TESTBANK FOR LEMONE
jj & jjBURKE’S jj jj
MEDICAL- SURGICAL NURSING: CLINICAL
jj j jj jj
REASONING IN HOSPITAL CLIENT CARE 7TH
jj jj jj jj jj jj
EDITION/ALL CHAPTERS 1-52
jj jj jj
,Chapter 1 jj
1. The jjcaregiver jjis jjcaring jjfor jjfour jjHospital jjclients jjon jja jjmedical–surgical jjunit.
jjWhichjHospital jjclient jj should jjthe jjcaregiver jjsee jj initially?
1. A jHospital jjclient jjadmitted jjwith jjhepatitis jjA jwho jjhas jjhad jjsevere
jjdiarrhea jj for jjthel
j ast jj 24 jjhours
2. A jHospital jjclient jjadmitted jjwith jjpneumonia jjwho j j is jjhas jjsmall
jjamounts jjofjyellow jjproductive jj sputum
3. A jHospital jjclient jjadmitted jjwith jjfever jjof jjunknown jjorigin
jj(FUO) jjwho jjhasjb een jjwithout jjfever j j for jjthe jj last jj 48 jjhours
4. A jjHospital jjclient jjadmitted jjwith jja jjwound jjinfection jjwhose jjWBC
jj is jj8,500 jjmm3A
j CCURATE jjANSWER:-1
Reasoning:->>>The jjcaregiver jjmust jjdecide jjwhich jjHospital jjclient jjshould jjbe jjseen jjon
jjthejinitial jjrounds jjof jjthe jjday. jj The jjcaregiver jjmust jjremember jjthat jjthe jjfirst
Hospital jjclient jjto jjbe jjseen jjshould jjbe jjthe jjHospital jjclient jjwho jjneeds jjthe
jjattention jjof jjthe jjcaregiver jjinitially. jjA jjHospital jjclient jjwith jjhepatitis jjA jjdoes
jjexperience jjdiarrhea,jbut jjdiarrhea jjfor jjthe jjlast jj24 jjhours jjcould jjcause jjthe
jjHospital jjclient jjto jjhave jja jjproblem jjwithjdehydration jjand jjexperience jja jjstate
jjof jjfluid jj volume jj deficit.
Cognitive jjLevel: jjApplication
Hospital jjclient jjNeeds: jjSafe, jjEffective jjCare
jjEnvironmentjNursing jjProcess: jjPlanning
2. The jjcaregiver jjis jjpreparing jjto jjadminister jjinfluenza jjvaccines jjto jja jjmass jjdrive-
jthrough jjclinic. jjWhich jjstatement jj by jja jjHospital jjclient jj would jjindicate jjfurther
jjquestioning jjprior jjtojgiving jjthe jjHospital jjclient jjthe jj influenza jjvaccine?
1. “I jjam jjallergic jjto jjhorse jjhair.”
2. “I jjtry jjto jjget jjmy jjvaccine jjevery jjyear.”
3. “I jjam jjnot jjallergic jjto jjanything jjexcept jjeggs.”
4. “My jjhusband jjhad jja jjsevere jjallergic jjreaction jjafter jjhe jjreceived jjhis
jjinfluenzajvaccine.”
ACCURATE jjANSWER:-3
Reasoning:->>>Influenza jjvaccines jjare jjrecommended jjfor jjperson jjat jjhigh jjrisk jjfor
jjserious jjsequelae jjof jjinfluenza. jjThe jjcaregiver jjshould jjbe jjaware jjthat jjHospital
jjclient jjwith jjajsensitivity jjto jjeggs jjshould jjnot jjreceive jjthe jjvaccine. jjVaccines
jjprepared jjfrom jjchicken jjor jjduck jjembryos jjare jjcontraindicated jjin jjHospital
jjclients jjwho jj are jjallergic jjto jj eggs.
