Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank – Complete Chapters 1-15

TEST BANK l




CLINICAL REASONING CASES
l l




lIN NURSING,l




7TH EDITION
l




BY HARDING| SNYDER
l l




TEST BANK l

,ClinicallReasoninglCaseslinlNursingl7thlEditionlHardinglSnyderlTestlBank

Contents:
Chapterl1.lPerfusion

Chapterl2.lGaslExchange

Chapterl3.lMobility

Chapterl4.lDigestion

Chapterl5.lUrinarylElimination

Chapterl6.lIntracraniallRegulation

Chapterl7.lMetabolismlandlGlucoselRegulation

Chapterl8.lImmunity

Chapterl9.lCellularlRegulation

Chapterl10.lTissuelIntegrity

Chapterl11.lCognition

Chapterl12.lInfectionlandlInflammation

Chapterl13.lDevelopmental

Chapterl14.lReproductive

Chapterl15.lMood,lStress,landlAddiction

,Chapterl1.lPerfusion
ClinicallReasoninglCaseslinlNursingl7thlEditionlHardinglSnyderlTestlBank

MULTIPLElCHOICE
1.lThelnurselislexplainingltolalstudentlnurselaboutlimpairedlcentrallperfusion.lThelnurselknowslthelstu
dentlunderstandslthislproblemlwhenlthelstudentlstates,lCentrallperfusion
a. Islmonitoredlonlylbylthelphysician.
b. Involveslthelentirelbody.
c. Isldecreasedlwithlhypertension.
d. Isltoxicltolthelcardiaclsystem.
ANS:lB
CentrallperfusionldoeslinvolvelthelentirelbodylaslalllorganslarelsuppliedlwithloxygenlandlvitallNutrien
ts.lThelphysicianldoeslnotlcontrollthelbodyslabilitylforlperfusion.lCentrallperfusionlislnotdecreasedlw
ithlhypertension.lCentrallperfusionlislnotltoxicltolthelcardiaclsystem.

2.lAlpatientlwasldiagnosedlwithlhypertension.lThelpatientlaskslthelnurselhowlthisldiseaselcouldlhavelh
appenedltolthem.lThelnurseslbestlresponselislHypertension
a. Happensltoleveryonelsoonerlorllater.lDontlbelconcernedlaboutlit.
b. Canlhappenlfromleatinglalpoorldiet,lsolchangelwhatlyoulareleating.
c. Canlhappenlfromlarteriallchangeslthatlimpedelthelbloodlflow.
d.
Happenslwhenlpeopleldolnotlexercise,lsolyoulshouldlwalkleverylday
.
ANS:lC
Hardeningloflthelarterieslfromlatherosclerosislcanlcauselhypertensionlinlthelpatient.lHypertensionldo
eslnotlhappenltoleveryone.lChanginglthelpatientsldietlandlexercisinglmaylbelalpositivellifelchange,lbutl
theselanswersldolnotlexplainltolthelpatientlhowltheldiseaselcouldlhavelhappened.

3.lThelpatientlaskslthelnurseltolexplainlthelsinoatriallnodelinlthelheart.lThelnurseslbestlresponselwouldl
be,lThelsinoatriallnode
a. Provideslthelheartlwithlthelstimulationltolbeatlinlalnormallrhythm.
b. Protectslthelheartlfromlatheroscleroticlchanges.
c. Provideslthelheartlwithloxygenatedlblood.
d.
Protectslthelheartlfromli
nfection.

ANS:lA
Thelsinoatriallnodelislthelnaturallpacemakerloflthelheart,landlitlassistslthelheartltolbeatlinlalNormallrhyt
hm.lThelsinoatriallnodeldoeslnotlprotectlfromlatheroscleroticlchangeslorlinfection,andlitldoeslnotldire
ctlylprovidelthelheartlwithloxygenatedlblood.
4.lThelpatientlislbroughtltolthelemergencyldepartmentlafterlalmotorlvehiclelaccident.lThelpatientlisldia
gnosedlwithlinternallbleeding.lThelnurseslprimarylconcernlisltolmonitorlfor
a. Mentallalertness.

, b. Perfusion.




c. Pain.
d.
Reactionltol
medications.ANS:lB
Perfusionlislthelcorrectlanswer,lbecauselwithlinternallbleeding,lthelnurselshouldlmonitorlvital
Signsltolbelsurelperfusionlislhappening.lMentallalertness,lpain,landlmedicationlreactionslareimportan
tlbutlnotlthelprimarylconcern.
5.lAlpatientslserumlelectrolyteslarelbeinglmonitored.lThelnurselnoticeslthatlthelpotassiumllevellisllo
w.lThelnurselknowslthatlthelpatientlshouldlbelobservedlfor
a. Tissuelischemia.
b. Brainlmalformations.
c. Intestinallblockage.
d.
Cardiac
ldysthymia.




ANS:lD
Cardiacldysthymialislalpossibilitylwhenlserumlpotassiumlislhighlorllow.lTissuelischemia,lbrainlMalformations,l
orlintestinallblockageldolnotlhavelaldirectlcorrelationltolpotassiumlirregularities.
6.lAlnurselislexplainingltolalstudentlnurselaboutlperfusion.lThelnurselknowslthelstudentlunderstandslth
elconceptloflperfusionlwhenlthelstudentlstates,lPerfusion
a. Islalnormallfunctionloflthelbody,landlIldontlhaveltolbelconcernedlaboutlit.
b. Islmonitoredlbylthelphysician,landlIljustlfollowlorders.
c. Islmonitoredlbylvitallsignslandlcapillarylrefill.
d.
Varieslaslalpersonlages,lsolIlwouldlexpectlchangeslinlthelbod
y.

ANS:lC
Thelbestlmethodltolmonitorlperfusionlisltolmonitorlvitallsignslandlcapillarylrefill.lThislallowslTheln
urseltolknowliflperfusionlisladequateltolmaintainlvitallorgans.lThelnurseldoeslhaveltolbelconcernedl
aboutlperfusion.lPerfusionlislnotlonlylmonitoredlbylthelphysicianlbutlthelnurseltoo.lPerfusionldoesl
notlalwayslchangelaslthelpersonlages.
7.lThelnurselislconductinglalpatientlassessment.lThelpatientltellslthelnurselthatlhelhaslsmokedltwolp
acksloflcigaretteslperldaylforl27lyears.lThelnurselmaylfindlwhichldataluponlassessment?
a. Bloodlpressurelabovelthelnormallrange
b. Boundinglpedallpulses
c. Nightlblindness