Chapter 34 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 34 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The nurse is assisting a client with a diagnostic test. Which role should the nurse expect to perform in the intratest phase?

1. Assess the data.
2. Collect the specimen.
3. Observe the client.
4. Prepare the client.

Correct Answer: 2

Rationale 1: Assessing the data occurs in the pretest phase.

Rationale 2: Collecting the specimen comes during the intratest phase.

Rationale 3: Observing the client occurs in the posttest phase as follow-up after the testing.

Rationale 4: Preparing the client occurs in the pretest phase.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Describe the nurse’s role for each of the phases involved in diagnostic testing.

MNL Learning Outcome: 4.5.1. Explain the nurse’s role related to diagnostic testing, specimen collection, and reporting results.

Page Number: 719

Question 2

Type: MCSA

The nurse is teaching a client with heart failure about diagnostic tests. Which test should the nurse emphasize in this teaching?

1. BNP
2. CBC
3. LDH
4. PKU

Correct Answer: 1

Rationale 1: The specific blood test to detect and guide treatment for heart failure is the BNP test. B-type natriuretic peptide is secreted primarily by the left ventricle in response to increased ventricular volume and pressure.

Rationale 2: A CBC is a complete blood count, which includes hemoglobin and hematocrit measurements, erythrocyte (red blood cells) count, leukocyte (white blood cell) count, red blood cell indices, and a differential white cell count.

Rationale 3: This test measures the amount of the enzyme lactic dehydrogenase in the body.

Rationale 4: This is a test to assess for phenylketonuria in the newborn.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. List common blood tests.

MNL Learning Outcome: 4.5.2. Correlate the information related to specific serum laboratory studies to client care.

Page Number: 723

Question 3

Type: MCSA

The nurse is reviewing laboratory results for a client. Which diagnostic study determines how well blood glucose levels have been controlled in the client?

1. Blood chemistry
2. Capillary blood glucose
3. Hemoglobin A1c
4. Serum electrolytes

Correct Answer: 3

Rationale 1: A blood chemistry is a number of tests performed on blood serum. It can include LDH, CK, and AST.

Rationale 2: The capillary blood glucose is used to determine or monitor blood glucose levels of clients at one point in time but not over time.

Rationale 3: The glycosylated hemoglobin or hemoglobin A1c (HbA1c) is a measurement of blood glucose that is bound to hemoglobin. Hemoglobin A1c is a reflection of how well blood glucose levels have been controlled.

Rationale 4: Serum electrolytes are often routinely ordered for any client admitted to a hospital as a screening test for electrolyte and acid–base imbalances. The most commonly ordered serum tests are for sodium, potassium, chloride, and bicarbonate ions.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2. List common blood tests.

MNL Learning Outcome: 4.5.2. Correlate the information related to specific serum laboratory studies to client care.

Page Number: 723