TEST BANK v
CLINICAL REASONING v
vCASES IN NURSING,
v v
7TH EDITION
v
BY HARDING| SNYDER
v v
TEST BANK v
,
,Chapter v1. vPerfusion
Clinical vReasoning vCases vin vNursing v7th vEdition vHarding vSnyder vTest vBank
MULTIPLE vCHOICE
1. vThe vnurse vis vexplaining vto va vstudent vnurse vabout vimpaired vcentral vperfusion. vThe vnurse
vknows vthe vstudent vunderstands vthis vproblem vwhen vthe vstudent vstates, vCentral vperfusion
a. Is vmonitored vonly vby vthe vphysician.
b. Involves vthe ventire vbody.
c. Is vdecreased vwith vhypertension.
d. Is vtoxic vto vthe vcardiac vsystem.
ANS: vB
Central vperfusion vdoes vinvolve vthe ventire vbody vas vall vorgans vare vsupplied vwith voxygen vand vvital
vNutrients. vThe vphysician vdoes vnot vcontrol vthe vbodys vability vfor vperfusion. vCentral vperfusion vis
vnot vdecreased vwith vhypertension. vCentral vperfusion vis vnot vtoxic vto vthe vcardiac vsystem.
2. vA vpatient vwas vdiagnosed vwith vhypertension. vThe vpatient vasks vthe vnurse vhow vthis vdisease
vcould vhave vhappened vto vthem. vThe vnurses vbest vresponse vis vHypertension
a. Happens vto veveryone vsooner vor vlater. vDont vbe vconcerned vabout vit.
b. Can vhappen vfrom veating va vpoor vdiet, vso vchange vwhat vyou vare veating.
c. Can vhappen vfrom varterial vchanges vthat vimpede vthe vblood vflow.
d. Happens vwhen vpeople vdo vnot vexercise, vso vyou vshould vwalk
vevery vday.
ANS: vC
Hardening vof vthe varteries vfrom vatherosclerosis vcan vcause vhypertension vin vthe vpatient.
vHypertension vdoes vnot vhappen vto veveryone. vChanging vthe vpatients vdiet vand vexercising vmay vbe
va vpositive vlife vchange, vbut vthese vanswers vdo vnot vexplain vto vthe vpatient vhow vthe vdisease vcould
vhave vhappened.
3. vThe vpatient vasks vthe vnurse vto vexplain vthe vsinoatrial vnode vin vthe vheart. vThe vnurses vbest
vresponse vwould vbe, vThe vsinoatrial vnode
a. Provides vthe vheart vwith vthe vstimulation vto vbeat vin va vnormal vrhythm.
b. Protects vthe vheart vfrom vatherosclerotic vchanges.
c. Provides vthe vheart vwith voxygenated vblood.
d. Protects vthe vheart vfrom
vinfection.
ANS: vA
The vsinoatrial vnode vis vthe vnatural vpacemaker vof vthe vheart, vand vit vassists vthe vheart vto vbeat vin
va vNormal vrhythm. vThe vsinoatrial vnode vdoes vnot vprotect vfrom vatherosclerotic vchanges vor
vinfection, vand vit vdoes vnot vdirectly vprovide vthe vheart vwith voxygenated vblood.
4. vThe vpatient vis vbrought vto vthe vemergency vdepartment vafter va vmotor vvehicle vaccident. vThe
vpatient vis vdiagnosed vwith vinternal vbleeding. vThe vnurses vprimary vconcern vis vto vmonitor vfor
a. Mental valertness.
b. Perfusion.
, c. Pain.
d. Reaction vto
vmedications. vANS: vB
Perfusion vis vthe vcorrect vanswer, vbecause vwith vinternal vbleeding, vthe vnurse vshould vmonitor vvital
Signs vto vbe vsure vperfusion vis vhappening. vMental valertness, vpain, vand vmedication vreactions
vare vimportant vbut vnot vthe vprimary vconcern.
