TESTBANK FOR LEMONE & BURKE’S
u u u u
MEDICAL- SURGICAL NURSING: CLINICAL
u u u u
REASONING IN HOSPITAL CLIENT CARE
u u u u u
7TH EDITION/ALL CHAPTERS 1-52
u u u u
,Chapter 1 u
1. The ucaregiver uis ucaring ufor ufour uHospital uclients uon ua umedical–surgical uunit.
uWhichuHospital uclient u should uthe ucaregiver usee u initially?
1. A uHospital uclient u admitted uwith uhepatitis uA uwho u has uhad usevere
udiarrhea ufor utheu
last u 24 uhours
2. A uHospital uclient u admitted uwith upneumonia uwho u is uhas usmall
uamounts uofuyellow uproductive usputum
3. A uHospital uclient u admitted uwith ufever uof uunknown uorigin
u(FUO) uwho uhasu been uwithout ufever u for uthe ulast u 48 uhours
4. A uHospital uclient uadmitted uwith ua uwound uinfection uwhose uWBC uis
u 8,500 umm3uACCURATE uANSWER:-1
Reasoning:->>>The ucaregiver umust udecide uwhich uHospital uclient u should ube useen uon
utheuinitial urounds uof uthe uday. uThe ucaregiver umust uremember uthat uthe ufirst
Hospital uclient uto ube useen ushould u be u the uHospital uclient uwho u needs uthe
uattention uof uthe ucaregiver uinitially. uA uHospital uclient uwith uhepatitis uA udoes
uexperience udiarrhea,u but udiarrhea ufor uthe ulast u24 uhours ucould ucause uthe
uHospital uclient uto uhave ua uproblem uwithudehydration uand uexperience ua ustate
uof ufluid u volume u deficit.
Cognitive uLevel: uApplication
Hospital uclient uNeeds: uSafe, uEffective uCare
uEnvironmentu Nursing uProcess: uPlanning
2. The ucaregiver uis upreparing uto uadminister uinfluenza uvaccines uto ua umass udrive-
uthrough uclinic. uWhich ustatement u by ua uHospital uclient u would uindicate ufurther
uquestioning uprior utou
giving uthe uHospital uclient uthe u influenza uvaccine?
1. “I uam uallergic uto uhorse uhair.”
2. “I utry uto uget umy uvaccine uevery uyear.”
3. “I uam unot uallergic uto uanything uexcept u eggs.”
4. “My uhusband uhad ua usevere uallergic ureaction uafter uhe ureceived uhis
uinfluenzau vaccine.”
ACCURATE uANSWER:-3
Reasoning:->>>Influenza uvaccines uare urecommended ufor uperson uat uhigh urisk ufor
userious usequelae uof uinfluenza. uThe ucaregiver ushould ube uaware uthat uHospital
uclient uwith uau
sensitivity uto ueggs ushould unot ureceive uthe uvaccine. uVaccines
uprepared ufrom uchicken uor uduck uembryos uare ucontraindicated uin uHospital
uclients uwho u are uallergic uto u eggs.
,Cognitive uLevel: uApplication
Hospital uclient uNeeds: uSafe, uEffective uCare
uEnvironmentu Nursing uProcess: uAssessment
3. The ucaregiver uis ucaring ufor ufour uHospital uclients uon ua umedical–surgical uunit. uThe
usecretary ugives uthe ucaregiver uthe umorning ulabs. uWhich uof uthe ufollowing ulabs uwould
urequire uthat uthe ucaregiver ucall uthe uphysician uand uinform uthe uhealthcare uprovider
uabout uthe uHospital uclient’s uabnormalities?
1. u WBC u14,600 umm3
2. Serum uprotein u6.9 ug/dL
3. I u& uD u(incision uand udrainage) ushowing uno u growth ufor uthe ulast u24 uhours
4. Albumin u4.2
g/dLuACCURATE uANSWER:-
u
1
Reasoning:->>>When uthe ucaregiver uis ucaring ufor useveral uHospital uclients, uall uof
uthe ulabs ushould ube uchecked ufrequently uthroughout uthe ushift uto uassess ufor uany
uabnormalities. uThe u WBC uin uoption u1 uis uabnormal. u(Normal uWBC u4,000–10,000
3
umm .) uAll uof uthe uother ulab u results uare uwithin uacceptable urange; utherefore, uthe
uresults ushould unot ube ucalled uin uto utheuphysician.
