Test Bank For Clinical Reasoning Cases in Nursing 8th Edition by Test Banks Mariann M. Harding; Chapter 1-15

For Clinical Reasoning Cases in Nursing 8th Edition by Te
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t Banks Mariann M. Harding;
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Chapter 1 - 15
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,ClinicalfReasoningfCasesfinfNursingf8thfEditionfHardingfSnyderfTestfBank

Contents:
Chapterf1.fPerfusion

Chapterf2.fGasfExchange

Chapterf3.fMobility

Chapterf4.fDigestion

Chapterf5.fUrinaryfElimination

Chapterf6.fIntracranialfRegulation

Chapterf7.fMetabolismfandfGlucosefRegulation

Chapterf8.fImmunity

Chapterf9.fCellularfRegulation

Chapterf10.fTissuefIntegrity

Chapterf11.fCognition

Chapterf12.fInfectionfandfInflammation

Chapterf13.fDevelopmental

Chapterf14.fReproductive

Chapterf15.fMood,fStress,fandfAddiction

,Chapterf1.fPerfusion
ClinicalfReasoningfCasesfinfNursingf8thfEditionfHardingfSnyderfTestfBank

MULTIPLEfCHOICE
1.fThefnursefisfexplainingftofafstudentfnursefaboutfimpairedfcentralfperfusion.fThefnursefknowsfthefstud
entfunderstandsfthisfproblemfwhenfthefstudentfstates,fCentralfperfusion
a. Isfmonitoredfonlyfbyfthefphysician.
b. Involvesfthefentirefbody.
c. Isfdecreasedfwithfhypertension.
d. Isftoxicftofthefcardiacfsystem.
ANSWER:fB
CentralfperfusionfdoesfinvolvefthefentirefbodyfasfallforgansfarefsuppliedfwithfoxygenfandfvitalfNutrie
nts.fThefphysicianfdoesfnotfcontrolfthefbodysfabilityfforfperfusion.fCentralfperfusionfisfnotdecreasedf
withfhypertension.fCentralfperfusionfisfnotftoxicftofthefcardiacfsystem.

2.fAfpatientfwasfdiagnosedfwithfhypertension.fThefpatientfasksfthefnursefhowfthisfdiseasefcouldfhavefh
appenedftofthem.fThefnursesfbestfresponsefisfHypertension
a. Happensftofeveryonefsoonerforflater.fDontfbefconcernedfaboutfit.
b. Canfhappenffromfeatingfafpoorfdiet,fsofchangefwhatfyoufarefeating.
c. Canfhappenffromfarterialfchangesfthatfimpedefthefbloodfflow.
d.
Happensfwhenfpeoplefdofnotfexercise,fsofyoufshouldfwalkfeveryfda
y.
ANSWER:fC
Hardeningfoffthefarteriesffromfatherosclerosisfcanfcausefhypertensionfinfthefpatient.fHypertensionfdo
esfnotfhappenftofeveryone.fChangingfthefpatientsfdietfandfexercisingfmayfbefafpositiveflifefchange,f
butfthesefanswersfdofnotfexplainftofthefpatientfhowfthefdiseasefcouldfhavefhappened.

3.fThefpatientfasksfthefnurseftofexplainfthefsinoatrialfnodefinfthefheart.fThefnursesfbestfresponsefwouldf
be,fThefsinoatrialfnode
a. Providesfthefheartfwithfthefstimulationftofbeatfinfafnormalfrhythm.
b. Protectsfthefheartffromfatheroscleroticfchanges.
c. Providesfthefheartfwithfoxygenatedfblood.
d.
Protectsfthefheartffromfi
nfection.

ANSWER:fA
Thefsinoatrialfnodefisfthefnaturalfpacemakerfoffthefheart,fandfitfassistsfthefheartftofbeatfinfafNormalfrh
ythm.fThefsinoatrialfnodefdoesfnotfprotectffromfatheroscleroticfchangesforfinfection,andfitfdoesfnotfdir
ectlyfprovidefthefheartfwithfoxygenatedfblood.
4.fThefpatientfisfbroughtftofthefemergencyfdepartmentfafterfafmotorfvehiclefaccident.fThefpatientfisfdi
agnosedfwithfinternalfbleeding.fThefnursesfprimaryfconcernfisftofmonitorffor
a. Mentalfalertness.
b. Perfusion.

, c. Pain.
d.
Reactionftof
medications.
ANSWER:fB
Perfusionfisfthefcorrectfanswer,fbecausefwithfinternalfbleeding,fthefnursefshouldfmonitorfvital
Signsftofbefsurefperfusionfisfhappening.fMentalfalertness,fpain,fandfmedicationfreactionsfareimportan
tfbutfnotfthefprimaryfconcern.
5.fAfpatientsfserumfelectrolytesfarefbeingfmonitored.fThefnursefnoticesfthatfthefpotassiumflevelfisflow.
fThefnursefknowsfthatfthefpatientfshouldfbefobservedffor

a. Tissuefischemia.
b. Brainfmalformations.
c. Intestinalfblockage.
d.
Cardia
cfdysthymia.


ANSWER:fD
Cardiacfdysthymiafisfafpossibilityfwhenfserumfpotassiumfisfhighforflow.fTissuefischemia,fbrainfMalformations,forfi
ntestinalfblockagefdofnotfhavefafdirectfcorrelationftofpotassiumfirregularities.
6.fAfnursefisfexplainingftofafstudentfnursefaboutfperfusion.fThefnursefknowsfthefstudentfunderstandsfthe
fconceptfoffperfusionfwhenfthefstudentfstates,fPerfusion

a. Isfafnormalffunctionfoffthefbody,fandfIfdontfhaveftofbefconcernedfaboutfit.
b. Isfmonitoredfbyfthefphysician,fandfIfjustffollowforders.
c. Isfmonitoredfbyfvitalfsignsfandfcapillaryfrefill.
d.
Variesfasfafpersonfages,fsofIfwouldfexpectfchangesfinfthefbo
dy.

ANSWER:fC
Thefbestfmethodftofmonitorfperfusionfisftofmonitorfvitalfsignsfandfcapillaryfrefill.fThisfallowsfThefnur
seftofknowfiffperfusionfisfadequateftofmaintainfvitalforgans.fThefnursefdoesfhaveftofbefconcernedfa
boutfperfusion.fPerfusionfisfnotfonlyfmonitoredfbyfthefphysicianfbutfthefnurseftoo.fPerfusionfdoesfnot
falwaysfchangefasfthefpersonfages.

7.fThefnursefisfconductingfafpatientfassessment.fThefpatientftellsfthefnursefthatfhefhasfsmokedftwofp
acksfoffcigarettesfperfdayfforf27fyears.fThefnursefmayffindfwhichfdatafuponfassessment?
a. Bloodfpressurefabovefthefnormalfrange
b. Boundingfpedalfpulses
c. Nightfblindness