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Surgical Nursing Critical Thinking in Client Care, 4th Edition P
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riscilla LeMon a aa
Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4t
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Chapteraa1
1. Theaanurseaaisaacaringaaforaafouraaclientsaaonaaaaamedical–
aasurgicalaaunit.aaWhichaaclientaashouldaathenurseaaseeaainitia
lly?
1. AaaclientaaadmittedaawithaahepatitisaaAaawhoaahasaahadaasevereaadiarrheaaaforaath
eaalastaa24aahours
2. Aaaclientaaadmittedaawithaapneumoniaaawhoaaisaahasaasmallaaamountsaaofaaye
llowaaproductiveaasputum
3. Aaaclientaaadmittedaawithaafever0ofaaunknownaaoriginaa(FUO)aawhoaahasaa
beenaawithoutaafeveraaforaatheaalastaa48aahours
4. AaaclientaaadmittedaawithaaaaawoundaainfectionaawhoseaaWBCaaisaa8,500aamm3
Answer:aa1
Rationale:aaTheaanurseaamustaadecideaawhichaaclientaashouldaabeaaseenaaonaatheaainitialaaroundsa
aofaatheaaday.aaTheaanurseaamustaarememberaathataatheaafirstaaclientaatoaabeaaseenaashould
aabeaatheaaclientaawhoaaneedsaathe0attentionaaofaatheaanurseaainitially.aaAaaclientaawithaahe
patitisaaAaadoesaaexperaaienceaadiarrhea,aabutaadiarrheaaafor0theaalastaa24aahoursaacouldaa
causeaatheaaclientaatoaahaveaaaaapaaroblemaawithaadehydrationaaandaaexperienceaaaaastatea
aofaafluidaavolumeaadeficit.
CognitiveaaLevel:aaApplication
ClientaaNeeds:aaSafe,aaEffectiveaaCareaaEnvironmentaaN
ursingaaProcess:aaPlanning
2. Theaanurseaaisaapreparingaatoaaadministeraainfluenzaaavaccinesaatoaaaaamassaadrive-
throughaaclinic.Whichaastatementaabyaaaaaclientaawouldaaindicateaafurtheraaquestioningaaprioraatoaa
giaavingaatheaaclientaatheaainfluenzaaavaccine?
1. ―Iaaamaaallergicaatoaahorseaahair.‖
2. ―Iaatryaatoaagetaamyaavaccineaaeveryaayear.‖
3. ―I0amaanotaaallergicaatoaaanythingaaexceptaaeggs.‖
4. ―Myaahusbandaahadaaaaasevereaaallergicaareactionaaafteraaheaareceivedaahisaainflu
enzaaavaccine.‖
Answer:aa3
Rationale:aaInfluenzaaavaccinesaaareaarecommendedaaforaapersonaaataahighaariskaaforaaseriousaas
equelaaaeaaofaainfluenza.aaTheaanurseaashouldaabeaaawareaathataaclientaawithaaaaasensitivi
, BIO 102 Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4th Edition P
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tyaatoeggsaash
, BIO 102 Test Bank for Medical-
aa aa aa aa aa
Surgical Nursing Critical Thinking in Client Care, 4th Edition P
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ouldaanotaareceiveaatheaavaccine.aaVaccinesaapreparedaafromaachickenaaoraaduckaaembry
osaaaraaeaacontraindicatedaainaaclientsaawhoaaareaaallergicaatoaaeggs.
, BIO 102 Test Bank for Medical-
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Surgical Nursing Critical Thinking in Client Care, 4th Edition P
aa aa aa aa aa aa aa aa aa a
riscilla LeMon a aa
Test Bank for Medical-
0 0 0
Surgical Nursing Critical Thinking in Client Care, 4t
0 0 0 0 0 0 0
h Edition Priscilla LeMon
0 0 0
CognitiveaaLevel:aaApplication
ClientaaNeeds:aaSafe,aaEffectiveaaCareaaEnvironmentaaN
ursingaaProcess:aaAssessment
3. Theaanurseaaisaacaringaaforaafouraaclientsaaonaaaaamedical–
surgicalaaunit.aaTheaasecretaryaagivesaathenurseaatheaamorningaalabs.aaWhichaaofaatheaafollowi
ngaalabaasaawouldaarequireaathataatheaanurseaacallaathephysicianaaandaainformaatheaahealthcareaapr
ovideraaaboutaatheaaclient‘saaabnormalities?
1. WBCaa14,600aamm3
2. Serumaaproteinaa6.9aag/dL
3. Iaa&aaDaa(incisionaaandaadrainage)aashowingaanoaagrowthaaforaatheaalastaa24aahours
4. Albuminaa4.2aag/dL
Answer:aa1
Rationale:aaWhenaatheaanurseaaisaacaring0foraaseveralaaclients,aaallaaofaatheaalabsaashouldaabeaachec
kedfreaaquentlyaathroughoutaatheaashiftaatoaaassessaaforaaanyaaabnormalities.aaTheaaWBCaainaaopti
onaa1aaisaaabnoraamal.aa(NormalaaWBCaa4,000–
10,000aamm3.)aaAllaaofaatheaaotheraalabaaresultsaaareaawithinaaacceptableaarange;aatherefore,aatheaa
resultsaashouldaanotaabeaacalledaainaatoaatheaaphysician.
CognitiveaaLevel:aaApplicationaaClie
naataaNeeds:aaPhysiologicaaIntegrityN
ursiaangaaProcess:aaAssessment
4. Theaanurseaaisaaorientingaaaaanewaagraduate.aaTheaanurseaaisaareinforcingaatheaaimportanc
eaaofaastaaandardaaprecautions.aaWhichaaofaatheaafollowingaaobservationsaabyaatheaanurseaaw
ouldaarequirefaaurtheraaeducationaaregardingaastandardaaprecautions?
1. Theaagraduateaanurseaaunderstandsaatoaawashaahandsaawhenaaenteringaaandaaex
itingaatheaaclient‘saaroom.
2. Theaagraduateaanurseaawearsaaglovesaawhenaaservingaabreakfastaatraysaatoaavar
iousaaclients.
3. Theaagraduateaanurseaawearsaaaaagown,aagloves,aaandaagogglesaawhenaasuctioni
ngaaaaaclient.
4. Theaagraduateaanurseaaleavesaaallaasuppliesaainaatheaaroomaaofaaaaaclientaawh
oaaisaainaacontactaaisolation.
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