,Cognitive jjLevel: jjApplication
Hospital jjclient jjNeeds: jjSafe, jjEffective jjCare
jjEnvironmentjNursing jjProcess: jjAssessment
3. The jjcaregiver jjis jjcaring jjfor jjfour jjHospital jjclients jjon jja jjmedical–surgical jjunit. jjThe
jjsecretary jjgives jjthe jjcaregiver jjthe jjmorning jjlabs. jjWhich jjof jjthe jjfollowing jjlabs jjwould
jjrequire jjthat jjthe jjcaregiver jjcall jjthe jjphysician jjand jjinform jjthe jjhealthcare jjprovider
jjabout jjthe jjHospital jjclient’s jjabnormalities?
1. j j WBC jj14,600 jjmm3
2. Serum jjprotein jj6.9 jjg/dL
3. I jj& jjD jj(incision jjand jjdrainage) jjshowing jjno jjgrowth jjfor jjthe jjlast jj24 jjhours
4. Albumin jj4.2 jjg/dL
j CCURATE jjANSWER:-1
A
Reasoning:->>>When jjthe jjcaregiver jjis jjcaring jjfor jjseveral jjHospital jjclients, jjall jjof
jjthe jjlabs jshould jjbe jjchecked jjfrequently jjthroughout jjthe jjshift jjto jjassess jjfor jjany
jjabnormalities. jjThe jWBC jjin jjoption jj1 jjis jjabnormal. jj(Normal jjWBC jj4,000–10,000
3
jjmm .) jjAll jjof jjthe jjother jjlab jresults jjare jjwithin jjacceptable jjrange; jjtherefore, jjthe
jjresults jjshould jjnot jjbe jjcalled jjin jjto jjthejphysician.
Cognitive jjLevel:
jjApplicationH j ospital jjclient
jjNeeds: jjPhysiologic
jjIntegrity jjNursing jjProcess:
Assessment
4. The jjcaregiver jjis jjorienting jja jjnew jjgraduate. jjThe jjcaregiver jjis jjreinforcing
jjthe jjimportance jjof jjstandard jjprecautions. jjWhich jjof jjthe jjfollowing
jjobservations jjby jjthe jjcaregiver jjwould jjrequire jjfurther jjeducation jjregarding
jstandard jjprecautions?
1. The jjgraduate jjcaregiver jjunderstands jjto jjwash jjhands jjwhen
jentering jjand jjexiting jjthe jjHospital jjclient’s jjroom.
2. The jjgraduate jjcaregiver jjwears jjgloves jjwhen jjserving jjbreakfasttj rays
jjto jjvarious jjHospital jjclients.
3. The jjgraduate jjcaregiver jjwears jja jjgown, jjgloves, jjand jjgoggles jjwhen
jsuctioning jja jjHospital jjclient.
4. The jjgraduate jjcaregiver jjleaves jjall jjsupplies jjin jjthe jjroom jjof jja
jHospital jjclient jj who jjis jjin jjcontact jjisolation.
ACCURATE jjANSWER:-2
, Reasoning:->>>The jjcaregiver jjmust jjhave jjan jjunderstanding jjof jjstandard jjprecautions.
jjPrevention jjis jjthe jjmost jjimportant jjmeasure jjto jjprevent jjnosocomial
jjinfections. jjStandard jjprecautions jjwere jjpublished jj in jj1996 jjthat jjprovide
jjguidelines
for jjthe jjhandling jjof jjblood jjand jjother jjbody jjfluids. jjThese jjguidelines jjare jjused
jjwith jjall jjHospital jjclients, jjregardless jjof jjwhether jjthey jjhave jja jjknown jjinfectious
jjdisease. jjStandardjprecautions jjare jjused
by jjall jjhealthcare jjworkers jjwho jjhave jjdirect jjcontact jjwith jjHospital jjclients jjor
jjwith jjtheir jjbody jjfluids. jjIt jjis jjnot jjnecessary jjfor jjthe jjcaregiver jjto jjwear jjgloves
jjwhile jjdelivering jj food jjtrays jjto jjthe jjHospital jjclient, jjbecause jjthere jj is jjnot
jjcontact jjwith jjthe jjHospital jjclient.
