Test Bank for Understanding
Medical-Surgical Nursing 6th
Edition Linda S. Williams
Paula D. Hopper
,Chapters21
1. Thes2nurses2iss2carings2fors2fours2clientss2ons2as2medical–
surgicals2unit.s2Whichs2clients2shoulds2thes2nurses2sees2initially?
1. As2clients2admitteds2withs2hepatitiss2As2whos2hass2hads2severes2diarrheas2fo
rs2thes2lasts224s2hours
2. As2clients2admitteds2withs2pneumonias2whos2iss2hass2smalls2amountss2o
fs2yellows2productives2sputum
3. As2clients2admitteds2withs2fevers2ofs2unknowns2origins2(FUO)s2whos2h
ass2beens2withouts2fevers2fors2thes2lasts248s2hours
4. As2clients2admitteds2withs2as2wounds2infections2whoses2WBCs2iss28,500s2mm3
Answer:s21
Rationale:s2Thes2nurses2musts2decides2whichs2clients2shoulds2bes2seens2ons2thes2initials2rou
ndss2ofs2thes2day.s2Thes2nurses2musts2remembers2thats2thes2firsts2clients2tos2bes2se
ens2shoulds2bes2thes2clients2whos2needss2thes2attentions2ofs2thes2nurses2initially.s2
As2clients2withs2hepatitiss2As2doess2experiences2diarrhea,s2buts2diarrheas2fors2thes
2lasts224s2hourss2coulds2causes2thes2clients2tos2haves2as2problems2withs2dehydratio
ns2ands2experiences2as2states2ofs2fluids2volumes2deficit.
Cognitives2Level:s2Application
Clients2Needs:s2Safe,s2Effectives2Cares2Environments2
Nursings2Process:s2Planning
2. Thes2 nurses2 iss2 preparings2 tos2 administers2 influenzas2 vacciness2 tos2 as2 masss2 drive-
throughs2clinic.Whichs2statements2bys2as2clients2woulds2indicates2furthers2questionings2p
riors2tos2givings2thes2clients2thes2influenzas2vaccine?
1. “Is2 amts 2 allergics2 tos2 horses2 hair.”
2. “Is2 trys2 tos2 gets2 mys2 vaccines2 everys2 year.”
3. “Is2 ams2 nots2 allergics2 tos2 anythings2 excepts2 eggs.”
4. “Mys2husbands2hads2as2severes2allergics2reactions2afters2hes2receiveds2his
s2influens2zavaccine.”
Answer:s2 3
Rationale:s2Influenzas2vacciness2ares2recommendeds2fors2persons2ats2highs2risks2fors2ser
iouss2ses2quelaes2ofs2influenza.s2Thes2nurses2shoulds2bes2awares2thats2clients2wit
hs2as2sensitivitys2tos2eggss2shoulds2nots2receives2thes2vaccine.s2Vacciness2prepar
eds2froms2chickens2ors2ducks2embryoss2ares2contraindicateds2ins2clientss2whos2a
res2allergics2tos2eggs.
Cognitives2 Level:s2 Application
,Clients2Needs:s2Safe,s2Effectives2Cares2Environment
s2Nursings2Process:s2Assessment
3. Thes2 nurses 2 iss 2 carings 2 fors 2 fours 2 clientss2 ons 2 as2 medical–
surgicals2unit.s2Thes2secretarys2givess2thenurses2thes2mornings2labs.s2Whichs2ofs2thes2foll
owings2ls2abss2woulds2requires2thats2thes2nurses2calls2t h e tpy s 2 hysicians2ands2informs2thes2
healthcares2providers2as2bouts2thes2client’ss2abnormalities?
1. WBCs2 14,600s2 mm3
2. Serums2 proteins2 6.9s2 g/dL
3. Is2 &s2 Ds2 (incisions2 ands2 drainage)s2 showings2 nos2 growths 2 fors2 thes2 lasts2 24s2 hours
4. Albumins2 4.2s 2 g/dL
Answer:s2 1
Rationale:s2Whens2thes2nurses2iss2carings2fors2severals2clients,s2alls2ofs2thes2labss2shoulds
2bes2checkes2dfrequentlys2throughouts2thes2shifts2tos2assesss2fors2anys2abnormalities.s2Th
es2WBCs2ins2options21s 2 iss2abnormal.s2(Normals2WBCs24,000–
10,000s2mm3.)s2Alls2ofs2thes2others2labs2resultss2ares2withins2acceptables2range;s2therefore
,s2thes2ress2ultss2shoulds2nots2bes2calleds2ins2tos2thes2physician.
