Test Bank for Clinical Reasoning Cases in Nursing, 7th Edition by Mariann M. Harding & Julie S. Snyder

Test Banks For Clinical Reasoning Cases in Nursing 8t
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v Edition by Mariann M. Harding;
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Chapter 1 - 15
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,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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Contents:
Chapter 1. Perfusion
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Chapter 2. Gas Exchange
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Chapter 3. Mobility
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Chapter 4. Digestion
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Chapter 5. Urinary Elimination
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Chapter 6. Intracranial Regulation
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Chapter 7. Metabolism and Glucose Regulation
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Chapter 8. Immunity
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Chapter 9. Cellular Regulation
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Chapter 10. Tissue Integrity
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Chapter 11. Cognition
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Chapter 12. Infection and Inflammation
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Chapter 13. Developmental
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Chapter 14. Reproductive
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Chapter 15. Mood, Stress, and Addiction
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,Chapter 1. Perfusion v v




Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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MULTIPLE CHOICE v




1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the
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student understands this problem when the student states, Central perfusion
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a. Is monitored only by the physician. v v v v v




b. Involves the entire body. v v v




c. Is decreased with hypertension.
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d. Is toxic to the cardiac system.
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ANSWER: B v




Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
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Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
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notdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
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2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could have
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happened to them. The nurses best response is Hypertension
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a. Happens to everyone sooner or later. Dont be concerned about it. v v v v v v v v v v




b. Can happen from eating a poor diet, so change what you are eating.
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c. Can happen from arterial changes that impede the blood flow.
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d. Happens when people do not exercise, so you should walk every v v v v v v v v v v




v day.
ANSWER: C v




Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension
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does not happen to everyone. Changing the patients diet and exercising may be a positive life change,
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but these answers do not explain to the patient how the disease could have happened.
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3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response would
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be, The sinoatrial node
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a. Provides the heart with the stimulation to beat in a normal rhythm. v v v v v v v v v v v




b. Protects the heart from atherosclerotic changes. v v v v v




c. Provides the heart with oxygenated blood. v v v v v




d. Protects theheart from v v v




v infection.

ANSWER: A v




The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a Normal
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rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,and it does not
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directly provide the heart with oxygenated blood.
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4. The patient is brought to the emergency department after a motor vehicle accident. The patient is
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diagnosed with internal bleeding. The nurses primary concern is to monitor for
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a. Mental alertness. v




b. Perfusion.

, c. Pain.
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medications.
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ANSWER: B v




Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
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Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions areimportant
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but not the primary concern.
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5. A patients serum electrolytes are being monitored. The nurse notices that the potassium level is
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low. The nurse knows that the patient should be observed for
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a. Tissue ischemia. v




b. Brain malformations. v




c. Intestinal blockage. v




d. Cardiac
dysthymia.
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ANSWER: D v




Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain Malformations,
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or intestinal blockage do not have a direct correlation to potassium irregularities.
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6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands
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the concept of perfusion when the student states, Perfusion
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a. Is a normal function of the body, and I dont have to be concerned about it.
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b. Is monitored by the physician, and I just follow orders.
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c. Is monitored by vital signs and capillary refill.
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d. Varies as a person ages, so I would expect changes in the
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v body.

ANSWER: C v




The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows The
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nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be
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concerned about perfusion. Perfusion is not only monitored by the physician but the nurse too.
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Perfusion does not always change as the person ages.
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7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two
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packs of cigarettes per day for 27 years. The nurse may find which data upon assessment?
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a. Blood pressure above the normal range v v v v v




b. Bounding pedal pulses v v




c. Night blindness v