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TEST BANKS FOR CLINICAL REASONING CASES IN NURSING 8TH EDITION BY MARIANN M. HARDING; ALL CHAPTERS 1-15 | COMPLETE SOLUTION GUIDE | GRADE A+. $17.99
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TEST BANKS FOR CLINICAL REASONING CASES IN NURSING 8TH EDITION BY MARIANN M. HARDING; ALL CHAPTERS 1-15 | COMPLETE SOLUTION GUIDE | GRADE A+.
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TEST BANKS FOR CLINICAL REASONING CASES IN NURSING 8TH EDITION BY MARIANN M. HARDING; ALL CHAPTERS 1-15 | COMPLETE SOLUTION GUIDE | GRADE A+.TEST BANKS FOR CLINICAL REASONING CASES IN NURSING 8TH EDITION BY MARIANN M. HARDING; ALL CHAPTERS 1-15 | COMPLETE SOLUTION GUIDE | GRADE A+.TEST BANKS FOR CL...

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  • October 28, 2024
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  • test banks for clinical reasoning cases in nursing
  • clinical reasoning cases in nursing 8th edition

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,
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
ty ty ty ty ty ty ty ty ty ty




Chapter 1.Perfusion ty




MULTIPLE CHOICE ty



1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse
ty ty ty ty ty ty ty ty ty ty ty ty ty



knowsthe student understands this problem when the student states, Central perfusion
ty ty ty ty ty ty ty ty ty ty ty ty




a. is monitored only by the physician. ty ty ty ty ty




b. involves the entire body. ty ty ty




c. is decreased with hypertension.
ty ty ty




d. is toxic to the cardiac ty ty ty ty




system.ANS: B
ty ty ty



Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty



nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
ty ty ty ty ty ty ty ty ty ty ty ty ty



notdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
ty ty ty ty ty ty ty ty ty ty ty ty ty



2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease
ty ty ty ty ty ty ty ty ty ty ty ty ty



couldhave happened to them. The nurses best response is Hypertension
ty ty ty ty ty ty ty ty ty ty ty




a. happens to everyone sooner or later. Dont be concerned about it. ty ty ty ty ty ty ty ty ty ty




b. can happen from eating a poor diet, so change what you are eating.
ty ty ty ty ty ty ty ty ty ty ty ty




c. can happen from arterial changes that impede the blood flow.
ty ty ty ty ty ty ty ty ty




d. happens when people do not exercise, so you should walk every ty ty ty ty ty ty ty ty ty ty




day.ANS: C
ty ty ty



Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
ty ty ty ty ty ty ty ty ty ty ty



Hypertension does not happen to everyone. Changing the patients diet and exercising may be
ty ty ty ty ty ty ty ty ty ty ty ty ty



a positive life change, but these answers do not explain to the patient how the disease could
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havehappened.
ty ty



3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty



responsewould be, The sinoatrial node
ty ty ty ty ty ty




a. provides the heart with the stimulation to beat in a normal rhythm. ty ty ty ty ty ty ty ty ty ty ty




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




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




d. protects the heart from ty ty ty




infection.ANS: A
ty ty ty



The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty



normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or
ty ty ty ty ty ty ty ty ty ty ty



infection,and it does not directly provide the heart with oxygenated blood.
ty ty ty ty ty ty ty ty ty ty ty ty



4. The patient is brought to the emergency department after a motor vehicle accident. The
ty ty ty ty ty ty ty ty ty ty ty ty ty



patientis diagnosed with internal bleeding. The nurses primary concern is to monitor for
ty ty ty ty ty ty ty ty ty ty ty ty ty ty




a. mental alertness. ty




b. perfusion.

, c. pain.
d. reaction to ty




medications.ANS: B
ty ty ty



Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
ty ty ty ty ty ty ty ty ty ty ty ty ty



signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions
ty ty ty ty ty ty ty ty ty ty ty ty



areimportant but not the primary concern
ty ty ty ty ty ty ty



5. A patients serum electrolytes are being monitored. The nurse notices that the potassium
ty ty ty ty ty ty ty ty ty ty ty ty



levelis low. The nurse knows that the patient should be observed for
ty ty ty ty ty ty ty ty ty ty ty ty ty




a. tissue ischemia. ty




b. brain malformations. ty




c. intestinal blockage. ty




d. cardiac
dysthymia.ANS: D
ty ty ty



Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
ty ty ty ty ty ty ty ty ty ty ty ty ty ty



malformations, or intestinal blockage do not have a direct correlation to potassium irregularities. ty ty ty ty ty ty ty ty ty ty ty ty



6. A nurse is explaining to a student nurse about perfusion. The nurse knows the
ty ty ty ty ty ty ty ty ty ty ty ty ty



studentunderstands the concept of perfusion when the student states, Perfusion
ty ty ty ty ty ty ty ty ty ty ty




a. is a normal function of the body, and I dont have to be concerned about it.
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty




b. is monitored by the physician, and I just follow orders.
ty ty ty ty ty ty ty ty ty




c. is monitored by vital signs and capillary refill.
ty ty ty ty ty ty ty




d. varies as a person ages, so I would expect changes in the ty ty ty ty ty ty ty ty ty ty ty




body.ANS: C
ty ty ty



The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty



the nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty



concerned about perfusion. Perfusion is not only monitored by the physician but the nurse
ty ty ty ty ty ty ty ty ty ty ty ty ty ty



too.Perfusion does not always change as the person ages.
ty ty ty ty ty ty ty ty ty ty



7. The nurse is conducting a patient assessment. The patient tells the nurse that he has
ty ty ty ty ty ty ty ty ty ty ty ty ty ty



smokedtwo packs of cigarettes per day for 27 years. The nurse may find which data upon
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty



assessment?
ty




a. Blood pressure above the normal range ty ty ty ty ty




b. Bounding pedal pulses ty ty




c. Night blindness ty




d. Reflux
diseaseANS: A
ty ty ty



Smokers have a constriction of the blood vessels due to the tar and nicotine in cigarettes. This
ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty ty



constriction may lead to hypertension. Bounding pulses, night blindness, and reflux disease
ty ty ty ty ty ty ty ty ty ty ty



donot have a direct link to smoking.
ty ty ty ty ty ty ty ty




Chapter 2.Gas Exchange ty ty




MULTIPLE CHOICE ty

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