Lewis\\\'s Medical Surgical Nursing: Assessment and M Study guides, Class notes & Summaries

Test bank for Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 12th Edition by Marianne M. Harding, Jeffrey Kwong, Debra Hagler 9615, 7, 2332, 2 1. Professional Nursing 2. Social Determinants of Health 3. Health History and Physical Examination 4. Patient and Caregiver Teaching 5. Chronic Illness and Older Adults 6. Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients 7. Stress Management 8. Slee...

In severely anemic patients, the nurse would expect to find: A. dyspnea and tachycardia B. cyanosis and pulmonary edema C. cardiomegaly and pulmonary fibrosis D. ventricular dysrhythmia and wheezing - -A. dyspnea and tachycardia -When obtaining assessment data from a patient with a microcytic, hypochromic anemia, the nurse would question the patient about: A. folic acid intake B. dietary intake of iron C. a history of gastric surgery D. a history of sickle cell anemia - -B -Nursing...

A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient's laboratory test findings to include a. an RBC count of 4,500,000/L. b. a hematocrit (Hct) value of 38%. c. normal red blood cell (RBC) indices. d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L). - -ANS: D The patient's clinical manifestations indicate moderate anemia, which is consistent with a Hgb of 6 to 10 g/dL. The other values are all within the...

Which of the following instructions given to a patient who is about to undergo Holter monitoring is most appropriate? A) "You may remove the monitor only to shower or bathe." B) "You should connect the monitor whenever you feel symptoms." C) "You should refrain from exercising while wearing this monitor." D) "You will need to keep a diary of all your activities and symptoms." - -D) "You will need to keep a diary of all your activities and symptoms." A Holter monitor is worn for at...

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective? a. Bronchial breath sounds are heard at the right base. b. The patient coughs up small amounts of green mucus. c. The patient's white blood cell (WBC) count is 9000/μL. d. Increased tactile fremitus is palpable over the right chest. - -c. The patient's white blood cell (WBC) count is 9000/μL. The normal WBC co...

After assessment of a patient with *pneumonia*, the nurse identifies a nursing diagnosis of *ineffective airway clearance*. Which assessment data best supports this diagnosis? a. Weak cough effort b. Profuse green sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% - -a. Weak cough effort The weak, *nonproductive cough* indicates that the patient is *unable to clear the airway* effectively. -The nurse assesses the chest of a patient with pneumococcal...

Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? a. Weak, nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% - -ANS: A The weak, nonproductive cough indicates that the patient is unable to clear the airway effectively. The other data would be used to support diagnoses ...

1. During the postoperative care of a 76-year-old patient, the nurse monitors the patient's intake and output carefully, knowing that the patient is at risk for fluid and electrolyte imbalances primarily because a. older adults have an impaired thirst mechanism and need reminding to drink fluids. b. water accounts for a greater percentage of body weight in the older adult than in younger adults. c. older adults are more likely than younger adults to lose extracellular fluid during surgical p...

A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? a. Ask the patient to lie down to complete a full physical assessment. b. Briefly ask specific questions about this episode of respiratory distress. c. Complete the admission database to check for allergies before treatment. d. Delay the physical assessment to first complete pulmonary function tests. - -b. Briefly ask specific questions about ...

The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which assessment data will be of most concern to the nurse? a. Urine output is 30 mL/hr. b. Blood pressure is 90/40 mm Hg. c. Oral fluid intake is 100 mL for the past 8 hours. d. There is prolonged skin tenting over the sternum. - -ANS: B The blood pressure indicates that the patient may be developing hypovolemic shock as a result of intravascular fluid loss because of the burn injury. Thi...

A 74-yr-old patient has just arrived in the emergency department. After assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the patient may require a. emergent cardioversion. b. a cardiac catheterization. c. hourly blood pressure (BP) checks. d. electrocardiographic (ECG) monitoring. - -ANS: D Pulse deficit is a difference between simultaneously obtained apical and radial pulses. It indicates that there may be a cardiac dysrhythmia that would be...