Test Bank for Understanding Medical-
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Surgical Nursing 6th Edition Linda S. Williams
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Paula D. Hopper bn bn
download full file at http://testbankinstant.com
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, Test Bank for Understanding Medical-
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Surgical Nursing 6th Edition Linda S. Williams
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Paula D. Hopper bn bn
download full file at http://testbankinstant.com
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, Test Bank for Understanding Medical- bn bn bn bn
Surgical Nursing 6th Edition Linda S. Williams bn bn bn bn bn bn bn
Paula D. Hopper bn bn
Client Needs: Safe, Effective Care Environment Nursing Pro
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cess: Assessment
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1. The nurse is caring for four clients on a medical–
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surgical unit. The secretary gives the nurse the morning labs. Which of the following labs
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would require that the nurse call the physician and inform the healthcare provider about
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the client’s abnormalities?
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1. WBC 14,600 mm3 bn bn
2. Serum protein 6.9 g/dL bn bn bn
3. I & D (incision and drainage) showing no growth for the last 24 hours
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4. Albumin 4.2 g/dL bn bn
Answer: 1 bn
Rationale: When the nurse is caring for several clients, all of the labs should be checked freque
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ntly throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (
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Normal WBC 4,000– bn bn
10,000 mm3.) All of the other lab results are within acceptable range; therefore, the results sh
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ould not be called in to the physician.
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Cognitive Level: Application Clie bn bn bn
nt Needs: Physiologic Integrity Nur
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sing Process: Assessment
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2. The nurse is orienting a new graduate. The nurse is reinforcing the importance of s
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tandard precautions. Which of the following observations by the nurse would require f
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urther education regarding standard precautions?
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1. The graduate nurse understands to wash hands when entering and exiting
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the client’s room. bn bn
2. The graduate nurse wears gloves when serving breakfast trays to various
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clients.
3. The graduate nurse wears a gown, gloves, and goggles when suctioning a
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client.
4. The graduate nurse leaves all supplies in the room of a client who is in
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contact isolation. bn
Answer: 2 bn
Rationale: The nurse must have an understanding of standard precautions. Prevention is t
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he most important measure to prevent nosocomial infections. Standard precaution
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s were published in 1996 that provide guidelines for the handling of blood and ot
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her body fluids. These guidelines are used with all clients, regardless of whether th
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ey have a known infectious disease. Standard precautions are used
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download full file at http://testbankinstant.com
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, Test Bank for Understanding Medical- bn bn bn bn
Surgical Nursing 6th Edition Linda S. Williams bn bn bn bn bn bn bn
Paula D. Hopper bn bn
by all healthcare workers who have direct contact with clients or with their body
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fluids. It is not necessary for the nurse to wear gloves while delivering food trays
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to the client, because there is not contact with the client.
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Cognitive Level: Application bn bn
Client Needs: Safe, Effective Care Environment Nurs
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ing Process: Evaluation
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3. The admitting department alerts the nurse on a medical–
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surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Whi
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ch type of isolation is appropriate based on the client’s diagnosis?
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1. Standard precautions bn
2. Airborne precautions bn
3. Droplet precautions bn
4. Contact precautions bn
Answer: 2 bn
In addition to handwashing and standard precautions, the nature and spread of some infe
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ctious diseases require that special techniques be used to protect uninfected clients and w
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orkers. The client with pulmonary tuberculosis will be placed in airborne precautions. Th
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e client should be placed in a private room with special ventilation that does not allow air
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to circulate to general hospital ventilation; a mask or special filter respirators will be use
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d for everyone entering the room.
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Cognitive Level: Application bn bn
Client Needs: Safe, Effective Care Environment Nurs
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ing Process: Assessment
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4. A client is receiving IV vancomycin for the treatment of Clostridium difficile. The
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nurse understands that the client who develops flushing, tachycardia, and hypotension
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during the infusion of vancomycin indicates:
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1. Ototoxicity effect. bn
2. Superinfection.
3. Red man syndrome. bn bn
4. Hives.
Answer: 3 bn
Rationale: Vancomycin inhibits cell wall synthesis, and is used for serious infections. It is o
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nly effective against gram-positive bacteria, especially Staphylococcus aureus and
bn bn bn bn bn bn bn bn
download full file at http://testbankinstant.com
bn bn bn bn
bn bn bn bn
Surgical Nursing 6th Edition Linda S. Williams
bn bn bn bn bn bn bn
Paula D. Hopper bn bn
download full file at http://testbankinstant.com
bn bn bn bn
, Test Bank for Understanding Medical-
bn bn bn bn
Surgical Nursing 6th Edition Linda S. Williams
bn bn bn bn bn bn bn
Paula D. Hopper bn bn
download full file at http://testbankinstant.com
bn bn bn bn
, Test Bank for Understanding Medical- bn bn bn bn
Surgical Nursing 6th Edition Linda S. Williams bn bn bn bn bn bn bn
Paula D. Hopper bn bn
Client Needs: Safe, Effective Care Environment Nursing Pro
bn bn bn bn bn bn bn
cess: Assessment
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1. The nurse is caring for four clients on a medical–
bn bn bn bn bn bn bn bn bn
surgical unit. The secretary gives the nurse the morning labs. Which of the following labs
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
would require that the nurse call the physician and inform the healthcare provider about
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
the client’s abnormalities?
