MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Car
m m m m m m
e, 4th Edition Priscilla LeMon
m m m m
Chapter 1 m
1. Themnursemismcaringmformfourmclientsmonmammedical–
surgicalmunit.mWhichmclient mshould mthemnursemseeminitially?
1. Amclient madmitted mwithmhepatitismAmwhomhasmhad mseveremdiarrheamformtheml
ast m24mhours
2. Amclient madmitted mwithmpneumoniamwhomismhasmsmallmamountsmof myell
ow mproductivemsputum
3. Amclient madmitted mwithmfevermof munknownmoriginm(FUO)mwhomhasmbe
enmwithout mfevermformthemlast m48mhours
4. Amclient madmitted mwithmamwound minfectionmwhosemWBCmism8,500mmm3
Answer:m1
Rationale:mThemnursemmust mdecidemwhichmclient mshould mbemseenmonmtheminitialmroundsmof mt
hemday.mThemnursemmust mremembermthat mthemfirst mclient mtombemseenmshould mbemthemc
lient mwhomneedsmthemattentionmof mthemnurseminitially.mA mclient mwithmhepatitismAmdoe
smexperiencemdiarrhea,mbut mdiarrheamformthemlast m24mhoursmcould mcausemthemclient mt
omhavemamproblemmwithmdehydrationmand mexperiencemamstatemof mfluid mvolumemdefic
it.
MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Care, 4th E
m m m m m m m m
dition Priscilla LeMon
m Full file at http://testbankinstant.CH/
m mmmmmmmmmmmmmm m m m
Test-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-
m
4th-Edition-Priscilla- LeMone- m
scilla LeMon
m
download full file at http://testbankinstant.com
m m m m
, CognitivemLevel:mApplication
Client mNeeds:mSafe,mEffectivemCaremEnvironme
nt mNursingmProcess:mPlanning
2. Themnursemismpreparingmtomadministerminfluenzamvaccinesmtomammassmdrive-
throughmclinic.mWhichmstatement mbymamclient mwould mindicatemfurthermquestioningmpriormtom
givingmthemclient mtheminfluenzamvaccine?
1. “I mammallergicmtomhorsemhair.”
2. “I mtrymtomget mmymvaccinemeverymyear.”
3. “I mammnot mallergicmtomanythingmexcept meggs.”
4. “Mymhusband mhad mamseveremallergicmreactionmaftermhemreceived mhisminfluen
zamvaccine.”
Answer:m3
Rationale:mInfluenzamvaccinesmaremrecommended mformpersonmat mhighmriskmformseriousmseq
uelaemof minfluenza.mThemnursemshould mbemawaremthat mclient mwithmamsensitivitymtomeg
gsmshould mnot mreceivemthemvaccine.mVaccinesmprepared mfrommchickenmormduckmem
bryosmaremcontraindicated minmclientsmwhomaremallergicmtomeggs.
CognitivemLevel:mApplication
MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Care, 4th E
m m m m m m m m
dition Priscilla LeMon
m mFull file at http://testbankinstant.CH/
mmmmmmmmmmmmmm m m m
Test-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-
m
4th-Edition-Priscilla- LeMone- m
scilla LeMon
m
download full file at http://testbankinstant.com
m m m m
, Client mNeeds:mSafe,mEffectivemCaremEnvironme
nt mNursingmProcess:mAssessment
3. Themnursemismcaringmformfourmclientsmonmammedical–
surgicalmunit.mThemsecretarymgivesmthemnursemthemmorningmlabs.mWhichmof mthemfollowingml
absmwould mrequiremthat mthemnursemcallmthemphysicianmand minformmthemhealthcaremproviderm
about mthemclient’smabnormalities?
1.m WBCm14,600mmm3
2. Serummproteinm6.9mg/dL
3. I m&mDm(incisionmand mdrainage)mshowingmnomgrowthmformthemlast m24mhours
4. Albuminm4.2mg/dL
Answer:m1
Rationale:mWhenmthemnursemismcaringmformseveralmclients,mallmof mthemlabsmshould mbemchecked m
frequentlymthroughout mthemshift mtomassessmformanymabnormalities.mThemWBCminmoptionm1mism
abnormal.m(NormalmWBCm4,000–
10,000mmm3 .)mAllmof mthemothermlabmresultsmaremwithinmacceptablemrange;mtherefore,mthemresu
ltsmshould mnot mbemcalled minmtomthemphysician.
