For Clinical Reasoning Cases in Nursing 8th Edition by Test Banks Mariann M. Harding; Chapter 1 - 15

For Clinical Reasoning Cases in Nursing 8th Edition
by Test Banks Mariann M. Harding;
Chapter 1 - 15

,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank

Contents:
Chapter 1. Perfusion

Chapter 2. Gas Exchange

Chapter 3. Mobility

Chapter 4. Digestion

Chapter 5. Urinary Elimination

Chapter 6. Intracranial Regulation

Chapter 7. Metabolism and Glucose Regulation

Chapter 8. Immunity

Chapter 9. Cellular Regulation

Chapter 10. Tissue Integrity

Chapter 11. Cognition

Chapter 12. Infection and Inflammation

Chapter 13. Developmental

Chapter 14. Reproductive

Chapter 15. Mood, Stress, and Addiction

,Chapter 1. Perfusion xz xz




Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
xz xz xz xz xz xz xz xz xz xz




MULTIPLE CHOICE xz




1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the stud
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ent understands this problem when the student states, Central perfusion
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a. Is monitored only by the physician.
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b. Involves the entire body. xz xz xz




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




Central perfusion does involve the entire body as all organs are supplied with oxygen and vital Nutrien
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ts. The physician does not control the bodys ability for perfusion. Central perfusion is notdecreased wit
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h 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 ha
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ppened to them. The nurses best response is Hypertension
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a. Happens to everyone sooner or later. Dont be concerned about it. xz xz xz xz xz xz xz xz xz xz




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 da xz xz xz xz xz xz xz xz xz xz xz




y.
ANSWER: C xz




Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension do
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es not happen to everyone. Changing the patients diet and exercising may be a positive life change, b
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ut 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. xz xz xz xz xz xz xz xz xz xz xz




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




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




d.
Protects the heart from i xz xz xz xz




nfection.

ANSWER: A xz




The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a Normal rhy
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thm. The sinoatrial node does not protect from atherosclerotic changes or infection,and it does not dire
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ctly 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 di
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agnosed with internal bleeding. The nurses primary concern is to monitor for
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a. Mental alertness. xz




b. Perfusion.

, c. Pain.
d.
Reaction to xz xz




medications.
ANSWER: B xz




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 low.
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The nurse knows that the patient should be observed for
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a. Tissue ischemia. xz




b. Brain malformations. xz




c. Intestinal blockage. xz




d.
Cardia
c dysthymia.
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ANSWER: D xz




Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain Malformations, or in
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testinal 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 the
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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 bo
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dy.

ANSWER: C xz




The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows The nurs
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e to know if perfusion is adequate to maintain vital organs. The nurse does have to be concerned ab
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out perfusion. Perfusion is not only monitored by the physician but the nurse too. Perfusion does not al
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ways 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 pa
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cks 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 xz xz xz xz xz




b. Bounding pedal pulses xz xz




c. Night blindness xz