bn bn
1. WBC 14,600 mm3 bn bn
2. Serum protein 6.9 g/dL bn bn bn
3. I & D (incision and drainage) showing no growth for the last 24 hours
bn bn bn bn bn bn bn bn bn bn bn bn bn
4. Albumin 4.2 g/dL bn bn
Answer: 1 bn
Rationale: When the nurse is caring for several clients, all of the labs should be checked freque
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ntly throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (
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Normal WBC 4,000– bn bn
10,000 mm3.) All of the other lab results are within acceptable range; therefore, the results sh
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ould not be called in to the physician.
bn bn bn bn bn bn bn
Cognitive Level: Application Clie bn bn bn
nt Needs: Physiologic Integrity Nur
bn bn bn bn
sing Process: Assessment
bn bn
2. The nurse is orienting a new graduate. The nurse is reinforcing the importance of s
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
tandard precautions. Which of the following observations by the nurse would require f
bn bn bn bn bn bn bn bn bn bn bn bn
urther education regarding standard precautions?
bn bn bn bn
1. The graduate nurse understands to wash hands when entering and exiting
bn bn bn bn bn bn bn bn bn bn bn
the client’s room. bn bn
2. The graduate nurse wears gloves when serving breakfast trays to various
bn bn bn bn bn bn bn bn bn bn bn
clients.
3. The graduate nurse wears a gown, gloves, and goggles when suctioning a
bn bn bn bn bn bn bn bn bn bn bn bn
client.
4. The graduate nurse leaves all supplies in the room of a client who is in
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
contact isolation. bn
Answer: 2 bn
Rationale: The nurse must have an understanding of standard precautions. Prevention is t
bn bn bn bn bn bn bn bn bn bn bn bn
he most important measure to prevent nosocomial infections. Standard precaution
bn bn bn bn bn bn bn bn bn
s were published in 1996 that provide guidelines for the handling of blood and ot
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
her body fluids. These guidelines are used with all clients, regardless of whether th
bn bn bn bn bn bn bn bn bn bn bn bn bn
ey have a known infectious disease. Standard precautions are used
bn bn bn bn bn bn bn bn bn
download full file at http://testbankinstant.com
bn bn bn bn
, Test Bank for Understanding Medical- bn bn bn bn
Surgical Nursing 6th Edition Linda S. Williams bn bn bn bn bn bn bn
Paula D. Hopper bn bn
by all healthcare workers who have direct contact with clients or with their body
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
fluids. It is not necessary for the nurse to wear gloves while delivering food trays
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
to the client, because there is not contact with the client.
bn bn bn bn bn bn bn bn bn bn
Cognitive Level: Application bn bn
Client Needs: Safe, Effective Care Environment Nurs
bn bn bn bn bn bn
ing Process: Evaluation
bn bn
3. The admitting department alerts the nurse on a medical–
bn bn bn bn bn bn bn bn
surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Whi
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
ch type of isolation is appropriate based on the client’s diagnosis?
bn bn bn bn bn bn bn bn bn bn
1. Standard precautions bn
2. Airborne precautions bn
3. Droplet precautions bn
4. Contact precautions bn
Answer: 2 bn
In addition to handwashing and standard precautions, the nature and spread of some infe
bn bn bn bn bn bn bn bn bn bn bn bn bn
ctious diseases require that special techniques be used to protect uninfected clients and w
bn bn bn bn bn bn bn bn bn bn bn bn bn
orkers. The client with pulmonary tuberculosis will be placed in airborne precautions. Th
bn bn bn bn bn bn bn bn bn bn bn bn
e client should be placed in a private room with special ventilation that does not allow air
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn
to circulate to general hospital ventilation; a mask or special filter respirators will be use
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
d for everyone entering the room.
bn bn bn bn bn
Cognitive Level: Application bn bn
Client Needs: Safe, Effective Care Environment Nurs
bn bn bn bn bn bn
ing Process: Assessment
bn bn
4. A client is receiving IV vancomycin for the treatment of Clostridium difficile. The
bn bn bn bn bn bn bn bn bn bn bn bn bn
nurse understands that the client who develops flushing, tachycardia, and hypotension
bn bn bn bn bn bn bn bn bn bn bn
during the infusion of vancomycin indicates:
bn bn bn bn bn
1. Ototoxicity effect. bn
2. Superinfection.
3. Red man syndrome. bn bn
4. Hives.
Answer: 3 bn
Rationale: Vancomycin inhibits cell wall synthesis, and is used for serious infections. It is o
bn bn bn bn bn bn bn bn bn bn bn bn bn bn
nly effective against gram-positive bacteria, especially Staphylococcus aureus and
bn bn bn bn bn bn bn bn
download full file at http://testbankinstant.com
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