by Test Banks Mariann M. Harding;
Chapter 1 - 15
,ClinicalZReasoningZCasesZinZNursingZ8thZEditionZHardingZSnyderZTestZBank
Contents:
ChapterZ1.ZPerfusion
ChapterZ2.ZGasZExchange
ChapterZ3.ZMobility
ChapterZ4.ZDigestion
ChapterZ5.ZUrinaryZElimination
ChapterZ6.ZIntracranialZRegulation
ChapterZ7.ZMetabolismZandZGlucoseZRegulation
ChapterZ8.ZImmunity
ChapterZ9.ZCellularZRegulation
ChapterZ10.ZTissueZIntegrity
ChapterZ11.ZCognition
ChapterZ12.ZInfectionZandZInflammation
ChapterZ13.ZDevelopmental
ChapterZ14.ZReproductive
ChapterZ15.ZMood,ZStress,ZandZAddiction
,ChapterZ1.ZPerfusion
ClinicalZReasoningZCasesZinZNursingZ8thZEditionZHardingZSnyderZTestZBank
MULTIPLEZCHOICE
1.ZTheZnurseZisZexplainingZtoZaZstudentZnurseZaboutZimpairedZcentralZperfusion.ZTheZnurseZknowsZtheZ
studentZunderstandsZthisZproblemZwhenZtheZstudentZstates,ZCentralZperfusion
a. IsZmonitoredZonlyZbyZtheZphysician.
b. InvolvesZtheZentireZbody.
c. IsZdecreasedZwithZhypertension.
d. IsZtoxicZtoZtheZcardiacZsystem.
ANSWER:ZB
CentralZperfusionZdoesZinvolveZtheZentireZbodyZasZallZorgansZareZsuppliedZwithZoxygenZandZvitalZNu
trients.ZTheZphysicianZdoesZnotZcontrolZtheZbodysZabilityZforZperfusion.ZCentralZperfusionZisZnotdecre
asedZwithZhypertension.ZCentralZperfusionZisZnotZtoxicZtoZtheZcardiacZsystem.
2.ZAZpatientZwasZdiagnosedZwithZhypertension.ZTheZpatientZasksZtheZnurseZhowZthisZdiseaseZcouldZha
veZhappenedZtoZthem.ZTheZnursesZbestZresponseZisZHypertension
a. HappensZtoZeveryoneZsoonerZorZlater.ZDontZbeZconcernedZaboutZit.
b. CanZhappenZfromZeatingZaZpoorZdiet,ZsoZchangeZwhatZyouZareZeating.
c. CanZhappenZfromZarterialZchangesZthatZimpedeZtheZbloodZflow.
d.
HappensZwhenZpeopleZdoZnotZexercise,ZsoZyouZshouldZwalkZeveryZ
day.
ANSWER:ZC
HardeningZofZtheZarteriesZfromZatherosclerosisZcanZcauseZhypertensionZinZtheZpatient.ZHypertensionZ
doesZnotZhappenZtoZeveryone.ZChangingZtheZpatientsZdietZandZexercisingZmayZbeZaZpositiveZlifeZcha
nge,ZbutZtheseZanswersZdoZnotZexplainZtoZtheZpatientZhowZtheZdiseaseZcouldZhaveZhappened.
3.ZTheZpatientZasksZtheZnurseZtoZexplainZtheZsinoatrialZnodeZinZtheZheart.ZTheZnursesZbestZresponseZw
ouldZbe,ZTheZsinoatrialZnode
a. ProvidesZtheZheartZwithZtheZstimulationZtoZbeatZinZaZnormalZrhythm.
b. ProtectsZtheZheartZfromZatheroscleroticZchanges.
c. ProvidesZtheZheartZwithZoxygenatedZblood.
d.
ProtectsZtheZheartZfromZ
infection.
ANSWER:ZA
TheZsinoatrialZnodeZisZtheZnaturalZpacemakerZofZtheZheart,ZandZitZassistsZtheZheartZtoZbeatZinZaZNorm
alZrhythm.ZTheZsinoatrialZnodeZdoesZnotZprotectZfromZatheroscleroticZchangesZorZinfection,andZitZdoe
sZnotZdirectlyZprovideZtheZheartZwithZoxygenatedZblood.
4.ZTheZpatientZisZbroughtZtoZtheZemergencyZdepartmentZafterZaZmotorZvehicleZaccident.ZTheZpatientZi
sZdiagnosedZwithZinternalZbleeding.ZTheZnursesZprimaryZconcernZisZtoZmonitorZfor
a. MentalZalertness.
b. Perfusion.
, c. Pain.
d.
ReactionZtoZ
medications.
ANSWER:ZB
PerfusionZisZtheZcorrectZanswer,ZbecauseZwithZinternalZbleeding,ZtheZnurseZshouldZmonitorZvital
SignsZtoZbeZsureZperfusionZisZhappening.ZMentalZalertness,Zpain,ZandZmedicationZreactionsZareimpor
tantZbutZnotZtheZprimaryZconcern.
5.ZAZpatientsZserumZelectrolytesZareZbeingZmonitored.ZTheZnurseZnoticesZthatZtheZpotassiumZlevelZisZl
ow.ZTheZnurseZknowsZthatZtheZpatientZshouldZbeZobservedZfor
a. TissueZischemia.
b. BrainZmalformations.
c. IntestinalZblockage.
d.
Cardia
cZdysthymia.
ANSWER:ZD
CardiacZdysthymiaZisZaZpossibilityZwhenZserumZpotassiumZisZhighZorZlow.ZTissueZischemia,ZbrainZMalformations,Z
orZintestinalZblockageZdoZnotZhaveZaZdirectZcorrelationZtoZpotassiumZirregularities.
6.ZAZnurseZisZexplainingZtoZaZstudentZnurseZaboutZperfusion.ZTheZnurseZknowsZtheZstudentZunderstands
ZtheZconceptZofZperfusionZwhenZtheZstudentZstates,ZPerfusion
a. IsZaZnormalZfunctionZofZtheZbody,ZandZIZdontZhaveZtoZbeZconcernedZaboutZit.
b. IsZmonitoredZbyZtheZphysician,ZandZIZjustZfollowZorders.
c. IsZmonitoredZbyZvitalZsignsZandZcapillaryZrefill.
d.
VariesZasZaZpersonZages,ZsoZIZwouldZexpectZchangesZinZtheZ
body.
ANSWER:ZC
TheZbestZmethodZtoZmonitorZperfusionZisZtoZmonitorZvitalZsignsZandZcapillaryZrefill.ZThisZallowsZTheZ
nurseZtoZknowZifZperfusionZisZadequateZtoZmaintainZvitalZorgans.ZTheZnurseZdoesZhaveZtoZbeZconce
rnedZaboutZperfusion.ZPerfusionZisZnotZonlyZmonitoredZbyZtheZphysicianZbutZtheZnurseZtoo.ZPerfusio
nZdoesZnotZalwaysZchangeZasZtheZpersonZages.
7.ZTheZnurseZisZconductingZaZpatientZassessment.ZTheZpatientZtellsZtheZnurseZthatZheZhasZsmokedZtw
oZpacksZofZcigarettesZperZdayZforZ27Zyears.ZTheZnurseZmayZfindZwhichZdataZuponZassessment?
a. BloodZpressureZaboveZtheZnormalZrange
b. BoundingZpedalZpulses
c. NightZblindness