5. vA vpatients vserum velectrolytes vare vbeing vmonitored. vThe vnurse vnotices vthat vthe vpotassium
vlevel vis vlow. vThe vnurse vknows vthat vthe vpatient vshould vbe vobserved vfor
a. Tissue vischemia.
b. Brain vmalformations.
c. Intestinal vblockage.
d. Cardiac
vdysthymia.
ANS: vD
Cardiac vdysthymia vis va vpossibility vwhen vserum vpotassium vis vhigh vor vlow. vTissue vischemia, vbrain
vMalformations, vor vintestinal vblockage vdo vnot vhave va vdirect vcorrelation vto vpotassium virregularities.
6. vA vnurse vis vexplaining vto va vstudent vnurse vabout vperfusion. vThe vnurse vknows vthe vstudent
vunderstands vthe vconcept vof vperfusion vwhen vthe vstudent vstates, vPerfusion
a. Is va vnormal vfunction vof vthe vbody, vand vI vdont vhave vto vbe vconcerned vabout vit.
b. Is vmonitored vby vthe vphysician, vand vI vjust vfollow vorders.
c. Is vmonitored vby vvital vsigns vand vcapillary vrefill.
d. Varies vas va vperson vages, vso vI vwould vexpect vchanges vin
vthe vbody.
ANS: vC
The vbest vmethod vto vmonitor vperfusion vis vto vmonitor vvital vsigns vand vcapillary vrefill. vThis
vallows vThe vnurse vto vknow vif vperfusion vis vadequate vto vmaintain vvital vorgans. vThe vnurse vdoes
vhave vto vbe vconcerned vabout vperfusion. vPerfusion vis vnot vonly vmonitored vby vthe vphysician vbut
vthe vnurse vtoo. vPerfusion vdoes vnot valways vchange vas vthe vperson vages.
7. vThe vnurse vis vconducting va vpatient vassessment. vThe vpatient vtells vthe vnurse vthat vhe vhas
vsmoked vtwo vpacks vof vcigarettes vper vday vfor v27 vyears. vThe vnurse vmay vfind vwhich vdata vupon
vassessment?
a. Blood vpressure vabove vthe vnormal vrange
b. Bounding vpedal vpulses
c. Night vblindness
CLINICAL REASONING v
vCASES IN NURSING,
v v
7TH EDITION
v
BY HARDING| SNYDER
v v
TEST BANK v
,
,Chapter v1. vPerfusion
Clinical vReasoning vCases vin vNursing v7th vEdition vHarding vSnyder vTest vBank
MULTIPLE vCHOICE
1. vThe vnurse vis vexplaining vto va vstudent vnurse vabout vimpaired vcentral vperfusion. vThe vnurse
vknows vthe vstudent vunderstands vthis vproblem vwhen vthe vstudent vstates, vCentral vperfusion
a. Is vmonitored vonly vby vthe vphysician.
b. Involves vthe ventire vbody.
c. Is vdecreased vwith vhypertension.
d. Is vtoxic vto vthe vcardiac vsystem.
ANS: vB
Central vperfusion vdoes vinvolve vthe ventire vbody vas vall vorgans vare vsupplied vwith voxygen vand vvital
vNutrients. vThe vphysician vdoes vnot vcontrol vthe vbodys vability vfor vperfusion. vCentral vperfusion vis
vnot vdecreased vwith vhypertension. vCentral vperfusion vis vnot vtoxic vto vthe vcardiac vsystem.
2. vA vpatient vwas vdiagnosed vwith vhypertension. vThe vpatient vasks vthe vnurse vhow vthis vdisease
vcould vhave vhappened vto vthem. vThe vnurses vbest vresponse vis vHypertension
a. Happens vto veveryone vsooner vor vlater. vDont vbe vconcerned vabout vit.
b. Can vhappen vfrom veating va vpoor vdiet, vso vchange vwhat vyou vare veating.
c. Can vhappen vfrom varterial vchanges vthat vimpede vthe vblood vflow.
d. Happens vwhen vpeople vdo vnot vexercise, vso vyou vshould vwalk
vevery vday.
