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TEST BANK CLINICAL REASONING CASES IN NURSING, 7TH EDITION BY MARIANN M. HARDING AND JULIE S. SNYDER TEST BANK ISBN- 9780323527361 This is a Test Bank (Study Questions and complete Answers to all chapters of the book) to help you study better and give you$18.49
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TEST BANK CLINICAL REASONING CASES IN NURSING, 7TH EDITION BY MARIANN M. HARDING AND JULIE S. SNYDER TEST BANK ISBN- 9780323527361 This is a Test Bank (Study Questions and complete Answers to all chapters of the book) to help you study better and give you
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CLINICAL REASONING CASES IN NURSING
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CLINICAL REASONING CASES IN NURSING
TEST BANK CLINICAL REASONING CASES IN NURSING, 7TH EDITION BY MARIANN M. HARDING AND JULIE S. SNYDER TEST BANK ISBN- 9780323527361 This is a Test Bank (Study Questions and complete Answers to all chapters of the book) to help you study better and give you g00d grade
Question 1: A 65-year-old male patient presents to the emergency department with
shortness of breath, fatigue, and swelling in his legs. Upon assessment, you find that
the patient has jugular vein distention and crackles in his lungs. What is the most
likely diagnosis?
A) Myocardial infarction
B) Pneumonia
C) Congestive heart failure
D) Pulmonary embolism
Answer: C) Congestive heart failure
,Rationale: The patient's symptoms of shortness of breath, fatigue, leg swelling, and
jugular vein distention are classic signs of heart failure. Crackles in the lungs also
suggest fluid accumulation, supporting this diagnosis.
Question 2: A 40-year-old female is diagnosed with Type 2 diabetes mellitus and is
starting insulin therapy. What is the priority nursing consideration when educating
the patient about insulin administration?
A) Rotating injection sites to prevent lipodystrophy
B) Administering insulin at the same time each day
C) Avoiding carbohydrate intake after insulin injection
D) Only using syringes once to prevent infection
Answer: A) Rotating injection sites to prevent lipodystrophy
Rationale: To avoid lipodystrophy, patients must rotate injection sites. Consistency in
timing is important, but rotation helps prevent tissue damage and improves
absorption.
Question 3: A patient with a history of chronic obstructive pulmonary disease (COPD)
is admitted with an exacerbation. Which intervention is the highest priority to
improve gas exchange?
A) Administering antibiotics to prevent infection
B) Initiating high-flow oxygen therapy
C) Teaching pursed-lip breathing
D) Performing chest physiotherapy
Answer: C) Teaching pursed-lip breathing
Rationale: Pursed-lip breathing helps improve gas exchange by keeping airways open
longer and assisting in the removal of trapped air in patients with COPD.
Question 4: Which lab value is most critical to monitor for a patient on heparin
therapy?
,A) Hemoglobin and hematocrit
B) Platelet count
C) Activated partial thromboplastin time (aPTT)
D) Prothrombin time (PT)
Answer: C) Activated partial thromboplastin time (aPTT)
Rationale: Heparin therapy requires close monitoring of aPTT to assess therapeutic
levels and prevent excessive bleeding.
Question 5: A patient with cirrhosis presents with ascites and jaundice. What is the
primary treatment goal for managing ascites?
A) Increasing fluid intake
B) Restricting sodium
C) Encouraging bed rest
D) Administering blood transfusions
Answer: B) Restricting sodium
Rationale: Sodium restriction helps reduce fluid retention and the development of
ascites in patients with cirrhosis.Question 6: A nurse is assessing a patient who has
undergone a total hip replacement. Which finding would indicate a potential
complication?
A) The patient reports pain in the hip area.
B) The affected leg appears shorter than the other.
C) The patient is able to bear weight on the affected leg.
D) The incision site is clean and dry.
Answer: B) The affected leg appears shorter than the other.
Rationale: A shorter leg can indicate dislocation or improper alignment of the hip
prosthesis, which requires immediate assessment and intervention.
Question 7: A 72-year-old patient is admitted with pneumonia and is receiving
antibiotic therapy. What is the most important nursing intervention to monitor for
potential complications?
, A) Checking for rash or allergic reactions
B) Monitoring vital signs every shift
C) Assessing breath sounds every four hours
D) Encouraging increased fluid intake
Answer: A) Checking for rash or allergic reactions
Rationale: Patients receiving antibiotic therapy are at risk for allergic reactions,
which can be life-threatening. Monitoring for signs of rash or anaphylaxis is crucial.
Question 8: A patient diagnosed with hypertension is started on a thiazide diuretic.
What common side effect should the nurse educate the patient to monitor for?
A) Weight gain
B) Hyperkalemia
C) Hypokalemia
D) Fluid retention
Answer: C) Hypokalemia
Rationale: Thiazide diuretics can lead to low potassium levels, so patients should be
educated about signs of hypokalemia, such as muscle weakness and cramping.
Question 9: A nurse is caring for a patient who has just received a blood transfusion.
What is the priority nursing action to take if the patient starts to experience chills
and fever?
A) Administer acetaminophen
B) Stop the transfusion immediately
C) Increase the rate of the transfusion
D) Monitor vital signs every 15 minutes
Answer: B) Stop the transfusion immediately
Rationale: Stopping the transfusion is the first action to prevent further
complications, and the nurse should then assess the patient and notify the physician.
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