Test Bank Complete For Brunner and Suddarth's
Textbook of Medical-Surgical 15th Edition, (Janice L
Hinkle2024) All Units| All Chapters 1-68
The nurse in the oncology clinic is caring for a 42-year-old female client receiving
chemotherapy with fludarabine for acute myeloid leukemia who has developed
petechiae, epistaxis, and ecchymosis.
client has developed ______________ that the laboratory results will reveal
__________ - ANSWERclient has developed hemorrhage that the laboratory results
will reveal thrombocytopenia.
The nurse provides care for a client, with a history of atherosclerosis, who is
hospitalized for the initiation of pharmacotherapy for the treatment of
hypothyroidism.
The client is at highest risk for developing _______________ as evidenced by
_______________. - ANSWERThe client is at highest risk for developing cardiac
dysfunction as evidenced by angina.
The nurse is caring for a 24-year-old female client with a right tibial fracture treated
with a cast 2 hours ago. The client now reports unrelenting pain, rated as 7/10,
despite taking oxycodone, and decreased sensation in the right foot. A nursing
assessment reveals the right foot is cooler and paler than the left foot, with delayed
capillary refill and a weak pulse.
Based on the nursing assessment, the priority action the nurse should take is to
_________________________ and prepare the client for _________________. -
ANSWERBased on the nursing assessment, the priority action the nurse should take
is to notify the orthopedic health care provider immediately and prepare the client
for bivalving of the cast.
The nurse assesses a client who has a nasogastric tube for long-term nutritional
needs for complications associated with the medical device.
The nurse monitors the client for ___________ , a finding indicative of
_____________. - ANSWERThe nurse monitors the client for purulent nasal drainage,
a finding indicative of rhinosinusitis.
The office nurse is reviewing an 80-year-old female client's reports related to the
onset of a severe headache, rated at 9 out of 10 on the pain scale, with recent onset.
The client denies any visual changes. During a prior visit to the office a few months
ago, the client had reported a ground-level fall as a result of falling off a chair and
hitting the back of their head. The client had been taken to the emergency
department, where imaging was performed with negative results.
,The nurse anticipates that the client has developed __________ and that
__________ will be ordered. - ANSWERThe nurse anticipates that the client has
developed chronic subdural hematoma and that computed tomography (CT) imaging
of the brain will be ordered.
A client will undergo abdominal surgery. The nurse provides preoperative education
regarding the importance of diaphragmatic breathing exercises to prevent
postoperative complications.
The nurse will educate the client about the risk for developing _________,
____________, and ____________, if the client does not implement diaphragmatic
breathing exercises in the postoperative period of care. - ANSWERThe nurse will
educate the client about the risk for developing pneumonia, bronchospasm, and
atelectasis, if the client does not implement diaphragmatic breathing exercises in the
postoperative period of care.
A nurse is caring for a client who was admitted for an asthma exacerbation. In the
past year, the client has been admitted for three asthma events. What will the nurse
include in the client teaching about preventing repeat hospitalizations?
The nurse should teach about __________ followed by ___________. - ANSWERThe
nurse should teach about triggers to avoid followed by knowing medications.
A 47-year-old male client presented to the medical unit and the health care team
suspects tuberculosis (TB). The nurse is admitting the client to a reverse isolation
room. QuantiFERON testing and chest x-ray are pending. Urinalysis results are
negative. No other testing was performed prior to admission to isolation. The client
denies any chest pain, shortness of breath (SOB), or respiratory difficulty. The client
presents with productive yellow sputum.
Based on the provided assessment status, the nurse should utilize __________ to
prevent exposure and __________ to collect specimens for additional testing. -
ANSWERBased on the provided assessment status, the nurse should utilize airborne
precautions to prevent exposure and sputum to collect specimens for additional
testing.
The nurse has documented an assessment on a 45-year-old male client on the third
postoperative day following an open abdominal appendectomy.
Client has 3 in (7.6 cm) right lower abdominal incision. Proximal 2 in (5 cm) of
incision edges are red and well-approximated. Distal portion of incision has
separated and has yellow drainage on dressing. Bulb drain has serosanguinous
drainage and clumps of yellow pus. Oxygen saturation on room air 97%. Blood
pressure, 112/60 mm Hg; heart rate, 102 beats/min; respiratory rate, 22
breaths/min; temperature, 101.2F (38.4C) orally. Denies chills. Bowel sounds
hypoactive in all 4 quadrants. Client reports passing flatus, no Abdomen firm and
slightly distended bowel movement. Lungs clear to auscultation bilaterally. Client
, reports incisional pain level of 3/10 red blood cell count 4.2 million/mcl, thirty (30)
minutes following oxycodone 5 mg orally. Reports an increased, but tolerabl -
ANSWER-has separated and has yellow drainage on dressing
-clumps of yellow pus
-102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F
(38.4°C) orally
-White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l)
-blood glucose level 130 mg/dl (7.21 mmol/l).
