,Medical-
Surgical Nursing: Critical Thinking in Clie
h5 h5 h 5 h5 h5
nt Care, Single Volume, 4th Edition Test B
h5 h5 h5 h5 h5 h5 h5
ank
Priscillah5Th5LeMone,h5Universityh5ofh5Missourih5&h5Columbiah5(retired)
,Test Bank for Medical-
h5 h5 h5
Surgical Nursing Critical Thinking in Client Care
h5 h5 h5 h5 h5 h5
, 4th Edition Priscilla LeMon
h5 h5 h5 h5
Chapterh51
1. Theh5nurseh5ish5caringh5forh5fourh5clientsh5onh5ah5medical–
surgicalh5unit.h5Whichh5clienth5shouldh5theh5nurseh5seeh5initially?
1. Ah5clienth5admittedh5withh5hepatitish5Ah5whoh5hash5hadh5severeh5diarrheah5forh5t
heh5lasth524h5hours
2. Ah5clienth5admittedh5withh5pneumoniah5whoh5ish5hash5smallh5amountsh5ofh5
yellowh5productiveh5sputum
3. Ah5clienth5admittedh5withh5feverh5ofh5unknownh5originh5(FUO)h5whoh5has
h5beenh5withouth5feverh5forh5theh5lasth548h5hours
4. Ah5clienth5admittedh5withh5ah5woundh5infectionh5whoseh5WBCh5ish58,500h5mm3
Answer:h51
Rationale:h5Theh5nurseh5musth5decideh5whichh5clienth5shouldh5beh5seenh5onh5theh5initialh5roundsh
5ofh5theh5day.h5Theh5nurseh5musth5rememberh5thath5theh5firsth5client h5toh5beh5seenh5shoul
dh5beh5theh5clienth5whoh5needsh5theh5attentionh5ofh5theh5nurseh5initially.h5Ah5clienth5withh
5hepatitish5Ah5doesh5experienceh5diarrhea,h5buth5diarrheah5forh5theh5lasth524h5hoursh5cou
ldh5causeh5theh5clienth5toh5haveh5ah5problemh5withh5dehydrationh5andh5experienceh5ah5st
ateh5ofh5fluidh5volumeh5deficit.
Cognitiveh5Level:h5Application
Clienth5Needs:h5Safe,h5Effectiveh5Careh5Environmenth5
Nursingh5Process:h5Planning
2. Theh5nurseh5ish5preparingh5toh5administerh5influenzah5vaccinesh5toh5ah5massh5drive-
throughh5clinic.h5Whichh5statementh5byh5ah5clienth5wouldh5indicateh5furtherh5questioningh5pri
orh5toh5givingh5theh5clienth5theh5influenzah5vaccine?
1. “Ih5amh5allergich5toh5horseh5hair.”
2. “Ih5tryh5toh5geth5myh5vaccineh5everyh5year.”
3. “Ih5amh5noth5allergich5toh5anythingh5excepth5eggs.”
4. “Myh5husbandh5hadh5ah5severeh5allergich5reactionh5afterh5heh5receivedh5hish5infl
uenzah5vaccine.”
Answer:h53
Rationale:h5Influenzah5vaccinesh5areh5recommendedh5forh5personh5ath5highh5riskh5forh5serioush5
sequelaeh5ofh5influenza.h5Theh5nurseh5shouldh5beh5awareh5thath5clienth5withh5ah5sensitivi
tyh5toh5eggsh5shouldh5noth5receiveh5theh5vaccine.h5Vaccinesh5preparedh5fromh5chickenh5
orh5duckh5embryosh5areh5contraindicatedh5inh5clientsh5whoh5areh5allergich5toh5eggs.
, Test Bank for Medical-
h5 h5 h5
Surgical Nursing Critical Thinking in Client Care
h5 h5 h5 h5 h5 h5
, 4th Edition Priscilla LeMon
h5 h5 h5 h5
Cognitiveh5Level:h5Application
Clienth5Needs:h5Safe,h5Effectiveh5Careh5Environmenth5
Nursingh5Process:h5Assessment
3. Theh5nurseh5ish5caringh5forh5fourh5clientsh5onh5ah5medical–
surgicalh5unit.h5Theh5secretaryh5givesh5theh5nurseh5theh5morningh5labs.h5Whichh5ofh5theh5follo
wingh5labsh5wouldh5requireh5thath5theh5nurseh5callh5theh5physicianh5andh5informh5theh5healthca
reh5providerh5abouth5theh5client’sh5abnormalities?
