MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Car
g g g g g g
e, 4th Edition Priscilla LeMon
g g g g
Chapterg1
1. Thegnursegisgcaringgforgfourgclientsgongagmedical–
surgicalgunit.gWhichgclientgshouldgthegnursegseeginitially?
1. AgclientgadmittedgwithghepatitisgAgwhoghasghadgseveregdiarrheagforgthegla
stg24ghours
2. Agclientgadmittedgwithgpneumoniagwhogisghasgsmallgamountsgofgyello
wgproductivegsputum
3. Agclientgadmittedgwithgfevergofgunknowngoriging(FUO)gwhoghasgbee
ngwithoutgfevergforgtheglastg48ghours
4. AgclientgadmittedgwithgagwoundginfectiongwhosegWBCgisg8,500gmm3
Answer:g1
Rationale:gThegnursegmustgdecidegwhichgclientgshouldgbegseengongtheginitialgroundsgofgth
egday.gThegnursegmustgremembergthatgthegfirstgclientgtogbegseengshouldgbegthegclie
ntgwhogneedsgthegattentiongofgthegnurseginitially.gAgclientgwithghepatitisgAgdoesge
xperiencegdiarrhea,gbutgdiarrheagforgtheglastg24ghoursgcouldgcausegthegclientgtogha
vegagproblemgwithgdehydrationgandgexperiencegagstategofgfluidgvolumegdeficit.
CognitivegLevel:gApplication
MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g
ition Priscilla LeMon
g gFull file at http://testbankinstant.CH/Tes
gggggggggggggg g g g
t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com
, ClientgNeeds:gSafe,gEffectivegCaregEnvironmen
tgNursinggProcess:gPlanning
2. Thegnursegisgpreparinggtogadministerginfluenzagvaccinesgtogagmassgdrive-
throughgclinic.gWhichgstatementgbygagclientgwouldgindicategfurthergquestioninggpriorgtog
givinggthegclientgtheginfluenzagvaccine?
1. “Igamgallergicgtoghorseghair.”
2. “Igtrygtoggetgmygvaccinegeverygyear.”
3. “Igamgnotgallergicgtoganythinggexceptgeggs.”
4. “Myghusbandghadgagseveregallergicgreactiongafterghegreceivedghisginfluenz
agvaccine.”
Answer:g3
Rationale:gInfluenzagvaccinesgaregrecommendedgforgpersongatghighgriskgforgseriousgsequ
elaegofginfluenza.gThegnursegshouldgbegawaregthatgclientgwithgagsensitivitygtogeggs
gshouldgnotgreceivegthegvaccine.gVaccinesgpreparedgfromgchickengorgduckgembry
osgaregcontraindicatedgingclientsgwhogaregallergicgtogeggs.
CognitivegLevel:gApplication
MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g
ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g
t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com
, ClientgNeeds:gSafe,gEffectivegCaregEnvironmen
tgNursinggProcess:gAssessment
3. Thegnursegisgcaringgforgfourgclientsgongagmedical–
surgicalgunit.gThegsecretaryggivesgthegnursegthegmorningglabs.gWhichgofgthegfollowinggla
bsgwouldgrequiregthatgthegnursegcallgthegphysiciangandginformgtheghealthcaregprovidergab
outgthegclient’sgabnormalities?
1.g WBCg14,600gmm3
2. Serumgproteing6.9gg/dL
3. Ig&gDg(incisiongandgdrainage)gshowinggnoggrowthgforgtheglastg24ghours
4. Albuming4.2gg/dL
Answer:g1
Rationale:gWhengthegnursegisgcaringgforgseveralgclients,gallgofgtheglabsgshouldgbegcheckedgfr
equentlygthroughoutgthegshiftgtogassessgforganygabnormalities.gThegWBCgingoptiong1gisgab
normal.g(NormalgWBCg4,000–
10,000gmm3.)gAllgofgthegotherglabgresultsgaregwithingacceptablegrange;gtherefore,gthegresult
sgshouldgnotgbegcalledgingtogthegphysician.
CognitivegLevel:gApplicationgClie
ntgNeeds:gPhysiologicgIntegritygNur
singgProcess:gAssessment
4. Thegnursegisgorientinggagnewggraduate.gThegnursegisgreinforcinggthegimportancegofg
standardgprecautions.gWhichgofgthegfollowinggobservationsgbygthegnursegwouldgrequir
egfurthergeducationgregardinggstandardgprecautions?
1. Theggraduategnursegunderstandsgtogwashghandsgwhengenteringgandgexitin
ggthegclient’sgroom.
2. Theggraduategnursegwearsgglovesgwhengservinggbreakfastgtraysgtogvariou
sgclients.
3. Theggraduategnursegwearsgaggown,ggloves,gandggogglesgwhengsuctioning
gagclient.
4. Theggraduategnursegleavesgallgsuppliesgingthegroomgofgagclientgwhogisg
ingcontactgisolation.
MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g
ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g
t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com
, Answer:g2
Rationale:gThegnursegmustghavegangunderstandinggofgstandardgprecautions.gPreventiongis
gthegmostgimportantgmeasuregtogpreventgnosocomialginfections.gStandardgprecauti
onsgweregpublishedging1996gthatgprovidegguidelinesgforgtheghandlinggofgbloodgan
dgothergbodygfluids.gThesegguidelinesgaregusedgwithgallgclients,gregardlessgofgwhet
hergtheyghavegagknownginfectiousgdisease.gStandardgprecautionsgaregused
MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g
ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g
t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com
g g g g g
Surgical Nursing Critical Thinking in Client Car
g g g g g g
e, 4th Edition Priscilla LeMon
g g g g
Chapterg1
1. Thegnursegisgcaringgforgfourgclientsgongagmedical–
surgicalgunit.gWhichgclientgshouldgthegnursegseeginitially?