ANS: vC
Hardening vof vthe varteries vfrom vatherosclerosis vcan vcause vhypertension vin vthe vpatient.
vHypertension vdoes vnot vhappen vto veveryone. vChanging vthe vpatients vdiet vand vexercising vmay vbe
va vpositive vlife vchange, vbut vthese vanswers vdo vnot vexplain vto vthe vpatient vhow vthe vdisease vcould
vhave vhappened.
3. vThe vpatient vasks vthe vnurse vto vexplain vthe vsinoatrial vnode vin vthe vheart. vThe vnurses vbest
vresponse vwould vbe, vThe vsinoatrial vnode
a. Provides vthe vheart vwith vthe vstimulation vto vbeat vin va vnormal vrhythm.
b. Protects vthe vheart vfrom vatherosclerotic vchanges.
c. Provides vthe vheart vwith voxygenated vblood.
d. Protects vthe vheart vfrom
vinfection.
ANS: vA
The vsinoatrial vnode vis vthe vnatural vpacemaker vof vthe vheart, vand vit vassists vthe vheart vto vbeat vin
va vNormal vrhythm. vThe vsinoatrial vnode vdoes vnot vprotect vfrom vatherosclerotic vchanges vor
vinfection, vand vit vdoes vnot vdirectly vprovide vthe vheart vwith voxygenated vblood.
4. vThe vpatient vis vbrought vto vthe vemergency vdepartment vafter va vmotor vvehicle vaccident. vThe
vpatient vis vdiagnosed vwith vinternal vbleeding. vThe vnurses vprimary vconcern vis vto vmonitor vfor
a. Mental valertness.
b. Perfusion.
, c. Pain.
d. Reaction vto
vmedications. vANS: vB
Perfusion vis vthe vcorrect vanswer, vbecause vwith vinternal vbleeding, vthe vnurse vshould vmonitor vvital
Signs vto vbe vsure vperfusion vis vhappening. vMental valertness, vpain, vand vmedication vreactions
vare vimportant vbut vnot vthe vprimary vconcern.
5. vA vpatients vserum velectrolytes vare vbeing vmonitored. vThe vnurse vnotices vthat vthe vpotassium
vlevel vis vlow. vThe vnurse vknows vthat vthe vpatient vshould vbe vobserved vfor
a. Tissue vischemia.
b. Brain vmalformations.
c. Intestinal vblockage.
d. Cardiac
vdysthymia.
ANS: vD
Cardiac vdysthymia vis va vpossibility vwhen vserum vpotassium vis vhigh vor vlow. vTissue vischemia, vbrain
vMalformations, vor vintestinal vblockage vdo vnot vhave va vdirect vcorrelation vto vpotassium virregularities.
6. vA vnurse vis vexplaining vto va vstudent vnurse vabout vperfusion. vThe vnurse vknows vthe vstudent
vunderstands vthe vconcept vof vperfusion vwhen vthe vstudent vstates, vPerfusion
a. Is va vnormal vfunction vof vthe vbody, vand vI vdont vhave vto vbe vconcerned vabout vit.
b. Is vmonitored vby vthe vphysician, vand vI vjust vfollow vorders.
c. Is vmonitored vby vvital vsigns vand vcapillary vrefill.
d. Varies vas va vperson vages, vso vI vwould vexpect vchanges vin
vthe vbody.
ANS: vC
The vbest vmethod vto vmonitor vperfusion vis vto vmonitor vvital vsigns vand vcapillary vrefill. vThis
vallows vThe vnurse vto vknow vif vperfusion vis vadequate vto vmaintain vvital vorgans. vThe vnurse vdoes
vhave vto vbe vconcerned vabout vperfusion. vPerfusion vis vnot vonly vmonitored vby vthe vphysician vbut
vthe vnurse vtoo. vPerfusion vdoes vnot valways vchange vas vthe vperson vages.
7. vThe vnurse vis vconducting va vpatient vassessment. vThe vpatient vtells vthe vnurse vthat vhe vhas
vsmoked vtwo vpacks vof vcigarettes vper vday vfor v27 vyears. vThe vnurse vmay vfind vwhich vdata vupon
vassessment?
a. Blood vpressure vabove vthe vnormal vrange
b. Bounding vpedal vpulses
c. Night vblindness
