TEST BANK FOR UNDERST
ANDING MEDICAL SURGICA
L NURSING 6TH EDITION LI
NDA S WILLIAMS PAULA D H
OPPER
Chapter c1
1. The cnurse cis ccaring cfor cfour cclients con ca cmedical–surgical cunit. cWhich cclient
cshould cthe cnurse csee cinitially?
1. A cclient cadmitted cwith chepatitis cA cwho chas chad csevere cdiarrhea cfor
cthe clast c24 chours
2. A cclient cadmitted cwith cpneumonia cwho cis chas csmall camounts cof
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, cyellow cproductive csputum
3. A cclient cadmitted cwith cfever cof cunknown corigin c(FUO) cwho chas
cbeen cwithout cfever cfor cthe clast c48 chours
4. A cclient cadmitted cwith ca cwound cinfection cwhose cWBC cis c8,500 cmm3
Answer: c1
Rationale: cThe cnurse cmust cdecide cwhich cclient cshould cbe cseen con cthe cinitial crounds
cof cthe cday. cThe cnurse cmust cremember cthat cthe cfirst cclient cto cbe cseen cshould
cbe cthe cclient cwho cneeds cthe cattention cof cthe cnurse cinitially. cA cclient cwith
chepatitis cA cdoes cexperience cdiarrhea, cbut cdiarrhea cfor cthe clast c24 chours
ccould ccause cthe cclient cto chave ca cproblem cwith cdehydration cand cexperience
ca cstate cof cfluid cvolume cdeficit.
Cognitive cLevel: cApplication
Client cNeeds: cSafe, cEffective cCare cEnvironment
cNursing cProcess: cPlanning
2. The cnurse cis cpreparing cto cadminister cinfluenza cvaccines cto ca cmass cdrive-through
cclinic. cWhich cstatement cby ca cclient cwould cindicate cfurther cquestioning cprior cto
cgiving cthe cclient cthe cinfluenza cvaccine?
1. “I cam callergic cto chorse chair.”
2. “I ctry cto cget cmy cvaccine cevery cyear.”
3. “I cam cnot callergic cto canything cexcept ceggs.”
4. “My chusband chad ca csevere callergic creaction cafter che creceived chis
cinfluenza cvaccine.”
Answer: c3
Rationale: cInfluenza cvaccines care crecommended cfor cperson cat chigh crisk cfor cserious
csequelae cof cinfluenza. cThe cnurse cshould cbe caware cthat cclient cwith ca
csensitivity cto ceggs cshould cnot creceive cthe cvaccine. cVaccines cprepared cfrom
cchicken cor cduck cembryos care ccontraindicated cin cclients cwho care callergic cto
ceggs.
Cognitive cLevel: cApplication
download cfull cfile cat
chttp://testbankinstant.com
,Client cNeeds: cSafe, cEffective cCare cEnvironment
cNursing cProcess: cAssessment
3. The cnurse cis ccaring cfor cfour cclients con ca cmedical–surgical cunit. cThe csecretary
cgives cthe cnurse cthe cmorning clabs. cWhich cof cthe cfollowing clabs cwould crequire cthat
cthe cnurse ccall cthe cphysician cand cinform cthe chealthcare cprovider cabout cthe cclient’s
cabnormalities?
1. WBC c14,600 cmm3
2. Serum cprotein c6.9 cg/dL
3. I c& cD c(incision cand cdrainage) cshowing cno cgrowth cfor cthe clast c24 chours
4. Albumin c4.2 cg/dL
Answer: c1
Rationale: cWhen cthe cnurse cis ccaring cfor cseveral cclients, call cof cthe clabs cshould cbe
cchecked cfrequently cthroughout cthe cshift cto cassess cfor cany cabnormalities. cThe cWBC cin
3
coption c1 cis cabnormal. c(Normal cWBC c4,000–10,000 cmm .) cAll cof cthe cother clab cresults
care cwithin cacceptable crange; ctherefore, cthe cresults cshould cnot cbe ccalled cin cto cthe
cphysician.
Cognitive cLevel: cApplication
cClient cNeeds: cPhysiologic
cIntegrity cNursing cProcess:
cAssessment
4. The cnurse cis corienting ca cnew cgraduate. cThe cnurse cis creinforcing cthe
cimportance cof cstandard cprecautions. cWhich cof cthe cfollowing cobservations cby cthe
cnurse cwould crequire cfurther ceducation cregarding cstandard cprecautions?
1. The cgraduate cnurse cunderstands cto cwash chands cwhen centering cand
cexiting cthe cclient’s croom.
2. The cgraduate cnurse cwears cgloves cwhen cserving cbreakfast ctrays cto
cvarious cclients.
3. The cgraduate cnurse cwears ca cgown, cgloves, cand cgoggles cwhen
csuctioning ca cclient.
4. The cgraduate cnurse cleaves call csupplies cin cthe croom cof ca cclient
cwho cis cin ccontact cisolation.
Answer: c2
Rationale: cThe cnurse cmust chave can cunderstanding cof cstandard cprecautions.
cPrevention cis cthe cmost cimportant cmeasure cto cprevent cnosocomial cinfections.
cStandard cprecautions cwere cpublished cin c1996 cthat cprovide cguidelines cfor cthe
chandling cof cblood cand cother cbody cfluids. cThese cguidelines care cused cwith call
download cfull cfile cat
chttp://testbankinstant.com
, cclients, cregardless cof cwhether cthey chave ca cknown cinfectious cdisease.
cStandard cprecautions care cused
download cfull cfile cat
chttp://testbankinstant.com
ANDING MEDICAL SURGICA
L NURSING 6TH EDITION LI
NDA S WILLIAMS PAULA D H
OPPER
Chapter c1
1. The cnurse cis ccaring cfor cfour cclients con ca cmedical–surgical cunit. cWhich cclient
cshould cthe cnurse csee cinitially?
