Test Bank for Medical Surgical Nursing Critical Thinking
q2 q2 q2 q2 q2 q2 q2 q
in Client Care,4th Edition Priscilla LeMon(100% Verified)
2 q2 q2 q2 q2 q2 q2
Chapterq21
1. Theq2nurseq2isq2caringq2forq2fourq2clientsq2onq2aq2medical–
surgicalq2unit.q2Whichq2clientq2shouldq2theq2nurseq2seeq2initially?
1. Aq2clientq2admittedq2withq2hepatitisq2Aq2whoq2hasq2hadq2severeq2diarrheaq2forq2t
heq2lastq224q2hours
2. Aq2clientq2admittedq2withq2pneumoniaq2whoq2isq2hasq2smallq2amountsq2ofq2y
ellowq2productiveq2sputum
3. Aq2clientq2admittedq2withq2feverq2ofq2unknownq2originq2(FUO)q2whoq2has
q2beenq2withoutq2feverq2forq2theq2lastq248q2hours
4. Aq2clientq2admittedq2withq2aq2woundq2infectionq2whoseq2WBCq2isq28,500q2mm3
Answer:q21
Rationale:q2Theq2nurseq2mustq2decideq2whichq2clientq2shouldq2beq2seenq2onq2theq2initialq2round
sq2ofq2theq2day.q2Theq2nurseq2mustq2rememberq2thatq2theq2firstq2clientq2toq2beq2seenq2sho
uldq2beq2theq2clientq2whoq2needsq2theq2attentionq2ofq2theq2nurseq2initially.q2Aq2clientq2w
ithq2hepatitisq2Aq2doesq2experienceq2diarrhea,q2butq2diarrheaq2forq2theq2lastq224q2hoursq
2couldq2causeq2theq2clientq2toq2haveq2aq2problemq2withq2dehydrationq2andq2experienceq
2aq2stateq2ofq2fluidq2volumeq2deficit.
Cognitiveq2Level:q2Application
Clientq2Needs:q2Safe,q2Effectiveq2Careq2Environmentq2
Nursingq2Process:q2Planning
2. Theq2nurseq2isq2preparingq2toq2administerq2influenzaq2vaccinesq2toq2aq2massq2drive-
throughq2clinic.q2Whichq2statementq2byq2aq2clientq2wouldq2indicateq2furtherq2questioningq2pri
orq2toq2givingq2theq2clientq2theq2influenzaq2vaccine?
1. “Iq2amq2allergicq2toq2horseq2hair.”
2. “Iq2tryq2toq2getq2myq2vaccineq2everyq2year.”
3. “Iq2amq2notq2allergicq2toq2anythingq2exceptq2eggs.”
4. “Myq2husbandq2hadq2aq2severeq2allergicq2reactionq2afterq2heq2receivedq2hisq2infl
uenzaq2vaccine.”
Answer:q23
Rationale:q2Influenzaq2vaccinesq2areq2recommendedq2forq2personq2atq2highq2riskq2forq2serious
q2sequelaeq2ofq2influenza.q2Theq2nurseq2shouldq2beq2awareq2thatq2clientq2withq2aq2sensiti
vityq2toq2eggsq2shouldq2notq2receiveq2theq2vaccine.q2Vaccinesq2preparedq2fromq2chicke
nq2orq2duckq2embryosq2areq2contraindicatedq2inq2clientsq2whoq2areq2allergicq2toq2eggs.
Cognitiveq2Level:q2Application
,Test Bank for Medical Surgical Nursing Critical Thinking
q2 q2 q2 q2 q2 q2 q2 q
in Client Care,4th Edition Priscilla LeMon(100% Verified)
2 q2 q2 q2 q2 q2 q2
Clientq2Needs:q2Safe,q2Effectiveq2Careq2Environmentq2
Nursingq2Process:q2Assessment
3. Theq2nurseq2isq2caringq2forq2fourq2clientsq2onq2aq2medical–
surgicalq2unit.q2Theq2secretaryq2givesq2theq2nurseq2theq2morningq2labs.q2Whichq2ofq2theq2follo
wingq2labsq2wouldq2requireq2thatq2theq2nurseq2callq2theq2physicianq2andq2informq2theq2healthca
req2providerq2aboutq2theq2client’sq2abnormalities?
