Test Bank for LeMone and Burke's Medical-Surgical Nursing, 7th Edition by Bauldoff, 9780134868189, Covering Chapters 1-50 Includes Rationales

MED SURG 250Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Car
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e, 4th Edition Priscilla LeMon
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Chapter 1 N




1. TheNnurseNisNcaringNforNfourNclientsNonNaNmedical–
surgicalNunit.NWhichNclientNshouldNtheNnurseNseeNinitially?

1. ANclientNadmittedNwithNhepatitisNANwhoNhasNhadNsevereNdiarrheaNforNtheNla
stN24Nhours
2. ANclientNadmittedNwithNpneumoniaNwhoNisNhasNsmallNamountsNofNyello
wNproductiveNsputum
3. ANclientNadmittedNwithNfeverNofNunknownNoriginN(FUO)NwhoNhasNbee
nNwithoutNfeverNforNtheNlastN48Nhours
4. ANclientNadmittedNwithNaNwoundNinfectionNwhoseNWBCNisN8,500Nmm3

Answer:N1

Rationale:NTheNnurseNmustNdecideNwhichNclientNshouldNbeNseenNonNtheNinitialNroundsNofNt
heNday.NTheNnurseNmustNrememberNthatNtheNfirstNclientNtoNbeNseenNshouldNbeNtheNcl
ientNwhoNneedsNtheNattentionNofNtheNnurseNinitially.NANclientNwithNhepatitisNANdoesN
experienceNdiarrhea,NbutNdiarrheaNforNtheNlastN24NhoursNcouldNcauseNtheNclientNtoN
haveNaNproblemNwithNdehydrationNandNexperienceNaNstateNofNfluidNvolumeNdeficit.

CognitiveNLevel:NApplication
ClientNNeeds:NSafe,NEffectiveNCareNEnvironmen
tNNursingNProcess:NPlanning
MED SURG 250Test Bank for Medical-
N N N N N


Surgical Nursing Critical Thinking in Client Care, 4th Edi
N N N N N N N N


tion Priscilla LeMon
N N Full file at http://testbankinstant.CH/Test
NNNNNNNNNNNNNN N N N


-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-4th-
N


Edition-Priscilla-
scilla
N LeMon LeMone-download full file at http://testbankinstant.com
N N N N N

, 2. TheNnurseNisNpreparingNtoNadministerNinfluenzaNvaccinesNtoNaNmassNdrive-
throughNclinic.NWhichNstatementNbyNaNclientNwouldNindicateNfurtherNquestioningNpriorNtoN
givingNtheNclientNtheNinfluenzaNvaccine?

1. “INamNallergicNtoNhorseNhair.”
2. “INtryNtoNgetNmyNvaccineNeveryNyear.”
3. “INamNnotNallergicNtoNanythingNexceptNeggs.”
4. “MyNhusbandNhadNaNsevereNallergicNreactionNafterNheNreceivedNhisNinfluen
zaNvaccine.”

Answer:N3

Rationale:NInfluenzaNvaccinesNareNrecommendedNforNpersonNatNhighNriskNforNseriousNsequ
elaeNofNinfluenza.NTheNnurseNshouldNbeNawareNthatNclientNwithNaNsensitivityNtoNeggs
NshouldNnotNreceiveNtheNvaccine.NVaccinesNpreparedNfromNchickenNorNduckNembry

osNareNcontraindicatedNinNclientsNwhoNareNallergicNtoNeggs.

CognitiveNLevel:NApplication




MED SURG 250Test Bank for Medical-
N N N N N


Surgical Nursing Critical Thinking in Client Care, 4th Edi
N N N N N N N N


tion Priscilla LeMon
N N Full file at http://testbankinstant.CH/Test
NNNNNNNNNNNNNN N N N


-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-4th-
N


Edition-Priscilla-
scilla
N LeMon LeMone-download full file at http://testbankinstant.com
N N N N N

, ClientNNeeds:NSafe,NEffectiveNCareNEnvironmen
tNNursingNProcess:NAssessment


3. TheNnurseNisNcaringNforNfourNclientsNonNaNmedical–
surgicalNunit.NTheNsecretaryNgivesNtheNnurseNtheNmorningNlabs.NWhichNofNtheNfollowingNla
bsNwouldNrequireNthatNtheNnurseNcallNtheNphysicianNandNinformNtheNhealthcareNproviderNab
outNtheNclient’sNabnormalities?

1.N WBCN14,600Nmm3
2. SerumNproteinN6.9Ng/dL
3. IN&NDN(incisionNandNdrainage)NshowingNnoNgrowthNforNtheNlastN24Nhours
4. AlbuminN4.2Ng/dL

Answer:N1

Rationale:NWhenNtheNnurseNisNcaringNforNseveralNclients,NallNofNtheNlabsNshouldNbeNcheckedNf
requentlyNthroughoutNtheNshiftNtoNassessNforNanyNabnormalities.NTheNWBCNinNoptionN1NisNab
normal.N(NormalNWBCN4,000–
10,000Nmm3.)NAllNofNtheNotherNlabNresultsNareNwithinNacceptableNrange;Ntherefore,NtheNresult
sNshouldNnotNbeNcalledNinNtoNtheNphysician.

CognitiveNLevel:NApplicationNClie
ntNNeeds:NPhysiologicNIntegrityNNu
rsingNProcess:NAssessment


4. TheNnurseNisNorientingNaNnewNgraduate.NTheNnurseNisNreinforcingNtheNimportanceNof
NstandardNprecautions.NWhichNofNtheNfollowingNobservationsNbyNtheNnurseNwouldNrequi

reNfurtherNeducationNregardingNstandardNprecautions?

1. TheNgraduateNnurseNunderstandsNtoNwashNhandsNwhenNenteringNandNexitin
gNtheNclient’sNroom.
2. TheNgraduateNnurseNwearsNglovesNwhenNservingNbreakfastNtraysNtoNvario
usNclients.
3. TheNgraduateNnurseNwearsNaNgown,Ngloves,NandNgogglesNwhenNsuctioning
NaNclient.
4. TheNgraduateNnurseNleavesNallNsuppliesNinNtheNroomNofNaNclientNwhoNisN
inNcontactNisolation.

Answer:N2

MED SURG 250Test Bank for Medical-
N N N N N


Surgical Nursing Critical Thinking in Client Care, 4th Edi
N N N N N N N N


tion Priscilla LeMon
N N Full file at http://testbankinstant.CH/Test
NNNNNNNNNNNNNN N N N


-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-4th-
N


Edition-Priscilla-
scilla
N LeMon LeMone-download full file at http://testbankinstant.com
N N N N N

, Rationale:NTheNnurseNmustNhaveNanNunderstandingNofNstandardNprecautions.NPreventionNis
NtheNmostNimportantNmeasureNtoNpreventNnosocomialNinfections.NStandardNprecaut

ionsNwereNpublishedNinN1996NthatNprovideNguidelinesNforNtheNhandlingNofNbloodNa
ndNotherNbodyNfluids.NTheseNguidelinesNareNusedNwithNallNclients,NregardlessNofNwh
etherNtheyNhaveNaNknownNinfectiousNdisease.NStandardNprecautionsNareNused




MED SURG 250Test Bank for Medical-
N N N N N


Surgical Nursing Critical Thinking in Client Care, 4th Edi
N N N N N N N N


tion Priscilla LeMon
N N Full file at http://testbankinstant.CH/Test
NNNNNNNNNNNNNN N N N


-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-4th-
N


Edition-Priscilla-
scilla
N LeMon LeMone-download full file at http://testbankinstant.com
N N N N N