Test Bank for Medical Surgical Nursing
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Critical Thinking in Client Care,4th Edition
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Priscilla LeMon(100% Verified)
Chapter gQgQgY1
1. The gQgQgYnurse gQgQgYis gQgQgYcaring gQgQgYfor gQgQgYfour gQgQgYclients gQgQgYon gQgQgYa gQgQgYmedical–surgical
gQgQgYunit. gQgQgYWhich gQgQgYclient gQgQgYshould gQgQgYthe gQgQgYnurse gQgQgYsee gQgQgYinitially?
1. A gQgQgYclient gQgQgYadmitted gQgQgYwith gQgQgYhepatitis gQgQgYA gQgQgYwho gQgQgYhas gQgQgYhad
gQgQgYsevere gQgQgYdiarrhea gQgQgYfor gQgQgYthe gQgQgYlast gQgQgY24 gQgQgYhours
2. A gQgQgYclient gQgQgYadmitted gQgQgYwith gQgQgYpneumonia gQgQgYwho gQgQgYis gQgQgYhas
gQgQgYsmall gQgQgYamounts gQgQgYof gQgQgYyellow gQgQgYproductive gQgQgYsputum
3. A gQgQgYclient gQgQgYadmitted gQgQgYwith gQgQgYfever gQgQgYof gQgQgYunknown gQgQgYorigin
gQgQgY(FUO) gQgQgYwho gQgQgYhas gQgQgYbeen gQgQgYwithout gQgQgYfever gQgQgYfor gQgQgYthe
gQgQgYlast gQgQgY48 gQgQgYhours
4. A gQgQgYclient gQgQgYadmitted gQgQgYwith gQgQgYa gQgQgYwound gQgQgYinfection gQgQgYwhose
3
gQgQgYWBC gQgQgYis gQgQgY8,500 gQgQgYmm
Answer: gQgQgY1
Rationale: gQgQgYThe gQgQgYnurse gQgQgYmust gQgQgYdecide gQgQgYwhich gQgQgYclient gQgQgYshould gQgQgYbe
gQgQgYseen gQgQgYon gQgQgYthe gQgQgYinitial gQgQgYrounds gQgQgYof gQgQgYthe gQgQgYday. gQgQgYThe gQgQgYnurse
gQgQgYmust gQgQgYremember gQgQgYthat gQgQgYthe gQgQgYfirst gQgQgYclient gQgQgYto gQgQgYbe gQgQgYseen
gQgQgYshould gQgQgYbe gQgQgYthe gQgQgYclient gQgQgYwho gQgQgYneeds gQgQgYthe gQgQgYattention gQgQgYof
gQgQgYthe gQgQgYnurse gQgQgYinitially. gQgQgYA gQgQgYclient gQgQgYwith gQgQgYhepatitis gQgQgYA gQgQgYdoes
gQgQgYexperience gQgQgYdiarrhea, gQgQgYbut gQgQgYdiarrhea gQgQgYfor gQgQgYthe gQgQgYlast gQgQgY24
gQgQgYhours gQgQgYcould gQgQgYcause gQgQgYthe gQgQgYclient gQgQgYto gQgQgYhave gQgQgYa gQgQgYproblem
gQgQgYwith gQgQgYdehydration gQgQgYand gQgQgYexperience gQgQgYa gQgQgYstate gQgQgYof gQgQgYfluid
gQgQgYvolume gQgQgYdeficit.
Cognitive gQgQgYLevel: gQgQgYApplication
Client gQgQgYNeeds: gQgQgYSafe, gQgQgYEffective gQgQgYCare
gQgQgYEnvironment gQgQgYNursing gQgQgYProcess:
gQgQgYPlanning
2. The gQgQgYnurse gQgQgYis gQgQgYpreparing gQgQgYto gQgQgYadminister gQgQgYinfluenza gQgQgYvaccines gQgQgYto
gQgQgYa gQgQgYmass gQgQgYdrive-through gQgQgYclinic. gQgQgYWhich gQgQgYstatement gQgQgYby gQgQgYa gQgQgYclient
gQgQgYwould gQgQgYindicate gQgQgYfurther gQgQgYquestioning gQgQgYprior gQgQgYto gQgQgYgiving gQgQgYthe
gQgQgYclient gQgQgYthe gQgQgYinfluenza gQgQgYvaccine?
