in Client Care, 4th Edition Priscilla LeMon Q&A
LATEST UPDATE 2022/2023 GRADED A+
Chaptera21
Thea2nursea2isa2caringa2fora2foura2clientsa2ona2aa2medical–
surgicala2unit.a2Whicha2clienta2shoulda2thea2nursea2seea2initially?
1. Aa2clienta2admitteda2witha2hepatitisa2Aa2whoa2hasa2hada2sever
ea2diarrheaa2fora2thea2lasta224a2hours
2. Aa2clienta2admitteda2witha2pneumoniaa2whoa2isa2hasa2smal
la2amountsa2ofa2yellowa2productivea2sputum
3. Aa2clienta2admitteda2witha2fevera2ofa2unknowna2origina2(
FUO)a2whoa2hasa2beena2withouta2fevera2fora2thea2lasta248a2
hours
4. Aa2clienta2admitteda2witha2aa2wounda2infectiona2whosea2WBCa2
isa28,500a2mm3
Answer:a21
Rationale:a2Thea2nursea2musta2decidea2whicha2clienta2shoulda2bea2seena2on
a2 thea2initiala2roundsa2ofa2thea2day.a2Thea2nursea2musta2remembera2t
hata2thea2firsta2clienta2toa2bea2seena2shoulda2bea2thea2clienta2whoa2nee
dsa2thea2attentiona2ofa2thea2nursea2initially.a2Aa2clienta2witha2hepatit
isa2Aa2doesa2experiencea2diarrhea,a2buta2diarrheaa2fora2thea2lasta224
Test Bank for Medical-Surgical Nursing Critical Thinking
in Client Care, 4th Edition Priscilla LeMon Q&A
LATEST UPDATE 2022/2023 GRADED A+
, a2 hoursa2coulda2causea2thea2clienta2toa2havea2aa2problema2witha2dehy
drationa2anda2experiencea2aa2statea2ofa2fluida2volumea2deficit.
Cognitivea2Level:a2Application
Clienta2Needs:a2Safe,a2Effectivea2Carea2
Environmenta2Nursinga2Process:a2Plann
ing
Thea2nursea2isa2preparinga2toa2administera2influenzaa2vaccinesa2toa2aa2
massa2drive-
througha2clinic.a2Whicha2statementa2bya2aa2clienta2woulda2indicatea2furthe
ra2questioninga2priora2toa2givinga2thea2clienta2thea2influenzaa2vaccine?
1. “Ia2ama2allergica2toa2horsea2hair.”
2. “Ia2trya2toa2geta2mya2vaccinea2everya2year.”
3. “Ia2ama2nota2allergica2toa2anythinga2excepta2eggs.”
4. “Mya2husbanda2hada2aa2severea2allergica2reactiona2aftera2hea2
receiveda2hisa2influenzaa2vaccine.”
Answer:a23
Rationale:a2Influenzaa2vaccinesa2area2recommendeda2fora2persona2ata2hig
ha2riska2fora2seriousa2sequelaea2ofa2influenza.a2Thea2nursea2shoulda2
bea2awarea2thata2clienta2witha2aa2sensitivitya2toa2eggsa2shoulda2nota2re
ceivea2thea2vaccine.a2Vaccinesa2prepareda2froma2chickena2ora2ducka
2 embryosa2area2contraindicateda2ina2clientsa2whoa2area2allergica2toa2
Test Bank for Medical-Surgical Nursing Critical Thinking
in Client Care, 4th Edition Priscilla LeMon Q&A
LATEST UPDATE 2022/2023 GRADED A+
, eggs.
Test Bank for Medical-Surgical Nursing Critical Thinking
in Client Care, 4th Edition Priscilla LeMon Q&A
LATEST UPDATE 2022/2023 GRADED A+
, Cognitivea2Level:a2Application
Clienta2Needs:a2Safe,a2Effectivea2Carea2
Environmenta2Nursinga2Process:a2Asses
sment
Thea2nursea2isa2caringa2fora2foura2clientsa2ona2aa2medical–
surgicala2unit.a2Thea2secretarya2givesa2thea2nursea2thea2morninga2labs.a2W
hicha2ofa2thea2followinga2labsa2woulda2requirea2thata2thea2nursea2calla2thea2
physiciana2anda2informa2thea2healthcarea2providera2abouta2thea2client’sa2
abnormalities?
1.a 2 WBCa214,600a2mm3
2. Seruma2proteina26.9a2g/dL
3. Ia2&a2Da2(incisiona2anda2drainage)a2showinga2noa2growtha2fora2
thea2lasta224a2hours
4. Albumina24.2a2g/dL
Answer:a21
Rationale:a2Whena2thea2nursea2isa2caringa2fora2severala2clients,a2alla2ofa2thea
labsa2shoulda2bea2checkeda2frequentlya2throughouta2thea2shifta2toa2assessa2fo
2
ra2anya2abnormalities.a2Thea2WBCa2ina2optiona21a2isa2abnormal.a2(Normala2
Test Bank for Medical-Surgical Nursing Critical Thinking
in Client Care, 4th Edition Priscilla LeMon Q&A
LATEST UPDATE 2022/2023 GRADED A+