COMPLETE TEST BANK:
Medical-Surgical Nursing: Critical Thinking in Client Care 4th Edition
by Priscilla LeMone
,Medical surgical nursing critical thinking in client care 4th edition
1. the nurse is caring for four patients on a medical–surgical unit, which patient should
the nurse see first?
1. a patient admitted with hepatitis a who has had severe diarrhea for the
last24 hours
2. a patient admitted with pneumonia who is has small amounts of
yellowproductive sputum
3. a patient admitted with fever of unknown origin (fuo) who has
beenwithout fever for the last 48 hours
4. a patient admitted with a wound infection whose wbc is 8,500 mm3
answer: 1
rationale: the nurse must decide which patient ought to be seen on the initial rounds of
the day, the nurse must remember that the first patient to be seen ought to be the
patientwho needs the attention of the nurse initially, a patient with hepatitis a
does experience diarrhea, but diarrhea for the last 24 hours could cause the
patient to have a problem with dehydration and experience a state of fluid volume
deficit,
2. the nurse is getting ready to administer influenza vaccines to a mass drive-through
clinic,which statement by a patient would indicate further questioning prior to giving
the patient the influenza vaccine?
1. “i am allergic to horse hair,”
2. “i try to get my vaccine every year,”
3. “i am not allergic to anything except eggs,”
4. “my husband had a severe allergic reaction after he received his influenza
vaccine,”
answer: 3
,rationale: influenza vaccines are recommended for person at high risk for serious
sequelae of influenza, the nurse ought to be aware that patient with a sensitivity
toeggs ought to not receive the vaccine, vaccines get readyd from chicken or
duck embryos are contraindicated in patients who are allergic to eggs,
, cognitive level: application
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