For Lemone And Burke's Medical-Surgical Nursing: Clinical Reasoning In Patient
Care 7th Edition By Paula Gubrud
Latest Update Graded A+
,Chapter 1
1. The Nurse Is Caring For Four Patients On A Medical–Surgical Unit, Which Patient
Should The Nurse See First?
1. A Patient Admitted With Hepatitis A Who Has Had Severe Diarrhea
For The Last24 Hours
2. A Patient Admitted With Pneumonia Who Is Has Small
Amounts Of Yellowproductive Sputum
3. A Patient Admitted With Fever Of Unknown Origin (Fuo) Who
Has Beenwithout Fever For The Last 48 Hours
4. A Patient Admitted With A Wound Infection Whose Wbc Is 8,500 Mm3
Answer: 1
Rationale: The Nurse Must Decide Which Patient Ought To Be Seen On The Initial
Rounds Of The Day, The Nurse Must Remember That The First Patient To Be
Seen Ought To Be The Patientwho Needs The Attention Of The Nurse Initially,
A Patient With Hepatitis A Does Experience Diarrhea, But Diarrhea For The
Last 24 Hours Could Cause The Patient To Have A Problem With Dehydration
And Experience A State Of Fluid Volume Deficit,
Cognitive Level: Application
Patient Needs: Safe, Effective Care
Environmentnursing Process: Planning
2. The Nurse Is Getting Ready To Administer Influenza Vaccines To A Mass Drive-
Through Clinic,Which Statement By A Patient Would Indicate Further Questioning
Prior To Giving The Patient The Influenza Vaccine?
1. “I Am Allergic To Horse Hair,”
2. “I Try To Get My Vaccine Every Year,”
3. “I Am Not Allergic To Anything Except Eggs,”
4. “My Husband Had A Severe Allergic Reaction After He Received His
Influenza Vaccine,”
Answer: 3
Rationale: Influenza Vaccines Are Recommended For Person At High Risk For Serious
,Sequelae Of Influenza, The Nurse Ought To Be Aware That Patient With A
Sensitivity Toeggs Ought To Not Receive The Vaccine, Vaccines Get Readyd
From Chicken Or Duck Embryos Are Contraindicated In Patients Who Are
Allergic To Eggs,
, Cognitive Level: Application