TEST BANK MEDICAL -
p p p
SURGICAL NURSING, 10TH EDITION, IGNATAVICIUS
p p p p p
Apnursepispcaringpforpseveralpclients.pWhichpclientpdoespthepnursepassess
pmostpcarefullypforphyperkalemia?
a. clientpwithptypep2pdiabetesptakingpanporalpanti-diabeticpagent
b. clientpwithpheartpfailurepusingpapsaltpsubstitute
c. clientptakingpapthiazidepdiureticpforphypertension
d. clientptakingpnon-steroidalpanti-inflammatorypdrugspdailyp-pANS-B
Manypsaltpsubstitutesparepcomposedpofppotassiumpchloride.pHeavypusepc
napcontributeptopthepdevelopmentpofphyperkalemia.pThepclientpshouldpbe
ptaughtptopreadplabelspandptopchoosepapsaltpsubstitutepthatpdoespnotpcon
tainppotassium.pNSAIDsppromotepthepretentionpofpsodiumpbutpnotppotass
ium.
Anpolderpadultpclientppresentspwithpsignspandpsymptomsprelatedptopdigpto
xicity.pWhichpageprelatedpchangepmayphavepcontributedptopthispproblem?
a. decreasedprenalpbloodpflow
b. increasedpgastrointestinalpmotility
c. decreasedpratiopofpadiposeptissueptopleanpbodypmass
d. increasedptotalpbodypwaterp-pANS-A
Decreasedprenalpbloodpflowpandpreducedpglomerularpfiltrationpcanpresul
tpinpslowerpmedicationpexcretionptime,ppotentiallypleadingptoptoxicpdrugp
accumulation.pAgingpresultspinpdecreasedptotalpbodypwaterpandpgastroi
ntestinalpmotilitypandpanpincreasepinpthepratiopofpadiposeptissueptopleanp
bodypmass,pbutpispnotprelatedptopdigptoxicity.
Apclientpispbeingptreatedpforpdehydration.pWhichpstatementpmadepbypthep
clientpindicatespunderstandingpofpthispcondition?
a. Ipwillpusepapsaltpsubstitutepwhenpmakingpandpeatingpmypmeals.
b. Ipmustpdrinkpapquartpofpwaterporpotherpliquidpeachpday.
,c. Ipwillpnotpdrinkpliquidspafterp6pPMpsopIpwon'tphaveptopgetpuppatpnight.
d. IpwillpweighpmyselfpeachpmorningpbeforepIpeatporpdrink.p-pANS-D
,Whenpdescribingppatientpeducationpapproaches,pthepnursepeducatorpwo
uldpexplainpthatpinformalpteachingpispanpapproachpthat
a. followspformalizedpplans
b. haspstandardizedpcontent
c. oftenpoccurspone-to-one
d. addressespgrouppneedsp-pANS-
C.pInformalpteachingpispindividualizedponeponponepteachingpwhichprepres
entspthepmajoritypofppatientpeducationpdonepbypnursespthatpoccurspwhen
panpinterventionpispexplainedporpapquestionpispanswered.pGrouppneedspar
epoftenpthepfocuspofpformalppatientpeducationpcoursesporpclasses.pInform
alpteachingpdoespnotpnecessarilypfollowpapspecificpformalizedpplan.pItpma
ypbepplannedpwithpspecificpcontent,pbutpitpispindividualizedpresponsesptop
patientpneeds.pFormalpteachingpinvolvespthepusepofpapcurriculum/coursep
planpwithpstandardizedpcontent.
Appatientpexpressespapstrongpinterestpinpreturningptoptheirpwork,pfamily,p
andphobbiespafterphavingpapstroke.pWhichptheoryptypepwouldpthepnursepu
septopdeveloppapplanpofpcarepforpthepbestpresultspofpthisppatient'spmotivat
ionpstyle?
a. field
b. biological
c. cognitive
d. sociologicp-pANS-
C.pCognitiveptheoristspbelievepthatpattention,prelevance,pconfidence,pan
dpsatisfactionp(ARCS)parepthepconditionspthat,pwhenpintegrated,pmotivat
epsomeoneptoplearn.pFieldptheoristspplacepsignificanceponphowpachievem
ent,ppower,pthepneedpforpaffiliation,pandpavoidancepmotivespinfluencepind
ividualpbehavior.pSociologicptheoriesparepnotpinvolvedpinpmotivation.
Thepnursepispassessingpapgrouppofpclients.pWhichpclientsparepatpgreaterpri
skpforphypothermiaporpfrostbite?p(selectpallpthatpapply)
a. anpolderpwomanpwithphypertension
b. apyoungpmanpwithpapbodypmasspindexpofp42
c. apyoungpmanypwhophaspjustpconsumedpsixpmartinis
d. anpolderpmanpwhopsmokespappackpofpcigarettespapday
, e. apyoungpwomanpwhopispanorexic
f. apyoungpwomanpwhopispdiabeticp-pANS-C,pD,pE,pF
clientspwithppoorpnutrition,pfatigue,pandpmultiplepchronicpillnessesparepat
pgreaterpriskpforphypothermia.pClientspwhopsmoke,pconsumepalcohol,porph
avepimpairedpperipheralpcirculationphavepaphigherpincidencepofpfrostbite.