1. ―I gQgQgYam gQgQgYallergic gQgQgYto gQgQgYhorse gQgQgYhair.‖
2. ―I gQgQgYtry gQgQgYto gQgQgYget gQgQgYmy gQgQgYvaccine gQgQgYevery gQgQgYyear.‖
3. ―I gQgQgYam gQgQgYnot gQgQgYallergic gQgQgYto gQgQgYanything gQgQgYexcept gQgQgYeggs.‖
4. ―My gQgQgYhusband gQgQgYhad gQgQgYa gQgQgYsevere gQgQgYallergic gQgQgYreaction gQgQgYafter
gQgQgYhe gQgQgYreceived gQgQgYhis gQgQgYinfluenza gQgQgYvaccine.‖
Answer: gQgQgY3
,Test Bank for Medical Surgical Nursing
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Critical Thinking in Client Care,4th Edition
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Rationale:
Priscilla Influenza vaccines
LeMon(100%
gQgQgY are recommended
Verified) gQgQgYfor person gQgQgY gQgQgY gQgQgY gQgQgY gQgQgYat
gQgQgY high gQgQgYrisk gQgQgYfor gQgQgYserious gQgQgYsequelae gQgQgYof gQgQgYinfluenza. gQgQgYThe
gQgQgYnurse gQgQgYshould gQgQgYbe gQgQgYaware gQgQgYthat gQgQgYclient gQgQgYwith gQgQgYa gQgQgYsensitivity
gQgQgYto gQgQgYeggs gQgQgYshould gQgQgYnot gQgQgYreceive gQgQgYthe gQgQgYvaccine. gQgQgYVaccines
gQgQgYprepared gQgQgYfrom gQgQgYchicken gQgQgYor gQgQgYduck gQgQgYembryos gQgQgYare
gQgQgYcontraindicated gQgQgYin gQgQgYclients gQgQgYwho gQgQgYare gQgQgYallergic gQgQgYto gQgQgYeggs.
Cognitive gQgQgYLevel: gQgQgYApplication
Client gQgQgYNeeds: gQgQgYSafe, gQgQgYEffective gQgQgYCare
gQgQgYEnvironment gQgQgYNursing gQgQgYProcess:
gQgQgYAssessment
3. The gQgQgYnurse gQgQgYis gQgQgYcaring gQgQgYfor gQgQgYfour gQgQgYclients gQgQgYon gQgQgYa gQgQgYmedical–
surgical gQgQgYunit. gQgQgYThe gQgQgYsecretary gQgQgYgives gQgQgYthe gQgQgYnurse gQgQgYthe gQgQgYmorning
gQgQgYlabs. gQgQgYWhich gQgQgYof gQgQgYthe gQgQgYfollowing gQgQgYlabs gQgQgYwould gQgQgYrequire gQgQgYthat gQgQgYthe
gQgQgYnurse gQgQgYcall gQgQgYthe gQgQgYphysician gQgQgYand gQgQgYinform gQgQgYthe gQgQgYhealthcare
gQgQgYprovider gQgQgYabout gQgQgYthe gQgQgYclient‘s gQgQgYabnormalities?
1. WBC gQgQgY14,600 gQgQgYmm3
2. Serum gQgQgYprotein gQgQgY6.9 gQgQgYg/dL
3. I gQgQgY& gQgQgYD gQgQgY(incision gQgQgYand gQgQgYdrainage) gQgQgYshowing gQgQgYno gQgQgYgrowth
gQgQgYfor gQgQgYthe gQgQgYlast gQgQgY24 gQgQgYhours
4. Albumin gQgQgY4.2 gQgQgYg/dL
Answer: gQgQgY1
Rationale: gQgQgYWhen gQgQgYthe gQgQgYnurse gQgQgYis gQgQgYcaring gQgQgYfor gQgQgYseveral gQgQgYclients, gQgQgYall gQgQgYof
gQgQgYthe gQgQgYlabs gQgQgYshould gQgQgYbe gQgQgYchecked gQgQgYfrequently gQgQgYthroughout gQgQgYthe gQgQgYshift gQgQgYto
gQgQgYassess gQgQgYfor gQgQgYany gQgQgYabnormalities. gQgQgYThe gQgQgYWBC gQgQgYin gQgQgYoption gQgQgY1 gQgQgYis
3
gQgQgYabnormal. gQgQgY(Normal gQgQgYWBC gQgQgY4,000–10,000 gQgQgYmm .) gQgQgYAll gQgQgYof gQgQgYthe
gQgQgYother gQgQgYlab gQgQgYresults gQgQgYare gQgQgYwithin gQgQgYacceptable gQgQgYrange; gQgQgYtherefore, gQgQgYthe
gQgQgYresults gQgQgYshould gQgQgYnot gQgQgYbe gQgQgYcalled gQgQgYin gQgQgYto gQgQgYthe gQgQgYphysician.