1. AgclientgadmittedgwithghepatitisgAgwhoghasghadgseveregdiarrheagforgthegla
stg24ghours
2. Agclientgadmittedgwithgpneumoniagwhogisghasgsmallgamountsgofgyello
wgproductivegsputum
3. Agclientgadmittedgwithgfevergofgunknowngoriging(FUO)gwhoghasgbee
ngwithoutgfevergforgtheglastg48ghours
4. AgclientgadmittedgwithgagwoundginfectiongwhosegWBCgisg8,500gmm3
Answer:g1
Rationale:gThegnursegmustgdecidegwhichgclientgshouldgbegseengongtheginitialgroundsgofgth
egday.gThegnursegmustgremembergthatgthegfirstgclientgtogbegseengshouldgbegthegclie
ntgwhogneedsgthegattentiongofgthegnurseginitially.gAgclientgwithghepatitisgAgdoesge
xperiencegdiarrhea,gbutgdiarrheagforgtheglastg24ghoursgcouldgcausegthegclientgtogha
vegagproblemgwithgdehydrationgandgexperiencegagstategofgfluidgvolumegdeficit.
CognitivegLevel:gApplication
MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g
ition Priscilla LeMon
g gFull file at http://testbankinstant.CH/Tes
gggggggggggggg g g g
t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com
, ClientgNeeds:gSafe,gEffectivegCaregEnvironmen
tgNursinggProcess:gPlanning
2. Thegnursegisgpreparinggtogadministerginfluenzagvaccinesgtogagmassgdrive-
throughgclinic.gWhichgstatementgbygagclientgwouldgindicategfurthergquestioninggpriorgtog
givinggthegclientgtheginfluenzagvaccine?
1. “Igamgallergicgtoghorseghair.”
2. “Igtrygtoggetgmygvaccinegeverygyear.”
3. “Igamgnotgallergicgtoganythinggexceptgeggs.”
4. “Myghusbandghadgagseveregallergicgreactiongafterghegreceivedghisginfluenz
agvaccine.”
Answer:g3
Rationale:gInfluenzagvaccinesgaregrecommendedgforgpersongatghighgriskgforgseriousgsequ
elaegofginfluenza.gThegnursegshouldgbegawaregthatgclientgwithgagsensitivitygtogeggs
gshouldgnotgreceivegthegvaccine.gVaccinesgpreparedgfromgchickengorgduckgembry
osgaregcontraindicatedgingclientsgwhogaregallergicgtogeggs.
CognitivegLevel:gApplication
MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g
ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g
t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com
, ClientgNeeds:gSafe,gEffectivegCaregEnvironmen
tgNursinggProcess:gAssessment
3. Thegnursegisgcaringgforgfourgclientsgongagmedical–
surgicalgunit.gThegsecretaryggivesgthegnursegthegmorningglabs.gWhichgofgthegfollowinggla
bsgwouldgrequiregthatgthegnursegcallgthegphysiciangandginformgtheghealthcaregprovidergab
outgthegclient’sgabnormalities?
1.g WBCg14,600gmm3
2. Serumgproteing6.9gg/dL
3. Ig&gDg(incisiongandgdrainage)gshowinggnoggrowthgforgtheglastg24ghours
4. Albuming4.2gg/dL
Answer:g1
Rationale:gWhengthegnursegisgcaringgforgseveralgclients,gallgofgtheglabsgshouldgbegcheckedgfr
equentlygthroughoutgthegshiftgtogassessgforganygabnormalities.gThegWBCgingoptiong1gisgab
normal.g(NormalgWBCg4,000–
10,000gmm3.)gAllgofgthegotherglabgresultsgaregwithingacceptablegrange;gtherefore,gthegresult
sgshouldgnotgbegcalledgingtogthegphysician.
CognitivegLevel:gApplicationgClie
ntgNeeds:gPhysiologicgIntegritygNur
singgProcess:gAssessment
4. Thegnursegisgorientinggagnewggraduate.gThegnursegisgreinforcinggthegimportancegofg
standardgprecautions.gWhichgofgthegfollowinggobservationsgbygthegnursegwouldgrequir
egfurthergeducationgregardinggstandardgprecautions?
1. Theggraduategnursegunderstandsgtogwashghandsgwhengenteringgandgexitin
ggthegclient’sgroom.
2. Theggraduategnursegwearsgglovesgwhengservinggbreakfastgtraysgtogvariou
sgclients.
3. Theggraduategnursegwearsgaggown,ggloves,gandggogglesgwhengsuctioning
gagclient.
4. Theggraduategnursegleavesgallgsuppliesgingthegroomgofgagclientgwhogisg
ingcontactgisolation.
MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g
ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g
t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com
, Answer:g2
Rationale:gThegnursegmustghavegangunderstandinggofgstandardgprecautions.gPreventiongis
gthegmostgimportantgmeasuregtogpreventgnosocomialginfections.gStandardgprecauti
onsgweregpublishedging1996gthatgprovidegguidelinesgforgtheghandlinggofgbloodgan
dgothergbodygfluids.gThesegguidelinesgaregusedgwithgallgclients,gregardlessgofgwhet
hergtheyghavegagknownginfectiousgdisease.gStandardgprecautionsgaregused
MED SURG 250Test Bank for Medical-
g g g g g
Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g
ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g
t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com