CognitivemLevel:mApplicationmClie
nt mNeeds:mPhysiologicmIntegritymNu
rsingmProcess:mAssessment
4. Themnursemismorientingmamnew mgraduate.mThemnursem ismreinforcingmthem importancemo
f mstandard mprecautions.mWhichmof mthemfollowingmobservationsmbymthemnursemwould mreq
uiremfurthermeducationmregardingmstandard mprecautions?
1. Themgraduatemnursemunderstandsmtomwashmhandsmwhenmenteringmand mexiti
ngmthemclient’smroom.
2. Themgraduatemnursemwearsmglovesmwhenmservingmbreakfast mtraysmtomvario
usmclients.
3. Themgraduatemnursemwearsmamgown,mgloves,mand mgogglesmwhenmsuctionin
gmamclient.
4. Themgraduatemnursemleavesmallmsuppliesminmthemroommof mamclient mwhomis
minm
contact misolation.
MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Care, 4th E
m m m m m m m m
dition Priscilla LeMon
m m Full file at http://testbankinstant.CH/
mmmmmmmmmmmmmm m m m
Test-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-
m
4th-Edition-Priscilla- LeMone- m
scilla LeMon
m
download full file at http://testbankinstant.com
m m m m
, Answer:m2
Rationale:mThemnursemmust mhavemanmunderstandingmof mstandard mprecautions.mPreventionmi
smthemmost mimportant mmeasuremtomprevent mnosocomialminfections.mStandard mpreca
utionsmwerempublished minm1996mthat mprovidemguidelinesmformthemhandlingmof mblood
mand mothermbodymfluids.mThesemguidelinesmaremused mwithmallmclients,mregardlessm
of m
whethermtheymhavemamknownminfectiousmdisease.mStandard mprecautionsmaremused
MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Care, 4th E
m m m m m m m m
dition Priscilla LeMon
m m Full file at http://testbankinstant.CH/
mmmmmmmmmmmmmm m m m
Test-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-
m
4th-Edition-Priscilla- LeMone- m
scilla LeMon
m
download full file at http://testbankinstant.com
m m m m
m m m m m
Surgical Nursing Critical Thinking in Client Car
m m m m m m
e, 4th Edition Priscilla LeMon
m m m m
Chapter 1 m
1. Themnursemismcaringmformfourmclientsmonmammedical–
surgicalmunit.mWhichmclient mshould mthemnursemseeminitially?
1. Amclient madmitted mwithmhepatitismAmwhomhasmhad mseveremdiarrheamformtheml
ast m24mhours
2. Amclient madmitted mwithmpneumoniamwhomismhasmsmallmamountsmof myell
ow mproductivemsputum
3. Amclient madmitted mwithmfevermof munknownmoriginm(FUO)mwhomhasmbe
enmwithout mfevermformthemlast m48mhours
4. Amclient madmitted mwithmamwound minfectionmwhosemWBCmism8,500mmm3
Answer:m1
Rationale:mThemnursemmust mdecidemwhichmclient mshould mbemseenmonmtheminitialmroundsmof mt
hemday.mThemnursemmust mremembermthat mthemfirst mclient mtombemseenmshould mbemthemc
lient mwhomneedsmthemattentionmof mthemnurseminitially.mA mclient mwithmhepatitismAmdoe
smexperiencemdiarrhea,mbut mdiarrheamformthemlast m24mhoursmcould mcausemthemclient mt
omhavemamproblemmwithmdehydrationmand mexperiencemamstatemof mfluid mvolumemdefic
it.
MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Care, 4th E
m m m m m m m m
dition Priscilla LeMon
m Full file at http://testbankinstant.CH/
m mmmmmmmmmmmmmm m m m
Test-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-
m
4th-Edition-Priscilla- LeMone- m
scilla LeMon
m
download full file at http://testbankinstant.com
m m m m
, CognitivemLevel:mApplication
Client mNeeds:mSafe,mEffectivemCaremEnvironme
nt mNursingmProcess:mPlanning
2. Themnursemismpreparingmtomadministerminfluenzamvaccinesmtomammassmdrive-
throughmclinic.mWhichmstatement mbymamclient mwould mindicatemfurthermquestioningmpriormtom
givingmthemclient mtheminfluenzamvaccine?
1. “I mammallergicmtomhorsemhair.”
2. “I mtrymtomget mmymvaccinemeverymyear.”
3. “I mammnot mallergicmtomanythingmexcept meggs.”
