For Clinical Reasoning Cases in Nursing 8th Edition by Tes
i i i i i i i i i
Banks Mariann M. Harding;
i i i i
Chapter 1 - 15 i i i
,ClinicaliReasoningiCasesiiniNursingi8thiEditioniHardingiSnyderiTestiBank
Contents:
Chapteri1.iPerfusion
Chapteri2.iGasiExchange
Chapteri3.iMobility
Chapteri4.iDigestion
Chapteri5.iUrinaryiElimination
Chapteri6.iIntracranialiRegulation
Chapteri7.iMetabolismiandiGlucoseiRegulation
Chapteri8.iImmunity
Chapteri9.iCellulariRegulation
Chapteri10.iTissueiIntegrity
Chapteri11.iCognition
Chapteri12.iInfectioniandiInflammation
Chapteri13.iDevelopmental
Chapteri14.iReproductive
Chapteri15.iMood,iStress,iandiAddiction
,Chapteri1.iPerfusion
ClinicaliReasoningiCasesiiniNursingi8thiEditioniHardingiSnyderiTestiBank
MULTIPLEiCHOICE
1.iTheinurseiisiexplainingitoiaistudentinurseiaboutiimpairedicentraliperfusion.iTheinurseiknowsitheistuden
tiunderstandsithisiproblemiwhenitheistudentistates,iCentraliperfusion
a. Isimonitoredionlyibyitheiphysician.
b. Involvesitheientireibody.
c. Isidecreasediwithihypertension.
d. Isitoxicitoitheicardiacisystem.
ANSWER:iB
CentraliperfusionidoesiinvolveitheientireibodyiasialliorgansiareisuppliediwithioxygeniandivitaliNutrients
.iTheiphysicianidoesinoticontrolitheibodysiabilityiforiperfusion.iCentraliperfusioniisinotdecreasediwithih
ypertension.iCentraliperfusioniisinotitoxicitoitheicardiacisystem.
2.iAipatientiwasidiagnosediwithihypertension.iTheipatientiasksitheinurseihowithisidiseaseicouldihaveihap
peneditoithem.iTheinursesibestiresponseiisiHypertension
a. Happensitoieveryoneisooneriorilater.iDontibeiconcernediaboutiit.
b. Canihappenifromieatingiaipooridiet,isoichangeiwhatiyouiareieating.
c. Canihappenifromiarterialichangesithatiimpedeitheibloodiflow.
d. Happensiwhenipeopleidoinotiexercise,isoiyouishouldiwalkieveryiday.
ANSWER:iC
Hardeningiofitheiarteriesifromiatherosclerosisicanicauseihypertensioniinitheipatient.iHypertensionidoes
inotihappenitoieveryone.iChangingitheipatientsidietiandiexercisingimayibeiaipositiveilifeichange,ibutith
eseianswersidoinotiexplainitoitheipatientihowitheidiseaseicouldihaveihappened.
3.iTheipatientiasksitheinurseitoiexplainitheisinoatrialinodeiinitheiheart.iTheinursesibestiresponseiwouldibe
,iTheisinoatrialinode
a. Providesitheiheartiwithitheistimulationitoibeatiiniainormalirhythm.
b. Protectsitheiheartifromiatheroscleroticichanges.
c. Providesitheiheartiwithioxygenatediblood.
d.
Protectsitheiheartifromii
nfection.
ANSWER:iA
Theisinoatrialinodeiisitheinaturalipacemakeriofitheiheart,iandiitiassistsitheiheartitoibeatiiniaiNormalirhyth
m.iTheisinoatrialinodeidoesinotiprotectifromiatheroscleroticichangesioriinfection,andiitidoesinotidirectlyi
provideitheiheartiwithioxygenatediblood.
4.iTheipatientiisibroughtitoitheiemergencyidepartmentiafteriaimotorivehicleiaccident.iTheipatientiisidia
gnosediwithiinternalibleeding.iTheinursesiprimaryiconcerniisitoimonitorifor
a. Mentalialertness.
b. Perfusion.
, c. Pain.
d.
Reactionitoi
medications.
ANSWER:iB
Perfusioniisitheicorrectianswer,ibecauseiwithiinternalibleeding,itheinurseishouldimonitorivital
Signsitoibeisureiperfusioniisihappening.iMentalialertness,ipain,iandimedicationireactionsiareimportanti
butinotitheiprimaryiconcern.
