Test Bank For LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care 7th Edition By Paula Gubrud, Margaret Carno , Gerene Bauldoff All Chapters 1-50 LATEST

TESTBANK FOR LEMONE & BURKE’S MEDICAL- SURGICAL
NURSING: CLINICAL REASONING IN HOSPITAL CLIENT
CARE 7TH EDITION/ALL CHAPTERS 1-52

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1. The caregiver is caring for four Hospital clients on a medical–
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surgical unit. WhichHospital client should the caregiver see initially?
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1. A Hospital client admitted with hepatitis A who has had severe di
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arrhea for thelast 24 hours OC OC O
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2. A Hospital client admitted with pneumonia who is has sma
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ll amounts ofyellow productive sputum
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3. A Hospital client admitted with fever of unknown origin (F
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UO) who hasbeen without fever for the last 48 hours
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4. A Hospital client admitted with a wound infection whose WBC i
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s 8,500 mm3ACCURATE ANSWER:-1
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Reasoning:-
>>>The caregiver must decide which Hospital client should be seen on t
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heinitial rounds of the day. The caregiver must remember that the first
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Hospital client to be seen should be the Hospital client who needs the a
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ttention of the caregiver initially. A Hospital client with hepatitis A does e
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xperience diarrhea,but diarrhea for the last 24 hours could cause the Ho
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spital client to have a problem withdehydration and experience a state o
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f fluid volume deficit.
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Cognitive Level: Application OC OC




Hospital client Needs: Safe, Effective Care Enviro
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nmentNursing Process: Planning
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,2. The caregiver is preparing to administer influenza vaccines to a mass drive-
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through clinic. Which statement by a Hospital client would indicate further que
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stioning prior togiving the Hospital client the influenza vaccine?
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1. “I am allergic to horse hair.”
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2. “I try to get my vaccine every year.”
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3. “I am not allergic to anything except eggs.”
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4. “My husband had a severe allergic reaction after he received his infl
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uenzavaccine.” O
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ACCURATE ANSWER:-3 OC




Reasoning:-
>>>Influenza vaccines are recommended for person at high risk for serio OC OC OC OC OC OC OC OC OC OC




us sequelae of influenza. The caregiver should be aware that Hospital clie
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nt with asensitivity to eggs should not receive the vaccine. Vaccines prep
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ared from chicken or duck embryos are contraindicated in Hospital clients
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OC who are allergic to eggs.
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Cognitive Level: Application OC OC




Hospital client Needs: Safe, Effective Care Enviro
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nmentNursing Process: Assessment
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3. The caregiver is caring for four Hospital clients on a medical–
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surgical unit. The secretary gives the caregiver the morning labs. Which of the fo
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llowing labs would require that the caregiver call the physician and inform the h
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ealthcare provider about the Hospital client’s abnormalities?
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1. WBC 14,600 mm3
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2. Serum protein 6.9 g/dL OC OC OC




3. I & D (incision and drainage) showing no growth for the last 24 hours
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4. Albumin 4.2 g/d OC OC

, LACCURATE ANSWER:-1
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Reasoning:-
>>>When the caregiver is caring for several Hospital clients, all of the labssho
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uld be checked frequently throughout the shift to assess for any abnormalitie
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s. TheWBC in option 1 is abnormal. (Normal WBC 4,000–
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10,000 mm3.) All of the other labresults are within acceptable range; therefore,
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OC the results should not be called in to thephysician.
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Cognitive Level: Applicatio OC OC




nHospital client Needs: Ph
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ysiologic Integrity Nursing OC OC O




Process:
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Assessment



4. The caregiver is orienting a new graduate. The caregiver is reinforcing
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the importance of standard precautions. Which of the following observa
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tions by the caregiver would require further education regardingstandar
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d precautions?
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1. The graduate caregiver understands to wash hands whene
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ntering and exiting the Hospital client’s room.
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2. The graduate caregiver wears gloves when serving breakfasttra
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ys to various Hospital clients.
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3. The graduate caregiver wears a gown, gloves, and goggles whensu
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ctioning a Hospital client. OC OC OC




4. The graduate caregiver leaves all supplies in the room of aHo
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spital client who is in contact isolation.
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ACCURATE ANSWER:-2 OC