1. A cclient cadmitted cwith chepatitis cA cwho chas chad csevere cdiarrhea cfor
cthe clast c24 chours
2. A cclient cadmitted cwith cpneumonia cwho cis chas csmall camounts cof
download cfull cfile cat
chttp://testbankinstant.com
, cyellow cproductive csputum
3. A cclient cadmitted cwith cfever cof cunknown corigin c(FUO) cwho chas
cbeen cwithout cfever cfor cthe clast c48 chours
4. A cclient cadmitted cwith ca cwound cinfection cwhose cWBC cis c8,500 cmm3
Answer: c1
Rationale: cThe cnurse cmust cdecide cwhich cclient cshould cbe cseen con cthe cinitial crounds
cof cthe cday. cThe cnurse cmust cremember cthat cthe cfirst cclient cto cbe cseen cshould
cbe cthe cclient cwho cneeds cthe cattention cof cthe cnurse cinitially. cA cclient cwith
chepatitis cA cdoes cexperience cdiarrhea, cbut cdiarrhea cfor cthe clast c24 chours
ccould ccause cthe cclient cto chave ca cproblem cwith cdehydration cand cexperience
ca cstate cof cfluid cvolume cdeficit.
Cognitive cLevel: cApplication
Client cNeeds: cSafe, cEffective cCare cEnvironment
cNursing cProcess: cPlanning
2. The cnurse cis cpreparing cto cadminister cinfluenza cvaccines cto ca cmass cdrive-through
cclinic. cWhich cstatement cby ca cclient cwould cindicate cfurther cquestioning cprior cto
cgiving cthe cclient cthe cinfluenza cvaccine?
1. “I cam callergic cto chorse chair.”
2. “I ctry cto cget cmy cvaccine cevery cyear.”
3. “I cam cnot callergic cto canything cexcept ceggs.”
4. “My chusband chad ca csevere callergic creaction cafter che creceived chis
cinfluenza cvaccine.”
Answer: c3
Rationale: cInfluenza cvaccines care crecommended cfor cperson cat chigh crisk cfor cserious
csequelae cof cinfluenza. cThe cnurse cshould cbe caware cthat cclient cwith ca
csensitivity cto ceggs cshould cnot creceive cthe cvaccine. cVaccines cprepared cfrom
cchicken cor cduck cembryos care ccontraindicated cin cclients cwho care callergic cto
ceggs.
Cognitive cLevel: cApplication
download cfull cfile cat
chttp://testbankinstant.com
,Client cNeeds: cSafe, cEffective cCare cEnvironment
cNursing cProcess: cAssessment
3. The cnurse cis ccaring cfor cfour cclients con ca cmedical–surgical cunit. cThe csecretary
cgives cthe cnurse cthe cmorning clabs. cWhich cof cthe cfollowing clabs cwould crequire cthat
cthe cnurse ccall cthe cphysician cand cinform cthe chealthcare cprovider cabout cthe cclient’s
cabnormalities?
1. WBC c14,600 cmm3
2. Serum cprotein c6.9 cg/dL
3. I c& cD c(incision cand cdrainage) cshowing cno cgrowth cfor cthe clast c24 chours
4. Albumin c4.2 cg/dL
Answer: c1
Rationale: cWhen cthe cnurse cis ccaring cfor cseveral cclients, call cof cthe clabs cshould cbe
cchecked cfrequently cthroughout cthe cshift cto cassess cfor cany cabnormalities. cThe cWBC cin
3
coption c1 cis cabnormal. c(Normal cWBC c4,000–10,000 cmm .) cAll cof cthe cother clab cresults
care cwithin cacceptable crange; ctherefore, cthe cresults cshould cnot cbe ccalled cin cto cthe
cphysician.
Cognitive cLevel: cApplication
cClient cNeeds: cPhysiologic
cIntegrity cNursing cProcess:
cAssessment
4. The cnurse cis corienting ca cnew cgraduate. cThe cnurse cis creinforcing cthe
cimportance cof cstandard cprecautions. cWhich cof cthe cfollowing cobservations cby cthe
cnurse cwould crequire cfurther ceducation cregarding cstandard cprecautions?
1. The cgraduate cnurse cunderstands cto cwash chands cwhen centering cand
cexiting cthe cclient’s croom.
2. The cgraduate cnurse cwears cgloves cwhen cserving cbreakfast ctrays cto
cvarious cclients.
3. The cgraduate cnurse cwears ca cgown, cgloves, cand cgoggles cwhen
csuctioning ca cclient.
4. The cgraduate cnurse cleaves call csupplies cin cthe croom cof ca cclient
cwho cis cin ccontact cisolation.
Answer: c2
Rationale: cThe cnurse cmust chave can cunderstanding cof cstandard cprecautions.
cPrevention cis cthe cmost cimportant cmeasure cto cprevent cnosocomial cinfections.
cStandard cprecautions cwere cpublished cin c1996 cthat cprovide cguidelines cfor cthe
chandling cof cblood cand cother cbody cfluids. cThese cguidelines care cused cwith call
download cfull cfile cat
chttp://testbankinstant.com
, cclients, cregardless cof cwhether cthey chave ca cknown cinfectious cdisease.
cStandard cprecautions care cused
download cfull cfile cat
chttp://testbankinstant.com
