8th Edition by Mariann M. Harding
Chapter 1 - 1
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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Contents:
Chapter 1. Perfusion
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Chapter 2. Gas Exchange
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Chapter 3. Mobility
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Chapter 4. Digestion
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Chapter 5. Urinary Elimination
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Chapter 6. Intracranial Regulation
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Chapter 7. Metabolism and Glucose Regulation
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Chapter 8. Immunity
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Chapter 9. Cellular Regulation
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Chapter 10. Tissue Integrity
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Chapter 11. Cognition
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Chapter 12. Infection and Inflammation
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Chapter 13. Developmental
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Chapter 14. Reproductive
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Chapter 15. Mood, Stress, and Addiction
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,Chapter 1. Perfusion TV TV
ClinicalReasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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MULTIPLE CHOICE TV
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the st
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udent understands this problem when the student states, Central perfusion
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a. Is monitored only by the physician. TV TV TV TV TV
b. Involves the entire body. TV TV TV
c. Is decreased with hypertension.
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d. Is toxic to thecardiac system.
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ANSWER: B TV
Central perfusion does involve theentire body as all organs aresupplied with oxygen and vital Nutrien
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ts. The physician does not control the bodys ability for perfusion. Central perfusion is notdecreased
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with hypertension. Central perfusion is not toxic to the cardiac system.
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2. A patient was diagnosed with hypertension. Thepatient asks thenurse how this disease could have
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happened to them. The nurses best response is Hypertension TV TV TV TV TV TV TV TV
a. Happens to everyone sooner or later. Dont be concerned about it. TV TV TV TV TV TV TV TV TV TV
b. Can happen from eating a poor diet, so change what you are eating.
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c. Can happen from arterial changes that impede the blood flow.
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d.
Happens when people do not exercise, so you should walk every day TV TV V
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ANSWER: C TV
Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension
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does not happen to everyone. Changing the patients diet and exercising maybe a positive life change,
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but these answers do not explain to the patient how the disease could have happened.
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3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response wou
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ld be, The sinoatrial node
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a. Provides the heart with the stimulation to beat in a normal rhythm. TV TV TV TV TV TV TV TV TV TV TV
b. Protects theheart from atherosclerotic changes. TV V
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c. Provides the heart with oxygenated blood. TV TV TV TV TV
d.
Protectstheheartfrom V
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infection.
ANSWER: A TV
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a Normal rh
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ythm. The sinoatrial node does not protect from atherosclerotic changes or infection,and it does not
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directly provide the heart with oxygenated blood.
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4. The patient is brought to the emergency department after a motor vehicle accident. The patient is
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, diagnosed with internal bleeding. The nurses primary concern is to monitor for
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a. Mental alertness. TV
b. Perfusion.
c. Pain.
d.
Reactionto V
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medications.
ANSWER: B TV
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
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Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions areimporta
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nt but not the primary concern.
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5. A patients serum electrolytes are being monitored. The nurse notices that the potassium level is lo
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w. The nurse knows that the patient should be observed for
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a. Tissue ischemia. TV
b. Brain malformations. TV
c. Intestinalblockage. V
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d.
Cardiac TV
dysthymia.
ANSWER: D TV
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain Malformations,
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or intestinal blockage do nothave adirect correlation to potassium irregularities.
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6. A nurse is explaining to a student nurse about perfusion. Thenurse knows the student understands
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the concept of perfusion when the student states, Perfusion
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a. Is a normal function of the body, and I dont have to be concerned about it.TV TV TV TV TV TV TV TV TV TV TV TV TV TV TV
b. Is monitored by the physician, and I just follow orders.
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c. Is monitored byvital signs and capillary refill.
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