8th Edition by Mariann M. Harding;
Chapter 1 - 15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
YT YT YT YT YT YT YT YT YT YT
Contents:
Chapter 1. Perfusion
YT YT
Chapter 2. Gas Exchange
YT YT YT
Chapter 3. Mobility
YT YT
Chapter 4. Digestion
YT YT
Chapter 5. Urinary Elimination
YT YT YT
Chapter 6. Intracranial Regulation
YT YT YT
Chapter 7. Metabolism and Glucose Regulation
YT YT YT YT YT
Chapter 8. Immunity
YT YT
Chapter 9. Cellular Regulation
YT YT YT
Chapter 10. Tissue Integrity
YT YT YT
Chapter 11. Cognition
YT YT
Chapter 12. Infection and Inflammation
YT YT YT YT
Chapter 13. Developmental
YT YT
Chapter 14. Reproductive
YT YT
Chapter 15. Mood, Stress, and Addiction
YT YT YT YT YT
,Chapter 1. Perfusion YT YT
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
YT YT YT YT YT YT YT YT YT YT
MULTIPLE CHOICE YT
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT Y
student understands this problem when the student states, Central perfusion
T YT YT YT YT YT YT YT YT YT
a. Is monitored only by the physician. YT YT YT YT YT
b. Involves the entire body. YT YT YT
c. Is decreased with hypertension.
YT YT YT
d. Is toxic to the cardiac system.
YT YT YT YT YT
ANSWER: B YT
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital Nutri
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
ents. The physician does not control the bodys ability for perfusion. Central perfusion is notdecrea
YT YT YT YT YT YT YT YT YT YT YT YT YT YT
sed with hypertension. Central perfusion is not toxic to the cardiac system.
YT YT YT YT YT YT YT YT YT YT YT
2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could ha
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
ve happened to them. The nurses best response is Hypertension
YT YT YT YT YT YT YT YT YT
a. Happens to everyone sooner or later. Dont be concerned about it. YT YT YT YT YT YT YT YT YT YT
b. Can happen from eating a poor diet, so change what you are eating.
YT YT YT YT YT YT YT YT YT YT YT YT
c. Can happen from arterial changes that impede the blood flow.
YT YT YT YT YT YT YT YT YT
d.
Happens when people do not exercise, so you should walk every d YT YT YT YT YT YT YT YT YT YT YT
ay.
ANSWER: C YT
Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertensio
YT YT YT YT YT YT YT YT YT YT YT YT
n does not happen to everyone. Changing the patients diet and exercising may be a positive life cha
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
nge, but these answers do not explain to the patient how the disease could have happened.
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response w
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
ould be, The sinoatrial node
YT YT YT YT
a. Provides the heart with the stimulation to beat in a normal rhythm. YT YT YT YT YT YT YT YT YT YT YT
b. Protects the heart from atherosclerotic changes. YT YT YT YT YT
c. Provides the heart with oxygenated blood. YT YT YT YT YT
d.
Protectstheheartfrom YT YT YT YT
infection.
ANSWER: A YT
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a Normal
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT Y
rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,and it doe
T YT YT YT YT YT YT YT YT YT YT YT YT YT
s not directly provide the heart with oxygenated blood.
YT YT YT YT YT YT YT YT
4. The patient is brought to the emergency department after a motor vehicle accident. The patient i
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
, s diagnosed with internal bleeding. The nurses primary concern is to monitor for
YT YT YT YT YT YT YT YT YT YT YT YT
a. Mental alertness. YT
b. Perfusion.
c. Pain.
d.
Reactionto YT YT
medications.
ANSWER: B YT
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
YT YT YT YT YT YT YT YT YT YT YT YT YT
Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions areimpor
YT YT YT YT YT YT YT YT YT YT YT YT YT
tant but not the primary concern.
YT YT YT YT YT
5. A patients serum electrolytes are being monitored. The nurse notices that the potassium level is
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT Y
low. The nurse knows that the patient should be observed for
T YT YT YT YT YT YT YT YT YT YT
a. Tissue ischemia. YT
b. Brain malformations. YT
c. Intestinal blockage. YT
d.
Cardiac YT
dysthymia.
ANSWER: D YT
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain Malformation
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
s, or intestinal blockage do not have a direct correlation to potassium irregularities.
YT YT YT YT YT YT YT YT YT YT YT YT
6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student understan
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
ds the concept of perfusion when the student states, Perfusion
YT YT YT YT YT YT YT YT YT
a. Is a normal function of the body, and I dont have to be concerned about it.
YT YT YT YT YT YT YT YT YT YT YT YT YT YT YT
b. Is monitored by the physician, and I just follow orders.
YT YT YT YT YT YT YT YT YT
c. Is monitored by vital signs and capillary refill.
YT YT YT YT YT YT YT