Test Bank for Understanding Medical-
57 57 57 57
Surgical Nursing 6th Edition Linda S. Willia
57 57 57 57 57 57
ms Paula D. Hopper
57 57 57
download57full57file57at57http://testbankinstant.
com
, Test Bank for Understanding Medical-
57 57 57 57
Surgical Nursing 6th Edition Linda S. Willia
57 57 57 57 57 57
ms Paula D. Hopper
57 57 57
download57full57file57at57http://testbankinstant.
com
, Test Bank for Understanding Medical-
57 57 57 57
Surgical Nursing 6th Edition Linda S. Willia
57 57 57 57 57 57
ms Paula D. Hopper 57 57 57
Chapter571
1. The57nurse57is57caring57for57four57clients57on57a57medical–
surgical57unit.57Which57client57should57the57nurse57see57initially?
1. A57client57admitted57with57hepatitis57A57who57has57had57severe57diarrhea57fo
r57the57last572457hours
2. A57client57admitted57with57pneumonia57who57is57has57small57amounts57of
57yellow57productive57sputum
3. A57client57admitted57with57fever57of57unknown57origin57(FUO)57who57h
as57been57without57fever57for57the57last574857hours
4. A57client57admitted57with57a57wound57infection57whose57WBC57is578,50057mm3
Answer:571
Rationale:57The57nurse57must57decide57which57client57should57be57seen57on57the57initial57rou
nds57of57the57day.57The57nurse57must57remember57that57the57first57client57to57be57see
n57should57be57the57client57who57needs57the57attention57of57the57nurse57initially.57A57
client57with57hepatitis57A57does57experience57diarrhea,57but57diarrhea57for57the57last
572457hours57could57cause57the57client57to57have57a57problem57with57dehydration57an
d57experience57a57state57of57fluid57volume57deficit.
Cognitive57Level:57Application
Client57Needs:57Safe,57Effective57Care57Environment57
Nursing57Process:57Planning
2. The57nurse57is57preparing57to57administer57influenza57vaccines57to57a57mass57drive-
through57clinic.57Which57statement57by57a57client57would57indicate57further57questioning57
prior57to57giving57the57client57the57influenza57vaccine?
1. ―I57am57allergic57to57horse57hair.‖
2. ―I57try57to57get57my57vaccine57every57year.‖
3. ―I57am57not57allergic57to57anything57except57eggs.‖
4. ―My57husband57had57a57severe57allergic57reaction57after57he57received57his57i
nfluenza57vaccine.‖
Answer:573
Rationale:57Influenza57vaccines57are57recommended57for57person57at57high57risk57for57serio
us57sequelae57of57influenza.57The57nurse57should57be57aware57that57client57with57a57s
ensitivity57to57eggs57should57not57receive57the57vaccine.57Vaccines57prepared57from
57chicken57or57duck57embryos57are57contraindicated57in57clients57who57are57allergic
57to57eggs.
Cognitive57Level:57Application
download57full57file57at57http://testbankinstant.
com
, Test Bank for Understanding Medical-
57 57 57 57
Surgical Nursing 6th Edition Linda S. Willia
57 57 57 57 57 57
ms Paula D. Hopper 57 57 57
Client57Needs:57Safe,57Effective57Care57Environment57
Nursing57Process:57Assessment
3. The57nurse57is57caring57for57four57clients57on57a57medical–
surgical57unit.57The57secretary57gives57the57nurse57the57morning57labs.57Which57of57the57foll
owing57labs57would57require57that57the57nurse57call57the57physician57and57inform57the57heal
thcare57provider57about57the57client‘s57abnormalities?
1. WBC5714,60057mm3
2. Serum57protein576.957g/dL
3. I57&57D57(incision57and57drainage)57showing57no57growth57for57the57last572457hou
rs
4. Albumin574.257g/dL
Answer:571
Rationale:57When57the57nurse57is57caring57for57several57clients,57all57of57the57labs57should57be57ch
ecked57frequently57throughout57the57shift57to57assess57for57any57abnormalities.57The57WBC57in57
option57157is57abnormal.57(Normal57WBC574,000–
10,00057mm3.)57All57of57the57other57lab57results57are57within57acceptable57range;57therefore,57th
e57results57should57not57be57called57in57to57the57physician.
Cognitive57Level:57Application57Cl
ient57Needs:57Physiologic57Integrity5
7Nursing57Process:57Assessment
4. The57nurse57is57orienting57a57new57graduate.57The57nurse57is57reinforcing57the57impor
tance57of57standard57precautions.57Which57of57the57following57observations57by57the57nu
rse57would57require57further57education57regarding57standard57precautions?
1. The57graduate57nurse57understands57to57wash57hands57when57entering57and5
7exiting57the57client‘s57room.
2. The57graduate57nurse57wears57gloves57when57serving57breakfast57trays57to57
various57clients.
3. The57graduate57nurse57wears57a57gown,57gloves,57and57goggles57when57sucti
oning57a57client.
4. The57graduate57nurse57leaves57all57supplies57in57the57room57of57a57client57
who57is57in57contact57isolation.
