brunner and suddarths medical surgical nursing 14t
medical surgical nursing 14th edition
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Test Bank for Brunner and Suddarths Textbook of Medical
Surgical Nursing 14th Edition | 9781496355140 | All Chapters
with Answers and Rationals
The nurse in the oncology clinic is caring for a 42-year-old female client receiving chemotherapy with
fludarabine for acute myeloid leukemia who has developed petechiae, epistaxis, and ecchymosis.
client has developed ______________ that the laboratory results will reveal __________ - ANSWER:
client has developed hemorrhage that the laboratory results will reveal thrombocytopenia.
The nurse provides care for a client, with a history of atherosclerosis, who is hospitalized for the
initiation of pharmacotherapy for the treatment of hypothyroidism.
The client is at highest risk for developing _______________ as evidenced by
_______________. - ANSWER: The client is at highest risk for developing cardiac dysfunction as
evidenced by angina.
The nurse is caring for a 24-year-old female client with a right tibial fracture treated with a cast 2
hours ago. The client now reports unrelenting pain, rated as 7/10, despite taking oxycodone, and
decreased sensation in the right foot. A nursing assessment reveals the right foot is cooler and paler
than the left foot, with delayed capillary refill and a weak pulse.
Based on the nursing assessment, the priority action the nurse should take is to
_________________________ and prepare the client for _________________. - ANSWER: Based on
the nursing assessment, the priority action the nurse should take is to notify the orthopedic health
care provider immediately and prepare the client for bivalving of the cast.
The nurse assesses a client who has a nasogastric tube for long-term nutritional needs for
complications associated with the medical device.
The nurse monitors the client for ___________ , a finding indicative of _____________. - ANSWER:
The nurse monitors the client for purulent nasal drainage, a finding indicative of rhinosinusitis.
The office nurse is reviewing an 80-year-old female client's reports related to the onset of a severe
headache, rated at 9 out of 10 on the pain scale, with recent onset. The client denies any visual
changes. During a prior visit to the office a few months ago, the client had reported a ground-level fall
as a result of falling off a chair and hitting the back of their head. The client had been taken to the
emergency department, where imaging was performed with negative results.
The nurse anticipates that the client has developed __________ and that __________ will be ordered.
- ANSWER: The nurse anticipates that the client has developed chronic subdural hematoma and that
computed tomography (CT) imaging of the brain will be ordered.
A client will undergo abdominal surgery. The nurse provides preoperative education regarding the
importance of diaphragmatic breathing exercises to prevent postoperative complications.
The nurse will educate the client about the risk for developing _________, ____________, and
____________, if the client does not implement diaphragmatic breathing exercises in the
postoperative period of care. - ANSWER: The nurse will educate the client about the risk for
developing pneumonia, bronchospasm, and atelectasis, if the client does not implement
diaphragmatic breathing exercises in the postoperative period of care.
, A nurse is caring for a client who was admitted for an asthma exacerbation. In the past year, the client
has been admitted for three asthma events. What will the nurse include in the client teaching about
preventing repeat hospitalizations?
The nurse should teach about __________ followed by ___________. - ANSWER: The nurse should
teach about triggers to avoid followed by knowing medications.
A 47-year-old male client presented to the medical unit and the health care team suspects
tuberculosis (TB). The nurse is admitting the client to a reverse isolation room. QuantiFERON testing
and chest x-ray are pending. Urinalysis results are negative. No other testing was performed prior to
admission to isolation. The client denies any chest pain, shortness of breath (SOB), or respiratory
difficulty. The client presents with productive yellow sputum.
Based on the provided assessment status, the nurse should utilize __________ to prevent exposure
and __________ to collect specimens for additional testing. - ANSWER: Based on the provided
assessment status, the nurse should utilize airborne precautions to prevent exposure and sputum to
collect specimens for additional testing.
The nurse has documented an assessment on a 45-year-old male client on the third postoperative day
following an open abdominal appendectomy.
Client has 3 in (7.6 cm) right lower abdominal incision. Proximal 2 in (5 cm) of incision edges are red
and well-approximated. Distal portion of incision has separated and has yellow drainage on dressing.
Bulb drain has serosanguinous drainage and clumps of yellow pus. Oxygen saturation on room air
97%. Blood pressure, 112/60 mm Hg; heart rate, 102 beats/min; respiratory rate, 22 breaths/min;
temperature, 101.2F (38.4C) orally. Denies chills. Bowel sounds hypoactive in all 4 quadrants. Client
reports passing flatus, no Abdomen firm and slightly distended bowel movement. Lungs clear to
auscultation bilaterally. Client reports incisional pain level of 3/10 red blood cell count 4.2 million/mcl,
thirty (30) minutes following oxycodone 5 mg orally. Reports an increased, but tolerabl - ANSWER: -
has separated and has yellow drainage on dressing
-clumps of yellow pus
-102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F (38.4°C) orally
-White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l)
-blood glucose level 130 mg/dl (7.21 mmol/l).
The nurse monitors a client for side effects associated with furosemide, which is newly prescribed for
the treatment of heart failure.
Due to the client's high risk for developing _________ as a result of the prescribed medication, the
nurse focuses on monitoring the client for __________. - ANSWER: Due to the client's high risk for
developing hypokalemia as a result of the prescribed medication, the nurse focuses on monitoring the
client for ventricular arrhythmia.
A client has been admitted to the hospital with a large sacral pressure ulcer. The physician prescribes
the wound care protocol to be performed twice a day. What would be a statement on the plan of care
that would address the implementation phase of the nursing process for this client? - ANSWER: Turn
the client every 2 hours.
The basic difference between nursing diagnoses and collaborative problems - ANSWER: Nurses
manage collaborative problems using physician-prescribed interventions.
Nursing diagnoses can be managed by independent nursing interventions.
A nurse saw a coworker steal drugs from a locked cabinet. The supervisor notices the missing drugs
and has a good idea who is responsible for the theft. The supervisor asks if the nurse saw anything out
of the ordinary. Which professional value reflects a nurse's duty to tell the truth? - ANSWER: Veracity
Veracity is the nurse's duty to tell the truth in all professional situations.
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