Cognitives2Level:s2Applications2Cl
ies2nts2Needs:s2Physiologics2Integri
tyNurs2sings2Process:s2Assessment
4. Thes2 nurses2 iss2 orientings2 as2 news2 graduate.s 2 Thes2 nurses2 iss2 reinforcings2 thes2 i
mportances2 os2fs2standards2precautions.s2Whichs2ofs2thes2followings2observationss2by
s2thes2nurses2woulds2reqs2uiretfys2urthers2educations2regardings2standards2precautions?
1. Thes2graduates2nurses2understandss2tos2washs2handss2whens2enterings2a
nds2exitis2ngthes2client’ss2room.
2. Thes2graduates2nurses2wearss2glovess2whens2servings2breakfasts2trayss2t
os2varios2usclients.
3. Thes2graduates2nurses2wearss2as2gown,s2gloves,s2ands2goggless2whens2su
ctionings2a t cy s 2 lient.
4. Thes2graduates2nurses2leavess2alls2suppliess2ins2thes2rooms2ofs2as2client
s2whos2ists 2 inycontacts2isolation.
Answer:s2 2
Rationale:s2Thes2nurses2musts2haves2ans2understandings2ofs2standards2precautions.s2Preve
ntions2iss2thes2mosts2importants2measures2tos2prevents2nosocomials2infections.s2St
andards2precauts2ionss2weres2publisheds2ins21996s2thats2provides2guideliness2fors2t
hes2handlings2ofs2bloods2as 2 nds2others2bodys2fluids.s2Theses2guideliness2ares2use
ds2withs2alls2clients,s2regardlessofs2whes2thers2theys2haves2as2knowns2infectiouss2d
, isease.s2Standards2precautionss2ares2used
Medical-Surgical Nursing 6th
Edition Linda S. Williams
Paula D. Hopper
,Chapters21
1. Thes2nurses2iss2carings2fors2fours2clientss2ons2as2medical–
surgicals2unit.s2Whichs2clients2shoulds2thes2nurses2sees2initially?
1. As2clients2admitteds2withs2hepatitiss2As2whos2hass2hads2severes2diarrheas2fo
rs2thes2lasts224s2hours
2. As2clients2admitteds2withs2pneumonias2whos2iss2hass2smalls2amountss2o
fs2yellows2productives2sputum
3. As2clients2admitteds2withs2fevers2ofs2unknowns2origins2(FUO)s2whos2h
ass2beens2withouts2fevers2fors2thes2lasts248s2hours
4. As2clients2admitteds2withs2as2wounds2infections2whoses2WBCs2iss28,500s2mm3
Answer:s21
Rationale:s2Thes2nurses2musts2decides2whichs2clients2shoulds2bes2seens2ons2thes2initials2rou
ndss2ofs2thes2day.s2Thes2nurses2musts2remembers2thats2thes2firsts2clients2tos2bes2se
ens2shoulds2bes2thes2clients2whos2needss2thes2attentions2ofs2thes2nurses2initially.s2
As2clients2withs2hepatitiss2As2doess2experiences2diarrhea,s2buts2diarrheas2fors2thes
2lasts224s2hourss2coulds2causes2thes2clients2tos2haves2as2problems2withs2dehydratio
ns2ands2experiences2as2states2ofs2fluids2volumes2deficit.
Cognitives2Level:s2Application
Clients2Needs:s2Safe,s2Effectives2Cares2Environments2
Nursings2Process:s2Planning
2. Thes2 nurses2 iss2 preparings2 tos2 administers2 influenzas2 vacciness2 tos2 as2 masss2 drive-
throughs2clinic.Whichs2statements2bys2as2clients2woulds2indicates2furthers2questionings2p
riors2tos2givings2thes2clients2thes2influenzas2vaccine?
1. “Is2 amts 2 allergics2 tos2 horses2 hair.”
