Test Bank For Clinical Reasoning Cases in Nursing 7th
j j j j j j j j
Edition by Mariann M. Harding; Julie S. Snyder. All
j j j j j j j j j
Chapters, Complete Guide (A+).
j j j j
,TEST BANK j
CLINICAL REASONING j
jCASES IN NURSING,
j j
7TH EDITION
j
BY HARDING| SNYDER
j j
TEST BANK j
,Chapter j1. jPerfusion
Clinical jReasoning jCases jin jNursing j7th jEdition jHarding jSnyder jTest jBank
MULTIPLE jCHOICE
1. jThe jnurse jis jexplaining jto ja jstudent jnurse jabout jimpaired jcentral jperfusion. jThe jnurse
jknows jthe jstudent junderstands jthis jproblem jwhen jthe jstudent jstates, jCentral jperfusion
a. Is jmonitored jonly jby jthe jphysician.
b. Involves jthe jentire jbody.
c. Is jdecreased jwith jhypertension.
d. Is jtoxic jto jthe jcardiac jsystem.
ANS: jB
Central jperfusion jdoes jinvolve jthe jentire jbody jas jall jorgans jare jsupplied jwith joxygen jand
jvital jNutrients. jThe jphysician jdoes jnot jcontrol jthe jbodys jability jfor jperfusion. jCentral
jperfusion jis jnot jdecreased jwith jhypertension. jCentral jperfusion jis jnot jtoxic jto jthe jcardiac
jsystem.
2. jA jpatient jwas jdiagnosed jwith jhypertension. jThe jpatient jasks jthe jnurse jhow jthis jdisease
jcould jhave jhappened jto jthem. jThe jnurses jbest jresponse jis jHypertension
a. Happens jto jeveryone jsooner jor jlater. jDont jbe jconcerned jabout jit.
b. Can jhappen jfrom jeating ja jpoor jdiet, jso jchange jwhat jyou jare jeating.
c. Can jhappen jfrom jarterial jchanges jthat jimpede jthe jblood jflow.
d. Happens jwhen jpeople jdo jnot jexercise, jso jyou jshould jwalk
jevery jday.
ANS: jC
Hardening jof jthe jarteries jfrom jatherosclerosis jcan jcause jhypertension jin jthe jpatient.
jHypertension jdoes jnot jhappen jto jeveryone. jChanging jthe jpatients jdiet jand jexercising jmay jbe
ja jpositive jlife jchange, jbut jthese janswers jdo jnot jexplain jto jthe jpatient jhow jthe jdisease jcould
jhave jhappened.
3. jThe jpatient jasks jthe jnurse jto jexplain jthe jsinoatrial jnode jin jthe jheart. jThe jnurses jbest
jresponse jwould jbe, jThe jsinoatrial jnode
a. Provides jthe jheart jwith jthe jstimulation jto jbeat jin ja jnormal jrhythm.
b. Protects jthe jheart jfrom jatherosclerotic jchanges.
c. Provides jthe jheart jwith joxygenated jblood.
d. Protects jthe jheart jfrom
jinfection.
ANS: jA
The jsinoatrial jnode jis jthe jnatural jpacemaker jof jthe jheart, jand jit jassists jthe jheart jto jbeat
jin ja jNormal jrhythm. jThe jsinoatrial jnode jdoes jnot jprotect jfrom jatherosclerotic jchanges
jor jinfection, jand jit jdoes jnot jdirectly jprovide jthe jheart jwith joxygenated jblood.
4. jThe jpatient jis jbrought jto jthe jemergency jdepartment jafter ja jmotor jvehicle jaccident. jThe
jpatient jis jdiagnosed jwith jinternal jbleeding. jThe jnurses jprimary jconcern jis jto jmonitor jfor
a. Mental jalertness.
, b. Perfusion.
c. Pain.
d. Reaction jto
jmedications. jANS: jB
Perfusion jis jthe jcorrect janswer, jbecause jwith jinternal jbleeding, jthe jnurse jshould jmonitor jvital
Signs jto jbe jsure jperfusion jis jhappening. jMental jalertness, jpain, jand jmedication jreactions
jare jimportant jbut jnot jthe jprimary jconcern.
