TEST BANK FOR MEDICAL-SURGICAL NURSING: CRITICAL THINKING IN PATIENT CARE 5TH EDITION BY PRISCILLA LEMONE (ISBN:978- 0135075944) LATEST ALL CHAPTERS COVERED

1. The nurse is caring for four patients on a medical–surgical unit, Which patient should the nurse see first? 1. A patient admitted with hepatitis A who has had severe diarrhea for the last24 hours 2. A patient admitted with pneumonia who is has small amounts of yellowproductive sputum 3. A patient admitted with fever of unknown origin (FUO) who has beenwithout fever for the last 48 hours 4. A patient admitted with a wound infection whose WBC is 8,500 mm3 Answer: 1 Rationale: The nurse must decide which patient ought to be seen on the initial rounds of the day, The nurse must remember that the first patient to be seen ought to be the patientwho needs the attention of the nurse initially, A patient with hepatitis A does experience diarrhea, but diarrhea for the last 24 hours could cause the patient to have a problem with dehydration and experience a state of fluid volume deficit, Cognitive Level: Application Patient Needs: Safe, Effective Care EnvironmentNursing Process: Planning 2. The nurse is getting ready to administer influenza vaccines to a mass drive-through clinic,Which statement by a patient would indicate further questioning prior to giving the patient the influenza vaccine? 1. “I am allergic to horse hair,” 2. “I try to get my vaccine every year,” 3. “I am not allergic to anything except eggs,” 4. “My husband had a severe allergic reaction after he received his influenza vaccine,” Answer: 3 Rationale: Influenza vaccines are recommended for person at high risk for serious sequelae of influenza, The nurse ought to be aware that patient with a sensitivity toeggs ought to not receive the vaccine, Vaccines get readyd from chicken or duck embryos are contraindicated in patients who are allergic to eggs,