforaoperfusion.a
oCentralaoperfusionaoisaonotdecreasedaowithaohypertension.aoCentralaoperfusionaoisaonotaotoxicaotoa
otheaocardiacaosystem.


2.aoAaopatientaowasaodiagnosedaowithaohypertension.aoTheaopatientaoasksaotheaonurseaohowaothisaodi
seaseaocouldaohaveaohappenedaotoaothem.aoTheaonursesaobestaoresponseaoisaoHypertension
a. Happensaotoaoeveryoneaosooneraooraolater.aoDontaobeaoconcernedaoaboutaoit.
b. Canaohappenaofromaoeatingaoaaopooraodiet,aosoaochangeaowhataoyouaoareaoeating.
c. Canaohappenaofromaoarterialaochangesaothataoimpedeaotheaobloodaoflow.
d.
Happensaowhenaopeopleaodoaonotaoexercise,aosoaoyouaoshouldaow
alkaoeveryaoday.
ANSWER:aoC
Hardeningaoofaotheaoarteriesaofromaoatherosclerosisaocanaocauseaohypertensionaoinaotheaopatient.ao
Hypertensionaodoesaonotaohappenaotoaoeveryone.aoChangingaotheaopatientsaodietaoandaoexercising
aomayaobeaoaaopositiveaolifeaochange,aobutaotheseaoanswersaodoaonotaoexplainaotoaotheaopatientaoh
owaotheaodiseaseaocouldaohaveaohappened.

3.aoTheaopatientaoasksaotheaonurseaotoaoexplainaotheaosinoatrialaonodeaoinaotheaoheart.aoTheaonurses
aobestaoresponseaowouldaobe,aoTheaosinoatrialaonode
a. Providesaotheaoheartaowithaotheaostimulationaotoaobeataoinaoaaonormalaorhythm.
b. Protectsaotheaoheartaofromaoatheroscleroticaochanges.
c. Providesaotheaoheartaowithaooxygenatedaoblood.
d.
Protectsaotheaoheartaofr
omaoinfection.

ANSWER:aoA
Theaosinoatrialaonodeaoisaotheaonaturalaopacemakeraoofaotheaoheart,aoandaoitaoassistsaotheaoheartaot
oaobeataoinaoaaoNormalaorhythm.aoTheaosinoatrialaonodeaodoesaonotaoprotectaofromaoatheroscleroti
caochangesaooraoinfection,andaoitaodoesaonotaodirectlyaoprovideaotheaoheartaowithaooxygenatedaobl
ood.
4.aoTheaopatientaoisaobroughtaotoaotheaoemergencyaodepartmentaoafteraoaaomotoraovehicleaoaccide

, nt.aoTheaopatientaoisaodiagnosedaowithaointernalaobleeding.aoTheaonursesaoprimaryaoconcernaoisaotoa
omonitoraofor




a. Mentalaoalertness.
b. Perfusion.




c. Pain.
d.
Reactionaot
oaomedications.
ANSWER:aoB
Perfusionaoisaotheaocorrectaoanswer,aobecauseaowithaointernalaobleeding,aotheaonurseaoshouldaomonitoraovital
Signsaotoaobeaosureaoperfusionaoisaohappening.aoMentalaoalertness,aopain,aoandaomedicationaoreacti
onsaoareimportantaobutaonotaotheaoprimaryaoconcern.
5.aoAaopatientsaoserumaoelectrolytesaoareaobeingaomonitored.aoTheaonurseaonoticesaothataotheaopot
assiumaolevelaoisaolow.aoTheaonurseaoknowsaothataotheaopatientaoshouldaobeaoobservedaofor
a. Tissueaoischemia.
b. Brainaomalformations.
c. Intestinalaoblockage.
d.
Cardia
caodysthymia.


ANSWER:aoD
Cardiacaodysthymiaaoisaoaaopossibilityaowhenaoserumaopotassiumaoisaohighaooraolow.aoTissueaoischemia,aobrain
aoMalformations,aooraointestinalaoblockageaodoaonotaohaveaoaaodirectaocorrelationaotoaopotassiumaoirregulariti
es.
6.aoAaonurseaoisaoexplainingaotoaoaaostudentaonurseaoaboutaoperfusion.aoTheaonurseaoknowsaotheaostu
dentaounderstandsaotheaoconceptaoofaoperfusionaowhenaotheaostudentaostates,aoPerfusion
a. Isaoaaonormalaofunctionaoofaotheaobody,aoandaoIaodontaohaveaotoaobeaoconcernedaoaboutaoit.
b. Isaomonitoredaobyaotheaophysician,aoandaoIaojustaofollowaoorders.
c. Isaomonitoredaobyaovitalaosignsaoandaocapillaryaorefill.