Test Bank for Medical-Surgical Nursing Critical Thinking in Client Care, 4th Edition Priscilla LeMone

MED SURG 250Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Car
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e, 4th Edition Priscilla LeMon
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Chapterg1


1. Thegnursegisgcaringgforgfourgclientsgongagmedical–
surgicalgunit.gWhichgclientgshouldgthegnursegseeginitially?

1. AgclientgadmittedgwithghepatitisgAgwhoghasghadgseveregdiarrheagforgthegla
stg24ghours
2. Agclientgadmittedgwithgpneumoniagwhogisghasgsmallgamountsgofgyello
wgproductivegsputum
3. Agclientgadmittedgwithgfevergofgunknowngoriging(FUO)gwhoghasgbee
ngwithoutgfevergforgtheglastg48ghours
4. AgclientgadmittedgwithgagwoundginfectiongwhosegWBCgisg8,500gmm3

Answer:g1

Rationale:gThegnursegmustgdecidegwhichgclientgshouldgbegseengongtheginitialgroundsgofgth
egday.gThegnursegmustgremembergthatgthegfirstgclientgtogbegseengshouldgbegthegclie
ntgwhogneedsgthegattentiongofgthegnurseginitially.gAgclientgwithghepatitisgAgdoesge
xperiencegdiarrhea,gbutgdiarrheagforgtheglastg24ghoursgcouldgcausegthegclientgtogha
vegagproblemgwithgdehydrationgandgexperiencegagstategofgfluidgvolumegdeficit.

CognitivegLevel:gApplication

MED SURG 250Test Bank for Medical-
g g g g g

Surgical Nursing Critical Thinking in Client Care, 4th Ed
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ition Priscilla LeMon
g gFull file at http://testbankinstant.CH/Tes
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t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com

, ClientgNeeds:gSafe,gEffectivegCaregEnvironmen
tgNursinggProcess:gPlanning


2. Thegnursegisgpreparinggtogadministerginfluenzagvaccinesgtogagmassgdrive-
throughgclinic.gWhichgstatementgbygagclientgwouldgindicategfurthergquestioninggpriorgtog
givinggthegclientgtheginfluenzagvaccine?

1. “Igamgallergicgtoghorseghair.”
2. “Igtrygtoggetgmygvaccinegeverygyear.”
3. “Igamgnotgallergicgtoganythinggexceptgeggs.”
4. “Myghusbandghadgagseveregallergicgreactiongafterghegreceivedghisginfluenz
agvaccine.”

Answer:g3

Rationale:gInfluenzagvaccinesgaregrecommendedgforgpersongatghighgriskgforgseriousgsequ
elaegofginfluenza.gThegnursegshouldgbegawaregthatgclientgwithgagsensitivitygtogeggs
gshouldgnotgreceivegthegvaccine.gVaccinesgpreparedgfromgchickengorgduckgembry
osgaregcontraindicatedgingclientsgwhogaregallergicgtogeggs.

CognitivegLevel:gApplication




MED SURG 250Test Bank for Medical-
g g g g g

Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g

ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g

t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com

, ClientgNeeds:gSafe,gEffectivegCaregEnvironmen
tgNursinggProcess:gAssessment


3. Thegnursegisgcaringgforgfourgclientsgongagmedical–
surgicalgunit.gThegsecretaryggivesgthegnursegthegmorningglabs.gWhichgofgthegfollowinggla
bsgwouldgrequiregthatgthegnursegcallgthegphysiciangandginformgtheghealthcaregprovidergab
outgthegclient’sgabnormalities?

1.g WBCg14,600gmm3
2. Serumgproteing6.9gg/dL
3. Ig&gDg(incisiongandgdrainage)gshowinggnoggrowthgforgtheglastg24ghours
4. Albuming4.2gg/dL

Answer:g1

Rationale:gWhengthegnursegisgcaringgforgseveralgclients,gallgofgtheglabsgshouldgbegcheckedgfr
equentlygthroughoutgthegshiftgtogassessgforganygabnormalities.gThegWBCgingoptiong1gisgab
normal.g(NormalgWBCg4,000–
10,000gmm3.)gAllgofgthegotherglabgresultsgaregwithingacceptablegrange;gtherefore,gthegresult
sgshouldgnotgbegcalledgingtogthegphysician.

CognitivegLevel:gApplicationgClie
ntgNeeds:gPhysiologicgIntegritygNur
singgProcess:gAssessment


4. Thegnursegisgorientinggagnewggraduate.gThegnursegisgreinforcinggthegimportancegofg
standardgprecautions.gWhichgofgthegfollowinggobservationsgbygthegnursegwouldgrequir
egfurthergeducationgregardinggstandardgprecautions?

1. Theggraduategnursegunderstandsgtogwashghandsgwhengenteringgandgexitin
ggthegclient’sgroom.
2. Theggraduategnursegwearsgglovesgwhengservinggbreakfastgtraysgtogvariou
sgclients.
3. Theggraduategnursegwearsgaggown,ggloves,gandggogglesgwhengsuctioning
gagclient.
4. Theggraduategnursegleavesgallgsuppliesgingthegroomgofgagclientgwhogisg
ingcontactgisolation.

MED SURG 250Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g

ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g

t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com

, Answer:g2

Rationale:gThegnursegmustghavegangunderstandinggofgstandardgprecautions.gPreventiongis
gthegmostgimportantgmeasuregtogpreventgnosocomialginfections.gStandardgprecauti
onsgweregpublishedging1996gthatgprovidegguidelinesgforgtheghandlinggofgbloodgan
dgothergbodygfluids.gThesegguidelinesgaregusedgwithgallgclients,gregardlessgofgwhet
hergtheyghavegagknownginfectiousgdisease.gStandardgprecautionsgaregused




MED SURG 250Test Bank for Medical-
g g g g g

Surgical Nursing Critical Thinking in Client Care, 4th Ed
g g g g g g g g

ition Priscilla LeMon
g g Full file at http://testbankinstant.CH/Tes
gggggggggggggg g g g

t-Bank-for-Medical-Surgical-gNursing-Critical-Thinking-in-Client-Care,-
4th-Edition-Priscilla-gLeMone-
scillagLeMon downloadgfullgfilegatghttp://testbankinstant.com