Test Banks For Clinical Reasoning Cases in Nursing 8th Edition by Mariann M. Harding; Chapter 1 - 15

Test Banks For Clinical Reasoning Cases in Nursing
8th Edition by Mariann M. Harding;
Chapter 1 - 15

,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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Contents:

Chapter 1. Perfusion
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Chapter 2. Gas Exchange
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Chapter 3. Mobility
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Chapter 4. Digestion
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Chapter 5. Urinary Elimination
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Chapter 6. Intracranial Regulation
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Chapter 7. Metabolism and Glucose Regulation
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Chapter 8. Immunity
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Chapter 9. Cellular Regulation
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Chapter 10. Tissue Integrity
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Chapter 11. Cognition
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Chapter 12. Infection and Inflammation
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Chapter 13. Developmental
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Chapter 14. Reproductive
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Chapter 15. Mood, Stress, and Addiction
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,Chapter 1. Perfusion Qg Qg



Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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MULTIPLE CHOICE Qg


1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse
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knows the student understands this problem when the student states, Central perfusion
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a. Is monitored only by the physician. Qg Qg Qg Qg Qg



b. Involves the entire body. Qg Qg Qg



c. Is decreased with hypertension.
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d. Is toxic to the cardiac system.
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ANSWER: B Qg


Central perfusion does involve the entire body as all organs are supplied with oxygen and
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vital Nutrients. The physician does not control the bodys ability for perfusion. Central
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perfusion is notdecreased with hypertension. Central perfusion is not toxic to the
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cardiac system.
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2. A patient was diagnosed with hypertension. The patient asks the nurse how this
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disease could have happened to them. The nurses best response is Hypertension
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a. Happens to everyone sooner or later. Dont be concerned about it. Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg



b. Can happen from eating a poor diet, so change what you are eating.
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c. Can happen from arterial changes that impede the blood flow.
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d. Happens when people do not exercise, so you should walk Qg Qg Qg Qg Qg Qg Qg Qg Qg



Qg every day. Qg




ANSWER: C Qg


Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
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Hypertension does not happen to everyone. Changing the patients diet and exercising
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may be a positive life change, but these answers do not explain to the patient how the
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disease could have happened.
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3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
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response would be, The sinoatrial node
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a. Provides the heart with the stimulation to beat in a normal rhythm. Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg



b. Protects the heart from atherosclerotic changes.
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c. Provides the heart with oxygenated blood.
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d. Protects the heart Qg Qg



from infection.
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ANSWER: A Qg


The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to
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beat in a Normal rhythm. The sinoatrial node does not protect from atherosclerotic
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changes or infection,and it does not directly provide the heart with oxygenated blood.
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4. The patient is brought to the emergency department after a motor vehicle accident.
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The patient is diagnosed with internal bleeding. The nurses primary concern is to
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, Qg monitor for Qg




a. Mental alertness. Qg


b. Perfusion.




c. Pain.
d. Reaction
to medications.
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ANSWER: B Qg


Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
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Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions
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areimportant but not the primary concern.
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5. A patients serum electrolytes are being monitored. The nurse notices that the
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potassium level is low. The nurse knows that the patient should be observed for
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a. Tissue ischemia. Qg



b. Brain malformations. Qg



c. Intestinal blockage. Qg



d. Cardiac
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ANSWER: D Qg


Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
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Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
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6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student
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understands the concept of perfusion when the student states, Perfusion
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a. Is a normal function of the body, and I dont have to be concerned about it.
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b. Is monitored by the physician, and I just follow orders.
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c. Is monitored by vital signs and capillary refill.
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