Test Bank for Davis Advantage for Understanding Medical-Surgical Nursing 7th Edition by Paula D. Williams, Linda S.; Hopper|newest version verified by experts

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, Chapter 1:critical thinking ,critical judgment and the nursing process
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1. The nurse is caring for four clients on a medical–surgical unit. Which client should the
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nurse see initially?
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1. A client admitted with hepatitis A who has had severe diarrhea for the last
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2. A client admitted with pneumonia who is has small amounts of yellow
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productive sputum
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3. A client admitted with fever of unknown origin (FUO) who has been
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without fever for the last 48 hours
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4. A client admitted with a wound infection whose WBC is 8,500 mm3
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Answer: 1 fh




Rationale: The nurse must decide which client should be seen on the initial rounds of the
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day. The nurse must remember that the first client to be seen should be the client
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who needs the attention of the nurse initially. A client with hepatitis A does
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experience diarrhea, but diarrhea for the last 24 hours could cause the client to
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have a problem with dehydration and experience a state of fluid volume deficit.
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Cognitive Level: Application
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Client Needs: Safe, Effective Care Environment
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Nursing Process: Planning
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2. The nurse is preparing to administer influenza vaccines to a mass drive-through clinic.
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Which statement by a client would indicate further questioning prior to giving the
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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 influenza
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vaccine.‖
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Answer: 3 fh




Rationale: Influenza vaccines are recommended for person at high risk for serious
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sequelae of influenza. The nurse should be aware that client with a sensitivity to
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eggs should not receive the vaccine. Vaccines prepared from chicken or duck
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embryos are contraindicated in clients who are allergic to eggs.
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Cognitive Level: Application
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