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fULL Test Bank For Clinical Reasoning Cases in Nursing 8th Edition by Mariann Julie S. Snyder, Chapter 1-72|ISBN: 9780323831734 |newest version 2024/2025 A+ $33.49   Add to cart

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fULL Test Bank For Clinical Reasoning Cases in Nursing 8th Edition by Mariann Julie S. Snyder, Chapter 1-72|ISBN: 9780323831734 |newest version 2024/2025 A+

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fULL Test Bank For Clinical Reasoning Cases in Nursing 8th Edition by Mariann Julie S. Snyder, Chapter 1-72|ISBN: 9780323831734 |newest version 2024/2025 A+fULL Test Bank For Clinical Reasoning Cases in Nursing 8th Edition by Mariann Julie S. Snyder, Chapter 1-72|ISBN: 9780323831734 |newest version...

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,Chapter 1.Perfusion raop




MULTIPLE CHOICE raop




1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse
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knows the student understands this problem when the student states, Central perfusion
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a. is monitored only by the physician. raop raop raop raop raop




b. involves the entire body. raop raop raop




c. is decreased with hypertension.
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d. is toxic to the cardiac system. raop raop raop raop raop




ANS: B
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Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
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nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
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not decreased with hypertension. Central perfusion is not toxic to the cardiac system.
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2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
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have happened to them. The nurses best response is Hypertension
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a. happens to everyone sooner or later. Dont be concerned about it. raop raop raop raop raop raop raop raop raop raop




b. can happen from eating a poor diet, so change what you are eating.
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c. can happen from arterial changes that impede the blood flow.
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, d. happens when people do not exercise, so you should walk every day. raop raop raop raop raop raop raop raop raop raop raop




ANS: C
raop raop




Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
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Hypertension does not happen to everyone. Changing the patients diet and exercising may be
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a positive life change, but these answers do not explain to the patient how the disease could
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have happened.
raop raop




3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
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response would be, The sinoatrial node
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a. provides the heart with the stimulation to beat in a normal rhythm. raop raop raop raop raop raop raop raop r aop raop raop




b. protects the heart from atherosclerotic changes. raop raop raop raop raop




c. provides the heart with oxygenated blood. raop raop raop raop raop




d. protects the heart from infection. raop raop raop raop




ANS: A
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The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
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normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,
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and it does not directly provide the heart with oxygenated blood.
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4. The patient is brought to the emergency department after a motor vehicle accident. The
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patient is diagnosed with internal bleeding. The nurses primary concern is to monitor for
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a. mental alertness. raop




b. perfusion.

, c. pain.
d. reaction to medications. raop raop




ANS: B
raop raop




Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
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signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions are
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important but not the primary concern.
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5. A patients serum electrolytes are being monitored. The nurse notices that the potassium
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level is low. The nurse knows that the patient should be observed for
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a. tissue ischemia. raop




b. brain malformations. raop




c. intestinal blockage. raop




d. cardiac dysthymia. raop




ANS: D
raop raop




Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
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malformations, or intestinal blockage do not have a direct correlation to potassium irregularities. raop raop raop raop raop raop raop raop raop raop raop raop




6. A nurse is explaining to a student nurse about perfusion. The nurse knows the
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student understands the concept of perfusion when the student states, Perfusion
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a. is a normal function of the body, and I dont have to be concerned about it.
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b. is monitored by the physician, and I just follow orders.
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c. is monitored by vital signs and capillary refill.
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d. varies as a person ages, so I would expect changes in the body. raop raop raop raop raop raop raop raop raop raop raop raop




ANS: C
raop raop




The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows
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the nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to
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be concerned about perfusion. Perfusion is not only monitored by the physician but the nurse
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too. Perfusion does not always change as the person ages.
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7. The nurse is conducting a patient assessment. The patient tells the nurse that he has
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smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon
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assessment?
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a. Blood pressure above the normal range raop raop raop raop raop




b. Bounding pedal pulses raop raop




c. Night blindness raop




d. Reflux disease raop




ANS: A
raop raop




Smokers have a constriction of the blood vessels due to the tar and nicotine in cigarettes. This
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constriction may lead to hypertension. Bounding pulses, night blindness, and reflux disease do
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not have a direct link to smoking.
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Chapter 2.Gas Exchange raop raop




MULTIPLE CHOICE raop

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