For Clinical Reasoning Cases in Nursing 8th Edition by Mariann M. H
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Chapter 1 - 15 df df df
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Contents:
Chapterdf1.dfPerfusion
Chapterdf2.dfGasdfExchange
Chapterdf3.dfMobility
Chapterdf4.dfDigestion
Chapterdf5.dfUrinarydfElimination
Chapterdf6.dfIntracranialdfRegulation
Chapterdf7.dfMetabolismdfanddfGlucosedfRegulation
Chapterdf8.dfImmunity
Chapterdf9.dfCellulardfRegulation
Chapterdf10.dfTissuedfIntegrity
Chapterdf11.dfCognition
Chapterdf12.dfInfectiondfanddfInflammation
Chapterdf13.dfDevelopmental
Chapterdf14.dfReproductive
Chapterdf15.dfMood,dfStress,dfanddfAddiction
,Chapterdf1.dfPerfusion
ClinicaldfReasoningdfCasesdfindfNursingdf8thdfEditiondfHardingdfSnyderdfTestdfBank
MULTIPLEdfCHOICE
1.dfThedfnursedfisdfexplainingdftodfadfstudentdfnursedfaboutdfimpaireddfcentraldfperfusion.dfThedfnursedfknowsd
fthedfstudentdfunderstandsdf thisdfproblemdfwhendfthedfstudentdfstates,dfCentraldfperfusion
a. Isdfmonitoreddfonlydfbydfthedfphysician.
b. Involvesdfthedfentiredfbody.
c. Isdfdecreaseddfwithdfhypertension.
d. Isdftoxicdftodfthedfcardiacdfsystem.
ANSWER:dfB
Centraldfperfusiondfdoesdfinvolvedfthedfentiredfbodydfasdfalldforgansdfaredfsupplieddfwithdfoxygendfanddfvital
dfNutrients.dfThedfphysiciandfdoesdfnotdfcontroldfthedfbodysdfabilitydffordfperfusion.dfCentraldfperfusiondfisdfn
otdecreaseddfwithdfhypertension.dfCentraldfperfusiondfisdfnotdftoxicdftodfthedfcardiacdfsystem.
2.dfAdfpatientdfwasdfdiagnoseddfwithdfhypertension.dfThedfpatientdfasksdfthedfnursedfhowdfthisdfdiseasedfcould
dfhavedfhappeneddftodfthem.dfThedfnursesdfbestdfresponsedfisdfHypertension
a. Happensdftodfeveryonedfsoonerdfordflater.dfDontdfbedfconcerneddfaboutdfit.
b. Candfhappendffromdfeatingdfadfpoordfdiet,dfsodfchangedfwhatdfyoudfaredfeating.
c. Candfhappendffromdfarterialdfchangesdfthatdfimpededfthedfblooddfflow.
, d.
Happensdfwhendfpeopledfdodfnotdfexercise,dfsodfyoudfshoulddfwalkdfever
ydfday.
ANSWER:dfC
Hardeningdfofdfthedfarteriesdffromdfatherosclerosisdfcandfcausedfhypertensiondfindfthedfpatient.dfHypertens
iondfdoesdfnotdfhappendftodfeveryone.dfChangingdfthedfpatientsdfdietdfanddfexercisingdfmaydfbedfadfpositive
dflifedfchange,dfbutdfthesedfanswersdfdodfnotdfexplaindftodfthedfpatientdfhowdfthedfdiseasedfcoulddfhavedfhapp
ened.
3.dfThedfpatientdfasksdfthedfnursedftodfexplaindfthedfsinoatrialdfnodedfindfthedfheart.dfThedfnursesdfbestdfrespon
sedfwoulddfbe,dfThedfsinoatrialdfnode
a. Providesdfthedfheartdfwithdfthedfstimulationdftodfbeatdfindfadfnormaldfrhythm.
b. Protectsdfthedfheartdffromdfatheroscleroticdfchanges.
c. Providesdfthedfheartdfwithdfoxygenateddfblood.
d.
Protectsdfthedfheartdffrom
df infection.
ANSWER:dfA
Thedfsinoatrialdfnodedfisdfthedfnaturaldfpacemakerdfofdfthedfheart,dfanddfitdfassistsdfthedfheartdftodfbeatdfindfadf
Normaldfrhythm.dfThedfsinoatrialdfnodedfdoesdfnotdfprotectdffromdfatheroscleroticdfchangesdfordfinfection,a
nddfitdfdoesdfnotdfdirectlydfprovidedfthedfheartdfwithdfoxygenateddfblood.
4.dfThedfpatientdfisdfbroughtdftodfthedfemergencydfdepartmentdfafterdfadfmotordfvehicledfaccident.dfThedfpati
entdfisdfdiagnoseddfwithdfinternaldfbleeding.dfThedfnursesdfprimarydfconcerndfisdftodfmonitordffor
a. Mentaldfalertness.
b. Perfusion.
c. Pain.
d.
Reactiondftod
fmedications.
ANSWER:dfB
Perfusiondfisdfthedfcorrectdfanswer,dfbecausedfwithdfinternaldfbleeding,dfthedfnursedfshoulddfmonitordfvital
Signsdftodfbedfsuredfperfusiondfisdfhappening.dfMentaldfalertness,dfpain,dfanddfmedicationdfreactionsdfareim
portantdfbutdfnotdfthedfprimarydfconcern.
5.dfAdfpatientsdfserumdfelectrolytesdfaredfbeingdfmonitored.dfThedfnursedfnoticesdfthatdfthedfpotassiumdfleve
ldfisdflow.dfThedfnursedfknowsdfthatdfthedfpatientdfshoulddfbedfobserveddffor
a. Tissuedfischemia.
b. Braindfmalformations.
c. Intestinaldfblockage.