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v Test Banks Mariann M. Harding;
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Chapter1-15
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,ClinicalZReasoningZCasesZinZNursingZ8thZEditionZHardingZSnyderZTestZBank
Contents:
ChapterZ1.ZPerfusion
ChapterZ2.ZGasZExchange
ChapterZ3.ZMobility
ChapterZ4.ZDigestion
ChapterZ5.ZUrinaryZElimination
ChapterZ6.ZIntracranialZRegulation
ChapterZ7.ZMetabolismZandZGlucoseZRegulation
ChapterZ8.ZImmunity
ChapterZ9.ZCellularZRegulation
ChapterZ10.ZTissueZIntegrity
ChapterZ11.ZCognition
ChapterZ12.ZInfectionZandZInflammation
ChapterZ13.ZDevelopmental
ChapterZ14.ZReproductive
ChapterZ15.ZMood,ZStress,ZandZAddiction
,ChapterZ1.ZPerfusion
ClinicalZReasoningZCasesZinZNursingZ8thZEditionZHardingZSnyderZTestZBank
v
MULTIPLEZCHOICE
1.ZTheZnurseZisZexplainingZtoZaZstudentZnurseZaboutZimpairedZcentralZperfusion.ZTheZnurseZknowsZtheZ v
studentZunderstandsZthisZproblemZwhenZtheZstudentZstates,ZCentralZperfusion
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a. IsZmonitoredZonlyZbyZtheZphysician.
b. InvolvesZtheZentireZbody.
c. IsZdecreasedZwithZhypertension.
d. IsZtoxicZtoZtheZcardiacZsystem.
ANSWER:ZB
CentralZperfusionZdoesZinvolveZtheZentireZbodyZasZallZorgansZareZsuppliedZwithZoxygenZandZvitalZNu
trients.ZTheZphysicianZdoesZnotZcontrolZtheZbodysZabilityZforZperfusion.ZCentralZperfusionZisZnotdecre
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asedZwithZhypertension.ZCentralZperfusionZisZnotZtoxicZtoZtheZcardiacZsystem.
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2.ZAZpatientZwasZdiagnosedZwithZhypertension.ZTheZpatientZasksZtheZnurseZhowZthisZdiseaseZcouldZha
vveZhappenedZtoZthem.ZTheZnursesZbestZresponseZisZHypertension
a. HappensZtoZeveryoneZsoonerZorZlater.ZDontZbeZconcernedZaboutZit.
b. CanZhappenZfromZeatingZaZpoorZdiet,ZsoZchangeZwhatZyouZareZeating.
c. CanZhappenZfromZarterialZchangesZthatZimpedeZtheZbloodZflow.
d.
HappensZwhenZpeopleZdoZnotZexercise,ZsoZyouZshouldZwalkZeveryZ
day.
ANSWER:ZC
HardeningZofZtheZarteriesZfromZatherosclerosisZcanZcauseZhypertensionZinZtheZpatient.ZHypertensionZ
doesZnotZhappenZtoZeveryone.ZChangingZtheZpatientsZdietZandZexercisingZmayZbeZaZpositiveZlifeZcha
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nge,ZbutZtheseZanswersZdoZnotZexplainZtoZtheZpatientZhowZtheZdiseaseZcouldZhaveZhappened.
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3.ZTheZpatientZasksZtheZnurseZtoZexplainZtheZsinoatrialZnodeZinZtheZheart.ZTheZnursesZbestZresponseZw
vouldZbe,ZTheZsinoatrialZnode
a. ProvidesZtheZheartZwithZtheZstimulationZtoZbeatZinZaZnormalZrhythm.
b. ProtectsZtheZheartZfromZatheroscleroticZchanges.
c. ProvidesZtheZheartZwithZoxygenatedZblood.
d.
ProtectsZtheZheartZfromZ
infection.
ANSWER:ZA
TheZsinoatrialZnodeZisZtheZnaturalZpacemakerZofZtheZheart,ZandZitZassistsZtheZheartZtoZbeatZinZaZNorm
alZrhythm.ZTheZsinoatrialZnodeZdoesZnotZprotectZfromZatheroscleroticZchangesZorZinfection,andZitZdoe
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sZnotZdirectlyZprovideZtheZheartZwithZoxygenatedZblood.
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4.ZTheZpatientZisZbroughtZtoZtheZemergencyZdepartmentZafterZaZmotorZvehicleZaccident.ZTheZpatientZi v
vsZdiagnosedZwithZinternalZbleeding.ZTheZnursesZprimaryZconcernZisZtoZmonitorZfor
a. MentalZalertness.
b. Perfusion.
, c. Pain.
d.
ReactionZtoZ
medications.
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ANSWER:ZB
PerfusionZisZtheZcorrectZanswer,ZbecauseZwithZinternalZbleeding,ZtheZnurseZshouldZmonitorZvital
vSignsZtoZbeZsureZperfusionZisZhappening.ZMentalZalertness,Zpain,ZandZmedicationZreactionsZareimpor v
vtantZbutZnotZtheZprimaryZconcern.
5.ZAZpatientsZserumZelectrolytesZareZbeingZmonitored.ZTheZnurseZnoticesZthatZtheZpotassiumZlevelZisZl
vow.ZTheZnurseZknowsZthatZtheZpatientZshouldZbeZobservedZfor
a. TissueZischemia.
b. BrainZmalformations.
c. IntestinalZblockage.
d.
Cardia v
cZdysthymia.
ANSWER:ZD
CardiacZdysthymiaZisZaZpossibilityZwhenZserumZpotassiumZisZhighZorZlow.ZTissueZischemia,ZbrainZMalformations,Z v
v orZintestinalZblockageZdoZnotZhaveZaZdirectZcorrelationZtoZpotassiumZirregularities.
6.ZAZnurseZisZexplainingZtoZaZstudentZnurseZaboutZperfusion.ZTheZnurseZknowsZtheZstudentZunderstands
ZtheZconceptZofZperfusionZwhenZtheZstudentZstates,ZPerfusion
a. IsZaZnormalZfunctionZofZtheZbody,ZandZIZdontZhaveZtoZbeZconcernedZaboutZit.
b. IsZmonitoredZbyZtheZphysician,ZandZIZjustZfollowZorders.
c. IsZmonitoredZbyZvitalZsignsZandZcapillaryZrefill.
d.
VariesZasZaZpersonZages,ZsoZIZwouldZexpectZchangesZinZtheZ
body.
ANSWER:ZC
TheZbestZmethodZtoZmonitorZperfusionZisZtoZmonitorZvitalZsignsZandZcapillaryZrefill.ZThisZallowsZTheZ
vnurseZtoZknowZifZperfusionZisZadequateZtoZmaintainZvitalZorgans.ZTheZnurseZdoesZhaveZtoZbeZconce
rnedZaboutZperfusion.ZPerfusionZisZnotZonlyZmonitoredZbyZtheZphysicianZbutZtheZnurseZtoo.ZPerfusio
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nZdoesZnotZalwaysZchangeZasZtheZpersonZages.
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7.ZTheZnurseZisZconductingZaZpatientZassessment.ZTheZpatientZtellsZtheZnurseZthatZheZhasZsmokedZtw
oZpacksZofZcigarettesZperZdayZforZ27Zyears.ZTheZnurseZmayZfindZwhichZdataZuponZassessment?
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a. BloodZpressureZaboveZtheZnormalZrange
b. BoundingZpedalZpulses
c. NightZblindness