Cognitive jjLevel: jjApplication
Hospital jjclient jjNeeds: jjSafe, jjEffective jjCare
jjEnvironmentjNursing jjProcess: jjEvaluation
5. The jjadmitting jjdepartment jjalerts jjthe jjcaregiver jjon jja jjmedical–surgical jjunit jjthataj
jjHospital jjclient jjwith jjactive jjtuberculosis jj(TB) jjis jjbeing jjadmitted jjto jjthe jjunit. jjWhich
jjtype jjof jjisolation jjis jjappropriate jjbased jjon jjthe jjHospital jjclient’s jjdiagnosis?
1. Standard jjprecautions
2. Airborne jjprecautions
3. Droplet jjprecautions
4. Contact
jj precautionsA
j CCURATE
jj ANSWER:-2
Reasoning:->>>In jjaddition jjto jjhandwashing jjand jjstandard jjprecautions, jjthe jjnature jjand
jjspread jjof jjsome jjinfectious jjdiseases jjrequire jjthat jjspecial jjtechniques jjbe jjused jjto
jjprotect jjuninfected jjHospital jjclients jjand jjworkers. jjThe jjHospital jjclient jjwith jjpulmonary
jjtuberculosis jjwill jjbe jjplaced jjin jjairborne jjprecautions. jjThe jjHospital jjclient jjshould jjbe
jjplaced jjin jja jjprivate jjroom jjwith jjspecial jjventilation jjthat jj does jjnot jjallow jjair jjto
jj circulate jjto jj general jjhealth jjcenter jjventilation; jja jj maskjor jjspecial jjfilter jjrespirators jjwill
jjbe jjused jj for jjeveryone jjentering jjthe jjroom.
Cognitive jjLevel: jjApplication
Hospital jjclient jjNeeds: jjSafe, jjEffective jjCare
jjEnvironmentjNursing jjProcess: jjAssessment
6. A jjHospital jjclient jjis jjreceiving jjIV jjvancomycin jjfor jjthe jjtreatment jjof
jjClostridium jjdifficile.T j he jjcaregiver jjunderstands jj that jjthe jjHospital jjclient jjwho
jjdevelops jjflushing, jjtachycardia, jjand jjhypotension jjduring jjthe jj infusion jjof
jjvancomycin jj indicates:
jj & jjBURKE’S jj jj
MEDICAL- SURGICAL NURSING: CLINICAL
jj j jj jj
REASONING IN HOSPITAL CLIENT CARE 7TH
jj jj jj jj jj jj
EDITION/ALL CHAPTERS 1-52
jj jj jj
,Chapter 1 jj
1. The jjcaregiver jjis jjcaring jjfor jjfour jjHospital jjclients jjon jja jjmedical–surgical jjunit.
jjWhichjHospital jjclient jj should jjthe jjcaregiver jjsee jj initially?
1. A jHospital jjclient jjadmitted jjwith jjhepatitis jjA jwho jjhas jjhad jjsevere
jjdiarrhea jj for jjthel
j ast jj 24 jjhours
2. A jHospital jjclient jjadmitted jjwith jjpneumonia jjwho j j is jjhas jjsmall
jjamounts jjofjyellow jjproductive jj sputum
3. A jHospital jjclient jjadmitted jjwith jjfever jjof jjunknown jjorigin
jj(FUO) jjwho jjhasjb een jjwithout jjfever j j for jjthe jj last jj 48 jjhours
4. A jjHospital jjclient jjadmitted jjwith jja jjwound jjinfection jjwhose jjWBC
jj is jj8,500 jjmm3A
j CCURATE jjANSWER:-1
Reasoning:->>>The jjcaregiver jjmust jjdecide jjwhich jjHospital jjclient jjshould jjbe jjseen jjon
jjthejinitial jjrounds jjof jjthe jjday. jj The jjcaregiver jjmust jjremember jjthat jjthe jjfirst
Hospital jjclient jjto jjbe jjseen jjshould jjbe jjthe jjHospital jjclient jjwho jjneeds jjthe
jjattention jjof jjthe jjcaregiver jjinitially. jjA jjHospital jjclient jjwith jjhepatitis jjA jjdoes
jjexperience jjdiarrhea,jbut jjdiarrhea jjfor jjthe jjlast jj24 jjhours jjcould jjcause jjthe
jjHospital jjclient jjto jjhave jja jjproblem jjwithjdehydration jjand jjexperience jja jjstate
jjof jjfluid jj volume jj deficit.