5.iAipatientsiserumielectrolytesiareibeingimonitored.iTheinurseinoticesithatitheipotassiumileveliisilow.iTh
einurseiknowsithatitheipatientishouldibeiobservedifor
a. Tissueiischemia.
b. Brainimalformations.
c. Intestinaliblockage.
d.
Cardia
cidysthymia.
ANSWER:iD
Cardiacidysthymiaiisiaipossibilityiwheniserumipotassiumiisihighiorilow.iTissueiischemia,ibrainiMalformations,ioriinte
stinaliblockageidoinotihaveiaidirecticorrelationitoipotassiumiirregularities.
6.iAinurseiisiexplainingitoiaistudentinurseiaboutiperfusion.iTheinurseiknowsitheistudentiunderstandsitheico
nceptiofiperfusioniwhenitheistudentistates,iPerfusion
a. Isiainormalifunctioniofitheibody,iandiIidontihaveitoibeiconcernediaboutiit.
b. Isimonitoredibyitheiphysician,iandiIijustifollowiorders.
c. Isimonitoredibyivitalisignsiandicapillaryirefill.
d.
Variesiasiaipersoniages,isoiIiwouldiexpectichangesiinitheibod
y.
ANSWER:iC
Theibestimethoditoimonitoriperfusioniisitoimonitorivitalisignsiandicapillaryirefill.iThisiallowsiTheinurseit
oiknowiifiperfusioniisiadequateitoimaintainivitaliorgans.iTheinurseidoesihaveitoibeiconcernediaboutip
erfusion.iPerfusioniisinotionlyimonitoredibyitheiphysicianibutitheinurseitoo.iPerfusionidoesinotialwaysi
changeiasitheipersoniages.
7.iTheinurseiisiconductingiaipatientiassessment.iTheipatientitellsitheinurseithatiheihasismokeditwoipack
sioficigarettesiperidayifori27iyears.iTheinurseimayifindiwhichidataiuponiassessment?
a. Bloodipressureiaboveitheinormalirange
b. Boundingipedalipulses
c. Nightiblindness
i i i i i i i i i
Banks Mariann M. Harding;
i i i i
Chapter 1 - 15 i i i
,ClinicaliReasoningiCasesiiniNursingi8thiEditioniHardingiSnyderiTestiBank
Contents:
Chapteri1.iPerfusion
Chapteri2.iGasiExchange
Chapteri3.iMobility
Chapteri4.iDigestion
Chapteri5.iUrinaryiElimination
Chapteri6.iIntracranialiRegulation
Chapteri7.iMetabolismiandiGlucoseiRegulation
Chapteri8.iImmunity
Chapteri9.iCellulariRegulation
Chapteri10.iTissueiIntegrity
Chapteri11.iCognition
Chapteri12.iInfectioniandiInflammation
Chapteri13.iDevelopmental
Chapteri14.iReproductive
Chapteri15.iMood,iStress,iandiAddiction
,Chapteri1.iPerfusion
ClinicaliReasoningiCasesiiniNursingi8thiEditioniHardingiSnyderiTestiBank
MULTIPLEiCHOICE
1.iTheinurseiisiexplainingitoiaistudentinurseiaboutiimpairedicentraliperfusion.iTheinurseiknowsitheistuden
tiunderstandsithisiproblemiwhenitheistudentistates,iCentraliperfusion
a. Isimonitoredionlyibyitheiphysician.
b. Involvesitheientireibody.
c. Isidecreasediwithihypertension.
d. Isitoxicitoitheicardiacisystem.
ANSWER:iB
CentraliperfusionidoesiinvolveitheientireibodyiasialliorgansiareisuppliediwithioxygeniandivitaliNutrients
.iTheiphysicianidoesinoticontrolitheibodysiabilityiforiperfusion.iCentraliperfusioniisinotdecreasediwithih
ypertension.iCentraliperfusioniisinotitoxicitoitheicardiacisystem.