Cognitive uLevel:
uApplicationuHospital uclient
uNeeds: uPhysiologic
uIntegrity uNursing uProcess:
Assessment
4. The ucaregiver uis uorienting ua unew ugraduate. uThe ucaregiver uis ureinforcing
uthe uimportance uof ustandard uprecautions. uWhich uof uthe ufollowing
uobservations uby uthe ucaregiver uwould urequire ufurther ueducation uregarding
ustandard uprecautions?
1. The ugraduate ucaregiver uunderstands uto uwash uhands uwhen
entering uand uexiting uthe uHospital uclient’s uroom.
u
2. The ugraduate ucaregiver uwears ugloves uwhen userving ubreakfastutrays
uto uvarious uHospital uclients.
3. The ugraduate ucaregiver uwears ua ugown, ugloves, uand ugoggles uwhen
suctioning ua uHospital uclient.
u
4. The ugraduate ucaregiver uleaves uall usupplies u in uthe uroom uof ua
Hospital uclient u who uis uin ucontact uisolation.
u
, ACCURATE uANSWER:-2
Reasoning:->>>The ucaregiver umust uhave uan uunderstanding uof ustandard uprecautions.
uPrevention uis uthe umost uimportant umeasure uto uprevent unosocomial uinfections.
uStandard uprecautions uwere upublished uin u1996 uthat uprovide uguidelines
for uthe uhandling uof ublood uand uother ubody ufluids. uThese uguidelines uare uused
uwith uall uHospital uclients, uregardless uof uwhether uthey uhave ua uknown uinfectious
udisease. uStandardu precautions uare uused
by uall uhealthcare uworkers uwho uhave udirect ucontact uwith uHospital uclients uor
uwith utheir ubody ufluids. uIt uis unot unecessary ufor u the ucaregiver uto uwear ugloves
uwhile udelivering u food utrays uto uthe uHospital u client, ubecause uthere u is unot
ucontact uwith uthe uHospital uclient.
Cognitive uLevel: uApplication
Hospital uclient uNeeds: uSafe, uEffective uCare
uEnvironmentu Nursing uProcess: uEvaluation
5. The uadmitting udepartment ualerts uthe ucaregiver uon ua umedical–surgical uunit uthatua
uHospital uclient uwith uactive utuberculosis u(TB) uis ubeing uadmitted uto uthe uunit. uWhich
utype uof uisolation uis uappropriate ubased uon uthe uHospital uclient’s udiagnosis?
1. Standard uprecautions
2. Airborne uprecautions
3. Droplet uprecautions
4. Contact
u precautionsuACCURATE
u ANSWER:-2
Reasoning:->>>In uaddition uto uhandwashing uand ustandard uprecautions, uthe unature uand
uspread uof usome uinfectious udiseases urequire uthat uspecial utechniques ube uused uto uprotect
uuninfected uHospital uclients uand uworkers. uThe uHospital uclient uwith upulmonary
utuberculosis uwill ube uplaced uin uairborne uprecautions. uThe uHospital uclient ushould ube
uplaced uin ua uprivate uroom uwith uspecial uventilation uthat u does unot uallow uair uto u circulate
uto u general uhealth ucenter uventilation; ua umaskuor uspecial ufilter urespirators uwill ube uused
u for ueveryone uentering uthe uroom.