1. WBCq214,600q2mm3
2. Serumq2proteinq26.9q2g/dL
3. Iq2&q2Dq2(incisionq2andq2drainage)q2showingq2noq2growthq2forq2theq2lastq224q2hours
4. Albuminq24.2q2g/dL
Answer:q21
Rationale:q2Whenq2theq2nurseq2isq2caringq2forq2severalq2clients,q2allq2ofq2theq2labsq2shouldq2beq2check
edq2frequentlyq2throughoutq2theq2shiftq2toq2assessq2forq2anyq2abnormalities.q2Theq2WBCq2inq2optio
nq21q2isq2abnormal.q2(Normalq2WBCq24,000–
10,000q2mm3.)q2Allq2ofq2theq2otherq2labq2resultsq2areq2withinq2acceptableq2range;q2therefore,q2theq2r
esultsq2shouldq2notq2beq2calledq2inq2toq2theq2physician.
Cognitiveq2Level:q2Applicationq2Cli
entq2Needs:q2Physiologicq2Integrityq2
Nursingq2Process:q2Assessment
4. Theq2nurseq2isq2orientingq2aq2newq2graduate.q2Theq2nurseq2isq2reinforcingq2theq2importa
nceq2ofq2standardq2precautions.q2Whichq2ofq2theq2followingq2observationsq2byq2theq2nurseq2
wouldq2requireq2furtherq2educationq2regardingq2standardq2precautions?
1. Theq2graduateq2nurseq2understandsq2toq2washq2handsq2whenq2enteringq2andq2e
xitingq2theq2client’sq2room.
2. Theq2graduateq2nurseq2wearsq2glovesq2whenq2servingq2breakfastq2traysq2toq2v
ariousq2clients.
3. Theq2graduateq2nurseq2wearsq2aq2gown,q2gloves,q2andq2gogglesq2whenq2suctio
ningq2aq2client.
4. Theq2graduateq2nurseq2leavesq2allq2suppliesq2inq2theq2roomq2ofq2aq2clientq2w
hoq2isq2inq2contactq2isolation.
Answer:q22
Rationale:q2Theq2nurseq2mustq2haveq2anq2understandingq2ofq2standardq2precautions.q2Preventi
onq2isq2theq2mostq2importantq2measureq2toq2preventq2nosocomialq2infections.q2Standar
dq2precautionsq2wereq2publishedq2inq21996q2thatq2provideq2guidelinesq2forq2theq2handl
ingq2ofq2bloodq2andq2otherq2bodyq2fluids.q2Theseq2guidelinesq2areq2usedq2withq2allq2clien
ts,q2regardlessq2ofq2whetherq2theyq2haveq2aq2knownq2infectiousq2disease.q2Standardq2p
,Test Bank for Medical Surgical Nursing Critical Thinking
q2 q2 q2 q2 q2 q2 q2 q
in Client Care,4th Edition Priscilla LeMon(100% Verified)
2 q2 q2 q2 q2 q2 q2
recautionsq2areq2used
, Test Bank for Medical Surgical Nursing Critical Thinking
q2 q2 q2 q2 q2 q2 q2 q
in Client Care,4th Edition Priscilla LeMon(100% Verified)
2 q2 q2 q2 q2 q2 q2
byq2allq2healthcareq2workersq2whoq2haveq2directq2contactq2withq2clientsq2orq2withq2the
irq2bodyq2fluids.q2Itq2isq2notq2necessaryq2forq2theq2nurseq2toq2wearq2glovesq2whileq2deliv
eringq2foodq2traysq2toq2theq2client,q2becauseq2thereq2isq2notq2contactq2withq2theq2client.
Cognitiveq2Level:q2Application
Clientq2Needs:q2Safe,q2Effectiveq2Careq2Environmentq2
Nursingq2Process:q2Evaluation
5. Theq2admittingq2departmentq2alertsq2theq2nurseq2onq2aq2medical–
surgicalq2unitq2thatq2aq2clientq2withq2activeq2tuberculosisq2(TB)q2isq2beingq2admittedq2toq2theq2
unit.q2Whichq2typeq2ofq2isolationq2isq2appropriateq2basedq2onq2theq2client’sq2diagnosis?