2.iAipatientiwasidiagnosediwithihypertension.iTheipatientiasksitheinurseihowithisidiseaseicouldihaveihap
peneditoithem.iTheinursesibestiresponseiisiHypertension
a. Happensitoieveryoneisooneriorilater.iDontibeiconcernediaboutiit.
b. Canihappenifromieatingiaipooridiet,isoichangeiwhatiyouiareieating.
c. Canihappenifromiarterialichangesithatiimpedeitheibloodiflow.
d. Happensiwhenipeopleidoinotiexercise,isoiyouishouldiwalkieveryiday.
ANSWER:iC
Hardeningiofitheiarteriesifromiatherosclerosisicanicauseihypertensioniinitheipatient.iHypertensionidoes
inotihappenitoieveryone.iChangingitheipatientsidietiandiexercisingimayibeiaipositiveilifeichange,ibutith
eseianswersidoinotiexplainitoitheipatientihowitheidiseaseicouldihaveihappened.
3.iTheipatientiasksitheinurseitoiexplainitheisinoatrialinodeiinitheiheart.iTheinursesibestiresponseiwouldibe
,iTheisinoatrialinode
a. Providesitheiheartiwithitheistimulationitoibeatiiniainormalirhythm.
b. Protectsitheiheartifromiatheroscleroticichanges.
c. Providesitheiheartiwithioxygenatediblood.
d.
Protectsitheiheartifromii
nfection.
ANSWER:iA
Theisinoatrialinodeiisitheinaturalipacemakeriofitheiheart,iandiitiassistsitheiheartitoibeatiiniaiNormalirhyth
m.iTheisinoatrialinodeidoesinotiprotectifromiatheroscleroticichangesioriinfection,andiitidoesinotidirectlyi
provideitheiheartiwithioxygenatediblood.
4.iTheipatientiisibroughtitoitheiemergencyidepartmentiafteriaimotorivehicleiaccident.iTheipatientiisidia
gnosediwithiinternalibleeding.iTheinursesiprimaryiconcerniisitoimonitorifor
a. Mentalialertness.
b. Perfusion.
, c. Pain.
d.
Reactionitoi
medications.
ANSWER:iB
Perfusioniisitheicorrectianswer,ibecauseiwithiinternalibleeding,itheinurseishouldimonitorivital
Signsitoibeisureiperfusioniisihappening.iMentalialertness,ipain,iandimedicationireactionsiareimportanti
butinotitheiprimaryiconcern.
5.iAipatientsiserumielectrolytesiareibeingimonitored.iTheinurseinoticesithatitheipotassiumileveliisilow.iTh
einurseiknowsithatitheipatientishouldibeiobservedifor
a. Tissueiischemia.
b. Brainimalformations.
c. Intestinaliblockage.
d.
Cardia
cidysthymia.
ANSWER:iD
Cardiacidysthymiaiisiaipossibilityiwheniserumipotassiumiisihighiorilow.iTissueiischemia,ibrainiMalformations,ioriinte
stinaliblockageidoinotihaveiaidirecticorrelationitoipotassiumiirregularities.
6.iAinurseiisiexplainingitoiaistudentinurseiaboutiperfusion.iTheinurseiknowsitheistudentiunderstandsitheico
nceptiofiperfusioniwhenitheistudentistates,iPerfusion
a. Isiainormalifunctioniofitheibody,iandiIidontihaveitoibeiconcernediaboutiit.
b. Isimonitoredibyitheiphysician,iandiIijustifollowiorders.
c. Isimonitoredibyivitalisignsiandicapillaryirefill.
d.
Variesiasiaipersoniages,isoiIiwouldiexpectichangesiinitheibod
y.
ANSWER:iC
Theibestimethoditoimonitoriperfusioniisitoimonitorivitalisignsiandicapillaryirefill.iThisiallowsiTheinurseit
oiknowiifiperfusioniisiadequateitoimaintainivitaliorgans.iTheinurseidoesihaveitoibeiconcernediaboutip
erfusion.iPerfusioniisinotionlyimonitoredibyitheiphysicianibutitheinurseitoo.iPerfusionidoesinotialwaysi
changeiasitheipersoniages.
7.iTheinurseiisiconductingiaipatientiassessment.iTheipatientitellsitheinurseithatiheihasismokeditwoipack
sioficigarettesiperidayifori27iyears.iTheinurseimayifindiwhichidataiuponiassessment?
a. Bloodipressureiaboveitheinormalirange
b. Boundingipedalipulses
c. Nightiblindness