Cognitive gQgQgYLevel:
gQgQgYApplication gQgQgYClient
gQgQgYNeeds: gQgQgYPhysiologic
gQgQgYIntegrity gQgQgYNursing
gQgQgYProcess: gQgQgYAssessment
4. The gQgQgYnurse gQgQgYis gQgQgYorienting gQgQgYa gQgQgYnew gQgQgYgraduate. gQgQgYThe gQgQgYnurse gQgQgYis
gQgQgYreinforcing gQgQgYthe gQgQgYimportance gQgQgYof gQgQgYstandard gQgQgYprecautions. gQgQgYWhich
gQgQgYof gQgQgYthe gQgQgYfollowing gQgQgYobservations gQgQgYby gQgQgYthe gQgQgYnurse gQgQgYwould gQgQgYrequire
gQgQgYfurther gQgQgYeducation gQgQgYregarding gQgQgYstandard gQgQgYprecautions?
,Test Bank for Medical Surgical Nursing
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Critical Thinking in Client Care,4th Edition
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Priscilla LeMon(100% Verified)
1. The gQgQgYgraduate gQgQgYnurse gQgQgYunderstands gQgQgYto gQgQgYwash gQgQgYhands
gQgQgYwhen gQgQgYentering gQgQgYand gQgQgYexiting gQgQgYthe gQgQgYclient‘s gQgQgYroom.
2. The gQgQgYgraduate gQgQgYnurse gQgQgYwears gQgQgYgloves gQgQgYwhen gQgQgYserving
gQgQgYbreakfast gQgQgYtrays gQgQgYto gQgQgYvarious gQgQgYclients.
3. The gQgQgYgraduate gQgQgYnurse gQgQgYwears gQgQgYa gQgQgYgown, gQgQgYgloves, gQgQgYand
gQgQgYgoggles gQgQgYwhen gQgQgYsuctioning gQgQgYa gQgQgYclient.
4. The gQgQgYgraduate gQgQgYnurse gQgQgYleaves gQgQgYall gQgQgYsupplies gQgQgYin gQgQgYthe
gQgQgYroom gQgQgYof gQgQgYa gQgQgYclient gQgQgYwho gQgQgYis gQgQgYin gQgQgYcontact
gQgQgYisolation.
Answer: gQgQgY2
Rationale: gQgQgYThe gQgQgYnurse gQgQgYmust gQgQgYhave gQgQgYan gQgQgYunderstanding gQgQgYof gQgQgYstandard
gQgQgYprecautions. gQgQgYPrevention gQgQgYis gQgQgYthe gQgQgYmost gQgQgYimportant gQgQgYmeasure
gQgQgYto gQgQgYprevent gQgQgYnosocomial gQgQgYinfections. gQgQgYStandard gQgQgYprecautions
gQgQgYwere gQgQgYpublished gQgQgYin gQgQgY1996 gQgQgYthat gQgQgYprovide gQgQgYguidelines gQgQgYfor
gQgQgYthe gQgQgYhandling gQgQgYof gQgQgYblood gQgQgYand gQgQgYother gQgQgYbody gQgQgYfluids. gQgQgYThese
gQgQgYguidelines gQgQgYare gQgQgYused gQgQgYwith gQgQgYall gQgQgYclients, gQgQgYregardless gQgQgYof
gQgQgYwhether gQgQgYthey gQgQgYhave gQgQgYa gQgQgYknown gQgQgYinfectious gQgQgYdisease.
gQgQgYStandard gQgQgYprecautions gQgQgYare gQgQgYused
by gQgQgYall gQgQgYhealthcare gQgQgYworkers gQgQgYwho gQgQgYhave gQgQgYdirect gQgQgYcontact
gQgQgYwith gQgQgYclients gQgQgYor gQgQgYwith gQgQgYtheir gQgQgYbody gQgQgYfluids. gQgQgYIt gQgQgYis gQgQgYnot
gQgQgYnecessary gQgQgYfor gQgQgYthe gQgQgYnurse gQgQgYto gQgQgYwear gQgQgYgloves gQgQgYwhile
gQgQgYdelivering gQgQgYfood gQgQgYtrays gQgQgYto gQgQgYthe gQgQgYclient, gQgQgYbecause gQgQgYthere
gQgQgYis gQgQgYnot gQgQgYcontact gQgQgYwith gQgQgYthe gQgQgYclient.