1. Standardq2precautions
2. Airborneq2precautions
3. Dropletq2precautions
4. Contactq2precautions
Answer:q22
Inq2additionq2toq2handwashingq2andq2standardq2precautions,q2theq2natureq2andq2spreadq2ofq2so
meq2infectiousq2diseasesq2requireq2thatq2specialq2techniquesq2beq2usedq2toq2protectq2uninfected
q2clientsq2andq2workers.q2Theq2clientq2withq2pulmonaryq2tuberculosisq2willq2beq2placedq2inq2air
borneq2precautions.q2Theq2clientq2shouldq2beq2placedq2inq2aq2privateq2roomq2withq2specialq2vent
ilationq2thatq2doesq2notq2allowq2airq2toq2circulateq2toq2generalq2hospitalq2ventilation;q2aq2maskq2
orq2specialq2filterq2respiratorsq2willq2beq2usedq2forq2everyoneq2enteringq2theq2room.
Cognitiveq2Level:q2Application
Clientq2Needs:q2Safe,q2Effectiveq2Careq2Environmentq2
Nursingq2Process:q2Assessment
6. Aq2clientq2isq2receivingq2IVq2vancomycinq2forq2theq2treatmentq2ofq2Clostridiumq2difficil
e.q2Theq2nurseq2understandsq2thatq2theq2clientq2whoq2developsq2flushing,q2tachycardia,q2and
q2hypotensionq2duringq2theq2infusionq2ofq2vancomycinq2indicates:
1. Ototoxicityq2effect.
2. Superinfection.
3. Redq2manq2syndrome.
4. Hives.
Answer:q23
Rationale:q2Vancomycinq2inhibitsq2cellq2wallq2synthesis,q2andq2isq2usedq2forq2seriousq2infection
s.q2Itq2isq2onlyq2effectiveq2againstq2gram-
positiveq2bacteria,q2especiallyq2Staphylococcusq2aureusq2and
q2 q2 q2 q2 q2 q2 q2 q
in Client Care,4th Edition Priscilla LeMon(100% Verified)
2 q2 q2 q2 q2 q2 q2
Chapterq21
1. Theq2nurseq2isq2caringq2forq2fourq2clientsq2onq2aq2medical–
surgicalq2unit.q2Whichq2clientq2shouldq2theq2nurseq2seeq2initially?
1. Aq2clientq2admittedq2withq2hepatitisq2Aq2whoq2hasq2hadq2severeq2diarrheaq2forq2t
heq2lastq224q2hours
2. Aq2clientq2admittedq2withq2pneumoniaq2whoq2isq2hasq2smallq2amountsq2ofq2y
ellowq2productiveq2sputum
3. Aq2clientq2admittedq2withq2feverq2ofq2unknownq2originq2(FUO)q2whoq2has
q2beenq2withoutq2feverq2forq2theq2lastq248q2hours
4. Aq2clientq2admittedq2withq2aq2woundq2infectionq2whoseq2WBCq2isq28,500q2mm3
Answer:q21
Rationale:q2Theq2nurseq2mustq2decideq2whichq2clientq2shouldq2beq2seenq2onq2theq2initialq2round
sq2ofq2theq2day.q2Theq2nurseq2mustq2rememberq2thatq2theq2firstq2clientq2toq2beq2seenq2sho
uldq2beq2theq2clientq2whoq2needsq2theq2attentionq2ofq2theq2nurseq2initially.q2Aq2clientq2w
ithq2hepatitisq2Aq2doesq2experienceq2diarrhea,q2butq2diarrheaq2forq2theq2lastq224q2hoursq
2couldq2causeq2theq2clientq2toq2haveq2aq2problemq2withq2dehydrationq2andq2experienceq
2aq2stateq2ofq2fluidq2volumeq2deficit.
