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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 RN PhD FAAN 9780134868189 All Chapters . $20.99
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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 RN PhD FAAN 9780134868189 All Chapters .

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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 RN PhD FAAN 8189 All Chapters . Instant Delivery .

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  • January 23, 2025
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  • 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

,Chapter1 tj




1. Thecaregiver iscaring for fourHospitalclientsona medical–
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surgicalunit. WhichHospitalclient shouldthe caregiver see initially?
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1. AHospitalclient admitted withhepatitisAwho hashad severe diarrhea forth tj jt jt jt tj tj tj jt tj jt jt jt tj




elast 24hours tj jt tj




2. AHospitalclient admitted withpneumoniawho is hassmallamounts tj jt jt jt tj jt jt tj tj tj tj




ofyellow productive sputum tj jt jt




3. AHospitalclient admitted withfever ofunknownorigin(FUO) who h tj jt jt jt tj jt tj tj tj jt jt




asbeenwithout fever forthe last 48 hours tj jt jt j t jt jt jt jt




4. AHospitalclient admitted witha wound infectionwhose WBC is 8,500 m jt jt jt jt jt jt jt jt jt jt jt jt




m3 ACCURATE ANSWER:-1
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Reasoning:-
>>>Thecaregiver must decidewhichHospitalclient should beseenontheinitialroun tj jt jt tj tj jt jt jt tj tj tj tj tj




dsofthe day. The caregiver must remember thatthe first
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Hospitalclient to be seenshould be the Hospitalclient who needs the attentiono fthe ca jt jt jt jt tj jt jt jt jt jt jt jt jt tj tj jt




regiver initially. AHospitalclient with hepatitis A does experience diarrhea, but diarr
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hea for the last 24 hours could cause the Hospitalclient to have a problem withdehydra
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tionand experience a stateoffluid volume deficit. tj jt jt jt tj jt jt jt




CognitiveLevel:Application tj tj




HospitalclientNeeds:Safe,EffectiveCareEnvironment
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Nursing Process: Planning jt jt




2. The caregiver is preparing to administer influenza vaccines to a mass drive-
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throughclinic. Whichstatement byaHospitalclient would indicatefurther questioning priort
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ogiving the Hospitalclient the influenza vaccine?
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1. “Iamallergicto horsehair.” tj tj tj jt tj




2. “I tryto get myvaccine everyyear.” jt tj jt jt tj jt tj




3. “Iamnot allergicto anythingexcept eggs.”tj tj jt tj jt tj jt




4. “Myhusband hadasevereallergicreactionafterhereceived hisinfluenzavacci tj tj tj tj tj tj tj tj tj jt tj tj




ne.”

ACCURATE ANSWER:-3 jt




Reasoning:-
>>>Influenza vaccines are recommended for personat highrisk for serious sequelae of jt jt jt jt jt jt jt jt jt jt jt jt jt




influenza. The caregiver should be aware that Hospitalclient withasensitivityto eggs s jt jt jt jt jt jt jt jt jt jt tj jt jt jt




hould not receive the vaccine. Vaccines prepared fromchickenor duck embryosare con
jt jt jt jt jt jt jt jt tj jt jt tj tj




traindicated inHospitalclientswho areallergic to eggs. jt tj jt jt jt tj jt jt

,CognitiveLevel:Application tj tj




HospitalclientNeeds:Safe,EffectiveCareEnvironment
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Nursing Process: Assessment jt jt




3. The caregiver is caring for four Hospitalclients ona medical–
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surgical unit. The secretarygives the caregiver the morning labs. Whichofthe following labs w
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ould require that the caregiver callthe physician and informthe healthcare provider aboutthe H
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ospitalclient’s abnormalities?
jt jt




1. j t WBC14,600 mm3 tj jt




2. Serumprotein6.9g/dL tj jt tj




3. I&D(incisionand drainage) showing no growthforthelast 24hours
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4. Albumin4.2g/dL tj tj tj




ACCURATE ANSWER:-1 jt




Reasoning:-
>>>Whenthe caregiver is caring for severalHospitalclients, allofthe labsshould be checke
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d frequentlythroughout the shift to assess for anyabnormalities. TheWBC inoption1 is abno
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rmal. (NormalWBC4,000–
jt tj jt




10,000 mm3.)Allofthe other labresults are within acceptable range; therefore, the results sh
jt tj jt tj jt jt tj jt jt jt jt jt jt jt jt




ould not be called in to thephysician.
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Cognitive Level: Application jt jt tj




