Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
Chapter 1
• The physician has ordered for the client to receive a trough blood level to
evaluate the therapeutic effect of an antibiotic. The nurse understands that
the trough should be ordered:
1. A few minutes before the next scheduled dose of medication.
2. 1–2 hours after the oral administration of the medication.
3. 30 minutes after the IV administration.
4. During the infusion of the antibiotic.
Answer: 1
Rationale: Antibiotic peak and trough levels monitor therapeutic blood
levels of the prescribed medication. The therapeutic range—the minimum
and maximum blood levels at which the drug is effective—is known for a
given drug. By measuring blood levels at the predicted peak (1–2 hours
after oral administration, 1 hour after intramuscular administration, and 30
minutes after IV administration) and trough (usually a few minutes before
the next scheduled dose), it is also possible to determine whether the drug is
reaching a toxic or harmful level during therapy, increasing the likelihood
of adverse effects.
Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
, Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
Cognitive Level: Application
Client Needs: Safe, Effective Care
Environment Nursing Process:
Assessment
• The nurse needs to change a dressing on the client’s abdomen. Which of
the following techniques should be implemented?
1. Contact precautions
2. Standard precautions
3. Droplet precautions
Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
, Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
4. Airborne precautions
Answer: 2
Rationale: Standard precautions are used on all clients, regardless of
whether they have a know infectious disease. Standard precautions are used
by all healthcare workers who have direct contact with clients or with their
body fluids. Since the client has an abdominal dressing, the nurse will use
standard precautions.
Cognitive Level: Application
Client Needs: Safe, Effective Care
Environment Nursing Process: Planning
• The physician has ordered for the nurse to obtain a sputum
specimen. The nurse understands that the sputum specimen should be
collected:
1. Immediately after the first dose of antibiotic is administered.
2. 30 minutes after the first dose of antibiotics is administered.
Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
, Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
3. During the first dose of antibiotics.
4. Before the first dose of antibiotics is administered.
Answer: 4
Rationale: When the physician orders a specimen to be collected, the nurse
should collect the specimen before the first dose of antibiotics is
administered, to ensure adequate organisms for culture.
Cognitive Level: Comprehension
Client Needs: Safe, Effective Care
Environment Nursing Process: Planning
• Which of the following manifestations indicates a systemic reaction
associated with an inflammatory response?
1. Erythema
2. Pain
3. Tachypnea (RR 26)
4. Edema
Answer: 3
Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
Chapter 1
• The physician has ordered for the client to receive a trough blood level to
evaluate the therapeutic effect of an antibiotic. The nurse understands that
the trough should be ordered:
1. A few minutes before the next scheduled dose of medication.
2. 1–2 hours after the oral administration of the medication.
3. 30 minutes after the IV administration.
4. During the infusion of the antibiotic.
Answer: 1
Rationale: Antibiotic peak and trough levels monitor therapeutic blood
levels of the prescribed medication. The therapeutic range—the minimum
and maximum blood levels at which the drug is effective—is known for a
given drug. By measuring blood levels at the predicted peak (1–2 hours
after oral administration, 1 hour after intramuscular administration, and 30
minutes after IV administration) and trough (usually a few minutes before
the next scheduled dose), it is also possible to determine whether the drug is
reaching a toxic or harmful level during therapy, increasing the likelihood
of adverse effects.
Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
, Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
Cognitive Level: Application
Client Needs: Safe, Effective Care
Environment Nursing Process:
Assessment
• The nurse needs to change a dressing on the client’s abdomen. Which of
the following techniques should be implemented?
1. Contact precautions
2. Standard precautions
3. Droplet precautions
Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
, Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
4. Airborne precautions
Answer: 2
Rationale: Standard precautions are used on all clients, regardless of
whether they have a know infectious disease. Standard precautions are used
by all healthcare workers who have direct contact with clients or with their
body fluids. Since the client has an abdominal dressing, the nurse will use
standard precautions.
Cognitive Level: Application
Client Needs: Safe, Effective Care
Environment Nursing Process: Planning
• The physician has ordered for the nurse to obtain a sputum
specimen. The nurse understands that the sputum specimen should be
collected:
1. Immediately after the first dose of antibiotic is administered.
2. 30 minutes after the first dose of antibiotics is administered.
Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
, Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
3. During the first dose of antibiotics.
4. Before the first dose of antibiotics is administered.
Answer: 4
Rationale: When the physician orders a specimen to be collected, the nurse
should collect the specimen before the first dose of antibiotics is
administered, to ensure adequate organisms for culture.
Cognitive Level: Comprehension
Client Needs: Safe, Effective Care
Environment Nursing Process: Planning
• Which of the following manifestations indicates a systemic reaction
associated with an inflammatory response?
1. Erythema
2. Pain
3. Tachypnea (RR 26)
4. Edema
Answer: 3
Test Bank for Medical-Surgical Nursing Critical
Thinkingin Client Care 4th Edition Priscilla
Lemon BEST GRADED A+ LATEST
UPDATE
