Chapter 72 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

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Chapter 72  Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1. Which patient should the nurse prioritize as needing emergent treatment, assuming no other injuries are present except the ones outlined below?

  1. A)  A patient with a blunt chest trauma with some difficulty breathing
  2. B)  A patient with a sore neck who was immobilized in the field on a backboard with a

    cervical collar

  3. C)  A patient with a possible fractured tibia with adequate pedal pulses
  4. D)  A patient with an acute onset of confusion

Ans: A

Feedback:

The patient with blunt chest trauma possibly has a compromised airway. Establishment and maintenance of a patent airway and adequate ventilation is prioritized over other health problems, including skeletal injuries and changes in cognition.

2. The nurse observes that the family members of a patient who was injured in an accident are blaming each other for the circumstances leading up to the accident. The nurse appropriately lets the family members express their feelings of responsibility, while explaining that there was probably little they could do to prevent the injury. In what stage of crisis is this family?

  1. A)  Anxiety and denial
  2. B)  Remorse and guilt
  3. C)  Anger
  4. D)  Grief

Ans: B

Feedback:

Remorse and guilt are natural processes of the stages of a crisis and should be facilitated for the family members to process the crisis. The family’s sense of blame and responsibility are more suggestive of guilt than anger, grief, or anxiety.

3. A patient is brought to the ED by ambulance with a gunshot wound to the abdomen. The nurse knows that the most common hollow organ injured in this type of injury is what?

  1. A)  Liver
  2. B)  Small bowel
  3. C)  Stomach
  4. D)  Large bowel

Ans: B

Feedback:

Penetrating abdominal wounds have a high incidence of injury to hollow organs, especially the small bowel. The liver is also injured frequently, but it is a solid organ.

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4. A patient has been brought to the ED with multiple trauma after a motor vehicle accident. After immediate threats to life have been addressed, the nurse and trauma team should take what action?

  1. A)  Perform a rapid physical assessment.
  2. B)  Initiate health education.
  3. C)  Perform diagnostic imaging.
  4. D)  Establish the circumstances of the accident.

Ans: A

Feedback:

Once immediate threats to life have been corrected, a rapid physical examination is done to identify injuries and priorities of treatment. Health education is initiated later in the care process and diagnostic imaging would take place after a rapid physical assessment. It is not the care team’s responsibility to determine the circumstances of the accident.

5. The nursing educator is reviewing the signs and symptoms of heat stroke with a group of nurses who provide care in a desert region. The educator should describe what sign or symptom?

  1. A)  Hypertension with a wide pulse pressure
  2. B)  Anhidrosis
  3. C)  Copious diuresis
  4. D)  Cheyne-Stokes respirations

Ans: B

Feedback:

Heat stroke is manifested by anhidrosis confusion, bizarre behavior, coma, elevated body temperature, hot dry skin, tachypnea, hypotension, and tachycardia. This health problem is not associated with anhidrosis or Cheyne-Stokes respirations.

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