4. “Mymhusband mhad mamseveremallergicmreactionmaftermhemreceived mhisminfluen
zamvaccine.”
Answer:m3
Rationale:mInfluenzamvaccinesmaremrecommended mformpersonmat mhighmriskmformseriousmseq
uelaemof minfluenza.mThemnursemshould mbemawaremthat mclient mwithmamsensitivitymtomeg
gsmshould mnot mreceivemthemvaccine.mVaccinesmprepared mfrommchickenmormduckmem
bryosmaremcontraindicated minmclientsmwhomaremallergicmtomeggs.
CognitivemLevel:mApplication
MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Care, 4th E
m m m m m m m m
dition Priscilla LeMon
m mFull file at http://testbankinstant.CH/
mmmmmmmmmmmmmm m m m
Test-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-
m
4th-Edition-Priscilla- LeMone- m
scilla LeMon
m
download full file at http://testbankinstant.com
m m m m
, Client mNeeds:mSafe,mEffectivemCaremEnvironme
nt mNursingmProcess:mAssessment
3. Themnursemismcaringmformfourmclientsmonmammedical–
surgicalmunit.mThemsecretarymgivesmthemnursemthemmorningmlabs.mWhichmof mthemfollowingml
absmwould mrequiremthat mthemnursemcallmthemphysicianmand minformmthemhealthcaremproviderm
about mthemclient’smabnormalities?
1.m WBCm14,600mmm3
2. Serummproteinm6.9mg/dL
3. I m&mDm(incisionmand mdrainage)mshowingmnomgrowthmformthemlast m24mhours
4. Albuminm4.2mg/dL
Answer:m1
Rationale:mWhenmthemnursemismcaringmformseveralmclients,mallmof mthemlabsmshould mbemchecked m
frequentlymthroughout mthemshift mtomassessmformanymabnormalities.mThemWBCminmoptionm1mism
abnormal.m(NormalmWBCm4,000–
10,000mmm3 .)mAllmof mthemothermlabmresultsmaremwithinmacceptablemrange;mtherefore,mthemresu
ltsmshould mnot mbemcalled minmtomthemphysician.
CognitivemLevel:mApplicationmClie
nt mNeeds:mPhysiologicmIntegritymNu
rsingmProcess:mAssessment
4. Themnursemismorientingmamnew mgraduate.mThemnursem ismreinforcingmthem importancemo
f mstandard mprecautions.mWhichmof mthemfollowingmobservationsmbymthemnursemwould mreq
uiremfurthermeducationmregardingmstandard mprecautions?
1. Themgraduatemnursemunderstandsmtomwashmhandsmwhenmenteringmand mexiti
ngmthemclient’smroom.
2. Themgraduatemnursemwearsmglovesmwhenmservingmbreakfast mtraysmtomvario
usmclients.
3. Themgraduatemnursemwearsmamgown,mgloves,mand mgogglesmwhenmsuctionin
gmamclient.
4. Themgraduatemnursemleavesmallmsuppliesminmthemroommof mamclient mwhomis
minm
contact misolation.
MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Care, 4th E
m m m m m m m m
dition Priscilla LeMon
m m Full file at http://testbankinstant.CH/
mmmmmmmmmmmmmm m m m
Test-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-
m
4th-Edition-Priscilla- LeMone- m
scilla LeMon
m
download full file at http://testbankinstant.com
m m m m
, Answer:m2
Rationale:mThemnursemmust mhavemanmunderstandingmof mstandard mprecautions.mPreventionmi
smthemmost mimportant mmeasuremtomprevent mnosocomialminfections.mStandard mpreca
utionsmwerempublished minm1996mthat mprovidemguidelinesmformthemhandlingmof mblood
mand mothermbodymfluids.mThesemguidelinesmaremused mwithmallmclients,mregardlessm
of m
whethermtheymhavemamknownminfectiousmdisease.mStandard mprecautionsmaremused
MED SURG 250Test Bank for Medical-
m m m m m
Surgical Nursing Critical Thinking in Client Care, 4th E
m m m m m m m m
dition Priscilla LeMon
m m Full file at http://testbankinstant.CH/
mmmmmmmmmmmmmm m m m
Test-Bank-for-Medical-Surgical-Nursing-Critical-Thinking-in-Client-Care,-
m
4th-Edition-Priscilla- LeMone- m
scilla LeMon
m
download full file at http://testbankinstant.com
m m m m