Cognitiveq2Level:q2Application
Clientq2Needs:q2Safe,q2Effectiveq2Careq2Environmentq2
Nursingq2Process:q2Planning
2. Theq2nurseq2isq2preparingq2toq2administerq2influenzaq2vaccinesq2toq2aq2massq2drive-
throughq2clinic.q2Whichq2statementq2byq2aq2clientq2wouldq2indicateq2furtherq2questioningq2pri
orq2toq2givingq2theq2clientq2theq2influenzaq2vaccine?
1. “Iq2amq2allergicq2toq2horseq2hair.”
2. “Iq2tryq2toq2getq2myq2vaccineq2everyq2year.”
3. “Iq2amq2notq2allergicq2toq2anythingq2exceptq2eggs.”
4. “Myq2husbandq2hadq2aq2severeq2allergicq2reactionq2afterq2heq2receivedq2hisq2infl
uenzaq2vaccine.”
Answer:q23
Rationale:q2Influenzaq2vaccinesq2areq2recommendedq2forq2personq2atq2highq2riskq2forq2serious
q2sequelaeq2ofq2influenza.q2Theq2nurseq2shouldq2beq2awareq2thatq2clientq2withq2aq2sensiti
vityq2toq2eggsq2shouldq2notq2receiveq2theq2vaccine.q2Vaccinesq2preparedq2fromq2chicke
nq2orq2duckq2embryosq2areq2contraindicatedq2inq2clientsq2whoq2areq2allergicq2toq2eggs.
Cognitiveq2Level:q2Application
,Test Bank for Medical Surgical Nursing Critical Thinking
q2 q2 q2 q2 q2 q2 q2 q
in Client Care,4th Edition Priscilla LeMon(100% Verified)
2 q2 q2 q2 q2 q2 q2
Clientq2Needs:q2Safe,q2Effectiveq2Careq2Environmentq2
Nursingq2Process:q2Assessment
3. Theq2nurseq2isq2caringq2forq2fourq2clientsq2onq2aq2medical–
surgicalq2unit.q2Theq2secretaryq2givesq2theq2nurseq2theq2morningq2labs.q2Whichq2ofq2theq2follo
wingq2labsq2wouldq2requireq2thatq2theq2nurseq2callq2theq2physicianq2andq2informq2theq2healthca
req2providerq2aboutq2theq2client’sq2abnormalities?
1. WBCq214,600q2mm3
2. Serumq2proteinq26.9q2g/dL
3. Iq2&q2Dq2(incisionq2andq2drainage)q2showingq2noq2growthq2forq2theq2lastq224q2hours
4. Albuminq24.2q2g/dL
Answer:q21
Rationale:q2Whenq2theq2nurseq2isq2caringq2forq2severalq2clients,q2allq2ofq2theq2labsq2shouldq2beq2check
edq2frequentlyq2throughoutq2theq2shiftq2toq2assessq2forq2anyq2abnormalities.q2Theq2WBCq2inq2optio
nq21q2isq2abnormal.q2(Normalq2WBCq24,000–
10,000q2mm3.)q2Allq2ofq2theq2otherq2labq2resultsq2areq2withinq2acceptableq2range;q2therefore,q2theq2r
esultsq2shouldq2notq2beq2calledq2inq2toq2theq2physician.
Cognitiveq2Level:q2Applicationq2Cli
entq2Needs:q2Physiologicq2Integrityq2
Nursingq2Process:q2Assessment
4. Theq2nurseq2isq2orientingq2aq2newq2graduate.q2Theq2nurseq2isq2reinforcingq2theq2importa
nceq2ofq2standardq2precautions.q2Whichq2ofq2theq2followingq2observationsq2byq2theq2nurseq2
wouldq2requireq2furtherq2educationq2regardingq2standardq2precautions?
1. Theq2graduateq2nurseq2understandsq2toq2washq2handsq2whenq2enteringq2andq2e
xitingq2theq2client’sq2room.
2. Theq2graduateq2nurseq2wearsq2glovesq2whenq2servingq2breakfastq2traysq2toq2v
ariousq2clients.
3. Theq2graduateq2nurseq2wearsq2aq2gown,q2gloves,q2andq2gogglesq2whenq2suctio
ningq2aq2client.
4. Theq2graduateq2nurseq2leavesq2allq2suppliesq2inq2theq2roomq2ofq2aq2clientq2w
hoq2isq2inq2contactq2isolation.