Cognitive uLevel: uApplication
Hospital uclient uNeeds: uSafe, uEffective uCare
uEnvironmentu Nursing uProcess: uAssessment
6. A uHospital uclient uis ureceiving uIV uvancomycin ufor uthe utreatment uof
uClostridium udifficile.uThe ucaregiver uunderstands uthat uthe uHospital uclient uwho
udevelops uflushing, utachycardia, uand uhypotension uduring uthe u infusion uof
u u u u
MEDICAL- SURGICAL NURSING: CLINICAL
u u u u
REASONING IN HOSPITAL CLIENT CARE
u u u u u
7TH EDITION/ALL CHAPTERS 1-52
u u u u
,Chapter 1 u
1. The ucaregiver uis ucaring ufor ufour uHospital uclients uon ua umedical–surgical uunit.
uWhichuHospital uclient u should uthe ucaregiver usee u initially?
1. A uHospital uclient u admitted uwith uhepatitis uA uwho u has uhad usevere
udiarrhea ufor utheu
last u 24 uhours
2. A uHospital uclient u admitted uwith upneumonia uwho u is uhas usmall
uamounts uofuyellow uproductive usputum
3. A uHospital uclient u admitted uwith ufever uof uunknown uorigin
u(FUO) uwho uhasu been uwithout ufever u for uthe ulast u 48 uhours
4. A uHospital uclient uadmitted uwith ua uwound uinfection uwhose uWBC uis
u 8,500 umm3uACCURATE uANSWER:-1
Reasoning:->>>The ucaregiver umust udecide uwhich uHospital uclient u should ube useen uon
utheuinitial urounds uof uthe uday. uThe ucaregiver umust uremember uthat uthe ufirst
Hospital uclient uto ube useen ushould u be u the uHospital uclient uwho u needs uthe
uattention uof uthe ucaregiver uinitially. uA uHospital uclient uwith uhepatitis uA udoes
uexperience udiarrhea,u but udiarrhea ufor uthe ulast u24 uhours ucould ucause uthe
uHospital uclient uto uhave ua uproblem uwithudehydration uand uexperience ua ustate
uof ufluid u volume u deficit.
Cognitive uLevel: uApplication
Hospital uclient uNeeds: uSafe, uEffective uCare
uEnvironmentu Nursing uProcess: uPlanning
2. The ucaregiver uis upreparing uto uadminister uinfluenza uvaccines uto ua umass udrive-
uthrough uclinic. uWhich ustatement u by ua uHospital uclient u would uindicate ufurther
uquestioning uprior utou
giving uthe uHospital uclient uthe u influenza uvaccine?
1. “I uam uallergic uto uhorse uhair.”
2. “I utry uto uget umy uvaccine uevery uyear.”
3. “I uam unot uallergic uto uanything uexcept u eggs.”
4. “My uhusband uhad ua usevere uallergic ureaction uafter uhe ureceived uhis
uinfluenzau vaccine.”
ACCURATE uANSWER:-3
Reasoning:->>>Influenza uvaccines uare urecommended ufor uperson uat uhigh urisk ufor
userious usequelae uof uinfluenza. uThe ucaregiver ushould ube uaware uthat uHospital
uclient uwith uau
sensitivity uto ueggs ushould unot ureceive uthe uvaccine. uVaccines
uprepared ufrom uchicken uor uduck uembryos uare ucontraindicated uin uHospital
uclients uwho u are uallergic uto u eggs.
,Cognitive uLevel: uApplication
Hospital uclient uNeeds: uSafe, uEffective uCare
uEnvironmentu Nursing uProcess: uAssessment
3. The ucaregiver uis ucaring ufor ufour uHospital uclients uon ua umedical–surgical uunit. uThe
usecretary ugives uthe ucaregiver uthe umorning ulabs. uWhich uof uthe ufollowing ulabs uwould
urequire uthat uthe ucaregiver ucall uthe uphysician uand uinform uthe uhealthcare uprovider
uabout uthe uHospital uclient’s uabnormalities?
1. u WBC u14,600 umm3
2. Serum uprotein u6.9 ug/dL
3. I u& uD u(incision uand udrainage) ushowing uno u growth ufor uthe ulast u24 uhours
4. Albumin u4.2
g/dLuACCURATE uANSWER:-
u
1
Reasoning:->>>When uthe ucaregiver uis ucaring ufor useveral uHospital uclients, uall uof
uthe ulabs ushould ube uchecked ufrequently uthroughout uthe ushift uto uassess ufor uany
uabnormalities. uThe u WBC uin uoption u1 uis uabnormal. u(Normal uWBC u4,000–10,000
3
umm .) uAll uof uthe uother ulab u results uare uwithin uacceptable urange; utherefore, uthe
uresults ushould unot ube ucalled uin uto utheuphysician.