Answer:572
Rationale:57The57nurse57must57have57an57understanding57of57standard57precautions.57Preve
ntion57is57the57most57important57measure57to57prevent57nosocomial57infections.57St
andard57precautions57were57published57in57199657that57provide57guidelines57for57th
e57handling57of57blood57and57other57body57fluids.57These57guidelines57are57used57wit
download57full57file57at57http://testbankinstant.
com
57 57 57 57
Surgical Nursing 6th Edition Linda S. Willia
57 57 57 57 57 57
ms Paula D. Hopper
57 57 57
download57full57file57at57http://testbankinstant.
com
, Test Bank for Understanding Medical-
57 57 57 57
Surgical Nursing 6th Edition Linda S. Willia
57 57 57 57 57 57
ms Paula D. Hopper
57 57 57
download57full57file57at57http://testbankinstant.
com
, Test Bank for Understanding Medical-
57 57 57 57
Surgical Nursing 6th Edition Linda S. Willia
57 57 57 57 57 57
ms Paula D. Hopper 57 57 57
Chapter571
1. The57nurse57is57caring57for57four57clients57on57a57medical–
surgical57unit.57Which57client57should57the57nurse57see57initially?
1. A57client57admitted57with57hepatitis57A57who57has57had57severe57diarrhea57fo
r57the57last572457hours
2. A57client57admitted57with57pneumonia57who57is57has57small57amounts57of
57yellow57productive57sputum
3. A57client57admitted57with57fever57of57unknown57origin57(FUO)57who57h
as57been57without57fever57for57the57last574857hours
4. A57client57admitted57with57a57wound57infection57whose57WBC57is578,50057mm3
Answer:571
Rationale:57The57nurse57must57decide57which57client57should57be57seen57on57the57initial57rou
nds57of57the57day.57The57nurse57must57remember57that57the57first57client57to57be57see
n57should57be57the57client57who57needs57the57attention57of57the57nurse57initially.57A57
client57with57hepatitis57A57does57experience57diarrhea,57but57diarrhea57for57the57last
572457hours57could57cause57the57client57to57have57a57problem57with57dehydration57an
d57experience57a57state57of57fluid57volume57deficit.
Cognitive57Level:57Application
Client57Needs:57Safe,57Effective57Care57Environment57
Nursing57Process:57Planning
2. The57nurse57is57preparing57to57administer57influenza57vaccines57to57a57mass57drive-
through57clinic.57Which57statement57by57a57client57would57indicate57further57questioning57
prior57to57giving57the57client57the57influenza57vaccine?
1. ―I57am57allergic57to57horse57hair.‖
2. ―I57try57to57get57my57vaccine57every57year.‖
3. ―I57am57not57allergic57to57anything57except57eggs.‖
4. ―My57husband57had57a57severe57allergic57reaction57after57he57received57his57i
nfluenza57vaccine.‖
Answer:573
Rationale:57Influenza57vaccines57are57recommended57for57person57at57high57risk57for57serio
us57sequelae57of57influenza.57The57nurse57should57be57aware57that57client57with57a57s
ensitivity57to57eggs57should57not57receive57the57vaccine.57Vaccines57prepared57from
57chicken57or57duck57embryos57are57contraindicated57in57clients57who57are57allergic
57to57eggs.
Cognitive57Level:57Application
download57full57file57at57http://testbankinstant.
com
, Test Bank for Understanding Medical-
57 57 57 57
Surgical Nursing 6th Edition Linda S. Willia
57 57 57 57 57 57
ms Paula D. Hopper 57 57 57
Client57Needs:57Safe,57Effective57Care57Environment57
Nursing57Process:57Assessment
3. The57nurse57is57caring57for57four57clients57on57a57medical–
surgical57unit.57The57secretary57gives57the57nurse57the57morning57labs.57Which57of57the57foll
owing57labs57would57require57that57the57nurse57call57the57physician57and57inform57the57heal
thcare57provider57about57the57client‘s57abnormalities?
1. WBC5714,60057mm3
2. Serum57protein576.957g/dL
3. I57&57D57(incision57and57drainage)57showing57no57growth57for57the57last572457hou
rs
4. Albumin574.257g/dL
Answer:571
Rationale:57When57the57nurse57is57caring57for57several57clients,57all57of57the57labs57should57be57ch
ecked57frequently57throughout57the57shift57to57assess57for57any57abnormalities.57The57WBC57in57
option57157is57abnormal.57(Normal57WBC574,000–
10,00057mm3.)57All57of57the57other57lab57results57are57within57acceptable57range;57therefore,57th
e57results57should57not57be57called57in57to57the57physician.
Cognitive57Level:57Application57Cl
ient57Needs:57Physiologic57Integrity5
7Nursing57Process:57Assessment
4. The57nurse57is57orienting57a57new57graduate.57The57nurse57is57reinforcing57the57impor
tance57of57standard57precautions.57Which57of57the57following57observations57by57the57nu
rse57would57require57further57education57regarding57standard57precautions?
1. The57graduate57nurse57understands57to57wash57hands57when57entering57and5
7exiting57the57client‘s57room.
2. The57graduate57nurse57wears57gloves57when57serving57breakfast57trays57to57
various57clients.
3. The57graduate57nurse57wears57a57gown,57gloves,57and57goggles57when57sucti
oning57a57client.
4. The57graduate57nurse57leaves57all57supplies57in57the57room57of57a57client57
who57is57in57contact57isolation.
Answer:572
Rationale:57The57nurse57must57have57an57understanding57of57standard57precautions.57Preve
ntion57is57the57most57important57measure57to57prevent57nosocomial57infections.57St
andard57precautions57were57published57in57199657that57provide57guidelines57for57th
e57handling57of57blood57and57other57body57fluids.57These57guidelines57are57used57wit
download57full57file57at57http://testbankinstant.
com
