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TEST BANK For Clinical Reasoning Cases in Nursing 8th Edition, 2024 by Mariann M. Harding, Verified Chapters 1 - 15, Complete A+ Guide$17.99
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MULTIPLE fCHOICE
1. The fnurse fis fexplaining fto fa fstudent fnurse fabout fimpaired fcentral fperfusion. fThe fnurse
fknows fthe fstudent funderstands fthis fproblem fwhen fthe fstudent fstates, fCentral fperfusion
a. is fmonitored fonly fby fthe fphysician.
b. involves fthe fentire fbody.
c. is fdecreased fwith fhypertension.
d. is ftoxic fto fthe fcardiac
fsystem. fANS: fB
Central fperfusion fdoes finvolve fthe fentire fbody fas fall forgans fare fsupplied fwith foxygen fand fvital
nutrients. fThe fphysician fdoes fnot fcontrol fthe fbodys fability ffor fperfusion. fCentral fperfusion
fis fnot fdecreased fwith fhypertension. fCentral fperfusion fis fnot ftoxic fto fthe fcardiac fsystem.
2. A fpatient fwas fdiagnosed fwith fhypertension. fThe fpatient fasks fthe fnurse fhow fthis
fdisease fcould fhave fhappened fto fthem. fThe fnurses fbest fresponse fis fHypertension
a. happens fto feveryone fsooner for flater. fDont fbe fconcerned fabout fit.
b. can fhappen ffrom feating fa fpoor fdiet, fso fchange fwhat fyou fare feating.
c. can fhappen ffrom farterial fchanges fthat fimpede fthe fblood fflow.
d. happens fwhen fpeople fdo fnot fexercise, fso fyou fshould fwalk
fevery fday. fANS: fC
Hardening fof fthe farteries ffrom fatherosclerosis fcan fcause fhypertension fin fthe fpatient.
Hypertension fdoes fnot fhappen fto feveryone. fChanging fthe fpatients fdiet fand fexercising
fmay fbe fa fpositive flife fchange, fbut fthese fanswers fdo fnot fexplain fto fthe fpatient fhow fthe
fdisease fcould fhave fhappened.
3. The fpatient fasks fthe fnurse fto fexplain fthe fsinoatrial fnode fin fthe fheart. fThe fnurses fbest
fresponse fwould fbe, fThe fsinoatrial fnode
a. provides fthe fheart fwith fthe fstimulation fto fbeat fin fa fnormal frhythm.
b. protects fthe fheart ffrom fatherosclerotic fchanges.
c. provides fthe fheart fwith foxygenated fblood.
d. protects fthe fheart ffrom
finfection. fANS: fA
The fsinoatrial fnode fis fthe fnatural fpacemaker fof fthe fheart, fand fit fassists fthe fheart fto fbeat fin fa
normal frhythm. fThe fsinoatrial fnode fdoes fnot fprotect ffrom fatherosclerotic fchanges for
finfection, fand fit fdoes fnot fdirectly fprovide fthe fheart fwith foxygenated fblood.
4. The fpatient fis fbrought fto fthe femergency fdepartment fafter fa fmotor fvehicle faccident. fThe
fpatient fis fdiagnosed fwith finternal fbleeding. fThe fnurses fprimary fconcern fis fto fmonitor ffor
a. mental falertness.
b. perfusion.
, c. pain.
d. reaction fto
fmedications. fANS: fB
Perfusion fis fthe fcorrect fanswer, fbecause fwith finternal fbleeding, fthe fnurse fshould fmonitor fvital
signs fto fbe fsure fperfusion fis fhappening. fMental falertness, fpain, fand fmedication freactions
fare fimportant fbut fnot fthe fprimary fconcern.
5. A fpatients fserum felectrolytes fare fbeing fmonitored. fThe fnurse fnotices fthat fthe
fpotassium flevel fis flow. fThe fnurse fknows fthat fthe fpatient fshould fbe fobserved ffor
a. tissue fischemia.
b. brain fmalformations.
c. intestinal fblockage.
d. cardiac
fdysthymia. fANS: fD
Cardiac fdysthymia f is fa fpossibility fwhen fserum fpotassium fis fhigh for flow. fTissue fischemia, fbrain
malformations, for fintestinal fblockage fdo fnot fhave fa fdirect fcorrelation fto fpotassium firregularities.
6. A fnurse fis fexplaining fto fa fstudent fnurse fabout fperfusion. fThe fnurse fknows fthe
fstudent funderstands fthe fconcept fof fperfusion fwhen fthe fstudent fstates, fPerfusion
a. is fa fnormal ffunction fof fthe fbody, fand fI fdont fhave fto fbe fconcerned fabout fit.
b. is fmonitored fby fthe fphysician, fand fI fjust ffollow forders.
c. is fmonitored fby fvital fsigns fand fcapillary frefill.
d. varies fas fa fperson fages, fso fI fwould fexpect fchanges fin fthe
fbody. fANS: fC
The fbest fmethod fto fmonitor fperfusion fis fto fmonitor fvital fsigns fand fcapillary frefill. fThis fallows
the fnurse fto fknow fif fperfusion fis fadequate fto fmaintain fvital forgans. fThe fnurse fdoes fhave
fto fbe fconcerned fabout fperfusion. fPerfusion fis fnot fonly fmonitored fby fthe fphysician fbut
fthe fnurse ftoo. fPerfusion fdoes fnot falways fchange fas fthe fperson fages.