2. “Is2 trys2 tos2 gets2 mys2 vaccines2 everys2 year.”
3. “Is2 ams2 nots2 allergics2 tos2 anythings2 excepts2 eggs.”
4. “Mys2husbands2hads2as2severes2allergics2reactions2afters2hes2receiveds2his
s2influens2zavaccine.”
Answer:s2 3
Rationale:s2Influenzas2vacciness2ares2recommendeds2fors2persons2ats2highs2risks2fors2ser
iouss2ses2quelaes2ofs2influenza.s2Thes2nurses2shoulds2bes2awares2thats2clients2wit
hs2as2sensitivitys2tos2eggss2shoulds2nots2receives2thes2vaccine.s2Vacciness2prepar
eds2froms2chickens2ors2ducks2embryoss2ares2contraindicateds2ins2clientss2whos2a
res2allergics2tos2eggs.
Cognitives2 Level:s2 Application
,Clients2Needs:s2Safe,s2Effectives2Cares2Environment
s2Nursings2Process:s2Assessment
3. Thes2 nurses 2 iss 2 carings 2 fors 2 fours 2 clientss2 ons 2 as2 medical–
surgicals2unit.s2Thes2secretarys2givess2thenurses2thes2mornings2labs.s2Whichs2ofs2thes2foll
owings2ls2abss2woulds2requires2thats2thes2nurses2calls2t h e tpy s 2 hysicians2ands2informs2thes2
healthcares2providers2as2bouts2thes2client’ss2abnormalities?
1. WBCs2 14,600s2 mm3
2. Serums2 proteins2 6.9s2 g/dL
3. Is2 &s2 Ds2 (incisions2 ands2 drainage)s2 showings2 nos2 growths 2 fors2 thes2 lasts2 24s2 hours
4. Albumins2 4.2s 2 g/dL
Answer:s2 1
Rationale:s2Whens2thes2nurses2iss2carings2fors2severals2clients,s2alls2ofs2thes2labss2shoulds
2bes2checkes2dfrequentlys2throughouts2thes2shifts2tos2assesss2fors2anys2abnormalities.s2Th
es2WBCs2ins2options21s 2 iss2abnormal.s2(Normals2WBCs24,000–
10,000s2mm3.)s2Alls2ofs2thes2others2labs2resultss2ares2withins2acceptables2range;s2therefore
,s2thes2ress2ultss2shoulds2nots2bes2calleds2ins2tos2thes2physician.
Cognitives2Level:s2Applications2Cl
ies2nts2Needs:s2Physiologics2Integri
tyNurs2sings2Process:s2Assessment
4. Thes2 nurses2 iss2 orientings2 as2 news2 graduate.s 2 Thes2 nurses2 iss2 reinforcings2 thes2 i
mportances2 os2fs2standards2precautions.s2Whichs2ofs2thes2followings2observationss2by
s2thes2nurses2woulds2reqs2uiretfys2urthers2educations2regardings2standards2precautions?
1. Thes2graduates2nurses2understandss2tos2washs2handss2whens2enterings2a
nds2exitis2ngthes2client’ss2room.
2. Thes2graduates2nurses2wearss2glovess2whens2servings2breakfasts2trayss2t
os2varios2usclients.
3. Thes2graduates2nurses2wearss2as2gown,s2gloves,s2ands2goggless2whens2su
ctionings2a t cy s 2 lient.
4. Thes2graduates2nurses2leavess2alls2suppliess2ins2thes2rooms2ofs2as2client
s2whos2ists 2 inycontacts2isolation.
Answer:s2 2
Rationale:s2Thes2nurses2musts2haves2ans2understandings2ofs2standards2precautions.s2Preve
ntions2iss2thes2mosts2importants2measures2tos2prevents2nosocomials2infections.s2St
andards2precauts2ionss2weres2publisheds2ins21996s2thats2provides2guideliness2fors2t
hes2handlings2ofs2bloods2as 2 nds2others2bodys2fluids.s2Theses2guideliness2ares2use
ds2withs2alls2clients,s2regardlessofs2whes2thers2theys2haves2as2knowns2infectiouss2d
, isease.s2Standards2precautionss2ares2used