Cognitive jjLevel: jjApplication
Hospital jjclient jjNeeds: jjSafe, jjEffective jjCare
jjEnvironmentjNursing jjProcess: jjPlanning
2. The jjcaregiver jjis jjpreparing jjto jjadminister jjinfluenza jjvaccines jjto jja jjmass jjdrive-
jthrough jjclinic. jjWhich jjstatement jj by jja jjHospital jjclient jj would jjindicate jjfurther
jjquestioning jjprior jjtojgiving jjthe jjHospital jjclient jjthe jj influenza jjvaccine?
1. “I jjam jjallergic jjto jjhorse jjhair.”
2. “I jjtry jjto jjget jjmy jjvaccine jjevery jjyear.”
3. “I jjam jjnot jjallergic jjto jjanything jjexcept jjeggs.”
4. “My jjhusband jjhad jja jjsevere jjallergic jjreaction jjafter jjhe jjreceived jjhis
jjinfluenzajvaccine.”
ACCURATE jjANSWER:-3
Reasoning:->>>Influenza jjvaccines jjare jjrecommended jjfor jjperson jjat jjhigh jjrisk jjfor
jjserious jjsequelae jjof jjinfluenza. jjThe jjcaregiver jjshould jjbe jjaware jjthat jjHospital
jjclient jjwith jjajsensitivity jjto jjeggs jjshould jjnot jjreceive jjthe jjvaccine. jjVaccines
jjprepared jjfrom jjchicken jjor jjduck jjembryos jjare jjcontraindicated jjin jjHospital
jjclients jjwho jj are jjallergic jjto jj eggs.
,Cognitive jjLevel: jjApplication
Hospital jjclient jjNeeds: jjSafe, jjEffective jjCare
jjEnvironmentjNursing jjProcess: jjAssessment
3. The jjcaregiver jjis jjcaring jjfor jjfour jjHospital jjclients jjon jja jjmedical–surgical jjunit. jjThe
jjsecretary jjgives jjthe jjcaregiver jjthe jjmorning jjlabs. jjWhich jjof jjthe jjfollowing jjlabs jjwould
jjrequire jjthat jjthe jjcaregiver jjcall jjthe jjphysician jjand jjinform jjthe jjhealthcare jjprovider
jjabout jjthe jjHospital jjclient’s jjabnormalities?
1. j j WBC jj14,600 jjmm3
2. Serum jjprotein jj6.9 jjg/dL
3. I jj& jjD jj(incision jjand jjdrainage) jjshowing jjno jjgrowth jjfor jjthe jjlast jj24 jjhours
4. Albumin jj4.2 jjg/dL
j CCURATE jjANSWER:-1
A
Reasoning:->>>When jjthe jjcaregiver jjis jjcaring jjfor jjseveral jjHospital jjclients, jjall jjof
jjthe jjlabs jshould jjbe jjchecked jjfrequently jjthroughout jjthe jjshift jjto jjassess jjfor jjany
jjabnormalities. jjThe jWBC jjin jjoption jj1 jjis jjabnormal. jj(Normal jjWBC jj4,000–10,000
3
jjmm .) jjAll jjof jjthe jjother jjlab jresults jjare jjwithin jjacceptable jjrange; jjtherefore, jjthe
jjresults jjshould jjnot jjbe jjcalled jjin jjto jjthejphysician.
Cognitive jjLevel:
jjApplicationH j ospital jjclient
jjNeeds: jjPhysiologic
jjIntegrity jjNursing jjProcess:
Assessment
4. The jjcaregiver jjis jjorienting jja jjnew jjgraduate. jjThe jjcaregiver jjis jjreinforcing
jjthe jjimportance jjof jjstandard jjprecautions. jjWhich jjof jjthe jjfollowing
jjobservations jjby jjthe jjcaregiver jjwould jjrequire jjfurther jjeducation jjregarding
jstandard jjprecautions?