7. The fnurse fis fconducting fa fpatient fassessment. fThe fpatient ftells fthe fnurse fthat fhe fhas
fsmoked ftwo fpacks fof fcigarettes fper fday ffor f27 fyears. fThe fnurse fmay ffind fwhich fdata
fupon fassessment?
a. Blood fpressure fabove fthe fnormal frange
b. Bounding fpedal fpulses
c. Night fblindness
d. Reflux
fdisease fANS: fA
Smokers fhave fa fconstriction fof fthe fblood fvessels fdue fto fthe ftar fand fnicotine fin fcigarettes. fThis
constriction fmay flead fto fhypertension. fBounding fpulses, fnight fblindness, fand freflux
fdisease fdo fnot fhave fa fdirect flink fto fsmoking.
Chapter f2.Gas fExchange
MULTIPLE fCHOICE
, 1. The fnurse fis fassigned fa fgroup fof fpatients. fWhich fpatient fwould fthe fnurse fidentify fas
fbeing fat fincreased frisk ffor fimpaired fgas fexchange? fA fpatient
a. with fa fblood fglucose fof f350 fmg/dL
b. who fhas fbeen fon fanticoagulants ffor f10 fdays
c. with fa fhemoglobin fof f8.5 fg/dL
d. with fa fheart frate fof f100 fbeats/min fand fblood fpressure fof
f100/60 fANS: fC
The fhemoglobin fis flow f(anemia), ftherefore fthe fability fof fthe fblood fto fcarry foxygen fis fdecreased.
High fblood fglucose fand/or fanticoagulants fdo fnot falter fthe foxygen fcarrying fcapacity fof fthe
fblood. fA fheart frate fof f100 fbeats/min fand fblood fpressure fof f100/60 fare fnot findicative fof
foxygen fcarrying fcapacity fof fthe fblood.
2. The fnurse fis freviewing fthe fpatients farterial fblood fgas fresults. fThe fPaO2 fis f96 fmm
fHg, fpH fis f7.20, fPaCO2 fis f55 fmm fHg, fand fHCO3 fis f25 fmEq/L. fWhat fwould fthe fnurse
fexpect fto fobserve fon fassessment fof fthis fpatient?
a. Disorientation fand ftremors
b. Tachycardia fand fdecreased fblood fpressure
c. Increased fanxiety fand firritability
d. Hyperventilation fand
flethargy fANS: fA
The fpatient fis fexperiencing frespiratory facidosis f( f pH, fand f PaCO2 f) fwhich fmay fbe
fmanifested fby fdisorientation, ftremors, fpossible fseizures, fand fdecreased flevel fof
fconsciousness. fTachycardia fand fdecreased fblood fpressure fare fnot fcharacteristic fof fa
fproblem fof frespiratory facidosis.
Increased fanxiety fand fhyperventilation fwill fcause frespiratory falkalosis, fwhich fis
fmanifested fby fan fincrease fin fpH fand fa fdecrease fin fPaCO2.
3. The fnurse fwould fidentify fwhich fpatient fas fhaving fa fproblem fof fimpaired fgas
fexchange fsecondary fto fa fperfusion fproblem? fA fpatient fwith
a. peripheral farterial fdisease fof fthe flower fextremities
b. chronic fobstructive fpulmonary fdisease f(COPD)
c. chronic fasthma
d. severe fanemia fsecondary fto
fchemotherapy fANS: fA
Perfusion frelates fto fthe fability fof fthe fblood fto fdeliver foxygen fto fthe fcellular f level fand freturn fthe
carbon fdioxide fto fthe flung ffor fremoval. fCOPD fand fasthma fare fexamples fof fa fventilation
fproblem. fSevere fanemia fis fan fexample fof fa ftransport fproblem fof fgas fexchange.
4. The fnurse fis fassessing fa fpatients fdifferential fwhite fblood fcell fcount. fWhat fimplications
fwould fthis ftest fhave fon fevaluating fthe fadequacy fof fa fpatients fgas fexchange?
a. An felevation fof fthe ftotal fwhite fcell fcount findicates fgeneralized f inflammation.
b. Eosinophil fcount fwill fassist fto fidentify fthe fpresence fof fa frespiratory finfection.
c. White fcell fcount fwill fdifferentiate ftypes fof frespiratory fbacteria.
d. Level fof fneutrophils fprovides fguidelines fto fmonitor fa fchronic finfection.
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