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Test Bank For LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care 7th Edition By Paula Gubrud, Margaret Carno , Gerene Bauldoff All Chapters 1-50 LATEST $21.49
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Test Bank For LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care 7th Edition By Paula Gubrud, Margaret Carno , Gerene Bauldoff All Chapters 1-50 LATEST

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Test Bank For LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care 7th Edition By Paula Gubrud, Margaret Carno , Gerene Bauldoff All Chapters 1-50 LATEST Test Bank For LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care 7th Edition By Paula Gu...

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  • December 11, 2024
  • 394
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 9780134868189
  • medical surgical nursing
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  • LeMone And Burke's Medical-Surgical Nursing
  • LeMone And Burke's Medical-Surgical Nursing
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TESTBANK FOR LEMONE & BURKE’S MEDICAL-
SURGICAL NURSING: CLINICAL REASONING IN
HOSPITAL CLIENT CARE 7TH EDITION/ALL
CHAPTERS 1-52

,Chapter 1 lp




1. The caregiver is caring for four Hospital clients ona medical–
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surgicalunit. WhichHospital client should the caregiver see initially?
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1. AHospital client admitted with hepatitis Awho has had severe diarrhea for
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thelast 24 hours p pl lp lp




2. AHospital client admitted with pneumonia who is has small amoun
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ts ofyellow productive sputum lp pl lp lp




3. AHospital client admitted with fever ofunknown origin (FUO) wh
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o hasbeen without fever for the last 48 hours
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4. A Hospital client admitted with a wound infection whose WBC is 8,500
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mm3ACCURATE ANSWER:-1
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Reasoning:-
>>>The caregiver must decide which Hospital client should be seenontheinitial rou lp lp lp lp pl lp lp lp lp pl pl pl lp




nds ofthe day. The caregiver must remember that the first
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Hospital client to be seen should be the Hospital client who needs the attention ofth lp lp lp lp lp lp lp lp lp lp lp lp lp lp pl




e caregiver initially. A Hospital client with hepatitis A does experience diarrhea, bu
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t diarrhea for the last 24 hours could cause the Hospital client to have a problem wit
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hdehydration and experience a state of fluid volume deficit.
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Cognitive Level: Application lp pl




Hospital client Needs:Safe, Effective CareEnvironmen
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tNursing Process: Planning
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2. The caregiver is preparing to administer influenza vaccines to a mass drive-
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throughclinic. Which statement by a Hospital client would indicate further questioning pri
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or togiving the Hospital client the influenza vaccine?
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1. “I am allergic to horse hair.”
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2. “I tryto get my vaccine every year.”
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3. “I am not allergic to anything except eggs.”
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4. “Myhusband had a severe allergic reaction after he received his influenzavac
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cine.”

ACCURATE ANSWER:-3 lp




Reasoning:-
>>>Influenza vaccines are recommended for person at high risk for serious sequelae lp lp lp lp lp lp lp lp lp lp lp l




of influenza. The caregiver should be aware that Hospital client with asensitivity to e
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ggs should not receive the vaccine. Vaccines prepared from chicken or duck embryo
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s are contraindicated in Hospital clients who are allergic to eggs.
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,Cognitive Level: Application lp pl




Hospital client Needs:Safe, Effective CareEnvironmen lp pl pl pl pl pl




tNursing Process: Assessment
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3. The caregiver is caring for four Hospital clients on a medical–
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surgical unit. The secretary gives the caregiver the morning labs. Which of the following lab
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s would require that the caregiver call the physician and inform the healthcare provider abou
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t the Hospital client’s abnormalities?
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1. l p WBC 14,600 mm3 lp lp




2. Serumprotein 6.9 g/dL pl lp lp




3. I & D (incision and drainage) showing no growth for the last 24 hours
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4. Albumin4.2g/dL lp pl pl




ACCURATE ANSWER:-1 lp




Reasoning:-
>>>When the caregiver is caring for several Hospital clients, all of the labsshould be chec
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ked frequently throughout the shift to assess for any abnormalities. TheWBC in option 1 is
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abnormal. (Normal WBC 4,000–
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10,000 mm3.) All ofthe other labresults are within acceptable range; therefore, the results
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should not be called in to thephysician.
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Cognitive Level: Application lp lp pl




Hospital client Needs: Physiol lp lp lp




ogic IntegrityNursing Process
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:
Assessment


4. The caregiver is orienting a new graduate. The caregiver is reinforcing the import
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ance of standard precautions. Which of the following observations bythe caregiver
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would require further education regardingstandard precautions?
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1. The graduate caregiver understands to wash hands whenentering an
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d exiting the Hospital client’s room.
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2. The graduate caregiver wears gloves whenserving breakfasttrays to vari
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ous Hospital clients. lp lp




3. The graduate caregiver wears a gown, gloves, and goggles whensuctioning a
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Hospital client. lp




4. The graduate caregiver leaves all supplies in the roomofaHospital clie
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nt who is in contact isolation. lp lp lp lp lp




ACCURATE ANSWER:-2 lp

, Reasoning:-
>>>The caregiver must have an understanding of standard precautions. Preventio lp lp lp lp lp lp lp lp lp




n is the most important measure to prevent nosocomial infections. Standard precau
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tions were published in 1996 that provide guidelines lp lp lp lp pl lp lp




for the handling of blood and other body fluids. These guidelines are used with allHo
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spital clients, regardless ofwhether they have a known infectious disease. Standardpr
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ecautions are used lp lp




by all healthcare workers who have direct contact with Hospital clients or with their
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body fluids. It is not necessary for the caregiver to wear gloves while delivering food
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trays to the Hospital client, because there is not contact with the Hospital client.
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Cognitive Level: Application lp pl




Hospital client Needs:Safe, Effective CareEnvironmen lp pl pl pl pl pl




tNursing Process: Evaluation
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5. The admitting department alerts the caregiver ona medical–
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surgical unit thata Hospital client with active tuberculosis (TB) is being admitted to the unit.
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Which type of isolation is appropriate based on the Hospital client’s diagnosis?
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1. Standard precautions pl




2. Airborne precautions pl




3. Droplet precautions pl




4. Contact precautions lp pl




ACCURATE ANSWER:-2 lp




Reasoning:-
>>>In addition to handwashing and standard precautions, the nature and spread of some infe
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ctious diseases require that special techniques be used to protect uninfected Hospital clients a
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nd workers. The Hospital client with pulmonary tuberculosis will be placed in airborne preca
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utions. The Hospital client should be placed in a private room with special ventilationthat do
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es not allow air to circulate to general health center ventilation; a maskor special filter respirat
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ors will be used for everyone entering the room.
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Cognitive Level: Application lp pl




Hospital client Needs:Safe, Effective CareEnvironmen lp pl pl pl pl pl




tNursing Process: Assessment
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6. A Hospital client is receiving IV vancomycin for the treatment of Clostridium diffi
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cile.The caregiver understands that the Hospital client who develops flushing, tachy
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cardia, and hypotension during the infusion of vancomycin indicates:
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1. Ototoxicityeffect. lp




2. Superinfection.
3. Red mansyndrome. lp pl

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