Whichpstatementpmadepbypapnurseprepresentspthepneedpforpfurtherpeduca
tionpregardingppainpmanagementpinpolderpadultpclients?
a. olderpadultsptendptopreportppainplesspoftenpthanpyoungerpadults
b. olderpclientspusuallyphavepmorepexperiencepwithppainpthanpyoungerp
clients
c. olderpadultsparepatpgreatestpriskpforpunderptreatedppain
d. olderpclientsphavepapdifferentppainpmechanismpandpdopnotpfeelpitpasp
muchp-pANS-D
Therepispnopevidenceptopsupportpthepideapthatpolderpadultpclientspperceiv
eppainpanypdifferentlypthanpyoungerpclients.pThepotherpstatementsparepac
curatepregardingpolderpclientspandppain.
Thepnursepispworkingpatpapfirstpaidpboothpforpapspringptrainingpgameponpap
hotpday.pApspectatorpcomespin,preportingpthatphepispnotpfeelingpwell.pVit
alpsignspareptempp104.1pF,ppulsep132pBPM,prespirsp26pbreaths/min,pandp
bloodppressurep106/66pmmpHg.pHeptripspoverphispfeetpaspthepnursepleads
phimptopapcot.pWhatpisptheppriorypactionpofpthepnurse?
a. adminptylenolp650pmgporally
b. encourageprest,pandpreassesspinp15pminutes
c. spongepthepvictimpwithpcoolpwaterpandpremovephispshirt
d. encouragepdrinkingpofpcoolpwaterporpsportspdrinkp-pANS-C
Thepspectatorpshowspsignspofpheatpstroke,pwhichpispapmedicalpemergenc
y.pThepspectatorpshouldpbeptransportedptopthepEDpASAP.pThepnurspshouldp
takepactionsptoplowerphispbodyptemppinptehpmeantimepbypremovingphispsh
irtpandpspongingphispbodypwithpcoolpwater.pLoweringpbodyptemppbypdrinki
ngpcoolpfluidsporptakingpacetaminophenpispnotpas
p p p
SURGICAL NURSING, 10TH EDITION, IGNATAVICIUS
p p p p p
Apnursepispcaringpforpseveralpclients.pWhichpclientpdoespthepnursepassess
pmostpcarefullypforphyperkalemia?
a. clientpwithptypep2pdiabetesptakingpanporalpanti-diabeticpagent
b. clientpwithpheartpfailurepusingpapsaltpsubstitute
c. clientptakingpapthiazidepdiureticpforphypertension
d. clientptakingpnon-steroidalpanti-inflammatorypdrugspdailyp-pANS-B
Manypsaltpsubstitutesparepcomposedpofppotassiumpchloride.pHeavypusepc
napcontributeptopthepdevelopmentpofphyperkalemia.pThepclientpshouldpbe
ptaughtptopreadplabelspandptopchoosepapsaltpsubstitutepthatpdoespnotpcon
tainppotassium.pNSAIDsppromotepthepretentionpofpsodiumpbutpnotppotass
ium.
Anpolderpadultpclientppresentspwithpsignspandpsymptomsprelatedptopdigpto
xicity.pWhichpageprelatedpchangepmayphavepcontributedptopthispproblem?
a. decreasedprenalpbloodpflow
b. increasedpgastrointestinalpmotility
c. decreasedpratiopofpadiposeptissueptopleanpbodypmass
d. increasedptotalpbodypwaterp-pANS-A
Decreasedprenalpbloodpflowpandpreducedpglomerularpfiltrationpcanpresul
tpinpslowerpmedicationpexcretionptime,ppotentiallypleadingptoptoxicpdrugp
accumulation.pAgingpresultspinpdecreasedptotalpbodypwaterpandpgastroi
ntestinalpmotilitypandpanpincreasepinpthepratiopofpadiposeptissueptopleanp
bodypmass,pbutpispnotprelatedptopdigptoxicity.
Apclientpispbeingptreatedpforpdehydration.pWhichpstatementpmadepbypthep
clientpindicatespunderstandingpofpthispcondition?
a. Ipwillpusepapsaltpsubstitutepwhenpmakingpandpeatingpmypmeals.
b. Ipmustpdrinkpapquartpofpwaterporpotherpliquidpeachpday.
