8th Edition by Mariann M. Harding;
Chapter 1 - 15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
Chapter 1. Perfusion
Chapter 2. Gas Exchange
Chapter 3. Mobility
Chapter 4. Digestion
Chapter 5. Urinary Elimination
Chapter 6. Intracranial Regulation
Chapter 7. Metabolism and Glucose Regulation
Chapter 8. Immunity
Chapter 9. Cellular Regulation
Chapter 10. Tissue Integrity
Chapter 11. Cognition
Chapter 12. Infection and Inflammation
Chapter 13. Developmental
Chapter 14. Reproductive
Chapter 15. Mood, Stress, and Addiction
,Chapter 1. Perfusion
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
the student understands this problem when jthe jstudent jstates, jCentral jperfusion
a. Is jmonitored jonly jby jthe jphysician.
b. Involves jthe jentire jbody.
c. Is jdecreased jwith jhypertension.
d. Is jtoxic jto jthe jcardiac jsystem.
ANSWER: jB
Central jperfusion jdoes jinvolve jthe jentire jbody jas jall jorgans jare jsupplied jwith joxygen jand jvital
jNutrients. jThe jphysician jdoes jnot jcontrol jthe jbodys jability jfor jperfusion. jCentral jperfusion jis
jnotdecreased jwith jhypertension. jCentral jperfusion jis jnot jtoxic jto jthe jcardiac jsystem.
2. jA jpatient jwas jdiagnosed jwith jhypertension. jThe jpatient jasks jthe jnurse jhow jthis jdisease
jcould jhave jhappened jto jthem. jThe jnurses jbest jresponse jis jHypertension
a. Happens jto jeveryone jsooner jor jlater. jDont jbe jconcerned jabout jit.
b. Can jhappen jfrom jeating ja jpoor jdiet, jso jchange jwhat jyou jare jeating.
c. Can jhappen jfrom jarterial jchanges jthat jimpede jthe jblood jflow.
d. Happens jwhen jpeople jdo jnot jexercise, jso jyou jshould jwalk
jevery jday.
ANSWER: jC
Hardening jof jthe jarteries jfrom jatherosclerosis jcan jcause jhypertension jin jthe jpatient.
jHypertension jdoes jnot jhappen jto jeveryone. jChanging jthe jpatients jdiet jand jexercising jmay
jbe ja jpositive jlife jchange, jbut jthese janswers jdo jnot jexplain jto jthe jpatient jhow jthe jdisease
jcould jhave jhappened.
3. jThe jpatient jasks jthe jnurse jto jexplain jthe jsinoatrial jnode jin jthe jheart. jThe jnurses jbest
jresponse jwould jbe, jThe jsinoatrial jnode
a. Provides jthe jheart jwith jthe jstimulation jto jbeat jin ja jnormal jrhythm.
b. Protects jthe jheart jfrom jatherosclerotic jchanges.
c. Provides jthe jheart jwith joxygenated jblood.
d. Protects jthe jheart
jfrom jinfection.
ANSWER: jA
The jsinoatrial jnode jis jthe jnatural jpacemaker jof jthe jheart, jand jit jassists jthe jheart jto jbeat jin ja
jNormal jrhythm. jThe jsinoatrial jnode jdoes jnot jprotect jfrom jatherosclerotic jchanges jor
jinfection,and jit jdoes jnot jdirectly jprovide jthe jheart jwith joxygenated jblood.
4. jThe jpatient jis jbrought jto jthe jemergency jdepartment jafter ja jmotor jvehicle jaccident. jThe
jpatient jis jdiagnosed jwith jinternal jbleeding. jThe jnurses jprimary jconcern jis jto jmonitor jfor
, a. Mental jalertness.
b. Perfusion.
c. Pain.
d. Reaction jto
jmedications.
ANSWER: jB
Perfusion jis jthe jcorrect janswer, jbecause jwith jinternal jbleeding, jthe jnurse jshould jmonitor jvital
Signs jto jbe jsure jperfusion jis jhappening. jMental jalertness, jpain, jand jmedication jreactions
jareimportant jbut jnot jthe jprimary jconcern.
5. jA jpatients jserum jelectrolytes jare jbeing jmonitored. jThe jnurse jnotices jthat jthe jpotassium
jlevel jis jlow. jThe jnurse jknows jthat jthe jpatient jshould jbe jobserved jfor
a. Tissue jischemia.
b. Brain jmalformations.
c. Intestinal jblockage.
d. Cardiac
jdysthymia.
ANSWER: jD
Cardiac jdysthymia jis ja jpossibility jwhen jserum jpotassium jis jhigh jor jlow. jTissue jischemia, jbrain
jMalformations, jor jintestinal jblockage jdo jnot jhave ja jdirect jcorrelation jto jpotassium jirregularities.
6. jA jnurse jis jexplaining jto ja jstudent jnurse jabout jperfusion. jThe jnurse jknows jthe jstudent
junderstands jthe jconcept jof jperfusion jwhen jthe jstudent jstates, jPerfusion
a. Is ja jnormal jfunction jof jthe jbody, jand jI jdont jhave jto jbe jconcerned jabout jit.
b. Is jmonitored jby jthe jphysician, jand jI jjust jfollow jorders.
c. Is jmonitored jby jvital jsigns jand jcapillary jrefill.
d. Varies jas ja jperson jages, jso jI jwould jexpect jchanges jin
jthe jbody.
ANSWER: jC
The jbest jmethod jto jmonitor jperfusion jis jto jmonitor jvital jsigns jand jcapillary jrefill. jThis
jallows jThe jnurse jto jknow jif jperfusion jis jadequate jto jmaintain jvital jorgans. jThe jnurse
jdoes jhave jto jbe jconcerned jabout jperfusion. jPerfusion jis jnot jonly jmonitored jby jthe
jphysician jbut jthe jnurse jtoo. jPerfusion jdoes jnot jalways jchange jas jthe jperson jages.
7. jThe jnurse jis jconducting ja jpatient jassessment. jThe jpatient jtells jthe jnurse jthat jhe jhas
jsmoked jtwo jpacks jof jcigarettes jper jday jfor j27 jyears. jThe jnurse jmay jfind jwhich jdata jupon
jassessment?
a. Blood jpressure jabove jthe jnormal jrange
b. Bounding jpedal jpulses
c. Night jblindness