3f 3f 3f 3f
Surgical Nursing 6th Edition Linda S. William
3f 3f 3f 3f 3f 3f
s Paula D. Hopper
3f 3f 3f
Chapter3f1
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, Test Bank for Understanding Medical-
3f 3f 3f 3f
Surgical Nursing 6th Edition Linda S. William
3f 3f 3f 3f 3f 3f
s Paula D. Hopper 3f 3f 3f
1. The3fnurse3fis3fcaring3ffor3ffour3fclients3fon3fa3fmedical–
surgical3funit.3fWhich3fclient3fshould3fthe3fnurse3fsee3finitially?
1. A3fclient3fadmitted3fwith3fhepatitis3fA3fwho3fhas3fhad3fsevere3fdiarrhea3ffor3ft
he3flast3f243fhours
2. A3fclient3fadmitted3fwith3fpneumonia3fwho3fis3fhas3fsmall3famounts3fof3fy
ellow3fproductive3fsputum
3. A3fclient3fadmitted3fwith3ffever3fof3funknown3forigin3f(FUO)3fwho3fhas
3fbeen3fwithout3ffever3ffor3fthe3flast3f483fhours
4. A3fclient3fadmitted3fwith3fa3fwound3finfection3fwhose3fWBC3fis3f8,5003fmm3
Answer:3f1
Rationale:3fThe3fnurse3fmust3fdecide3fwhich3fclient3fshould3fbe3fseen3fon3fthe3finitial3frounds
3fof3fthe3fday.3fThe3fnurse3fmust3fremember3fthat3fthe3ffirst3fclient3fto3fbe3fseen3fshoul
d3fbe3fthe3fclient3fwho3fneeds3fthe3fattention3fof3fthe3fnurse3finitially.3fA3fclient3fwith
3fhepatitis3fA3fdoes3fexperience3fdiarrhea,3fbut3fdiarrhea3ffor3fthe3flast3f243fhours3fco
uld3fcause3fthe3fclient3fto3fhave3fa3fproblem3fwith3fdehydration3fand3fexperience3fa3f
state3fof3ffluid3fvolume3fdeficit.
Cognitive3fLevel:3fApplication
Client3fNeeds:3fSafe,3fEffective3fCare3fEnvironment3f
Nursing3fProcess:3fPlanning
2. The3fnurse3fis3fpreparing3fto3fadminister3finfluenza3fvaccines3fto3fa3fmass3fdrive-
through3fclinic.3fWhich3fstatement3fby3fa3fclient3fwould3findicate3ffurther3fquestioning3fpri
or3fto3fgiving3fthe3fclient3fthe3finfluenza3fvaccine?
1. ―I3fam3fallergic3fto3fhorse3fhair.‖
2. ―I3ftry3fto3fget3fmy3fvaccine3fevery3fyear.‖
3. ―I3fam3fnot3fallergic3fto3fanything3fexcept3feggs.‖
4. ―My3fhusband3fhad3fa3fsevere3fallergic3freaction3fafter3fhe3freceived3fhis3finfl
uenza3fvaccine.‖
Answer:3f3
Rationale:3fInfluenza3fvaccines3fare3frecommended3ffor3fperson3fat3fhigh3frisk3ffor3fserious
3fsequelae3fof3finfluenza.3fThe3fnurse3fshould3fbe3faware3fthat3fclient3fwith3fa3fsensiti
vity3fto3feggs3fshould3fnot3freceive3fthe3fvaccine.3fVaccines3fprepared3ffrom3fchicke
n3for3fduck3fembryos3fare3fcontraindicated3fin3fclients3fwho3fare3fallergic3fto3feggs.
Cognitive3fLevel:3fApplication
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, Test Bank for Understanding Medical-
3f 3f 3f 3f
Surgical Nursing 6th Edition Linda S. William
3f 3f 3f 3f 3f 3f
s Paula D. Hopper 3f 3f 3f
Client3fNeeds:3fSafe,3fEffective3fCare3fEnvironment3f
Nursing3fProcess:3fAssessment
3. The3fnurse3fis3fcaring3ffor3ffour3fclients3fon3fa3fmedical–
surgical3funit.3fThe3fsecretary3fgives3fthe3fnurse3fthe3fmorning3flabs.3fWhich3fof3fthe3ffollow
ing3flabs3fwould3frequire3fthat3fthe3fnurse3fcall3fthe3fphysician3fand3finform3fthe3fhealthcare3
fprovider3fabout3fthe3fclient‘s3fabnormalities?
1. WBC3f14,6003fmm3
2. Serum3fprotein3f6.93fg/dL
3. I3f&3fD3f(incision3fand3fdrainage)3fshowing3fno3fgrowth3ffor3fthe3flast3f243fhours
4. Albumin3f4.23fg/dL
Answer:3f1
Rationale:3fWhen3fthe3fnurse3fis3fcaring3ffor3fseveral3fclients,3fall3fof3fthe3flabs3fshould3fbe3fcheck
ed3ffrequently3fthroughout3fthe3fshift3fto3fassess3ffor3fany3fabnormalities.3fThe3fWBC3fin3foption
3f13fis3fabnormal.3f(Normal3fWBC3f4,000–
10,0003fmm3.)3fAll3fof3fthe3fother3flab3fresults3fare3fwithin3facceptable3frange;3ftherefore,3fthe3fr
esults3fshould3fnot3fbe3fcalled3fin3fto3fthe3fphysician.
Cognitive3fLevel:3fApplication3fCli
ent3fNeeds:3fPhysiologic3fIntegrity3f
Nursing3fProcess:3fAssessment
4. The3fnurse3fis3forienting3fa3fnew3fgraduate.3fThe3fnurse3fis3freinforcing3fthe3fimportan
ce3fof3fstandard3fprecautions.3fWhich3fof3fthe3ffollowing3fobservations3fby3fthe3fnurse3fw
ould3frequire3ffurther3feducation3fregarding3fstandard3fprecautions?
1. The3fgraduate3fnurse3funderstands3fto3fwash3fhands3fwhen3fentering3fand3fe
xiting3fthe3fclient‘s3froom.
2. The3fgraduate3fnurse3fwears3fgloves3fwhen3fserving3fbreakfast3ftrays3fto3fva
rious3fclients.
3. The3fgraduate3fnurse3fwears3fa3fgown,3fgloves,3fand3fgoggles3fwhen3fsuctio
ning3fa3fclient.
4. The3fgraduate3fnurse3fleaves3fall3fsupplies3fin3fthe3froom3fof3fa3fclient3fwh
o3fis3fin3fcontact3fisolation.
Answer:3f2
Rationale:3fThe3fnurse3fmust3fhave3fan3funderstanding3fof3fstandard3fprecautions.3fPreventi
on3fis3fthe3fmost3fimportant3fmeasure3fto3fprevent3fnosocomial3finfections.3fStandar
d3fprecautions3fwere3fpublished3fin3f19963fthat3fprovide3fguidelines3ffor3fthe3fhandli
ng3fof3fblood3fand3fother3fbody3ffluids.3fThese3fguidelines3fare3fused3fwith3fall3fclient
s,3fregardless3fof3fwhether3fthey3fhave3fa3fknown3finfectious3fdisease.3fStandard3fpre
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, Test Bank for Understanding Medical-
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Surgical Nursing 6th Edition Linda S. William
3f 3f 3f 3f 3f 3f
s Paula D. Hopper 3f 3f 3f
cautions3fare3fused
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