Cognitive gQgQgYLevel: gQgQgYApplication
Client gQgQgYNeeds: gQgQgYSafe, gQgQgYEffective gQgQgYCare
gQgQgYEnvironment gQgQgYNursing gQgQgYProcess:
gQgQgYEvaluation
5. The gQgQgYadmitting gQgQgYdepartment gQgQgYalerts gQgQgYthe gQgQgYnurse gQgQgYon gQgQgYa gQgQgYmedical–
surgical gQgQgYunit gQgQgYthat gQgQgYa gQgQgYclient gQgQgYwith gQgQgYactive gQgQgYtuberculosis gQgQgY(TB) gQgQgYis
gQgQgYbeing gQgQgYadmitted gQgQgYto gQgQgYthe gQgQgYunit. gQgQgYWhich gQgQgYtype gQgQgYof gQgQgYisolation gQgQgYis
gQgQgYappropriate gQgQgYbased gQgQgYon gQgQgYthe gQgQgYclient‘s gQgQgYdiagnosis?
1. Standard gQgQgYprecautions
2. Airborne gQgQgYprecautions
3. Droplet gQgQgYprecautions
4. Contact gQgQgYprecautions
Answer: gQgQgY2
, Test Bank for Medical Surgical Nursing
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Critical Thinking in Client Care,4th Edition
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Priscilla LeMon(100% Verified)
In gQgQgYaddition gQgQgYto gQgQgYhandwashing gQgQgYand gQgQgYstandard gQgQgYprecautions, gQgQgYthe
gQgQgYnature gQgQgYand gQgQgYspread gQgQgYof gQgQgYsome gQgQgYinfectious gQgQgYdiseases gQgQgYrequire gQgQgYthat
gQgQgYspecial gQgQgYtechniques gQgQgYbe gQgQgYused gQgQgYto gQgQgYprotect gQgQgYuninfected gQgQgYclients gQgQgYand
gQgQgYworkers. gQgQgYThe gQgQgYclient gQgQgYwith gQgQgYpulmonary gQgQgYtuberculosis gQgQgYwill gQgQgYbe
gQgQgYplaced gQgQgYin gQgQgYairborne gQgQgYprecautions. gQgQgYThe gQgQgYclient gQgQgYshould gQgQgYbe gQgQgYplaced
gQgQgYin gQgQgYa gQgQgYprivate gQgQgYroom gQgQgYwith gQgQgYspecial gQgQgYventilation gQgQgYthat gQgQgYdoes gQgQgYnot
gQgQgYallow gQgQgYair gQgQgYto gQgQgYcirculate gQgQgYto gQgQgYgeneral gQgQgYhospital gQgQgYventilation; gQgQgYa
gQgQgYmask gQgQgYor gQgQgYspecial gQgQgYfilter gQgQgYrespirators gQgQgYwill gQgQgYbe gQgQgYused gQgQgYfor
gQgQgYeveryone gQgQgYentering gQgQgYthe gQgQgYroom.
Cognitive gQgQgYLevel: gQgQgYApplication
Client gQgQgYNeeds: gQgQgYSafe, gQgQgYEffective gQgQgYCare
gQgQgYEnvironment gQgQgYNursing gQgQgYProcess:
gQgQgYAssessment
6. A gQgQgYclient gQgQgYis gQgQgYreceiving gQgQgYIV gQgQgYvancomycin gQgQgYfor gQgQgYthe gQgQgYtreatment
gQgQgYof gQgQgYClostridium gQgQgYdifficile. gQgQgYThe gQgQgYnurse gQgQgYunderstands gQgQgYthat gQgQgYthe
gQgQgYclient gQgQgYwho gQgQgYdevelops gQgQgYflushing, gQgQgYtachycardia, gQgQgYand gQgQgYhypotension
gQgQgYduring gQgQgYthe gQgQgYinfusion gQgQgYof gQgQgYvancomycin gQgQgYindicates:
1. Ototoxicity gQgQgYeffect.
2. Superinfection.
3. Red gQgQgYman gQgQgYsyndrome.
4. Hives.
Answer: gQgQgY3
Rationale: gQgQgYVancomycin gQgQgYinhibits gQgQgYcell gQgQgYwall gQgQgYsynthesis, gQgQgYand gQgQgYis gQgQgYused
gQgQgYfor gQgQgYserious gQgQgYinfections. gQgQgYIt gQgQgYis gQgQgYonly gQgQgYeffective gQgQgYagainst gQgQgYgram-
positive gQgQgYbacteria, gQgQgYespecially gQgQgYStaphylococcus gQgQgYaureus gQgQgYand
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Critical Thinking in Client Care,4th Edition
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Priscilla LeMon(100% Verified)
Chapter gQgQgY1
1. The gQgQgYnurse gQgQgYis gQgQgYcaring gQgQgYfor gQgQgYfour gQgQgYclients gQgQgYon gQgQgYa gQgQgYmedical–surgical
gQgQgYunit. gQgQgYWhich gQgQgYclient gQgQgYshould gQgQgYthe gQgQgYnurse gQgQgYsee gQgQgYinitially?
