Test Bank for Medical Surgical Nursing Critical Thinking in Client Care,4th Edition Priscilla LeMon(100% Verified) | LATEST

Test Bank for Medical Surgical Nursing Critical
gY gY gY gY gY gY


Thinking in Client Care,4th Edition Priscilla
gY gY gY gY gY gY


LeMon(100% Verified)
Chapter 1 gY




1. The gYnurse gYis gYcaring gYfor gYfour gYclients gYon gYa gYmedical–surgical gYunit. gYWhich gYclient
gYshould gYthe gYnurse gYsee gYinitially?




1. A gYclient gYadmitted gYwith gYhepatitis gYA gYwho gYhas gYhad gYsevere gYdiarrhea
gYfor gYthe gYlast gY24 gYhours

2. A gYclient gYadmitted gYwith gYpneumonia gYwho gYis gYhas gYsmall gYamounts gYof
gYyellow gYproductive gYsputum

3. A gYclient gYadmitted gYwith gYfever gYof gYunknown gYorigin gY(FUO) gYwho
gYhas gYbeen gYwithout gYfever gYfor gYthe gYlast gY48 gYhours

4. A gYclient gYadmitted gYwith gYa gYwound gYinfection gYwhose gYWBC gYis gY8,500 gYmm3

Answer: gY1

Rationale: gYThe gYnurse gYmust gYdecide gYwhich gYclient gYshould gYbe gYseen gYon gYthe gYinitial
gYrounds gYof gYthe gYday. gYThe gYnurse gYmust gYremember gYthat gYthe gYfirst gYclient gYto

gYbe gYseen gYshould gYbe gYthe gYclient gYwho gYneeds gYthe gYattention gYof gYthe gYnurse

gYinitially. gYA gYclient gYwith gYhepatitis gYA gYdoes gYexperience gYdiarrhea, gYbut

gYdiarrhea gYfor gYthe gYlast gY24 gYhours gYcould gYcause gYthe gYclient gYto gYhave gYa

gYproblem gYwith gYdehydration gYand gYexperience gYa gYstate gYof gYfluid gYvolume

gYdeficit.




Cognitive gYLevel: gYApplication
Client gYNeeds: gYSafe, gYEffective gYCare gYEnvironment
gYNursing gYProcess: gYPlanning




2. The gYnurse gYis gYpreparing gYto gYadminister gYinfluenza gYvaccines gYto gYa gYmass gYdrive-
through gYclinic. gYWhich gYstatement gYby gYa gYclient gYwould gYindicate gYfurther gYquestioning
gYprior gYto gYgiving gYthe gYclient gYthe gYinfluenza gYvaccine?




1. ―I gYam gYallergic gYto gYhorse gYhair.‖
2. ―I gYtry gYto gYget gYmy gYvaccine gYevery gYyear.‖
3. ―I gYam gYnot gYallergic gYto gYanything gYexcept gYeggs.‖
4. ―My gYhusband gYhad gYa gYsevere gYallergic gYreaction gYafter gYhe gYreceived gYhis
gYinfluenza gYvaccine.‖




Answer: gY3

Rationale: gYInfluenza gYvaccines gYare gYrecommended gYfor gYperson gYat gYhigh gYrisk gYfor
gYserious gYsequelae gYof gYinfluenza. gYThe gYnurse gYshould gYbe gYaware gYthat gYclient

gYwith gYa gYsensitivity gYto gYeggs gYshould gYnot gYreceive gYthe gYvaccine. gYVaccines

gYprepared gYfrom gYchicken gYor gYduck gYembryos gYare gYcontraindicated gYin gYclients

gYwho gYare gYallergic gYto gYeggs.

