Test Bank For Clinical Reasoning Cases in Nursing
wn wn wn wn wn wn wn
7th Edition by Mariann M. Harding; Julie S.
wn wn wn wn wn wn wn wn
Snyder. All Chapters, Complete Guide (A+).
wn wn wn wn wn wn
,TEST BANK w n
CLINICAL REASONING wn
CASES IN NURSING,
wn w n w n
7TH EDITION
wn
BY HARDING| SNYDER
wn wn
TEST BANK w n
,Chapter wn1. wnPerfusion
Clinical wnReasoning wnCases wnin wnNursing wn7th wnEdition wnHarding wnSnyder wnTest wnBank
MULTIPLE wnCHOICE
1. wnThe wnnurse wnis wnexplaining wnto wna wnstudent wnnurse wnabout wnimpaired wncentral wnperfusion. wnThe
wnnurse wnknows wnthe wnstudent wnunderstands wnthis wnproblem wnwhen wnthe wnstudent wnstates, wnCentral
wnperfusion
a. Is wnmonitored wnonly wnby wnthe wnphysician.
b. Involves wnthe wnentire wnbody.
c. Is wndecreased wnwith wnhypertension.
d. Is wntoxic wnto wnthe wncardiac wnsystem.
ANS: wnB
Central wnperfusion wndoes wninvolve wnthe wnentire wnbody wnas wnall wnorgans wnare wnsupplied wnwith wnoxygen
wnand wnvital wnNutrients. wnThe wnphysician wndoes wnnot wncontrol wnthe wnbodys wnability wnfor wnperfusion.
wnCentral wnperfusion wnis wnnot wndecreased wnwith wnhypertension. wnCentral wnperfusion wnis wnnot wntoxic
wnto wnthe wncardiac wnsystem.
2. wnA wnpatient wnwas wndiagnosed wnwith wnhypertension. wnThe wnpatient wnasks wnthe wnnurse wnhow wnthis
wndisease wncould wnhave wnhappened wnto wnthem. wnThe wnnurses wnbest wnresponse wnis wnHypertension
a. Happens wnto wneveryone wnsooner wnor wnlater. wnDont wnbe wnconcerned wnabout wnit.
b. Can wnhappen wnfrom wneating wna wnpoor wndiet, wnso wnchange wnwhat wnyou wnare wneating.
c. Can wnhappen wnfrom wnarterial wnchanges wnthat wnimpede wnthe wnblood wnflow.
d. Happens wnwhen wnpeople wndo wnnot wnexercise, wnso wnyou wnshould
wnwalk wnevery wnday.
ANS: wnC
Hardening wnof wnthe wnarteries wnfrom wnatherosclerosis wncan wncause wnhypertension wnin wnthe wnpatient.
wnHypertension wndoes wnnot wnhappen wnto wneveryone. wnChanging wnthe wnpatients wndiet wnand wnexercising
wnmay wnbe wna wnpositive wnlife wnchange, wnbut wnthese wnanswers wndo wnnot wnexplain wnto wnthe wnpatient wnhow
wnthe wndisease wncould wnhave wnhappened.
3. wnThe wnpatient wnasks wnthe wnnurse wnto wnexplain wnthe wnsinoatrial wnnode wnin wnthe wnheart. wnThe wnnurses
wnbest wnresponse wnwould wnbe, wnThe wnsinoatrial wnnode
a. Provides wnthe wnheart wnwith wnthe wnstimulation wnto wnbeat wnin wna wnnormal wnrhythm.
b. Protects wnthe wnheart wnfrom wnatherosclerotic wnchanges.
c. Provides wnthe wnheart wnwith wnoxygenated wnblood.
d. Protects wnthe wnheart
wnfrom wninfection.
ANS: wnA
The wnsinoatrial wnnode wnis wnthe wnnatural wnpacemaker wnof wnthe wnheart, wnand wnit wnassists wnthe wnheart
wnto wnbeat wnin wna wnNormal wnrhythm. wnThe wnsinoatrial wnnode wndoes wnnot wnprotect wnfrom
wnatherosclerotic wnchanges wnor wninfection, wnand wnit wndoes wnnot wndirectly wnprovide wnthe wnheart
wnwith wnoxygenated wnblood.