1. A gQgQgYclient gQgQgYadmitted gQgQgYwith gQgQgYhepatitis gQgQgYA gQgQgYwho gQgQgYhas gQgQgYhad
gQgQgYsevere gQgQgYdiarrhea gQgQgYfor gQgQgYthe gQgQgYlast gQgQgY24 gQgQgYhours
2. A gQgQgYclient gQgQgYadmitted gQgQgYwith gQgQgYpneumonia gQgQgYwho gQgQgYis gQgQgYhas
gQgQgYsmall gQgQgYamounts gQgQgYof gQgQgYyellow gQgQgYproductive gQgQgYsputum
3. A gQgQgYclient gQgQgYadmitted gQgQgYwith gQgQgYfever gQgQgYof gQgQgYunknown gQgQgYorigin
gQgQgY(FUO) gQgQgYwho gQgQgYhas gQgQgYbeen gQgQgYwithout gQgQgYfever gQgQgYfor gQgQgYthe
gQgQgYlast gQgQgY48 gQgQgYhours
4. A gQgQgYclient gQgQgYadmitted gQgQgYwith gQgQgYa gQgQgYwound gQgQgYinfection gQgQgYwhose
3
gQgQgYWBC gQgQgYis gQgQgY8,500 gQgQgYmm
Answer: gQgQgY1
Rationale: gQgQgYThe gQgQgYnurse gQgQgYmust gQgQgYdecide gQgQgYwhich gQgQgYclient gQgQgYshould gQgQgYbe
gQgQgYseen gQgQgYon gQgQgYthe gQgQgYinitial gQgQgYrounds gQgQgYof gQgQgYthe gQgQgYday. gQgQgYThe gQgQgYnurse
gQgQgYmust gQgQgYremember gQgQgYthat gQgQgYthe gQgQgYfirst gQgQgYclient gQgQgYto gQgQgYbe gQgQgYseen
gQgQgYshould gQgQgYbe gQgQgYthe gQgQgYclient gQgQgYwho gQgQgYneeds gQgQgYthe gQgQgYattention gQgQgYof
gQgQgYthe gQgQgYnurse gQgQgYinitially. gQgQgYA gQgQgYclient gQgQgYwith gQgQgYhepatitis gQgQgYA gQgQgYdoes
gQgQgYexperience gQgQgYdiarrhea, gQgQgYbut gQgQgYdiarrhea gQgQgYfor gQgQgYthe gQgQgYlast gQgQgY24
gQgQgYhours gQgQgYcould gQgQgYcause gQgQgYthe gQgQgYclient gQgQgYto gQgQgYhave gQgQgYa gQgQgYproblem
gQgQgYwith gQgQgYdehydration gQgQgYand gQgQgYexperience gQgQgYa gQgQgYstate gQgQgYof gQgQgYfluid
gQgQgYvolume gQgQgYdeficit.
Cognitive gQgQgYLevel: gQgQgYApplication
Client gQgQgYNeeds: gQgQgYSafe, gQgQgYEffective gQgQgYCare
gQgQgYEnvironment gQgQgYNursing gQgQgYProcess:
gQgQgYPlanning
2. The gQgQgYnurse gQgQgYis gQgQgYpreparing gQgQgYto gQgQgYadminister gQgQgYinfluenza gQgQgYvaccines gQgQgYto
gQgQgYa gQgQgYmass gQgQgYdrive-through gQgQgYclinic. gQgQgYWhich gQgQgYstatement gQgQgYby gQgQgYa gQgQgYclient
gQgQgYwould gQgQgYindicate gQgQgYfurther gQgQgYquestioning gQgQgYprior gQgQgYto gQgQgYgiving gQgQgYthe
gQgQgYclient gQgQgYthe gQgQgYinfluenza gQgQgYvaccine?