1. WBCh514,600h5mm3
2. Serumh5proteinh56.9h5g/dL
3. Ih5&h5Dh5(incisionh5andh5drainage)h5showingh5noh5growthh5forh5theh5lasth524h5ho
urs
4. Albuminh54.2h5g/dL
Answer:h51
Rationale:h5Whenh5theh5nurseh5ish5caringh5forh5severalh5clients,h5allh5ofh5theh5labsh5shouldh5beh5c
heckedh5frequentlyh5throughouth5theh5shifth5toh5assessh5forh5anyh5abnormalities.h5Theh5WBCh5i
nh5optionh51h5ish5abnormal.h5(Normalh5WBCh54,000–
10,000h5mm3.)h5Allh5ofh5theh5otherh5labh5resultsh5areh5withinh5acceptableh5range;h5therefore,h5th
eh5resultsh5shouldh5noth5beh5calledh5inh5toh5theh5physician.
Cognitiveh5Level:h5Applicationh5Cli
enth5Needs:h5Physiologich5Integrityh5
Nursingh5Process:h5Assessment
4. Theh5nurseh5ish5orientingh5ah5newh5graduate.h5Theh5nurseh5ish5reinforcingh5theh5importa
nceh5ofh5standardh5precautions.h5Whichh5ofh5theh5followingh5observationsh5byh5theh5nurseh5
wouldh5requireh5furtherh5educationh5regardingh5standardh5precautions?
1. Theh5graduateh5nurseh5understandsh5toh5washh5handsh5whenh5enteringh5andh5e
xitingh5theh5client’sh5room.
2. Theh5graduateh5nurseh5wearsh5glovesh5whenh5servingh5breakfasth5traysh5toh5v
arioush5clients.
3. Theh5graduateh5nurseh5wearsh5ah5gown,h5gloves,h5andh5gogglesh5whenh5suctio
ningh5ah5client.
4. Theh5graduateh5nurseh5leavesh5allh5suppliesh5inh5theh5roomh5ofh5ah5clienth5w
hoh5ish5inh5contacth5isolation.
Answer:h52
Rationale:h5Theh5nurseh5musth5haveh5anh5understandingh5ofh5standardh5precautions.h5Preventi
downloadh5fullh5fileh5ath5http://testbankinstant.c
om
Surgical Nursing: Critical Thinking in Clie
h5 h5 h 5 h5 h5
nt Care, Single Volume, 4th Edition Test B
h5 h5 h5 h5 h5 h5 h5
ank
Priscillah5Th5LeMone,h5Universityh5ofh5Missourih5&h5Columbiah5(retired)
,Test Bank for Medical-
h5 h5 h5
Surgical Nursing Critical Thinking in Client Care
h5 h5 h5 h5 h5 h5
, 4th Edition Priscilla LeMon
h5 h5 h5 h5
Chapterh51
1. Theh5nurseh5ish5caringh5forh5fourh5clientsh5onh5ah5medical–
surgicalh5unit.h5Whichh5clienth5shouldh5theh5nurseh5seeh5initially?
1. Ah5clienth5admittedh5withh5hepatitish5Ah5whoh5hash5hadh5severeh5diarrheah5forh5t
heh5lasth524h5hours
2. Ah5clienth5admittedh5withh5pneumoniah5whoh5ish5hash5smallh5amountsh5ofh5
yellowh5productiveh5sputum
3. Ah5clienth5admittedh5withh5feverh5ofh5unknownh5originh5(FUO)h5whoh5has
h5beenh5withouth5feverh5forh5theh5lasth548h5hours
4. Ah5clienth5admittedh5withh5ah5woundh5infectionh5whoseh5WBCh5ish58,500h5mm3
Answer:h51
Rationale:h5Theh5nurseh5musth5decideh5whichh5clienth5shouldh5beh5seenh5onh5theh5initialh5roundsh
5ofh5theh5day.h5Theh5nurseh5musth5rememberh5thath5theh5firsth5client h5toh5beh5seenh5shoul
dh5beh5theh5clienth5whoh5needsh5theh5attentionh5ofh5theh5nurseh5initially.h5Ah5clienth5withh
5hepatitish5Ah5doesh5experienceh5diarrhea,h5buth5diarrheah5forh5theh5lasth524h5hoursh5cou
ldh5causeh5theh5clienth5toh5haveh5ah5problemh5withh5dehydrationh5andh5experienceh5ah5st
ateh5ofh5fluidh5volumeh5deficit.