Cognitive uLevel:
uApplicationuHospital uclient
uNeeds: uPhysiologic
uIntegrity uNursing uProcess:
Assessment
4. The ucaregiver uis uorienting ua unew ugraduate. uThe ucaregiver uis ureinforcing
uthe uimportance uof ustandard uprecautions. uWhich uof uthe ufollowing
uobservations uby uthe ucaregiver uwould urequire ufurther ueducation uregarding
ustandard uprecautions?
1. The ugraduate ucaregiver uunderstands uto uwash uhands uwhen
entering uand uexiting uthe uHospital uclient’s uroom.
u
2. The ugraduate ucaregiver uwears ugloves uwhen userving ubreakfastutrays
uto uvarious uHospital uclients.
3. The ugraduate ucaregiver uwears ua ugown, ugloves, uand ugoggles uwhen
suctioning ua uHospital uclient.
u
4. The ugraduate ucaregiver uleaves uall usupplies u in uthe uroom uof ua
Hospital uclient u who uis uin ucontact uisolation.
u
, ACCURATE uANSWER:-2
Reasoning:->>>The ucaregiver umust uhave uan uunderstanding uof ustandard uprecautions.
uPrevention uis uthe umost uimportant umeasure uto uprevent unosocomial uinfections.
uStandard uprecautions uwere upublished uin u1996 uthat uprovide uguidelines
for uthe uhandling uof ublood uand uother ubody ufluids. uThese uguidelines uare uused
uwith uall uHospital uclients, uregardless uof uwhether uthey uhave ua uknown uinfectious
udisease. uStandardu precautions uare uused
by uall uhealthcare uworkers uwho uhave udirect ucontact uwith uHospital uclients uor
uwith utheir ubody ufluids. uIt uis unot unecessary ufor u the ucaregiver uto uwear ugloves
uwhile udelivering u food utrays uto uthe uHospital u client, ubecause uthere u is unot
ucontact uwith uthe uHospital uclient.
Cognitive uLevel: uApplication
Hospital uclient uNeeds: uSafe, uEffective uCare
uEnvironmentu Nursing uProcess: uEvaluation
5. The uadmitting udepartment ualerts uthe ucaregiver uon ua umedical–surgical uunit uthatua
uHospital uclient uwith uactive utuberculosis u(TB) uis ubeing uadmitted uto uthe uunit. uWhich
utype uof uisolation uis uappropriate ubased uon uthe uHospital uclient’s udiagnosis?
1. Standard uprecautions
2. Airborne uprecautions
3. Droplet uprecautions
4. Contact
u precautionsuACCURATE
u ANSWER:-2
Reasoning:->>>In uaddition uto uhandwashing uand ustandard uprecautions, uthe unature uand
uspread uof usome uinfectious udiseases urequire uthat uspecial utechniques ube uused uto uprotect
uuninfected uHospital uclients uand uworkers. uThe uHospital uclient uwith upulmonary
utuberculosis uwill ube uplaced uin uairborne uprecautions. uThe uHospital uclient ushould ube
uplaced uin ua uprivate uroom uwith uspecial uventilation uthat u does unot uallow uair uto u circulate
uto u general uhealth ucenter uventilation; ua umaskuor uspecial ufilter urespirators uwill ube uused
u for ueveryone uentering uthe uroom.
Cognitive uLevel: uApplication
Hospital uclient uNeeds: uSafe, uEffective uCare
uEnvironmentu Nursing uProcess: uAssessment
6. A uHospital uclient uis ureceiving uIV uvancomycin ufor uthe utreatment uof
uClostridium udifficile.uThe ucaregiver uunderstands uthat uthe uHospital uclient uwho
udevelops uflushing, utachycardia, uand uhypotension uduring uthe u infusion uof