4. wnThe wnpatient wnis wnbrought wnto wnthe wnemergency wndepartment wnafter wna wnmotor wnvehicle wnaccident.
wnThe wnpatient wnis wndiagnosed wnwith wninternal wnbleeding. wnThe wnnurses wnprimary wnconcern wnis wnto
, wn monitor wnfor
a. Mental wnalertness.
b. Perfusion.
c. Pain.
d. Reaction
wnto wnmedications.
wnANS: wnB
Perfusion wnis wnthe wncorrect wnanswer, wnbecause wnwith wninternal wnbleeding, wnthe wnnurse wnshould wnmonitor wnvital
Signs wnto wnbe wnsure wnperfusion wnis wnhappening. wnMental wnalertness, wnpain, wnand wnmedication
wnreactions wnare wnimportant wnbut wnnot wnthe wnprimary wnconcern.
5. wnA wnpatients wnserum wnelectrolytes wnare wnbeing wnmonitored. wnThe wnnurse wnnotices wnthat wnthe
wnpotassium wnlevel wnis wnlow. wnThe wnnurse wnknows wnthat wnthe wnpatient wnshould wnbe wnobserved wnfor
a. Tissue wnischemia.
b. Brain wnmalformations.
c. Intestinal wnblockage.
d. Cardiac
wndysthymia.
ANS: wnD
Cardiac wndysthymia wnis wna wnpossibility wnwhen wnserum wnpotassium wnis wnhigh wnor wnlow. wnTissue wnischemia,
wnbrain wnMalformations, wnor wnintestinal wnblockage wndo wnnot wnhave wna wndirect wncorrelation wnto wnpotassium
wnirregularities.
6. wnA wnnurse wnis wnexplaining wnto wna wnstudent wnnurse wnabout wnperfusion. wnThe wnnurse wnknows wnthe
wnstudent wnunderstands wnthe wnconcept wnof wnperfusion wnwhen wnthe wnstudent wnstates, wnPerfusion
a. Is wna wnnormal wnfunction wnof wnthe wnbody, wnand wnI wndont wnhave wnto wnbe wnconcerned wnabout wnit.
b. Is wnmonitored wnby wnthe wnphysician, wnand wnI wnjust wnfollow wnorders.
c. Is wnmonitored wnby wnvital wnsigns wnand wncapillary wnrefill.
wn wn wn wn wn wn wn
7th Edition by Mariann M. Harding; Julie S.
wn wn wn wn wn wn wn wn
Snyder. All Chapters, Complete Guide (A+).
wn wn wn wn wn wn
,TEST BANK w n
CLINICAL REASONING wn
CASES IN NURSING,
wn w n w n
7TH EDITION
wn
BY HARDING| SNYDER
wn wn
TEST BANK w n
,Chapter wn1. wnPerfusion
Clinical wnReasoning wnCases wnin wnNursing wn7th wnEdition wnHarding wnSnyder wnTest wnBank
MULTIPLE wnCHOICE
1. wnThe wnnurse wnis wnexplaining wnto wna wnstudent wnnurse wnabout wnimpaired wncentral wnperfusion. wnThe
wnnurse wnknows wnthe wnstudent wnunderstands wnthis wnproblem wnwhen wnthe wnstudent wnstates, wnCentral
wnperfusion
a. Is wnmonitored wnonly wnby wnthe wnphysician.
b. Involves wnthe wnentire wnbody.
c. Is wndecreased wnwith wnhypertension.
d. Is wntoxic wnto wnthe wncardiac wnsystem.
ANS: wnB
Central wnperfusion wndoes wninvolve wnthe wnentire wnbody wnas wnall wnorgans wnare wnsupplied wnwith wnoxygen
wnand wnvital wnNutrients. wnThe wnphysician wndoes wnnot wncontrol wnthe wnbodys wnability wnfor wnperfusion.
wnCentral wnperfusion wnis wnnot wndecreased wnwith wnhypertension. wnCentral wnperfusion wnis wnnot wntoxic
wnto wnthe wncardiac wnsystem.
2. wnA wnpatient wnwas wndiagnosed wnwith wnhypertension. wnThe wnpatient wnasks wnthe wnnurse wnhow wnthis
wndisease wncould wnhave wnhappened wnto wnthem. wnThe wnnurses wnbest wnresponse wnis wnHypertension
a. Happens wnto wneveryone wnsooner wnor wnlater. wnDont wnbe wnconcerned wnabout wnit.
b. Can wnhappen wnfrom wneating wna wnpoor wndiet, wnso wnchange wnwhat wnyou wnare wneating.
c. Can wnhappen wnfrom wnarterial wnchanges wnthat wnimpede wnthe wnblood wnflow.
d. Happens wnwhen wnpeople wndo wnnot wnexercise, wnso wnyou wnshould
wnwalk wnevery wnday.
