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

,Chapter 1 CE




1. The caregiver is caring for four Hospital clients on a medical–
CE CE CE CE CE CE CE CE CE CE




surgical unit. WhichHospital client should the caregiver see initially?
CE CE C
E CE CE CE CE CE CE




1. AHospital client admitted with hepatitis Awho has had severe diarr
C
E CE CE CE CE CE C
E CE CE CE CE




hea for thelast 24 hours
CE CE C
E CE CE




2. AHospital client admitted with pneumonia who is has small a
C
E CE CE CE CE CE CE CE CE CE




mounts ofyellow productive sputum CE C
E CE CE




3. AHospital client admitted with fever of unknown origin (FUO)
C
E CE CE CE CE CE CE CE CE C




who hasbeen without fever for the last 48 hours
E CE C
E CE CE CE CE CE CE CE




4. A Hospital client admitted with a wound infection whose WBC is 8,
CE CE CE CE CE CE CE CE CE CE CE




500 mm3ACCURATE ANSWER:-1
CE C
E CE




Reasoning:-
>>>The caregiver must decide which Hospital client should be seen on thei
CE CE CE CE CE CE CE CE CE CE CE C
E




nitial rounds of the day. The caregiver must remember that the first
CE CE CE CE CE CE CE CE CE CE CE




Hospital client to be seen should be the Hospital client who needs the atten
CE CE CE CE CE CE CE CE CE CE CE CE CE




tion of the caregiver initially. A Hospital client with hepatitis A does experien
CE CE CE CE CE CE CE CE CE CE CE CE




ce diarrhea,but diarrhea for the last 24 hours could cause the Hospital clien
CE C
E CE CE CE CE CE CE CE CE CE CE CE




t to have a problem withdehydration and experience a state of fluid volume
CE CE CE CE CE C
E CE CE CE CE CE CE CE C




E deficit.


Cognitive Level: Application CE CE




Hospital client Needs: Safe, Effective Care Environm
CE CE CE CE CE CE




entNursing Process: Planning
C
E CE CE

,2. The caregiver is preparing to administer influenza vaccines to a mass drive-
CE CE CE CE CE CE CE CE CE CE CE




through clinic. Which statement by a Hospital client would indicate further questio
C
E CE CE CE CE CE CE CE CE CE CE CE




ning prior togiving the Hospital client the influenza vaccine?
CE CE C
E CE CE CE CE CE CE




1. “I am allergic to horse hair.”
CE CE CE CE CE




2. “I try to get my vaccine every year.”
CE CE CE CE CE CE CE




3. “I am not allergic to anything except eggs.”
CE CE CE CE CE CE CE




4. “My husband had a severe allergic reaction after he received his influe
CE CE CE CE CE CE CE CE CE CE CE




nzavaccine.” C
E




ACCURATE ANSWER:-3 CE




Reasoning:-
>>>Influenza vaccines are recommended for person at high risk for serious CE CE CE CE CE CE CE CE CE CE CE




sequelae of influenza. The caregiver should be aware that Hospital client wit
CE CE CE CE CE CE CE CE CE CE CE




h asensitivity to eggs should not receive the vaccine. Vaccines prepared from
CE C
E CE CE CE CE CE CE CE CE CE CE




chicken or duck embryos are contraindicated in Hospital clients who are aller
CE CE CE CE CE CE CE CE CE CE CE CE




gic to eggs. CE CE




Cognitive Level: Application CE CE




Hospital client Needs: Safe, Effective Care Environm
CE CE CE CE CE CE




entNursing Process: Assessment
C
E CE CE




3. The caregiver is caring for four Hospital clients on a medical–
CE CE CE CE CE CE CE CE CE CE




surgical unit. The secretary gives the caregiver the morning labs. Which of the follo
CE CE CE CE CE CE CE CE CE CE CE CE CE




wing labs would require that the caregiver call the physician and inform the healthc
CE CE CE CE CE CE CE CE CE CE CE CE CE




are provider about the Hospital client’s abnormalities?
CE CE CE CE CE CE




1. WBC 14,600 mm3
C E CE CE




2. Serum protein 6.9 g/dL CE CE CE




3. I & D (incision and drainage) showing no growth for the last 24 hours
CE CE CE CE CE CE CE CE CE CE CE CE CE




4. Albumin 4.2 g/d CE CE

, LACCURATE ANSWER:-1
C
E CE




Reasoning:-
>>>When the caregiver is caring for several Hospital clients, all of the labsshould
CE CE CE CE CE CE CE CE CE CE CE CE C
E CE




be checked frequently throughout the shift to assess for any abnormalities. TheW
CE CE CE CE CE CE CE CE CE CE CE C
E




BC in option 1 is abnormal. (Normal WBC 4,000–
CE CE CE CE CE CE CE CE




10,000 mm3.) All of the other labresults are within acceptable range; therefore, the
CE CE CE CE CE CE C
E CE CE CE CE CE CE




CE results should not be called in to thephysician.
CE CE CE CE CE CE CE C
E




Cognitive Level: Applicatio CE CE




nHospital client Needs: Phy
C
E CE CE CE




siologic Integrity Nursing Pr CE CE CE




ocess:
Assessment



4. The caregiver is orienting a new graduate. The caregiver is reinforcing the
CE CE CE CE CE CE CE CE CE CE CE C




importance of standard precautions. Which of the following observations b
E CE CE CE CE CE CE CE CE CE




y the caregiver would require further education regardingstandard precauti
CE CE CE CE CE CE CE C
E CE




ons?


1. The graduate caregiver understands to wash hands whenente
CE CE CE CE CE CE CE C
E




ring and exiting the Hospital client’s room.
CE CE CE CE CE CE




2. The graduate caregiver wears gloves when serving breakfasttrays
CE CE CE CE CE CE CE C
E CE




to various Hospital clients.
CE CE CE




3. The graduate caregiver wears a gown, gloves, and goggles whensucti
CE CE CE CE CE CE CE CE CE C
E




oning a Hospital client. CE CE CE




4. The graduate caregiver leaves all supplies in the room of aHospi
CE CE CE CE CE CE CE CE CE CE C
E




tal client who is in contact isolation.
CE CE CE CE CE CE




ACCURATE ANSWER:-2 CE