,Test Bank for Medical Surgical Nursing Critical
gY gY gY gY gY gY


Thinking in Client Care,4th Edition Priscilla
gY gY gY gY gY gY

Cognitive Level: Verified)
LeMon(100%
gY Application
gY

,Test Bank for Medical Surgical Nursing Critical
gY gY gY gY gY gY


Thinking in Client Care,4th Edition Priscilla
gY gY gY gY gY gY


LeMon(100% Verified)
Client gYNeeds: gYSafe, gYEffective gYCare gYEnvironment
gYNursing gYProcess: gYAssessment




3. The gYnurse gYis gYcaring gYfor gYfour gYclients gYon gYa gYmedical–surgical gYunit. gYThe
gYsecretary gYgives gYthe gYnurse gYthe gYmorning gYlabs. gYWhich gYof gYthe gYfollowing gYlabs

gYwould gYrequire gYthat gYthe gYnurse gYcall gYthe gYphysician gYand gYinform gYthe gYhealthcare

gYprovider gYabout gYthe gYclient‘s gYabnormalities?




1. WBC gY14,600 gYmm3
2. Serum gYprotein gY6.9 gYg/dL
3. I gY& gYD gY(incision gYand gYdrainage) gYshowing gYno gYgrowth gYfor gYthe gYlast gY24
gYhours

4. Albumin gY4.2 gYg/dL

Answer: gY1

Rationale: gYWhen gYthe gYnurse gYis gYcaring gYfor gYseveral gYclients, gYall gYof gYthe gYlabs gYshould gYbe
gYchecked gYfrequently gYthroughout gYthe gYshift gYto gYassess gYfor gYany gYabnormalities. gYThe gYWBC
3
gYin gYoption gY1 gYis gYabnormal. gY(Normal gYWBC gY4,000–10,000 gYmm .) gYAll gYof gYthe gYother gYlab

gYresults gYare gYwithin gYacceptable gYrange; gYtherefore, gYthe gYresults gYshould gYnot gYbe gYcalled gYin

gYto gYthe gYphysician.




Cognitive gYLevel: gYApplication
gYClient gYNeeds: gYPhysiologic

gYIntegrity gYNursing gYProcess:

gYAssessment




4. The gYnurse gYis gYorienting gYa gYnew gYgraduate. gYThe gYnurse gYis gYreinforcing gYthe
gYimportance gYof gYstandard gYprecautions. gYWhich gYof gYthe gYfollowing gYobservations gYby

gYthe gYnurse gYwould gYrequire gYfurther gYeducation gYregarding gYstandard gYprecautions?




1. The gYgraduate gYnurse gYunderstands gYto gYwash gYhands gYwhen gYentering gYand
gYexiting gYthe gYclient‘s gYroom.

2. The gYgraduate gYnurse gYwears gYgloves gYwhen gYserving gYbreakfast gYtrays gYto
gYvarious gYclients.

3. The gYgraduate gYnurse gYwears gYa gYgown, gYgloves, gYand gYgoggles gYwhen
gYsuctioning gYa gYclient.

4. The gYgraduate gYnurse gYleaves gYall gYsupplies gYin gYthe gYroom gYof gYa gYclient
gYwho gYis gYin gYcontact gYisolation.




Answer: gY2

Rationale: gYThe gYnurse gYmust gYhave gYan gYunderstanding gYof gYstandard gYprecautions.
gYPrevention gYis gYthe gYmost gYimportant gYmeasure gYto gYprevent gYnosocomial

gYinfections. gYStandard gYprecautions gYwere gYpublished gYin gY1996 gYthat gYprovide

, Test Bank for Medical Surgical Nursing Critical
gY gY gY gY gY gY


Thinking in Client Care,4th Edition Priscilla
gY gY gY gY gY gY

guidelinesVerified)
LeMon(100%
gY for the handling of blood and other body fluids.
gY gY gY gY gY gY gY gY gY gYThese

gYguidelines gYare gYused gYwith gYall gYclients, gYregardless gYof gYwhether gYthey gYhave gYa
gYknown gYinfectious gYdisease. gYStandard gYprecautions gYare gYused