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TEST BANKS FOR CLINICAL REASONING CASES IN NURSING 8TH EDITION BY MARIANN M. HARDING;

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Chapter 1. Perfusion Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank MULTIPLE CHOICE 1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the student understands this problem when the student states, Central perfusion a. Is monitored only by the physician. b. Involves the entire body. c. Is decreased with hypertension. d. Is toxic to the cardiac system. ANSWER: B Central perfusion does involve the entire body as all organs are supplied with oxygen and vital Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is notdecreased with hypertension. Central perfusion is not toxic to the cardiac system. 2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could have happened to them. The nurses best response is Hypertension a. Happens to everyone sooner or later. Dont be concerned about it. b. Can happen from eating a poor diet, so change what you are eating. c. Can happen from arterial changes that impede the blood flow. d. Happens when people do not exercise, so you should walk every day. ANSWER: C Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension does not happen to everyone. Changing the patients diet and exercising may be a positive life change, but these answers do not explain to the patient how the disease could have happened. 3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response would be, The sinoatrial node

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FOR CLINICAL REASONING CASES IN NURSING 8TH EDITION BY TEST BANKS MARI
kj kj kj kj kj kj kj kj kj kj kj




ANN M. HARDING;
kj kj kj




CHAPTER 1 - 15 kj kj kj

,ClinicalkjReasoningkjCaseskjinkjNursingkj8thkjEditionkjHardingkjSnyderkjTestkjBank

Contents:
Chapterkj1.kjPerfusion

Chapterkj2.kjGaskjExchange

Chapterkj3.kjMobility

Chapterkj4.kjDigestion

Chapterkj5.kjUrinarykjElimination

Chapterkj6.kjIntracranialkjRegulation

Chapterkj7.kjMetabolismkjandkjGlucosekjRegulation

Chapterkj8.kjImmunity

Chapterkj9.kjCellularkjRegulation

Chapterkj10.kjTissuekjIntegrity

Chapterkj11.kjCognition

Chapterkj12.kjInfectionkjandkjInflammation

Chapterkj13.kjDevelopmental

Chapterkj14.kjReproductive

Chapterkj15.kjMood,kjStress,kjandkjAddiction

,Chapterkj1.kjPerfusion
ClinicalkjReasoningkjCaseskjinkjNursingkj8thkjEditionkjHardingkjSnyderkjTestkjBank

MULTIPLEkjCHOICE
1.kjThekjnursekjiskjexplainingkjtokjakjstudentkjnursekjaboutkjimpairedkjcentralkjperfusion.kjThekjnursekjknowskjthekj
studentkjunderstandskjthiskjproblemkjwhenkjthekjstudentkjstates,kjCentralkjperfusion
a. Iskjmonitoredkjonlykjbykjthekjphysician.
b. Involveskjthekjentirekjbody.
c. Iskjdecreasedkjwithkjhypertension.
d. Iskjtoxickjtokjthekjcardiackjsystem.
ANSWER:kjB
CentralkjperfusionkjdoeskjinvolvekjthekjentirekjbodykjaskjallkjorganskjarekjsuppliedkjwithkjoxygenkjandkjvitalkjNu
trients.kjThekjphysiciankjdoeskjnotkjcontrolkjthekjbodyskjabilitykjforkjperfusion.kjCentralkjperfusionkjiskjnotdecr
easedkjwithkjhypertension.kjCentralkjperfusionkjiskjnotkjtoxickjtokjthekjcardiackjsystem.

2.kjAkjpatientkjwaskjdiagnosedkjwithkjhypertension.kjThekjpatientkjaskskjthekjnursekjhowkjthiskjdiseasekjcouldkjha
vekjhappenedkjtokjthem.kjThekjnurseskjbestkjresponsekjiskjHypertension
a. Happenskjtokjeveryonekjsoonerkjorkjlater.kjDontkjbekjconcernedkjaboutkjit.
b. Cankjhappenkjfromkjeatingkjakjpoorkjdiet,kjsokjchangekjwhatkjyoukjarekjeating.
c. Cankjhappenkjfromkjarterialkjchangeskjthatkjimpedekjthekjbloodkjflow.
d.
Happenskjwhenkjpeoplekjdokjnotkjexercise,kjsokjyoukjshouldkjwalkkjeverykj
day.
ANSWER:kjC
Hardeningkjofkjthekjarterieskjfromkjatherosclerosiskjcankjcausekjhypertensionkjinkjthekjpatient.kjHypertension
kjdoeskjnotkjhappenkjtokjeveryone.kjChangingkjthekjpatientskjdietkjandkjexercisingkjmaykjbekjakjpositivekjlifekjch

ange,kjbutkjthesekjanswerskjdokjnotkjexplainkjtokjthekjpatientkjhowkjthekjdiseasekjcouldkjhavekjhappened.