The nurse monitors a client for side effects associated with furosemide, which is
newly prescribed for the treatment of heart failure.
Due to the client's high risk for developing _________ as a result of the prescribed
medication, the nurse focuses on monitoring the client for __________. -
ANSWERDue to the client's high risk for developing hypokalemia as a result of the
prescribed medication, the nurse focuses on monitoring the client for ventricular
arrhythmia.
A client has been admitted to the hospital with a large sacral pressure ulcer. The
physician prescribes the wound care protocol to be performed twice a day. What
would be a statement on the plan of care that would address the implementation
phase of the nursing process for this client? - ANSWERTurn the client every 2 hours.
The basic difference between nursing diagnoses and collaborative problems -
ANSWERNurses manage collaborative problems using physician-prescribed
interventions.
Nursing diagnoses can be managed by independent nursing interventions.
A nurse saw a coworker steal drugs from a locked cabinet. The supervisor notices the
missing drugs and has a good idea who is responsible for the theft. The supervisor
asks if the nurse saw anything out of the ordinary. Which professional value reflects
a nurse's duty to tell the truth? - ANSWERVeracity
Veracity is the nurse's duty to tell the truth in all professional situations.
A nurse is working in a rural nurse-managed agency that provides immunizations,
health assessments, and screening services. The nurse is most likely working in which
of the following? - ANSWERCommunity nursing center
Which is a primary task of nursing research? - ANSWERContributing to the scientific
base of nursing practice
A student nurse has been assigned to provide basic care for a 58-year-old man with a
diagnosis of AIDS-related pneumonia. The student tells the instructor that she is
unwilling to care for this client. What key component of critical thinking is most likely
missing from this student's practice? - ANSWERWithholding judgment
Textbook of Medical-Surgical 15th Edition, (Janice L
Hinkle2024) All Units| All Chapters 1-68
The nurse in the oncology clinic is caring for a 42-year-old female client receiving
chemotherapy with fludarabine for acute myeloid leukemia who has developed
petechiae, epistaxis, and ecchymosis.
client has developed ______________ that the laboratory results will reveal
__________ - ANSWERclient has developed hemorrhage that the laboratory results
will reveal thrombocytopenia.
The nurse provides care for a client, with a history of atherosclerosis, who is
hospitalized for the initiation of pharmacotherapy for the treatment of
hypothyroidism.
The client is at highest risk for developing _______________ as evidenced by
_______________. - ANSWERThe client is at highest risk for developing cardiac
dysfunction as evidenced by angina.
The nurse is caring for a 24-year-old female client with a right tibial fracture treated
with a cast 2 hours ago. The client now reports unrelenting pain, rated as 7/10,
despite taking oxycodone, and decreased sensation in the right foot. A nursing
assessment reveals the right foot is cooler and paler than the left foot, with delayed
capillary refill and a weak pulse.
Based on the nursing assessment, the priority action the nurse should take is to
_________________________ and prepare the client for _________________. -
ANSWERBased on the nursing assessment, the priority action the nurse should take
is to notify the orthopedic health care provider immediately and prepare the client
for bivalving of the cast.
The nurse assesses a client who has a nasogastric tube for long-term nutritional
needs for complications associated with the medical device.
The nurse monitors the client for ___________ , a finding indicative of
_____________. - ANSWERThe nurse monitors the client for purulent nasal drainage,
a finding indicative of rhinosinusitis.
The office nurse is reviewing an 80-year-old female client's reports related to the
onset of a severe headache, rated at 9 out of 10 on the pain scale, with recent onset.
The client denies any visual changes. During a prior visit to the office a few months
ago, the client had reported a ground-level fall as a result of falling off a chair and
hitting the back of their head. The client had been taken to the emergency
department, where imaging was performed with negative results.
,The nurse anticipates that the client has developed __________ and that
__________ will be ordered. - ANSWERThe nurse anticipates that the client has
developed chronic subdural hematoma and that computed tomography (CT) imaging
of the brain will be ordered.
