TEST BANK FOR MEDICAL-SURGICAL NURSING CRITICAL THINKING IN CLIENT CARE 4TH EDITION... TEST BANK FOR MEDICAL-SURGICAL NURSING CRITICAL THINKING IN CLIENT CARE 4TH EDITION PRISCILLA LEMONE.pdf TEST BANK FOR MEDICAL-SURGICAL NURSING CRITICAL THINKING IN CLI

BIO 102 Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4th Edition P
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Test Bank for Medical-
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Chapter01


1. The0nurse0is0caring0for0four0clients0on0a0medical–
surgical0unit.0Which0client0should0the0nurse0see0initially?

1. A0client0admitted0with0hepatitis0A0who0has0had0severe0diarrhea0for0the0last0
240hours
2. A0client0admitted0with0pneumonia0who0is0has0small0amounts0of0yellow0
productive0sputum
3. A0client0admitted0with0fever0of0unknown0origin0(FUO)0who0has0been0
without0fever0for0the0last0480hours
4. A0client0admitted0with0a0wound0infection0whose0WBC0is08,5000mm3

Answer:01

Rationale:0The0nurse0must0decide0which0client0should0be0seen0on0the0initial0rounds0of0the0
day.0The0nurse0must0remember0that0the0first0client0to0be0seen0should0be0the0client0
who0needs0the0attention0of0the0nurse0initially.0A0client0with0hepatitis0A0does0exper
ience0diarrhea,0but0diarrhea0for0the0last0240hours0could0cause0the0client0to0have0a0p
roblem0with0dehydration0and0experience0a0state0of0fluid0volume0deficit.

Cognitive0Level:0Application
Client0Needs:0Safe,0Effective0Care0Environment0
Nursing0Process:0Planning


2. The0nurse0is0preparing0to0administer0influenza0vaccines0to0a0mass0drive-
through0clinic.0Which0statement0by0a0client0would0indicate0further0questioning0prior0to0gi
ving0the0client0the0influenza0vaccine?

1. “I0am0allergic0to0horse0hair.”
2. “I0try0to0get0my0vaccine0every0year.”
3. “I0am0not0allergic0to0anything0except0eggs.”
4. “My0husband0had0a0severe0allergic0reaction0after0he0received0his0influenza0
vaccine.”

Answer:03

Rationale:0Influenza0vaccines0are0recommended0for0person0at0high0risk0for0serious0sequel
ae0of0influenza.0The0nurse0should0be0aware0that0client0with0a0sensitivity0to0eggs0sh

, BIO 102 Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4th Edition P
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riscilla LeMon 0




ould0not0receive0the0vaccine.0Vaccines0prepared0from0chicken0or0duck0embryos0ar
e0contraindicated0in0clients0who0are0allergic0to0eggs.

, BIO 102 Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4th Edition P
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riscilla LeMon 0




Test Bank for Medical-
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Surgical Nursing Critical Thinkingin Client Care, 4t
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h Edition Priscilla LeMon
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Cognitive0Level:0Application
Client0Needs:0Safe,0Effective0Care0Environment0
Nursing0Process:0Assessment


3. The0nurse0is0caring0for0four0clients0on0a0medical–
surgical0unit.0The0secretary0gives0the0nurse0the0morning0labs.0Which0of0the0following0lab
s0would0require0that0the0nurse0call0the0physician0and0inform0the0healthcare0provider0about
0the0client’s0abnormalities?



1.0 WBC014,6000mm3
2. Serum0protein06.90g/dL
3. I0&0D0(incision0and0drainage)0showing0no0growth0for0the0last0240hours
4. Albumin04.20g/dL

Answer:01

Rationale:0When0the0nurse0is0caring0for0several0clients,0all0of0the0labs0should0be0checked0fre
quently0throughout0the0shift0to0assess0for0any0abnormalities.0The0WBC0in0option010is0abnor
mal.0(Normal0WBC04,000–
10,0000mm3.)0All0of0the0other0lab0results0are0within0acceptable0range;0therefore,0the0results0
should0not0be0called0in0to0the0physician.

Cognitive0Level:0Application0Clien
t0Needs:0Physiologic0Integrity0Nursi
ng0Process:0Assessment


4. The0nurse0is0orienting0a0new0graduate.0The0nurse0is0reinforcing0the0importance0of0st
andard0precautions.0Which0of0the0following0observations0by0the0nurse0would0require0f
urther0education0regarding0standard0precautions?

1. The0graduate0nurse0understands0to0wash0hands0when0entering0and0exiting0
the0client’s0room.
2. The0graduate0nurse0wears0gloves0when0serving0breakfast0trays0to0various0
clients.
3. The0graduate0nurse0wears0a0gown,0gloves,0and0goggles0when0suctioning0a0
client.
4. The0graduate0nurse0leaves0all0supplies0in0the0room0of0a0client0who0is0in0
contact0isolation.
download0full0file0at0http://testbankinstant.co
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, BIO 102 Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4th Edition P
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riscilla LeMon 0




Answer:02

Rationale:0The0nurse0must0have0an0understanding0of0standard0precautions.0Prevention0is0t
he0most0important0measure0to0prevent0nosocomial0infections.0Standard0precaution
s0were0published0in019960that0provide0guidelines0for0the0handling0of




download0full0file0at0http://testbankinstant.co
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