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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$16.99
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Test Bank For Clinical Reasoning Cases in Nursing 7th
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Edition by Mariann M. Harding; Julie S. Snyder.All
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Chapters, Complete Guide (A+).
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,TEST BANK r
CLINICAL REASONING r
CASES IN NURSING,
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7TH EDITION
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BY HARDING| SNYDER
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TEST BANK r
,Chapter 1. Perfusion r r
Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank
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MULTIPLE CHOICE r
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
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the student understands this problem when the student states, Central perfusion
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a. Is monitored only by the physician. r r r r r
b. Involves the entire body. r r r
c. Is decreased with hypertension.
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d. Is toxic to the cardiac system.
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ANS: B r
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
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Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is not
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decreased with hypertension. Central perfusion is not toxic to the cardiac system.
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2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease couldhave
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happened to them. The nurses best response is Hypertension
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a. Happens to everyone sooner or later. Dont be concerned about it. r r r r r r r r r r
b. Can happen from eating a poor diet, so change what you are eating.
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c. Can happen from arterial changes that impede the blood flow.
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d. Happens when people do not exercise, so you should walk every r r r r r r r r r r
day.
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ANS: C r
Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
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Hypertension does not happen to everyone. Changing the patients diet and exercising may be a
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positive life change, but these answers do not explain to the patient how the disease could have
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happened.
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3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response
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would be, The sinoatrial node
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a. Provides the heart with the stimulation to beat in a normal rhythm. r r r r r r r r r r r
b. Protects the heart from atherosclerotic changes. r r r r r
c. Provides the heart with oxygenated blood. r r r r r
d. Protects the heart from r r r
infection.
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ANS: A r
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
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Normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or
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infection, and it does not directly provide the heart with oxygenated blood.
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4. The patient is brought to the emergency department after a motor vehicle accident. The patientis
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diagnosed with internal bleeding. The nurses primary concern is to monitor for
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a. Mental alertness. r
b. Perfusion.
, c. Pain.
d. Reaction to r
medications. ANS: B
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Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
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Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactionsare
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important but not the primary concern.
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5. A patients serum electrolytes are being monitored. The nurse notices that the potassium levelis
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low. The nurse knows that the patient should be observed for
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a. Tissue ischemia. r
b. Brain malformations. r
c. Intestinal blockage. r
d. Cardiac
dysthymia.
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ANS: D r
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
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Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
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6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student
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understands the concept of perfusion when the student states, Perfusion
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a. Is a normal function of the body, and I dont have to be concerned about it.
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b. Is monitored by the physician, and I just follow orders.
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c. Is monitored by vital signs and capillary refill.
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d. Varies as a person ages, so I would expect changes in the r r r r r r r r r r r
body.
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ANS: C r
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows
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The nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be
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concerned about perfusion. Perfusion is not only monitored by the physician but the nurse too.
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Perfusion does not always change as the person ages.
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7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked
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two packs of cigarettes per day for 27 years. The nurse may find which data upon assessment?
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a. Blood pressure above the normal range r r r r r
b. Bounding pedal pulses r r
c. Night blindness r
d. Reflux disease r
e. ANS: A r
Smokers have a constriction of the blood vessels due to the tar and nicotine in cigarettes. This
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Constriction may lead to hypertension. Bounding pulses, night blindness, and reflux disease do
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not have a direct link to smoking.
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