Answer:q22
Rationale:q2Theq2nurseq2mustq2haveq2anq2understandingq2ofq2standardq2precautions.q2Preventi
onq2isq2theq2mostq2importantq2measureq2toq2preventq2nosocomialq2infections.q2Standar
dq2precautionsq2wereq2publishedq2inq21996q2thatq2provideq2guidelinesq2forq2theq2handl
ingq2ofq2bloodq2andq2otherq2bodyq2fluids.q2Theseq2guidelinesq2areq2usedq2withq2allq2clien
ts,q2regardlessq2ofq2whetherq2theyq2haveq2aq2knownq2infectiousq2disease.q2Standardq2p
,Test Bank for Medical Surgical Nursing Critical Thinking
q2 q2 q2 q2 q2 q2 q2 q
in Client Care,4th Edition Priscilla LeMon(100% Verified)
2 q2 q2 q2 q2 q2 q2
recautionsq2areq2used
, Test Bank for Medical Surgical Nursing Critical Thinking
q2 q2 q2 q2 q2 q2 q2 q
in Client Care,4th Edition Priscilla LeMon(100% Verified)
2 q2 q2 q2 q2 q2 q2
byq2allq2healthcareq2workersq2whoq2haveq2directq2contactq2withq2clientsq2orq2withq2the
irq2bodyq2fluids.q2Itq2isq2notq2necessaryq2forq2theq2nurseq2toq2wearq2glovesq2whileq2deliv
eringq2foodq2traysq2toq2theq2client,q2becauseq2thereq2isq2notq2contactq2withq2theq2client.
Cognitiveq2Level:q2Application
Clientq2Needs:q2Safe,q2Effectiveq2Careq2Environmentq2
Nursingq2Process:q2Evaluation
5. Theq2admittingq2departmentq2alertsq2theq2nurseq2onq2aq2medical–
surgicalq2unitq2thatq2aq2clientq2withq2activeq2tuberculosisq2(TB)q2isq2beingq2admittedq2toq2theq2
unit.q2Whichq2typeq2ofq2isolationq2isq2appropriateq2basedq2onq2theq2client’sq2diagnosis?
1. Standardq2precautions
2. Airborneq2precautions
3. Dropletq2precautions
4. Contactq2precautions
Answer:q22
Inq2additionq2toq2handwashingq2andq2standardq2precautions,q2theq2natureq2andq2spreadq2ofq2so
meq2infectiousq2diseasesq2requireq2thatq2specialq2techniquesq2beq2usedq2toq2protectq2uninfected
q2clientsq2andq2workers.q2Theq2clientq2withq2pulmonaryq2tuberculosisq2willq2beq2placedq2inq2air
borneq2precautions.q2Theq2clientq2shouldq2beq2placedq2inq2aq2privateq2roomq2withq2specialq2vent
ilationq2thatq2doesq2notq2allowq2airq2toq2circulateq2toq2generalq2hospitalq2ventilation;q2aq2maskq2
orq2specialq2filterq2respiratorsq2willq2beq2usedq2forq2everyoneq2enteringq2theq2room.
Cognitiveq2Level:q2Application
Clientq2Needs:q2Safe,q2Effectiveq2Careq2Environmentq2
Nursingq2Process:q2Assessment
6. Aq2clientq2isq2receivingq2IVq2vancomycinq2forq2theq2treatmentq2ofq2Clostridiumq2difficil
e.q2Theq2nurseq2understandsq2thatq2theq2clientq2whoq2developsq2flushing,q2tachycardia,q2and
q2hypotensionq2duringq2theq2infusionq2ofq2vancomycinq2indicates:
1. Ototoxicityq2effect.
2. Superinfection.
3. Redq2manq2syndrome.
4. Hives.
Answer:q23
Rationale:q2Vancomycinq2inhibitsq2cellq2wallq2synthesis,q2andq2isq2usedq2forq2seriousq2infection
s.q2Itq2isq2onlyq2effectiveq2againstq2gram-
positiveq2bacteria,q2especiallyq2Staphylococcusq2aureusq2and