,c. Ipwillpnotpdrinkpliquidspafterp6pPMpsopIpwon'tphaveptopgetpuppatpnight.
d. IpwillpweighpmyselfpeachpmorningpbeforepIpeatporpdrink.p-pANS-D
,Whenpdescribingppatientpeducationpapproaches,pthepnursepeducatorpwo
uldpexplainpthatpinformalpteachingpispanpapproachpthat
a. followspformalizedpplans
b. haspstandardizedpcontent
c. oftenpoccurspone-to-one
d. addressespgrouppneedsp-pANS-
C.pInformalpteachingpispindividualizedponeponponepteachingpwhichprepres
entspthepmajoritypofppatientpeducationpdonepbypnursespthatpoccurspwhen
panpinterventionpispexplainedporpapquestionpispanswered.pGrouppneedspar
epoftenpthepfocuspofpformalppatientpeducationpcoursesporpclasses.pInform
alpteachingpdoespnotpnecessarilypfollowpapspecificpformalizedpplan.pItpma
ypbepplannedpwithpspecificpcontent,pbutpitpispindividualizedpresponsesptop
patientpneeds.pFormalpteachingpinvolvespthepusepofpapcurriculum/coursep
planpwithpstandardizedpcontent.
Appatientpexpressespapstrongpinterestpinpreturningptoptheirpwork,pfamily,p
andphobbiespafterphavingpapstroke.pWhichptheoryptypepwouldpthepnursepu
septopdeveloppapplanpofpcarepforpthepbestpresultspofpthisppatient'spmotivat
ionpstyle?
a. field
b. biological
c. cognitive
d. sociologicp-pANS-
C.pCognitiveptheoristspbelievepthatpattention,prelevance,pconfidence,pan
dpsatisfactionp(ARCS)parepthepconditionspthat,pwhenpintegrated,pmotivat
epsomeoneptoplearn.pFieldptheoristspplacepsignificanceponphowpachievem
ent,ppower,pthepneedpforpaffiliation,pandpavoidancepmotivespinfluencepind
ividualpbehavior.pSociologicptheoriesparepnotpinvolvedpinpmotivation.
Thepnursepispassessingpapgrouppofpclients.pWhichpclientsparepatpgreaterpri
skpforphypothermiaporpfrostbite?p(selectpallpthatpapply)
a. anpolderpwomanpwithphypertension
b. apyoungpmanpwithpapbodypmasspindexpofp42
c. apyoungpmanypwhophaspjustpconsumedpsixpmartinis
d. anpolderpmanpwhopsmokespappackpofpcigarettespapday
, e. apyoungpwomanpwhopispanorexic
f. apyoungpwomanpwhopispdiabeticp-pANS-C,pD,pE,pF
clientspwithppoorpnutrition,pfatigue,pandpmultiplepchronicpillnessesparepat
pgreaterpriskpforphypothermia.pClientspwhopsmoke,pconsumepalcohol,porph
avepimpairedpperipheralpcirculationphavepaphigherpincidencepofpfrostbite.
Whichpstatementpmadepbypapnurseprepresentspthepneedpforpfurtherpeduca
tionpregardingppainpmanagementpinpolderpadultpclients?
a. olderpadultsptendptopreportppainplesspoftenpthanpyoungerpadults
b. olderpclientspusuallyphavepmorepexperiencepwithppainpthanpyoungerp
clients
c. olderpadultsparepatpgreatestpriskpforpunderptreatedppain
d. olderpclientsphavepapdifferentppainpmechanismpandpdopnotpfeelpitpasp
muchp-pANS-D
Therepispnopevidenceptopsupportpthepideapthatpolderpadultpclientspperceiv
eppainpanypdifferentlypthanpyoungerpclients.pThepotherpstatementsparepac
curatepregardingpolderpclientspandppain.
Thepnursepispworkingpatpapfirstpaidpboothpforpapspringptrainingpgameponpap
hotpday.pApspectatorpcomespin,preportingpthatphepispnotpfeelingpwell.pVit
alpsignspareptempp104.1pF,ppulsep132pBPM,prespirsp26pbreaths/min,pandp
bloodppressurep106/66pmmpHg.pHeptripspoverphispfeetpaspthepnursepleads
phimptopapcot.pWhatpisptheppriorypactionpofpthepnurse?
a. adminptylenolp650pmgporally
b. encourageprest,pandpreassesspinp15pminutes
c. spongepthepvictimpwithpcoolpwaterpandpremovephispshirt
d. encouragepdrinkingpofpcoolpwaterporpsportspdrinkp-pANS-C
Thepspectatorpshowspsignspofpheatpstroke,pwhichpispapmedicalpemergenc
y.pThepspectatorpshouldpbeptransportedptopthepEDpASAP.pThepnurspshouldp
takepactionsptoplowerphispbodyptemppinptehpmeantimepbypremovingphispsh
irtpandpspongingphispbodypwithpcoolpwater.pLoweringpbodyptemppbypdrinki
ngpcoolpfluidsporptakingpacetaminophenpispnotpas