5. jA jpatients jserum jelectrolytes jare jbeing jmonitored. jThe jnurse jnotices jthat jthe jpotassium
jlevel jis jlow. jThe jnurse jknows jthat jthe jpatient jshould jbe jobserved jfor
a. Tissue jischemia.
b. Brain jmalformations.
c. Intestinal jblockage.
d. Cardiac
jdysthymia.
ANS: jD
Cardiac jdysthymia jis ja jpossibility jwhen jserum jpotassium jis jhigh jor jlow. jTissue jischemia, jbrain
jMalformations, jor jintestinal jblockage jdo jnot jhave ja jdirect jcorrelation jto jpotassium jirregularities.
6. jA jnurse jis jexplaining jto ja jstudent jnurse jabout jperfusion. jThe jnurse jknows jthe jstudent
junderstands jthe jconcept jof jperfusion jwhen jthe jstudent jstates, jPerfusion
a. Is ja jnormal jfunction jof jthe jbody, jand jI jdont jhave jto jbe jconcerned jabout jit.
b. Is jmonitored jby jthe jphysician, jand jI jjust jfollow jorders.
c. Is jmonitored jby jvital jsigns jand jcapillary jrefill.
d. Varies jas ja jperson jages, jso jI jwould jexpect jchanges jin
jthe jbody.
ANS: jC
The jbest jmethod jto jmonitor jperfusion jis jto jmonitor jvital jsigns jand jcapillary jrefill. jThis
jallows jThe jnurse jto jknow jif jperfusion jis jadequate jto jmaintain jvital jorgans. jThe jnurse jdoes
jhave jto jbe jconcerned jabout jperfusion. jPerfusion jis jnot jonly jmonitored jby jthe jphysician jbut
jthe jnurse jtoo. jPerfusion jdoes jnot jalways jchange jas jthe jperson jages.
7. jThe jnurse jis jconducting ja jpatient jassessment. jThe jpatient jtells jthe jnurse jthat jhe jhas
jsmoked jtwo jpacks jof jcigarettes jper jday jfor j27 jyears. jThe jnurse jmay jfind jwhich jdata jupon
jassessment?
a. Blood jpressure jabove jthe jnormal jrange
b. Bounding jpedal jpulses
c. Night jblindness
j j j j j j j j
Edition by Mariann M. Harding; Julie S. Snyder. All
j j j j j j j j j
Chapters, Complete Guide (A+).
j j j j
,TEST BANK j
CLINICAL REASONING j
jCASES IN NURSING,
j j
7TH EDITION
j
BY HARDING| SNYDER
j j
TEST BANK j
,Chapter j1. jPerfusion
Clinical jReasoning jCases jin jNursing j7th jEdition jHarding jSnyder jTest jBank
MULTIPLE jCHOICE
1. jThe jnurse jis jexplaining jto ja jstudent jnurse jabout jimpaired jcentral jperfusion. jThe jnurse
jknows jthe jstudent junderstands jthis jproblem jwhen jthe jstudent jstates, jCentral jperfusion
a. Is jmonitored jonly jby jthe jphysician.
b. Involves jthe jentire jbody.
c. Is jdecreased jwith jhypertension.
d. Is jtoxic jto jthe jcardiac jsystem.
ANS: jB
Central jperfusion jdoes jinvolve jthe jentire jbody jas jall jorgans jare jsupplied jwith joxygen jand
jvital jNutrients. jThe jphysician jdoes jnot jcontrol jthe jbodys jability jfor jperfusion. jCentral
jperfusion jis jnot jdecreased jwith jhypertension. jCentral jperfusion jis jnot jtoxic jto jthe jcardiac
jsystem.
2. jA jpatient jwas jdiagnosed jwith jhypertension. jThe jpatient jasks jthe jnurse jhow jthis jdisease
jcould jhave jhappened jto jthem. jThe jnurses jbest jresponse jis jHypertension
a. Happens jto jeveryone jsooner jor jlater. jDont jbe jconcerned jabout jit.
b. Can jhappen jfrom jeating ja jpoor jdiet, jso jchange jwhat jyou jare jeating.
c. Can jhappen jfrom jarterial jchanges jthat jimpede jthe jblood jflow.
d. Happens jwhen jpeople jdo jnot jexercise, jso jyou jshould jwalk
jevery jday.