Hospitalclient Needs: Physiol jt jt jt




ogic IntegrityNursing Process
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:
Assessment


4. The caregiver is orienting a new graduate. The caregiver is reinforcing the importan
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ce ofstandard precautions. Whichofthe following observations bythecaregiver woul
jt jt jt jt jt jt jt jt jt tj tj jt




drequire further educationregardingstandard precautions?
tj jt jt tj tj jt




1. Thegraduatecaregiver understandstowashhandswhenenteringand tj tj jt tj tj tj tj tj jt jt




exiting the Hospitalclient’s room. jt jt jt jt




2. Thegraduatecaregiver wearsgloveswhenserving breakfasttrays tovario tj tj jt tj tj tj jt tj jt tj




us Hospitalclients. jt jt




3. Thegraduatecaregiver wearsagown,gloves, andgoggleswhensuctioninga H tj tj jt tj tj tj jt tj tj tj tj jt




ospitalclient. jt




4. Thegraduatecaregiver leaves allsupplies intheroomofaHospitalclient tj tj jt jt tj jt tj jt tj tj tj jt jt




who is in contact isolation. jt jt jt jt




ACCURATE ANSWER:-2 jt

, Reasoning:-
>>>The caregiver must have an understanding ofstandard precautions. Prevention is jt jt jt jt jt jt jt jt jt jt j




the most important measure to prevent nosocomial infections. Standardprecautions
t jt jt jt jt jt jt jt jt tj tj




werepublished in1996that provideguidelines tj jt jt tj jt tj




for the handling ofblood and other bodyfluids. These guidelines are used with allHospi
jt jt jt jt jt jt jt jt jt jt jt jt jt jt tj




talclients, regardlesso fwhether theyhavea known infectiousdisease. Standardprecau
jt jt tj tj jt tj jt jt jt jt jt tj




tions are used jt jt




byall healthcare workers who have direct contact with Hospitalclients or with their bo
jt jt jt jt jt jt jt jt jt jt jt jt jt jt




dyfluids. It is not necessary for the caregiver to wear gloves while delivering foodtrays
jt jt jt jt jt jt jt jt jt jt jt jt jt jt tj jt




tothe Hospitalclient, because there is not contact withthe Hospitalclient.
tj jt jt jt jt jt jt jt jt tj jt jt




CognitiveLevel:Application tj tj




HospitalclientNeeds:Safe,EffectiveCareEnvironment jt tj tj tj tj tj tj




Nursing Process: Evaluation jt jt




5. Theadmitting department alertsthecaregiver onamedical–
tj jt jt tj tj jt tj tj




surgicalunit thata Hospitalclient withactive tuberculosis (TB) is being admitted to the unit. W
tj jt tj jt jt jt jt jt jt jt jt jt jt jt jt jt




hichtype of isolation is appropriate based onthe Hospitalclient’s diagnosis?
jt jt jt jt jt jt jt tj jt jt jt




1. Standardprecautions tj




2. Airborneprecautions tj




3. Dropletprecautions tj




4. Contact precautions jt tj




ACCURATE ANSWER:-2 jt




Reasoning:-
>>>In addition to handwashing and standard precautions, the nature and spread ofsome infecti
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ous diseases require that specialtechniques be used to protect uninfected Hospitalclients and w
jt jt jt jt jt jt jt jt jt jt jt jt jt jt




orkers. The Hospitalclient withpulmonarytuberculosis will be placed in airborne precautions.
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The Hospitalclient should be placed in a private room with special ventilationthat doesnot allo
jt jt jt jt jt jt jt jt jt jt jt jt tj jt tj jt




wair to circulateto generalhealthcenter ventilation;a maskorspecialfilter respirators will be use
tj jt jt tj jt tj tj jt tj jt tj tj jt jt jt jt jt




d for everyone entering the room.
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CognitiveLevel:Application tj tj




HospitalclientNeeds:Safe,EffectiveCareEnvironment jt tj tj tj tj tj tj




Nursing Process: Assessment jt jt




6. AHospitalclient is receiving IV vancomycin for the treatment ofClostridium difficil
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e.The caregiver understands that the Hospitalclient who develops flushing, tachycardi
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a, andhypotensionduring the infusiono fvancomycin indicates:
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1. Ototoxicityeffect. tj




2. Superinfection.
3. Redmansyndrome. tj tj

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