Cognitiveh5Level:h5Application
Clienth5Needs:h5Safe,h5Effectiveh5Careh5Environmenth5
Nursingh5Process:h5Planning
2. Theh5nurseh5ish5preparingh5toh5administerh5influenzah5vaccinesh5toh5ah5massh5drive-
throughh5clinic.h5Whichh5statementh5byh5ah5clienth5wouldh5indicateh5furtherh5questioningh5pri
orh5toh5givingh5theh5clienth5theh5influenzah5vaccine?
1. “Ih5amh5allergich5toh5horseh5hair.”
2. “Ih5tryh5toh5geth5myh5vaccineh5everyh5year.”
3. “Ih5amh5noth5allergich5toh5anythingh5excepth5eggs.”
4. “Myh5husbandh5hadh5ah5severeh5allergich5reactionh5afterh5heh5receivedh5hish5infl
uenzah5vaccine.”
Answer:h53
Rationale:h5Influenzah5vaccinesh5areh5recommendedh5forh5personh5ath5highh5riskh5forh5serioush5
sequelaeh5ofh5influenza.h5Theh5nurseh5shouldh5beh5awareh5thath5clienth5withh5ah5sensitivi
tyh5toh5eggsh5shouldh5noth5receiveh5theh5vaccine.h5Vaccinesh5preparedh5fromh5chickenh5
orh5duckh5embryosh5areh5contraindicatedh5inh5clientsh5whoh5areh5allergich5toh5eggs.
, Test Bank for Medical-
h5 h5 h5
Surgical Nursing Critical Thinking in Client Care
h5 h5 h5 h5 h5 h5
, 4th Edition Priscilla LeMon
h5 h5 h5 h5
Cognitiveh5Level:h5Application
Clienth5Needs:h5Safe,h5Effectiveh5Careh5Environmenth5
Nursingh5Process:h5Assessment
3. Theh5nurseh5ish5caringh5forh5fourh5clientsh5onh5ah5medical–
surgicalh5unit.h5Theh5secretaryh5givesh5theh5nurseh5theh5morningh5labs.h5Whichh5ofh5theh5follo
wingh5labsh5wouldh5requireh5thath5theh5nurseh5callh5theh5physicianh5andh5informh5theh5healthca
reh5providerh5abouth5theh5client’sh5abnormalities?
1. WBCh514,600h5mm3
2. Serumh5proteinh56.9h5g/dL
3. Ih5&h5Dh5(incisionh5andh5drainage)h5showingh5noh5growthh5forh5theh5lasth524h5ho
urs
4. Albuminh54.2h5g/dL
Answer:h51
Rationale:h5Whenh5theh5nurseh5ish5caringh5forh5severalh5clients,h5allh5ofh5theh5labsh5shouldh5beh5c
heckedh5frequentlyh5throughouth5theh5shifth5toh5assessh5forh5anyh5abnormalities.h5Theh5WBCh5i
nh5optionh51h5ish5abnormal.h5(Normalh5WBCh54,000–
10,000h5mm3.)h5Allh5ofh5theh5otherh5labh5resultsh5areh5withinh5acceptableh5range;h5therefore,h5th
eh5resultsh5shouldh5noth5beh5calledh5inh5toh5theh5physician.
Cognitiveh5Level:h5Applicationh5Cli
enth5Needs:h5Physiologich5Integrityh5
Nursingh5Process:h5Assessment
4. Theh5nurseh5ish5orientingh5ah5newh5graduate.h5Theh5nurseh5ish5reinforcingh5theh5importa
nceh5ofh5standardh5precautions.h5Whichh5ofh5theh5followingh5observationsh5byh5theh5nurseh5
wouldh5requireh5furtherh5educationh5regardingh5standardh5precautions?
1. Theh5graduateh5nurseh5understandsh5toh5washh5handsh5whenh5enteringh5andh5e
xitingh5theh5client’sh5room.
2. Theh5graduateh5nurseh5wearsh5glovesh5whenh5servingh5breakfasth5traysh5toh5v
arioush5clients.
3. Theh5graduateh5nurseh5wearsh5ah5gown,h5gloves,h5andh5gogglesh5whenh5suctio
ningh5ah5client.
4. Theh5graduateh5nurseh5leavesh5allh5suppliesh5inh5theh5roomh5ofh5ah5clienth5w
hoh5ish5inh5contacth5isolation.
Answer:h52
Rationale:h5Theh5nurseh5musth5haveh5anh5understandingh5ofh5standardh5precautions.h5Preventi
downloadh5fullh5fileh5ath5http://testbankinstant.c
om