3.kjThekjpatientkjaskskjthekjnursekjtokjexplainkjthekjsinoatrialkjnodekjinkjthekjheart.kjThekjnurseskjbestkjresponsekjw
ouldkjbe,kjThekjsinoatrialkjnode
a. Provideskjthekjheartkjwithkjthekjstimulationkjtokjbeatkjinkjakjnormalkjrhythm.
b. Protectskjthekjheartkjfromkjatherosclerotickjchanges.
c. Provideskjthekjheartkjwithkjoxygenatedkjblood.
d.
Protectskjthekjheartkjfromkj
infection.

ANSWER:kjA
Thekjsinoatrialkjnodekjiskjthekjnaturalkjpacemakerkjofkjthekjheart,kjandkjitkjassistskjthekjheartkjtokjbeatkjinkjakjNorm
alkjrhythm.kjThekjsinoatrialkjnodekjdoeskjnotkjprotectkjfromkjatherosclerotickjchangeskjorkjinfection,andkjitkjdo
eskjnotkjdirectlykjprovidekjthekjheartkjwithkjoxygenatedkjblood.
4.kjThekjpatientkjiskjbroughtkjtokjthekjemergencykjdepartmentkjafterkjakjmotorkjvehiclekjaccident.kjThekjpatientkj
iskjdiagnosedkjwithkjinternalkjbleeding.kjThekjnurseskjprimarykjconcernkjiskjtokjmonitorkjfor
a. Mentalkjalertness.
b. Perfusion.

, c. Pain.
d.
Reactionkjtokj
medications.
ANSWER:kjB
Perfusionkjiskjthekjcorrectkjanswer,kjbecausekjwithkjinternalkjbleeding,kjthekjnursekjshouldkjmonitorkjvital
Signskjtokjbekjsurekjperfusionkjiskjhappening.kjMentalkjalertness,kjpain,kjandkjmedicationkjreactionskjareimpor
tantkjbutkjnotkjthekjprimarykjconcern.
5.kjAkjpatientskjserumkjelectrolyteskjarekjbeingkjmonitored.kjThekjnursekjnoticeskjthatkjthekjpotassiumkjlevelkjiskj
low.kjThekjnursekjknowskjthatkjthekjpatientkjshouldkjbekjobservedkjfor
a. Tissuekjischemia.
b. Brainkjmalformations.
c. Intestinalkjblockage.
d.
Cardia
ckjdysthymia.


ANSWER:kjD
Cardiackjdysthymiakjiskjakjpossibilitykjwhenkjserumkjpotassiumkjiskjhighkjorkjlow.kjTissuekjischemia,kjbrainkjMalformations,
kjorkjintestinalkjblockagekjdokjnotkjhavekjakjdirectkjcorrelationkjtokjpotassiumkjirregularities.

6.kjAkjnursekjiskjexplainingkjtokjakjstudentkjnursekjaboutkjperfusion.kjThekjnursekjknowskjthekjstudentkjunderstand
skjthekjconceptkjofkjperfusionkjwhenkjthekjstudentkjstates,kjPerfusion
a. Iskjakjnormalkjfunctionkjofkjthekjbody,kjandkjIkjdontkjhavekjtokjbekjconcernedkjaboutkjit.
b. Iskjmonitoredkjbykjthekjphysician,kjandkjIkjjustkjfollowkjorders.
c. Iskjmonitoredkjbykjvitalkjsignskjandkjcapillarykjrefill.
d.
Varieskjaskjakjpersonkjages,kjsokjIkjwouldkjexpectkjchangeskjinkjthekj
body.

ANSWER:kjC
Thekjbestkjmethodkjtokjmonitorkjperfusionkjiskjtokjmonitorkjvitalkjsignskjandkjcapillarykjrefill.kjThiskjallowskjThe
kjnursekjtokjknowkjifkjperfusionkjiskjadequatekjtokjmaintainkjvitalkjorgans.kjThekjnursekjdoeskjhavekjtokjbekjconc

ernedkjaboutkjperfusion.kjPerfusionkjiskjnotkjonlykjmonitoredkjbykjthekjphysiciankjbutkjthekjnursekjtoo.kjPerfusi
onkjdoeskjnotkjalwayskjchangekjaskjthekjpersonkjages.
7.kjThekjnursekjiskjconductingkjakjpatientkjassessment.kjThekjpatientkjtellskjthekjnursekjthatkjhekjhaskjsmokedkjt
wokjpackskjofkjcigaretteskjperkjdaykjforkj27kjyears.kjThekjnursekjmaykjfindkjwhichkjdatakjuponkjassessment?
a. Bloodkjpressurekjabovekjthekjnormalkjrange
b. Boundingkjpedalkjpulses
c. Nightkjblindness

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