Test Bank For Critical Thinking, 10th Edition All Chapters - 9781260241020.pdf

2023 TEST BANK N N




Medical-Surgical Nursing Critical Thinking N N N




Test Bank for Medical- N N N




Surgical Nursing Critical Thinking in Client N NN N N N N




Care, 6th Edition Priscilla LeMon (342 pages
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)



Chapter 1 N




1. The nurse is caring for four clients on a medical–
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surgical unit. Which client should the nurse see initially?
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1. A client admitted with hepatitis A who has had severe diarrhea for the last 24
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Nhours
2. A client admitted with pneumonia who has small amounts of yellow productive
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Nsputum
3. A client admitted with a fever of unknown origin (FUO) who has been without
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Nfever for the last 48 hours
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4. A client admitted with a wound infection whose WBC is 8,500 mm3
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Answer: 1
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Rationale: The nurse must decide which client should be seen on the initial rounds of t
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he day. The nurse must remember that the first client to be seen should be the client wh
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o needs the attention of the nurse initially. A client with hepatitis A does experience dia
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rrhea, but diarrhea for the last 24 hours could cause the client to have a problem with de
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,hydration and experience a state of fluid volume deficit.
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,Cognitive Level: Application N N


Client Needs: Safe, Effective Care Environment Nursing Process: Planning
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2. The nurse is preparing to administer influenza vaccines to a mass drive-
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through clinic. Which statement by a client would indicate further questioning prior t
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o giving the client the influenza vaccine?
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1. “I am allergic to horse hair.”
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2. “I try to get my vaccine every year.”
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3. “I am not allergic to anything except eggs.”
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4. “My husband had a severe allergic reaction after he received his influenza
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Nvaccine.”

Answer: 3 N




Rationale: Influenza vaccines are recommended for persons at high risk for serious sequ
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elae of influenza. The nurse should be aware that client with a sensitivity to eggs should
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not receive the vaccine. Vaccines prepared from chicken or duck embryos are contraindi
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cated in clients who are allergic to eggs.
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Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4th Edition Priscilla LeMon
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Cognitive Level: Application N N


Client Needs: Safe, Effective Care Environment Nursing Process: Assessment
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3. The nurse is caring for four clients on a medical–
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surgical unit. The secretary gives the nurse the morning labs. Which of the followin
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g labs would require that the nurse call the physician and inform the healthcare prov
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ider about the client’s abnormalities?
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1. WBC 14,600 mm3 N N


2. Serum protein 6.9 g/dL N N N


3. I & D (incision and drainage) showing no growth for the last 24 hours
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4. Albumin 4.2 g/dL N N




Answer: 1 N




Rationale: When the nurse is caring for several clients, all of the labs should be checked
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, frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is a
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bnormal. (Normal WBC 4,000– N N N


10,000 mm3.) All of the other lab results are within acceptable range; therefore, the resu
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lts should not be called in to the physician.
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Cognitive Level: Application Client Needs: Physiologic Integrity Nursing Process: Asse
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ssment


4.
The nurse is orienting a new graduate. The nurse is reinforcing the importance of
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Nstandard precautions. Which of the following observations by the nurse would require
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further education regarding standard precautions?
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1. The graduate nurse understands to wash hands when entering and exiting the
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Nclient’s room. N


2. The graduate nurse wears gloves when serving breakfast trays to various clients.
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3. The graduate nurse wears a gown, gloves, and goggles when suctioning a client.
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4. The graduate nurse leaves all supplies in the room of a client who is in contact
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Nisolation.

Answer: 2 N




Rationale: The nurse must have an understanding of standard precautions. Prevention is
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Nthe most important measure to prevent nosocomial infections. Standard precautions we
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re published in 1996 that provide guidelines for the handling of
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blood and other body fluids. These guidelines are used with all clients, regardless of w
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hether they have a known infectious disease. Standard precautions are used by all healt
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hcare workers who have direct contact with clients or with their body fluids. It is not ne
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cessary for the nurse to wear gloves while delivering food trays to the client, because t
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here is not contact with the client.
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Cognitive Level: Application N N


Client Needs: Safe, Effective Care Environment Nursing Process: Evaluation
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5. The admitting department alerts the nurse on a medical–
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surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. W
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hich type of isolation is appropriate based on the client’s diagnosis?
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