1. ―I gQgQgYam gQgQgYallergic gQgQgYto gQgQgYhorse gQgQgYhair.‖
2. ―I gQgQgYtry gQgQgYto gQgQgYget gQgQgYmy gQgQgYvaccine gQgQgYevery gQgQgYyear.‖
3. ―I gQgQgYam gQgQgYnot gQgQgYallergic gQgQgYto gQgQgYanything gQgQgYexcept gQgQgYeggs.‖
4. ―My gQgQgYhusband gQgQgYhad gQgQgYa gQgQgYsevere gQgQgYallergic gQgQgYreaction gQgQgYafter
gQgQgYhe gQgQgYreceived gQgQgYhis gQgQgYinfluenza gQgQgYvaccine.‖
Answer: gQgQgY3
,Test Bank for Medical Surgical Nursing
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Critical Thinking in Client Care,4th Edition
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Rationale:
Priscilla Influenza vaccines
LeMon(100%
gQgQgY are recommended
Verified) gQgQgYfor person gQgQgY gQgQgY gQgQgY gQgQgY gQgQgYat
gQgQgY high gQgQgYrisk gQgQgYfor gQgQgYserious gQgQgYsequelae gQgQgYof gQgQgYinfluenza. gQgQgYThe
gQgQgYnurse gQgQgYshould gQgQgYbe gQgQgYaware gQgQgYthat gQgQgYclient gQgQgYwith gQgQgYa gQgQgYsensitivity
gQgQgYto gQgQgYeggs gQgQgYshould gQgQgYnot gQgQgYreceive gQgQgYthe gQgQgYvaccine. gQgQgYVaccines
gQgQgYprepared gQgQgYfrom gQgQgYchicken gQgQgYor gQgQgYduck gQgQgYembryos gQgQgYare
gQgQgYcontraindicated gQgQgYin gQgQgYclients gQgQgYwho gQgQgYare gQgQgYallergic gQgQgYto gQgQgYeggs.
Cognitive gQgQgYLevel: gQgQgYApplication
Client gQgQgYNeeds: gQgQgYSafe, gQgQgYEffective gQgQgYCare
gQgQgYEnvironment gQgQgYNursing gQgQgYProcess:
gQgQgYAssessment
3. The gQgQgYnurse gQgQgYis gQgQgYcaring gQgQgYfor gQgQgYfour gQgQgYclients gQgQgYon gQgQgYa gQgQgYmedical–
surgical gQgQgYunit. gQgQgYThe gQgQgYsecretary gQgQgYgives gQgQgYthe gQgQgYnurse gQgQgYthe gQgQgYmorning
gQgQgYlabs. gQgQgYWhich gQgQgYof gQgQgYthe gQgQgYfollowing gQgQgYlabs gQgQgYwould gQgQgYrequire gQgQgYthat gQgQgYthe
gQgQgYnurse gQgQgYcall gQgQgYthe gQgQgYphysician gQgQgYand gQgQgYinform gQgQgYthe gQgQgYhealthcare
gQgQgYprovider gQgQgYabout gQgQgYthe gQgQgYclient‘s gQgQgYabnormalities?
1. WBC gQgQgY14,600 gQgQgYmm3
2. Serum gQgQgYprotein gQgQgY6.9 gQgQgYg/dL
3. I gQgQgY& gQgQgYD gQgQgY(incision gQgQgYand gQgQgYdrainage) gQgQgYshowing gQgQgYno gQgQgYgrowth
gQgQgYfor gQgQgYthe gQgQgYlast gQgQgY24 gQgQgYhours
4. Albumin gQgQgY4.2 gQgQgYg/dL
Answer: gQgQgY1
Rationale: gQgQgYWhen gQgQgYthe gQgQgYnurse gQgQgYis gQgQgYcaring gQgQgYfor gQgQgYseveral gQgQgYclients, gQgQgYall gQgQgYof
gQgQgYthe gQgQgYlabs gQgQgYshould gQgQgYbe gQgQgYchecked gQgQgYfrequently gQgQgYthroughout gQgQgYthe gQgQgYshift gQgQgYto
gQgQgYassess gQgQgYfor gQgQgYany gQgQgYabnormalities. gQgQgYThe gQgQgYWBC gQgQgYin gQgQgYoption gQgQgY1 gQgQgYis
3
gQgQgYabnormal. gQgQgY(Normal gQgQgYWBC gQgQgY4,000–10,000 gQgQgYmm .) gQgQgYAll gQgQgYof gQgQgYthe
gQgQgYother gQgQgYlab gQgQgYresults gQgQgYare gQgQgYwithin gQgQgYacceptable gQgQgYrange; gQgQgYtherefore, gQgQgYthe
gQgQgYresults gQgQgYshould gQgQgYnot gQgQgYbe gQgQgYcalled gQgQgYin gQgQgYto gQgQgYthe gQgQgYphysician.
Cognitive gQgQgYLevel:
gQgQgYApplication gQgQgYClient
gQgQgYNeeds: gQgQgYPhysiologic
gQgQgYIntegrity gQgQgYNursing
gQgQgYProcess: gQgQgYAssessment
4. The gQgQgYnurse gQgQgYis gQgQgYorienting gQgQgYa gQgQgYnew gQgQgYgraduate. gQgQgYThe gQgQgYnurse gQgQgYis
gQgQgYreinforcing gQgQgYthe gQgQgYimportance gQgQgYof gQgQgYstandard gQgQgYprecautions. gQgQgYWhich
gQgQgYof gQgQgYthe gQgQgYfollowing gQgQgYobservations gQgQgYby gQgQgYthe gQgQgYnurse gQgQgYwould gQgQgYrequire
gQgQgYfurther gQgQgYeducation gQgQgYregarding gQgQgYstandard gQgQgYprecautions?
,Test Bank for Medical Surgical Nursing
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Critical Thinking in Client Care,4th Edition
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Priscilla LeMon(100% Verified)
1. The gQgQgYgraduate gQgQgYnurse gQgQgYunderstands gQgQgYto gQgQgYwash gQgQgYhands
gQgQgYwhen gQgQgYentering gQgQgYand gQgQgYexiting gQgQgYthe gQgQgYclient‘s gQgQgYroom.
2. The gQgQgYgraduate gQgQgYnurse gQgQgYwears gQgQgYgloves gQgQgYwhen gQgQgYserving
gQgQgYbreakfast gQgQgYtrays gQgQgYto gQgQgYvarious gQgQgYclients.
3. The gQgQgYgraduate gQgQgYnurse gQgQgYwears gQgQgYa gQgQgYgown, gQgQgYgloves, gQgQgYand
gQgQgYgoggles gQgQgYwhen gQgQgYsuctioning gQgQgYa gQgQgYclient.
4. The gQgQgYgraduate gQgQgYnurse gQgQgYleaves gQgQgYall gQgQgYsupplies gQgQgYin gQgQgYthe
gQgQgYroom gQgQgYof gQgQgYa gQgQgYclient gQgQgYwho gQgQgYis gQgQgYin gQgQgYcontact
gQgQgYisolation.
Answer: gQgQgY2
Rationale: gQgQgYThe gQgQgYnurse gQgQgYmust gQgQgYhave gQgQgYan gQgQgYunderstanding gQgQgYof gQgQgYstandard
gQgQgYprecautions. gQgQgYPrevention gQgQgYis gQgQgYthe gQgQgYmost gQgQgYimportant gQgQgYmeasure
gQgQgYto gQgQgYprevent gQgQgYnosocomial gQgQgYinfections. gQgQgYStandard gQgQgYprecautions
gQgQgYwere gQgQgYpublished gQgQgYin gQgQgY1996 gQgQgYthat gQgQgYprovide gQgQgYguidelines gQgQgYfor
gQgQgYthe gQgQgYhandling gQgQgYof gQgQgYblood gQgQgYand gQgQgYother gQgQgYbody gQgQgYfluids. gQgQgYThese
gQgQgYguidelines gQgQgYare gQgQgYused gQgQgYwith gQgQgYall gQgQgYclients, gQgQgYregardless gQgQgYof
gQgQgYwhether gQgQgYthey gQgQgYhave gQgQgYa gQgQgYknown gQgQgYinfectious gQgQgYdisease.
gQgQgYStandard gQgQgYprecautions gQgQgYare gQgQgYused
by gQgQgYall gQgQgYhealthcare gQgQgYworkers gQgQgYwho gQgQgYhave gQgQgYdirect gQgQgYcontact
gQgQgYwith gQgQgYclients gQgQgYor gQgQgYwith gQgQgYtheir gQgQgYbody gQgQgYfluids. gQgQgYIt gQgQgYis gQgQgYnot
gQgQgYnecessary gQgQgYfor gQgQgYthe gQgQgYnurse gQgQgYto gQgQgYwear gQgQgYgloves gQgQgYwhile
gQgQgYdelivering gQgQgYfood gQgQgYtrays gQgQgYto gQgQgYthe gQgQgYclient, gQgQgYbecause gQgQgYthere
gQgQgYis gQgQgYnot gQgQgYcontact gQgQgYwith gQgQgYthe gQgQgYclient.
Cognitive gQgQgYLevel: gQgQgYApplication
Client gQgQgYNeeds: gQgQgYSafe, gQgQgYEffective gQgQgYCare
gQgQgYEnvironment gQgQgYNursing gQgQgYProcess:
gQgQgYEvaluation
5. The gQgQgYadmitting gQgQgYdepartment gQgQgYalerts gQgQgYthe gQgQgYnurse gQgQgYon gQgQgYa gQgQgYmedical–
surgical gQgQgYunit gQgQgYthat gQgQgYa gQgQgYclient gQgQgYwith gQgQgYactive gQgQgYtuberculosis gQgQgY(TB) gQgQgYis
gQgQgYbeing gQgQgYadmitted gQgQgYto gQgQgYthe gQgQgYunit. gQgQgYWhich gQgQgYtype gQgQgYof gQgQgYisolation gQgQgYis
gQgQgYappropriate gQgQgYbased gQgQgYon gQgQgYthe gQgQgYclient‘s gQgQgYdiagnosis?
1. Standard gQgQgYprecautions
2. Airborne gQgQgYprecautions
3. Droplet gQgQgYprecautions
4. Contact gQgQgYprecautions
Answer: gQgQgY2
, Test Bank for Medical Surgical Nursing
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Critical Thinking in Client Care,4th Edition
gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY gQgQgY
Priscilla LeMon(100% Verified)
In gQgQgYaddition gQgQgYto gQgQgYhandwashing gQgQgYand gQgQgYstandard gQgQgYprecautions, gQgQgYthe
gQgQgYnature gQgQgYand gQgQgYspread gQgQgYof gQgQgYsome gQgQgYinfectious gQgQgYdiseases gQgQgYrequire gQgQgYthat
gQgQgYspecial gQgQgYtechniques gQgQgYbe gQgQgYused gQgQgYto gQgQgYprotect gQgQgYuninfected gQgQgYclients gQgQgYand
gQgQgYworkers. gQgQgYThe gQgQgYclient gQgQgYwith gQgQgYpulmonary gQgQgYtuberculosis gQgQgYwill gQgQgYbe
gQgQgYplaced gQgQgYin gQgQgYairborne gQgQgYprecautions. gQgQgYThe gQgQgYclient gQgQgYshould gQgQgYbe gQgQgYplaced
gQgQgYin gQgQgYa gQgQgYprivate gQgQgYroom gQgQgYwith gQgQgYspecial gQgQgYventilation gQgQgYthat gQgQgYdoes gQgQgYnot
gQgQgYallow gQgQgYair gQgQgYto gQgQgYcirculate gQgQgYto gQgQgYgeneral gQgQgYhospital gQgQgYventilation; gQgQgYa
gQgQgYmask gQgQgYor gQgQgYspecial gQgQgYfilter gQgQgYrespirators gQgQgYwill gQgQgYbe gQgQgYused gQgQgYfor
gQgQgYeveryone gQgQgYentering gQgQgYthe gQgQgYroom.
Cognitive gQgQgYLevel: gQgQgYApplication
Client gQgQgYNeeds: gQgQgYSafe, gQgQgYEffective gQgQgYCare
gQgQgYEnvironment gQgQgYNursing gQgQgYProcess:
gQgQgYAssessment
6. A gQgQgYclient gQgQgYis gQgQgYreceiving gQgQgYIV gQgQgYvancomycin gQgQgYfor gQgQgYthe gQgQgYtreatment
gQgQgYof gQgQgYClostridium gQgQgYdifficile. gQgQgYThe gQgQgYnurse gQgQgYunderstands gQgQgYthat gQgQgYthe
gQgQgYclient gQgQgYwho gQgQgYdevelops gQgQgYflushing, gQgQgYtachycardia, gQgQgYand gQgQgYhypotension
gQgQgYduring gQgQgYthe gQgQgYinfusion gQgQgYof gQgQgYvancomycin gQgQgYindicates:
1. Ototoxicity gQgQgYeffect.
2. Superinfection.
3. Red gQgQgYman gQgQgYsyndrome.
4. Hives.
Answer: gQgQgY3
Rationale: gQgQgYVancomycin gQgQgYinhibits gQgQgYcell gQgQgYwall gQgQgYsynthesis, gQgQgYand gQgQgYis gQgQgYused
gQgQgYfor gQgQgYserious gQgQgYinfections. gQgQgYIt gQgQgYis gQgQgYonly gQgQgYeffective gQgQgYagainst gQgQgYgram-
positive gQgQgYbacteria, gQgQgYespecially gQgQgYStaphylococcus gQgQgYaureus gQgQgYand