ANS: jC
Hardening jof jthe jarteries jfrom jatherosclerosis jcan jcause jhypertension jin jthe jpatient.
jHypertension jdoes jnot jhappen jto jeveryone. jChanging jthe jpatients jdiet jand jexercising jmay jbe
ja jpositive jlife jchange, jbut jthese janswers jdo jnot jexplain jto jthe jpatient jhow jthe jdisease jcould
jhave jhappened.
3. jThe jpatient jasks jthe jnurse jto jexplain jthe jsinoatrial jnode jin jthe jheart. jThe jnurses jbest
jresponse jwould jbe, jThe jsinoatrial jnode
a. Provides jthe jheart jwith jthe jstimulation jto jbeat jin ja jnormal jrhythm.
b. Protects jthe jheart jfrom jatherosclerotic jchanges.
c. Provides jthe jheart jwith joxygenated jblood.
d. Protects jthe jheart jfrom
jinfection.
ANS: jA
The jsinoatrial jnode jis jthe jnatural jpacemaker jof jthe jheart, jand jit jassists jthe jheart jto jbeat
jin ja jNormal jrhythm. jThe jsinoatrial jnode jdoes jnot jprotect jfrom jatherosclerotic jchanges
jor jinfection, jand jit jdoes jnot jdirectly jprovide jthe jheart jwith joxygenated jblood.
4. jThe jpatient jis jbrought jto jthe jemergency jdepartment jafter ja jmotor jvehicle jaccident. jThe
jpatient jis jdiagnosed jwith jinternal jbleeding. jThe jnurses jprimary jconcern jis jto jmonitor jfor
a. Mental jalertness.
, b. Perfusion.
c. Pain.
d. Reaction jto
jmedications. jANS: jB
Perfusion jis jthe jcorrect janswer, jbecause jwith jinternal jbleeding, jthe jnurse jshould jmonitor jvital
Signs jto jbe jsure jperfusion jis jhappening. jMental jalertness, jpain, jand jmedication jreactions
jare jimportant jbut jnot jthe jprimary jconcern.
5. jA jpatients jserum jelectrolytes jare jbeing jmonitored. jThe jnurse jnotices jthat jthe jpotassium
jlevel jis jlow. jThe jnurse jknows jthat jthe jpatient jshould jbe jobserved jfor
a. Tissue jischemia.
b. Brain jmalformations.
c. Intestinal jblockage.
d. Cardiac
jdysthymia.
ANS: jD
Cardiac jdysthymia jis ja jpossibility jwhen jserum jpotassium jis jhigh jor jlow. jTissue jischemia, jbrain
jMalformations, jor jintestinal jblockage jdo jnot jhave ja jdirect jcorrelation jto jpotassium jirregularities.
6. jA jnurse jis jexplaining jto ja jstudent jnurse jabout jperfusion. jThe jnurse jknows jthe jstudent
junderstands jthe jconcept jof jperfusion jwhen jthe jstudent jstates, jPerfusion
a. Is ja jnormal jfunction jof jthe jbody, jand jI jdont jhave jto jbe jconcerned jabout jit.
b. Is jmonitored jby jthe jphysician, jand jI jjust jfollow jorders.
c. Is jmonitored jby jvital jsigns jand jcapillary jrefill.
d. Varies jas ja jperson jages, jso jI jwould jexpect jchanges jin
jthe jbody.
ANS: jC
The jbest jmethod jto jmonitor jperfusion jis jto jmonitor jvital jsigns jand jcapillary jrefill. jThis
jallows jThe jnurse jto jknow jif jperfusion jis jadequate jto jmaintain jvital jorgans. jThe jnurse jdoes
jhave jto jbe jconcerned jabout jperfusion. jPerfusion jis jnot jonly jmonitored jby jthe jphysician jbut
jthe jnurse jtoo. jPerfusion jdoes jnot jalways jchange jas jthe jperson jages.
7. jThe jnurse jis jconducting ja jpatient jassessment. jThe jpatient jtells jthe jnurse jthat jhe jhas
jsmoked jtwo jpacks jof jcigarettes jper jday jfor j27 jyears. jThe jnurse jmay jfind jwhich jdata jupon
jassessment?
a. Blood jpressure jabove jthe jnormal jrange
b. Bounding jpedal jpulses
c. Night jblindness