ANS: wnC
Hardening wnof wnthe wnarteries wnfrom wnatherosclerosis wncan wncause wnhypertension wnin wnthe wnpatient.
wnHypertension wndoes wnnot wnhappen wnto wneveryone. wnChanging wnthe wnpatients wndiet wnand wnexercising
wnmay wnbe wna wnpositive wnlife wnchange, wnbut wnthese wnanswers wndo wnnot wnexplain wnto wnthe wnpatient wnhow
wnthe wndisease wncould wnhave wnhappened.
3. wnThe wnpatient wnasks wnthe wnnurse wnto wnexplain wnthe wnsinoatrial wnnode wnin wnthe wnheart. wnThe wnnurses
wnbest wnresponse wnwould wnbe, wnThe wnsinoatrial wnnode
a. Provides wnthe wnheart wnwith wnthe wnstimulation wnto wnbeat wnin wna wnnormal wnrhythm.
b. Protects wnthe wnheart wnfrom wnatherosclerotic wnchanges.
c. Provides wnthe wnheart wnwith wnoxygenated wnblood.
d. Protects wnthe wnheart
wnfrom wninfection.
ANS: wnA
The wnsinoatrial wnnode wnis wnthe wnnatural wnpacemaker wnof wnthe wnheart, wnand wnit wnassists wnthe wnheart
wnto wnbeat wnin wna wnNormal wnrhythm. wnThe wnsinoatrial wnnode wndoes wnnot wnprotect wnfrom
wnatherosclerotic wnchanges wnor wninfection, wnand wnit wndoes wnnot wndirectly wnprovide wnthe wnheart
wnwith wnoxygenated wnblood.
4. wnThe wnpatient wnis wnbrought wnto wnthe wnemergency wndepartment wnafter wna wnmotor wnvehicle wnaccident.
wnThe wnpatient wnis wndiagnosed wnwith wninternal wnbleeding. wnThe wnnurses wnprimary wnconcern wnis wnto
, wn monitor wnfor
a. Mental wnalertness.
b. Perfusion.
c. Pain.
d. Reaction
wnto wnmedications.
wnANS: wnB
Perfusion wnis wnthe wncorrect wnanswer, wnbecause wnwith wninternal wnbleeding, wnthe wnnurse wnshould wnmonitor wnvital
Signs wnto wnbe wnsure wnperfusion wnis wnhappening. wnMental wnalertness, wnpain, wnand wnmedication
wnreactions wnare wnimportant wnbut wnnot wnthe wnprimary wnconcern.
5. wnA wnpatients wnserum wnelectrolytes wnare wnbeing wnmonitored. wnThe wnnurse wnnotices wnthat wnthe
wnpotassium wnlevel wnis wnlow. wnThe wnnurse wnknows wnthat wnthe wnpatient wnshould wnbe wnobserved wnfor
a. Tissue wnischemia.
b. Brain wnmalformations.
c. Intestinal wnblockage.
d. Cardiac
wndysthymia.
ANS: wnD
Cardiac wndysthymia wnis wna wnpossibility wnwhen wnserum wnpotassium wnis wnhigh wnor wnlow. wnTissue wnischemia,
wnbrain wnMalformations, wnor wnintestinal wnblockage wndo wnnot wnhave wna wndirect wncorrelation wnto wnpotassium
wnirregularities.
6. wnA wnnurse wnis wnexplaining wnto wna wnstudent wnnurse wnabout wnperfusion. wnThe wnnurse wnknows wnthe
wnstudent wnunderstands wnthe wnconcept wnof wnperfusion wnwhen wnthe wnstudent wnstates, wnPerfusion
a. Is wna wnnormal wnfunction wnof wnthe wnbody, wnand wnI wndont wnhave wnto wnbe wnconcerned wnabout wnit.
b. Is wnmonitored wnby wnthe wnphysician, wnand wnI wnjust wnfollow wnorders.
c. Is wnmonitored wnby wnvital wnsigns wnand wncapillary wnrefill.
