CASES IN NURSING 8TH EDITION BY MARIANN
M. HARDING; CHAPTER 1 - 15
,CLINICAL REASONING CASES IN NURSING 8TH EDITION HARDING SNYDER TEST
BANK
CONTENTS:
CHAPTER 1. PERFUSION
CHAPTER 2. GAS EXCHANGE
CHAPTER 3. MOBILITY
CHAPTER 4. DIGESTION
CHAPTER 5. URINARY ELIMINATION
CHAPTER 6. INTRACRANIAL REGULATION
CHAPTER 7. METABOLISM AND GLUCOSE REGULATION
CHAPTER 8. IMMUNITY
CHAPTER 9. CELLULAR REGULATION
CHAPTER 10. TISSUE INTEGRITY
CHAPTER 11. COGNITION
CHAPTER 12. INFECTION AND INFLAMMATION
CHAPTER 13. DEVELOPMENTAL
CHAPTER 14. REPRODUCTIVE
CHAPTER 15. MOOD, STRESS, AND ADDICTION
,Chapter 1. Perfusion
Clinical Reasoning Cases In Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The Nurse Is Explaining To A Student Nurse About Impaired Central Perfusion. The
Nurse Knows
The Student Understands This Problem When The Student States, Central Perfusion
A. Is Monitored Only By The Physician.
B. Involves The Entire Body.
C. Is Decreased With Hypertension.
D. Is Toxic To The Cardiac System.
ANS: B
Central Perfusion Does Involve The Entire Body As All Organs Are Supplied
With Oxygen And Vital Nutrients. The Physician Does Not Control The Bodys
Ability For Perfusion. Central Perfusion Is Notdecreased With Hypertension.
Central Perfusion Is Not Toxic To The Cardiac System.
2. A Patient Was Diagnosed With Hypertension. The Patient Asks The Nurse How
This Disease Could Have Happened To Them. The Nurses Best Response Is
Hypertension
A. Happens To Everyone Sooner Or Later. Dont Be Concerned About It.
B. Can Happen From Eating A Poor Diet, So Change What You Are Eating.
C. Can Happen From Arterial Changes That Impede The Blood Flow.
D. Happens When People Do Not Exercise, So You Should
Walk Every Day.
ANS: C
Hardening Of The Arteries From Atherosclerosis Can Cause Hypertension In The
Patient. Hypertension Does Not Happen To Everyone. Changing The Patients Diet
And Exercising May Be A Positive Life Change, But These Answers Do Not Explain
To The Patient How The Disease Could Have Happened.
3. The Patient Asks The Nurse To Explain The Sinoatrial Node In The Heart. The
Nurses Best Response Would Be, The Sinoatrial Node
A. Provides The Heart With The Stimulation To Beat In A Normal Rhythm.
B. Protects The Heart From Atherosclerotic Changes.
C. Provides The Heart With Oxygenated Blood.
, D. Protects The Heart
From Infection.
ANS: A
The Sinoatrial Node Is The Natural Pacemaker Of The Heart, And It Assists The
Heart To Beat In A Normal Rhythm. The Sinoatrial Node Does Not Protect From
Atherosclerotic Changes Or Infection,And It Does Not Directly Provide The Heart
With Oxygenated Blood.
4. The Patient Is Brought To The Emergency Department After A Motor Vehicle
Accident. The Patient Is Diagnosed With Internal Bleeding. The Nurses Primary
Concern Is To Monitor For
A. Mental Alertness.
B. Perfusion.
C. Pain.
D. Reaction
To Medications.
ANS: B
Perfusion Is The Correct Answer, Because With Internal Bleeding, The Nurse
Should Monitor Vital Signs To Be Sure Perfusion Is Happening. Mental Alertness,
Pain, And Medication Reactions Areimportant But Not The Primary Concern.
5. A Patients Serum Electrolytes Are Being Monitored. The Nurse Notices That
The Potassium Level Is Low. The Nurse Knows That The Patient Should Be
Observed For
A. Tissue Ischemia.
B. Brain Malformations.
C. Intestinal Blockage.
D.
Cardi
ac Dysthymia.
ANS: D
Cardiac Dysthymia Is A Possibility When Serum Potassium Is High Or Low. Tissue
Ischemia, Brain Malformations, Or Intestinal Blockage Do Not Have A Direct Correlation To
Potassium Irregularities.
6. A Nurse Is Explaining To A Student Nurse About Perfusion. The Nurse Knows
The Student Understands The Concept Of Perfusion When The Student States,
Perfusion
A. Is A Normal Function Of The Body, And I Dont Have To Be Concerned About It.
B. Is Monitored By The Physician, And I Just Follow Orders.
C. Is Monitored By Vital Signs And Capillary Refill.