TEST BANK For Clinical Reasoning Cases in Nursing, 8th Edition by Mariann M. Harding, Verified Chapters 1 - 15, Complete Newest Version Clinical Reasoning Cases in Nursing, 8th Edition TEST BANK by Mariann M. Harding, Verified Chapters 1 - 15, Complete Newest Version Clinical Reasoning Cases in Nur...
MULTIPLEhCHOICE
1.hThehnursehishexplaininghtohahstudenthnursehabouthimpairedhcentralhperfusion.hThehnursehknow
shthehstudenthunderstandshthishproblemhwhenhthehstudenthstates,hCentralhperfusion
a. Ishmonitoredhonlyhbyhthehphysician.
b. Involveshthehentirehbody.
c. Ishdecreasedhwithhhypertension.
d. Ishtoxichtohthehcardiachsystem.
ANSWER:hB
Centralhperfusionhdoeshinvolvehthehentirehbodyhashallhorgansharehsuppliedhwithhoxygenhandhvitalh
Nutrients.hThehphysicianhdoeshnothcontrolhthehbodyshabilityhforhperfusion.hCentralhperfusionhishn
otdecreasedhwithhhypertension.hCentralhperfusionhishnothtoxichtohthehcardiachsystem.
2.hAhpatienthwashdiagnosedhwithhhypertension.hThehpatienthaskshthehnursehhowhthishdiseasehcoul
dhhavehhappenedhtohthem.hThehnurseshbesthresponsehishHypertension
a. Happenshtoheveryonehsoonerhorhlater.hDonthbehconcernedhabouthit.
b. Canhhappenhfromheatinghahpoorhdiet,hsohchangehwhathyouhareheating.
c. Canhhappenhfromharterialhchangeshthathimpedehthehbloodhflow.
d.
Happenshwhenhpeoplehdohnothexercise,hsohyouhshouldhwalkheve
ryhday.
ANSWER:hC
Hardeninghofhtheharterieshfromhatherosclerosishcanhcausehhypertensionhinhthehpatient.hHyperte
nsionhdoeshnothhappenhtoheveryone.hChanginghthehpatientshdiethandhexercisinghmayhbehahpositiv
ehlifehchange,hbuththesehanswershdohnothexplainhtohthehpatienthhowhthehdiseasehcouldhhavehhap
pened.
3.hThehpatienthaskshthehnursehtohexplainhthehsinoatrialhnodehinhthehheart.hThehnurseshbesthrespo
nsehwouldhbe,hThehsinoatrialhnode
a. Provideshthehhearthwithhthehstimulationhtohbeathinhahnormalhrhythm.
b. Protectshthehhearthfromhatherosclerotichchanges.
c. Provideshthehhearthwithhoxygenatedhblood.
d.
Protectshthehhearthfro
mhinfection.
ANSWER:hB
Perfusionhishthehcorrecthanswer,hbecausehwithhinternalhbleeding,hthehnursehshouldhmonitorhvital
Signshtohbehsurehperfusionhishhappening.hMentalhalertness,hpain,handhmedicationhreactionsharei
mportanthbuthnoththehprimaryhconcern.
5.hAhpatientshserumhelectrolytesharehbeinghmonitored.hThehnursehnoticeshthaththehpotassiumhle
velhishlow.hThehnursehknowshthaththehpatienthshouldhbehobservedhfor
a. Tissuehischemia.
b. Brainhmalformations.
c. Intestinalhblockage.
d.
Cardiac
hdysthymia.
ANSWER:hD
Cardiachdysthymiahishahpossibilityhwhenhserumhpotassiumhishhighhorhlow.hTissuehischemia,hbrainhMalforma
tions,horhintestinalhblockagehdohnothhavehahdirecthcorrelationhtohpotassiumhirregularities.
6.hAhnursehishexplaininghtohahstudenthnursehabouthperfusion.hThehnursehknowshthehstudenthunde
rstandshthehconcepthofhperfusionhwhenhthehstudenthstates,hPerfusion
a. Ishahnormalhfunctionhofhthehbody,handhIhdonthhavehtohbehconcernedhabouthit.
b. Ishmonitoredhbyhthehphysician,handhIhjusthfollowhorders.
c. Ishmonitoredhbyhvitalhsignshandhcapillaryhrefill.
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