Clinical Reasoning Cases in Nursing, 7th Edition – Harding & Snyder Complete Test Bank

Test Banks For Clinical Reasoning Cases in Nursin
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

,Chapternj1.njPerfusion
ClinicalnjReasoningnjCasesnjinnjNursingnj8thnjEditionnjHardingnjSnydernjTestnjBank

MULTIPLEnjCHOICE
1.njThenjnursenjisnjexplainingnjtonjanjstudentnjnursenjaboutnjimpairednjcentralnjperfusion.njThenjnursenjkno
wsnjthenjstudentnjunderstandsnjthisnjproblemnjwhennjthenjstudentnjstates,njCentralnjperfusion
a. Isnjmonitorednjonlynjbynjthenjphysician.
b. Involvesnjthenjentirenjbody.
c. Isnjdecreasednjwithnjhypertension.
d. Isnjtoxicnjtonjthenjcardiacnjsystem.
ANSWER:njB
Centralnjperfusionnjdoesnjinvolvenjthenjentirenjbodynjasnjallnjorgansnjarenjsuppliednjwithnjoxygennjandnjvit
alnjNutrients.njThenjphysiciannjdoesnjnotnjcontrolnjthenjbodysnjabilitynjfornjperfusion.njCentralnjperfusio
nnjisnjnotdecreasednjwithnjhypertension.njCentralnjperfusionnjisnjnotnjtoxicnjtonjthenjcardiacnjsystem.

2.njAnjpatientnjwasnjdiagnosednjwithnjhypertension.njThenjpatientnjasksnjthenjnursenjhownjthisnjdiseasenjco
uldnjhavenjhappenednjtonjthem.njThenjnursesnjbestnjresponsenjisnjHypertension
a. Happensnjtonjeveryonenjsoonernjornjlater.njDontnjbenjconcernednjaboutnjit.
b. Cannjhappennjfromnjeatingnjanjpoornjdiet,njsonjchangenjwhatnjyounjarenjeating.
c. Cannjhappennjfromnjarterialnjchangesnjthatnjimpedenjthenjbloodnjflow.
d.
Happensnjwhennjpeoplenjdonjnotnjexercise,njsonjyounjshouldnjwalknjev
erynjday.
ANSWER:njC
Hardeningnjofnjthenjarteriesnjfromnjatherosclerosisnjcannjcausenjhypertensionnjinnjthenjpatient.njHyperte
nsionnjdoesnjnotnjhappennjtonjeveryone.njChangingnjthenjpatientsnjdietnjandnjexercisingnjmaynjbenjanjposit
ivenjlifenjchange,njbutnjthesenjanswersnjdonjnotnjexplainnjtonjthenjpatientnjhownjthenjdiseasenjcouldnjhavenjh
appened.

3.njThenjpatientnjasksnjthenjnursenjtonjexplainnjthenjsinoatrialnjnodenjinnjthenjheart.njThenjnursesnjbestnjresp
onsenjwouldnjbe,njThenjsinoatrialnjnode
a. Providesnjthenjheartnjwithnjthenjstimulationnjtonjbeatnjinnjanjnormalnjrhythm.
b. Protectsnjthenjheartnjfromnjatheroscleroticnjchanges.
c. Providesnjthenjheartnjwithnjoxygenatednjblood.
d.
Protectsnjthenjheartnjfro
mnjinfection.

ANSWER:njA
Thenjsinoatrialnjnodenjisnjthenjnaturalnjpacemakernjofnjthenjheart,njandnjitnjassistsnjthenjheartnjtonjbeatnjinnjanj
Normalnjrhythm.njThenjsinoatrialnjnodenjdoesnjnotnjprotectnjfromnjatheroscleroticnjchangesnjornjinfecti
on,andnjitnjdoesnjnotnjdirectlynjprovidenjthenjheartnjwithnjoxygenatednjblood.
4.njThenjpatientnjisnjbroughtnjtonjthenjemergencynjdepartmentnjafternjanjmotornjvehiclenjaccident.njThenjpa
tientnjisnjdiagnosednjwithnjinternalnjbleeding.njThenjnursesnjprimarynjconcernnjisnjtonjmonitornjfor

, a. Mentalnjalertness.
b. Perfusion.




c. Pain.
d.
Reactionnjto
njmedications.


ANSWER:njB
Perfusionnjisnjthenjcorrectnjanswer,njbecausenjwithnjinternalnjbleeding,njthenjnursenjshouldnjmonitornjvital
Signsnjtonjbenjsurenjperfusionnjisnjhappening.njMentalnjalertness,njpain,njandnjmedicationnjreactionsnjarei
mportantnjbutnjnotnjthenjprimarynjconcern.
5.njAnjpatientsnjserumnjelectrolytesnjarenjbeingnjmonitored.njThenjnursenjnoticesnjthatnjthenjpotassiumnjl
evelnjisnjlow.njThenjnursenjknowsnjthatnjthenjpatientnjshouldnjbenjobservednjfor
a. Tissuenjischemia.
b. Brainnjmalformations.
c. Intestinalnjblockage.
d.
Cardiac
njdysthymia.




ANSWER:njD
Cardiacnjdysthymianjisnjanjpossibilitynjwhennjserumnjpotassiumnjisnjhighnjornjlow.njTissuenjischemia,njbrainnjMalf
ormations,njornjintestinalnjblockagenjdonjnotnjhavenjanjdirectnjcorrelationnjtonjpotassiumnjirregularities.
6.njAnjnursenjisnjexplainingnjtonjanjstudentnjnursenjaboutnjperfusion.njThenjnursenjknowsnjthenjstudentnjund
erstandsnjthenjconceptnjofnjperfusionnjwhennjthenjstudentnjstates,njPerfusion
a. Isnjanjnormalnjfunctionnjofnjthenjbody,njandnjInjdontnjhavenjtonjbenjconcernednjaboutnjit.
b. Isnjmonitorednjbynjthenjphysician,njandnjInjjustnjfollownjorders.
c. Isnjmonitorednjbynjvitalnjsignsnjandnjcapillarynjrefill.
d.
Variesnjasnjanjpersonnjages,njsonjInjwouldnjexpectnjchangesnjinnj
thenjbody.

ANSWER:njC
Thenjbestnjmethodnjtonjmonitornjperfusionnjisnjtonjmonitornjvitalnjsignsnjandnjcapillarynjrefill.njThisnjal
lowsnjThenjnursenjtonjknownjifnjperfusionnjisnjadequatenjtonjmaintainnjvitalnjorgans.njThenjnursenjdoesnj
havenjtonjbenjconcernednjaboutnjperfusion.njPerfusionnjisnjnotnjonlynjmonitorednjbynjthenjphysiciannjbu
tnjthenjnursenjtoo.njPerfusionnjdoesnjnotnjalwaysnjchangenjasnjthenjpersonnjages.
7.njThenjnursenjisnjconductingnjanjpatientnjassessment.njThenjpatientnjtellsnjthenjnursenjthatnjhenjhasnjsm
okednjtwonjpacksnjofnjcigarettesnjpernjdaynjfornj27njyears.njThenjnursenjmaynjfindnjwhichnjdatanjuponnja
ssessment?
a. Bloodnjpressurenjabovenjthenjnormalnjrange
b. Boundingnjpedalnjpulses
c. Nightnjblindness