test bank for medical surgical nursing critical thinking in client_care 4th edition priscilla lemone

TEST BANK FOR
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MEDICAL-
SURGICAL NURSING CRR R




ITICAL THINKING IN CLI
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ENT CARE 4TH EDITION
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PRISCILLA LEMONE R

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TESTBANKFOR R R




MEDICAL-
SURGICAL NURSING CRITICAL THINKI
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NG IN CLIENT CARE 4TH EDITION PRISC
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R
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ILLA LEMON
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Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4
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th Edition Priscilla LeMon
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Chapter 1 R




1. TheRnurseRisRcaringRforRfourRclientsRonRaRmedical–
surgicalRunit.RWhichRclientRshouldRtheRnurseRseeRinitially?

1. ARclientRadmittedRwithRhepatitisRARwhoRhasRhadRsevereRdiarrheaRforRtheRlas
tR24Rhours
2. ARclientRadmittedRwithRpneumoniaRwhoRisRhasRsmallRamountsRofRyello
wRproductiveRsputum
3. ARclientRadmittedRwithRfeverRofRunknownRoriginR(FUO)RwhoRhasRbee
nRwithoutRfeverRforRtheRlastR48Rhours
4. ARclientRadmittedRwithRaRwoundRinfectionRwhoseRWBCRisR8,500Rmm3

Answer:R1

Rationale:RTheRnurseRmustRdecideRwhichRclientRshouldRbeRseenRonRtheRinitialRroundsRofRtheR
day.RTheRnurseRmustRrememberRthatRtheRfirstRclientRtoRbeRseenRshouldRbeRtheRclientR
whoRneedsRtheRattentionRofRtheRnurseRinitially.RARclientRwithRhepatitisRARdoesRexper
ienceRdiarrhea,RbutRdiarrheaRforRtheRlastR24RhoursRcouldRcauseRtheRclientRtoRhaveRaR
problemRwithRdehydrationRandRexperienceRaRstateRofRfluidRvolumeRdeficit.

CognitiveRLevel:RApplication
ClientRNeeds:RSafe,REffectiveRCareREnvironmentRNur
singRProcess:RPlanning


2. TheRnurseRisRpreparingRtoRadministerRinfluenzaRvaccinesRtoRaRmassRdrive-
throughRclinic.RWhichRstatementRbyRaRclientRwouldRindicateRfurtherRquestioningRpriorRtoR
givingRtheRclientRtheRinfluenzaRvaccine?

1. “IRamRallergicRtoRhorseRhair.”
2. “IRtryRtoRgetRmyRvaccineReveryRyear.”
3. “IRamRnotRallergicRtoRanythingRexceptReggs.”
4. “MyRhusbandRhadRaRsevereRallergicRreactionRafterRheRreceivedRhisRinfluenz
aRvaccine.”

Answer:R3

Rationale:RInfluenzaRvaccinesRareRrecommendedRforRpersonRatRhighRriskRforRseriousRsequel
aeRofRinfluenza.RTheRnurseRshouldRbeRawareRthatRclientRwithRaRsensitivityRtoReggsRsh
ouldRnotRreceiveRtheRvaccine.RVaccinesRpreparedRfromRchickenRorRduckRembryosRar
eRcontraindicatedRinRclientsRwhoRareRallergicRtoReggs.




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Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4
R R R R R R R



th Edition Priscilla LeMon
R R R


CognitiveRLevel:RApplication
ClientRNeeds:RSafe,REffectiveRCareREnvironmentRNur
singRProcess:RAssessment


3. TheRnurseRisRcaringRforRfourRclientsRonRaRmedical–
surgicalRunit.RTheRsecretaryRgivesRtheRnurseRtheRmorningRlabs.RWhichRofRtheRfollowingRla
bsRwouldRrequireRthatRtheRnurseRcallRtheRphysicianRandRinformRtheRhealthcareRproviderRab
outRtheRclient’sRabnormalities?

1. WBCR14,600Rmm3
2. SerumRproteinR6.9Rg/dL
3. IR&RDR(incisionRandRdrainage)RshowingRnoRgrowthRforRtheRlastR24Rhours
4. AlbuminR4.2Rg/dL

Answer:R1

Rationale:RWhenRtheRnurseRisRcaringRforRseveralRclients,RallRofRtheRlabsRshouldRbeRcheckedRf
requentlyRthroughoutRtheRshiftRtoRassessRforRanyRabnormalities.RTheRWBCRinRoptionR1RisRa
bnormal.R(NormalRWBCR4,000–
10,000Rmm3.)RAllRofRtheRotherRlabRresultsRareRwithinRacceptableRrange;Rtherefore,RtheRresult
sRshouldRnotRbeRcalledRinRtoRtheRphysician.

CognitiveRLevel:RApplicationRClie
ntRNeeds:RPhysiologicRIntegrityRNu
rsingRProcess:RAssessment


4. TheRnurseRisRorientingRaRnewRgraduate.RTheRnurseRisRreinforcingRtheRimportanceRofR
standardRprecautions.RWhichRofRtheRfollowingRobservationsRbyRtheRnurseRwouldRrequir
eRfurtherReducationRregardingRstandardRprecautions?

1. TheRgraduateRnurseRunderstandsRtoRwashRhandsRwhenRenteringRandRexitin
gRtheRclient’sRroom.
2. TheRgraduateRnurseRwearsRglovesRwhenRservingRbreakfastRtraysRtoRvariou
sRclients.
3. TheRgraduateRnurseRwearsRaRgown,Rgloves,RandRgogglesRwhenRsuctioningR
aRclient.
4. TheRgraduateRnurseRleavesRallRsuppliesRinRtheRroomRofRaRclientRwhoRisRi
nRcontactRisolation.

Answer:R2

Rationale:RTheRnurseRmustRhaveRanRunderstandingRofRstandardRprecautions.RPreventionRisR
theRmostRimportantRmeasureRtoRpreventRnosocomialRinfections.RStandardRprecauti
onsRwereRpublishedRinR1996RthatRprovideRguidelinesRforRtheRhandlingRof



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