Test Bank for Clinical Reasoning Cases in Nursing (8th Edition) by Mariann M. Harding – Complete Chapters 1–15 | Case-Based & NCLEX-Style

Test Banks ForClinicalReasoning CasesinNursing 8th
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*Edition byMariannM.Harding;
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Chapter1- 15
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,Clinical Reasoning Cases in Nursing 8th Edition HardingSnyder 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. UrinaryElimination
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Chapter6. Intracranial Regulation
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Chapter7. 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 * *




ClinicalReasoning Cases in Nursing 8th EditionHarding SnyderTestBank
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MULTIPLE CHOICE *




1. Thenurseis explainingto a student nurseabout impaired central perfusion. Thenurseknows the
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student understands this problem when the student states, Central perfusion
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a. Is monitored onlybythe physician. * * * * *




b. Involves the entirebody. * * *




c. Isdecreased withhypertension.
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d. Is toxicto thecardiacsystem.
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ANSWER:B *




Centralperfusiondoes involvetheentirebody as all organs aresuppliedwith oxygen andvital Nutrients.
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The physician does not control the bodys ability for perfusion. Central perfusion is notdecreased with
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hypertension. Central perfusion is not toxic to the cardiac system.
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2. A patientwas diagnosed withhypertension. Thepatientasks thenursehow this diseasecould have
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happened to them. The nurses best response is Hypertension
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a. Happens to everyonesooner or later. Dont beconcerned about it. * * * * * * * * * *




b. Canhappen from eating apoor diet, so change what you areeating.
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c. Canhappen fromarterial changes thatimpede the blood flow.
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d. Happenswhenpeopledonotexercise,so youshouldwalkevery day. * * * * * * * * * * *




ANSWER:C *




Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension does
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not happen to everyone. Changing the patients diet and exercisingmaybe a positive lifechange, but
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these answers do not explain to the patient how the disease could have happened.
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3. Thepatient asks the nurse to explain the sinoatrial node in the heart. Thenurses best response would be,
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The sinoatrial node
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a. Provides theheart with thestimulation to beat in anormal rhythm. * * * * * * * * * * *




b. Protectstheheartfromatherosclerotic changes. * * * * *




c. Provides theheart with oxygenated blood. * * * * *




d. Protectstheheartfrom * * *




*infection.

ANSWER:A *




Thesinoatrialnodeis thenaturalpacemaker of theheart, and it assists theheart tobeat in a Normal
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rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,and it does not
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directly provide the heart with oxygenated blood.
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4. Thepatient is brought to the emergencydepartment aftera motor vehicle accident. Thepatient is
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diagnosed with internal bleeding. The nurses primary concern is to monitor for
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a. Mentalalertness. *




b. Perfusion.

, c. Pain.
d. Reactionto *




medications.
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ANSWER: B *




Perfusion is thecorrect answer, because with internal bleeding, thenurseshould monitor vital
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Signstobesureperfusionis happening. Mental alertness,pain, and medication reactions areimportant
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but not the primary concern.
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5. A patients serum electrolytes arebeingmonitored. Thenursenotices that thepotassium level is low.
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The nurse knows that the patient should be observed for
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a. Tissueischemia. *




b. Brainmalformations. *




c. Intestinalblockage. *




d. Cardiac
dysthymia.
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ANSWER:D *




Cardiac dysthymia is a possibilitywhen serum potassium is high or low. Tissue ischemia, brain Malformations,or
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intestinalblockagedonothaveadirect correlationtopotassium irregularities.
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6. A nurseis explaining toastudentnurseaboutperfusion. Thenurseknows thestudent understands the
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concept of perfusion when the student states, Perfusion
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a. Is anormal function of thebody, and Idont have to be concerned about it. * * * * * * * * * * * * * * *




b. Is monitored bythephysician, and Ijust follow orders.
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c. Is monitored byvital signs and capillaryrefill.
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d. Varies as apersonages, so Iwouldexpectchanges in the body. * * * * * * * * * * * *




ANSWER:C *




The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows The
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nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be concerned
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about perfusion. Perfusion is not onlymonitored bythe physician but the nursetoo. Perfusion does not
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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 smoked two
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packs of cigarettes per dayfor 27 years. The nursemayfind which data upon assessment?
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a. Blood pressure abovethe normal range * * * * *




b. Boundingpedal pulses * *




c. Nightblindness *