A client will undergo abdominal surgery. The nurse provides preoperative education
regarding the importance of diaphragmatic breathing exercises to prevent
postoperative complications.
The nurse will educate the client about the risk for developing _________,
____________, and ____________, if the client does not implement diaphragmatic
breathing exercises in the postoperative period of care. - ANSWERThe nurse will
educate the client about the risk for developing pneumonia, bronchospasm, and
atelectasis, if the client does not implement diaphragmatic breathing exercises in the
postoperative period of care.
A nurse is caring for a client who was admitted for an asthma exacerbation. In the
past year, the client has been admitted for three asthma events. What will the nurse
include in the client teaching about preventing repeat hospitalizations?
The nurse should teach about __________ followed by ___________. - ANSWERThe
nurse should teach about triggers to avoid followed by knowing medications.
A 47-year-old male client presented to the medical unit and the health care team
suspects tuberculosis (TB). The nurse is admitting the client to a reverse isolation
room. QuantiFERON testing and chest x-ray are pending. Urinalysis results are
negative. No other testing was performed prior to admission to isolation. The client
denies any chest pain, shortness of breath (SOB), or respiratory difficulty. The client
presents with productive yellow sputum.
Based on the provided assessment status, the nurse should utilize __________ to
prevent exposure and __________ to collect specimens for additional testing. -
ANSWERBased on the provided assessment status, the nurse should utilize airborne
precautions to prevent exposure and sputum to collect specimens for additional
testing.
The nurse has documented an assessment on a 45-year-old male client on the third
postoperative day following an open abdominal appendectomy.
Client has 3 in (7.6 cm) right lower abdominal incision. Proximal 2 in (5 cm) of
incision edges are red and well-approximated. Distal portion of incision has
separated and has yellow drainage on dressing. Bulb drain has serosanguinous
drainage and clumps of yellow pus. Oxygen saturation on room air 97%. Blood
pressure, 112/60 mm Hg; heart rate, 102 beats/min; respiratory rate, 22
breaths/min; temperature, 101.2F (38.4C) orally. Denies chills. Bowel sounds
hypoactive in all 4 quadrants. Client reports passing flatus, no Abdomen firm and
slightly distended bowel movement. Lungs clear to auscultation bilaterally. Client
, reports incisional pain level of 3/10 red blood cell count 4.2 million/mcl, thirty (30)
minutes following oxycodone 5 mg orally. Reports an increased, but tolerabl -
ANSWER-has separated and has yellow drainage on dressing
-clumps of yellow pus
-102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F
(38.4°C) orally
-White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l)
-blood glucose level 130 mg/dl (7.21 mmol/l).
The nurse monitors a client for side effects associated with furosemide, which is
newly prescribed for the treatment of heart failure.
Due to the client's high risk for developing _________ as a result of the prescribed
medication, the nurse focuses on monitoring the client for __________. -
ANSWERDue to the client's high risk for developing hypokalemia as a result of the
prescribed medication, the nurse focuses on monitoring the client for ventricular
arrhythmia.
A client has been admitted to the hospital with a large sacral pressure ulcer. The
physician prescribes the wound care protocol to be performed twice a day. What
would be a statement on the plan of care that would address the implementation
phase of the nursing process for this client? - ANSWERTurn the client every 2 hours.
The basic difference between nursing diagnoses and collaborative problems -
ANSWERNurses manage collaborative problems using physician-prescribed
interventions.
Nursing diagnoses can be managed by independent nursing interventions.
A nurse saw a coworker steal drugs from a locked cabinet. The supervisor notices the
missing drugs and has a good idea who is responsible for the theft. The supervisor
asks if the nurse saw anything out of the ordinary. Which professional value reflects
a nurse's duty to tell the truth? - ANSWERVeracity
Veracity is the nurse's duty to tell the truth in all professional situations.
A nurse is working in a rural nurse-managed agency that provides immunizations,
health assessments, and screening services. The nurse is most likely working in which
of the following? - ANSWERCommunity nursing center
Which is a primary task of nursing research? - ANSWERContributing to the scientific
base of nursing practice
A student nurse has been assigned to provide basic care for a 58-year-old man with a
diagnosis of AIDS-related pneumonia. The student tells the instructor that she is
unwilling to care for this client. What key component of critical thinking is most likely
missing from this student's practice? - ANSWERWithholding judgment