1. The jjgraduate jjcaregiver jjunderstands jjto jjwash jjhands jjwhen
jentering jjand jjexiting jjthe jjHospital jjclient’s jjroom.
2. The jjgraduate jjcaregiver jjwears jjgloves jjwhen jjserving jjbreakfasttj rays
jjto jjvarious jjHospital jjclients.
3. The jjgraduate jjcaregiver jjwears jja jjgown, jjgloves, jjand jjgoggles jjwhen
jsuctioning jja jjHospital jjclient.
4. The jjgraduate jjcaregiver jjleaves jjall jjsupplies jjin jjthe jjroom jjof jja
jHospital jjclient jj who jjis jjin jjcontact jjisolation.
ACCURATE jjANSWER:-2
, Reasoning:->>>The jjcaregiver jjmust jjhave jjan jjunderstanding jjof jjstandard jjprecautions.
jjPrevention jjis jjthe jjmost jjimportant jjmeasure jjto jjprevent jjnosocomial
jjinfections. jjStandard jjprecautions jjwere jjpublished jj in jj1996 jjthat jjprovide
jjguidelines
for jjthe jjhandling jjof jjblood jjand jjother jjbody jjfluids. jjThese jjguidelines jjare jjused
jjwith jjall jjHospital jjclients, jjregardless jjof jjwhether jjthey jjhave jja jjknown jjinfectious
jjdisease. jjStandardjprecautions jjare jjused
by jjall jjhealthcare jjworkers jjwho jjhave jjdirect jjcontact jjwith jjHospital jjclients jjor
jjwith jjtheir jjbody jjfluids. jjIt jjis jjnot jjnecessary jjfor jjthe jjcaregiver jjto jjwear jjgloves
jjwhile jjdelivering jj food jjtrays jjto jjthe jjHospital jjclient, jjbecause jjthere jj is jjnot
jjcontact jjwith jjthe jjHospital jjclient.
Cognitive jjLevel: jjApplication
Hospital jjclient jjNeeds: jjSafe, jjEffective jjCare
jjEnvironmentjNursing jjProcess: jjEvaluation
5. The jjadmitting jjdepartment jjalerts jjthe jjcaregiver jjon jja jjmedical–surgical jjunit jjthataj
jjHospital jjclient jjwith jjactive jjtuberculosis jj(TB) jjis jjbeing jjadmitted jjto jjthe jjunit. jjWhich
jjtype jjof jjisolation jjis jjappropriate jjbased jjon jjthe jjHospital jjclient’s jjdiagnosis?
1. Standard jjprecautions
2. Airborne jjprecautions
3. Droplet jjprecautions
4. Contact
jj precautionsA
j CCURATE
jj ANSWER:-2
Reasoning:->>>In jjaddition jjto jjhandwashing jjand jjstandard jjprecautions, jjthe jjnature jjand
jjspread jjof jjsome jjinfectious jjdiseases jjrequire jjthat jjspecial jjtechniques jjbe jjused jjto
jjprotect jjuninfected jjHospital jjclients jjand jjworkers. jjThe jjHospital jjclient jjwith jjpulmonary
jjtuberculosis jjwill jjbe jjplaced jjin jjairborne jjprecautions. jjThe jjHospital jjclient jjshould jjbe
jjplaced jjin jja jjprivate jjroom jjwith jjspecial jjventilation jjthat jj does jjnot jjallow jjair jjto
jj circulate jjto jj general jjhealth jjcenter jjventilation; jja jj maskjor jjspecial jjfilter jjrespirators jjwill
jjbe jjused jj for jjeveryone jjentering jjthe jjroom.
Cognitive jjLevel: jjApplication
Hospital jjclient jjNeeds: jjSafe, jjEffective jjCare
jjEnvironmentjNursing jjProcess: jjAssessment
6. A jjHospital jjclient jjis jjreceiving jjIV jjvancomycin jjfor jjthe jjtreatment jjof
jjClostridium jjdifficile.T j he jjcaregiver jjunderstands jj that jjthe jjHospital jjclient jjwho
jjdevelops jjflushing, jjtachycardia, jjand jjhypotension jjduring jjthe jj infusion jjof
jjvancomycin jj indicates:
