Clinical Reasoning Cases in Nursing – Test Bank | 8th Edition | Mariann M. Harding | Realistic Case-Based Questions (Chapters 1–15)

TestBanksForClinicalReasoningCasesinNursing8th
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.EditionbyMariannM.Harding;
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Chapter1-15
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,ClinicalReasoning Cases in Nursing 8th Edition HardingSnyderTest Bank
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Contents:
Chapter1. Perfusion
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Chapter2. Gas Exchange
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Chapter3. Mobility
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Chapter4. Digestion
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Chapter 5. UrinaryElimination
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Chapter6. IntracranialRegulation
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Chapter7. Metabolism and Glucose Regulation
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Chapter8. Immunity
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Chapter9. CellularRegulation
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Chapter10. Tissue Integrity
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Chapter11. Cognition
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Chapter12. Infectionand Inflammation
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Chapter13. Developmental
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Chapter14. Reproductive
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Chapter15. Mood, Stress, and Addiction
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, Chapter1. Perfusion . .




ClinicalReasoning Cases in Nursing8th EditionHardingSnyderTestBank
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MULTIPLECHOICE .




1.Thenurseis explainingto astudentnurseaboutimpaired central perfusion.Thenurseknows the
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student understands this problem when the student states, Central perfusion
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a. Is monitored onlybythe physician. . . . . .




b. Involvesthe entirebody. . . .




c. Isdecreasedwithhypertension.
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d. Istoxicto thecardiacsystem.
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ANSWER:B .




Centralperfusiondoesinvolvetheentirebodyasallorgansaresuppliedwithoxygenandvital Nutrients.
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The physician does not control the bodys abilityfor perfusion. Central perfusion is notdecreased with
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hypertension. Central perfusion is not toxic to the cardiac system.
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2.Apatientwasdiagnosed withhypertension.Thepatientasksthenursehowthisdiseasecould have
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happened to them. The nurses best response is Hypertension
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a. Happens to everyonesoonerorlater. Dontbeconcerned aboutit. . . . . . . . . . .




b. Canhappen fromeatingapoordiet, sochangewhat you areeating.
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c. Canhappen fromarterial changes thatimpede thebloodflow. . . . . . . . . .




d. Happenswhenpeopledonotexercise,soyoushouldwalkevery day. . . . . . . . . . . .




ANSWER:C .




Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension does
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not happen toeveryone. Changingthepatients diet andexercisingmaybea positivelifechange, butthese
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answersdonot explaintothepatienthowthe diseasecouldhave happened.
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3.Thepatient asksthenursetoexplainthesinoatrial nodeintheheart.Thenurses bestresponse would be,
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The sinoatrial node
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a. Providestheheartwith thestimulation tobeatin anormalrhythm. . . . . . . . . . . .




b. Protectstheheartfromatherosclerotic changes. . . . . .




c. Providestheheartwithoxygenated blood. . . . . .




d. Protectstheheartfrom . . .




.infection.

ANSWER:A .




Thesinoatrialnodeisthenaturalpacemakerof theheart,and itassiststhehearttobeatina Normal rhythm.
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The sinoatrial node does not protect from atherosclerotic changes or infection,and it does not directly
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provide the heart with oxygenated blood.
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4.Thepatientis broughttotheemergencydepartment afteramotorvehicleaccident.Thepatient is
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diagnosed with internal bleeding. The nurses primary concern is to monitor for
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a. Mentalalertness. .




b. Perfusion.