Clinical Reasoning Cases in Nursing, 8th Edition TEST BANK by Mariann M. Harding, Verified Chapters 1 - 15, Complete Newest Version

Test Banks For Clinical Reasoning Cases in Nursin
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8th Edition by Mariann M. Harding;
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Chapter 1 - 15 nm nm nm

,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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Contents:
Chapter 1. Perfusion
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Chapter 2. Gas Exchange
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Chapter 3. Mobility
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Chapter 4. Digestion
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Chapter 5. Urinary Elimination
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Chapter 6. Intracranial Regulation
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Chapter 7. Metabolism and Glucose Regulation
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Chapter 8. Immunity
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Chapter 9. Cellular Regulation
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Chapter 10. Tissue Integrity
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Chapter 11. Cognition
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Chapter 12. Infection and Inflammation
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Chapter 13. Developmental
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Chapter 14. Reproductive
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Chapter 15. Mood, Stress, and Addiction
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,Chapter 1. Perfusion nm nm



Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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MULTIPLE CHOICE nm


1. The nurse is explaining to a student nurse about impaired central perfusion. The
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nurse knows the student understands this problem when the student states, Central
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perfusion
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a. Is monitored only by the physician.
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b. Involves the entire body. nm nm nm



c. Is decreased with hypertension.
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d. Is toxic to the cardiac system.
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ANSWER: B nm


Central perfusion does involve the entire body as all organs are supplied with oxygen
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and vital Nutrients. The physician does not control the bodys ability for perfusion.
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Central perfusion is notdecreased with hypertension. Central perfusion is not toxic to
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the cardiac system.
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2. A patient was diagnosed with hypertension. The patient asks the nurse how this
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disease could have happened to them. The nurses best response is Hypertension
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a. Happens to everyone sooner or later. Dont be concerned about it.
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b. Can happen from eating a poor diet, so change what you are eating.
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c. Can happen from arterial changes that impede the blood flow.
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d. Happens when people do not exercise, so you should walk
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nm every day. nm




ANSWER: C nm


Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
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Hypertension does not happen to everyone. Changing the patients diet and exercising
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may be a positive life change, but these answers do not explain to the patient how
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the disease could have happened.
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3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses
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best response would be, The sinoatrial node
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a. Provides the heart with the stimulation to beat in a normal rhythm.
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b. Protects the heart from atherosclerotic changes.
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c. Provides the heart with oxygenated blood.
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d. Protects the heart nm nm



from infection.
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ANSWER: A nm


The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to
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beat in a Normal rhythm. The sinoatrial node does not protect from atherosclerotic
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changes or infection,and it does not directly provide the heart with oxygenated blood.
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4. The patient is brought to the emergency department after a motor vehicle accident.
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The patient is diagnosed with internal bleeding. The nurses primary concern is to
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monitor for
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, a. Mental alertness. nm


b. Perfusion.




c. Pain.
d. Reaction
to medications.
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ANSWER: B nm


Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
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Signs to be sure perfusion is happening. Mental alertness, pain, and medication
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reactions areimportant but not the primary concern.
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5. A patients serum electrolytes are being monitored. The nurse notices that the
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potassium level is low. The nurse knows that the patient should be observed for
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a. Tissue ischemia. nm



b. Brain malformations. nm



c. Intestinal blockage. nm



d. Cardiac
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ANSWER: D nm


Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia,
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brain Malformations, or intestinal blockage do not have a direct correlation to potassium
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irregularities.
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6. A nurse is explaining to a student nurse about perfusion. The nurse knows the
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student understands the concept of perfusion when the student states, Perfusion
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a. Is a normal function of the body, and I dont have to be concerned about it.
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b. Is monitored by the physician, and I just follow orders.
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c. Is monitored by vital signs and capillary refill.
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d. Varies as a person ages, so I would expect changes nm nm nm nm nm nm nm nm nm



nm in the body.
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ANSWER: C nm


The best method to monitor perfusion is to monitor vital signs and capillary refill.
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This allows The nurse to know if perfusion is adequate to maintain vital organs.
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The nurse does have to be concerned about perfusion. Perfusion is not only
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monitored by the physician but the nurse too. Perfusion does not always change as
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the person ages.
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7. The nurse is conducting a patient assessment. The patient tells the nurse that he
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has smoked two packs of cigarettes per day for 27 years. The nurse may find
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which data upon assessment?
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a. Blood pressure above the normal range nm nm nm nm nm



b. Bounding pedal pulses nm nm



c. Night blindness nm