Chapter 36 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 36 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 continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds. Which operative wound would be excluded from this study?

1. Gastric resection
2. Uncomplicated abdominal hysterectomy
3. Breast biopsy
4. Lung resection

Correct Answer: 3

Rationale 1: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered. These wounds show no evidence of infection. A gastric resection would be included in the study.

Rationale 2: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered. These wounds show no evidence of infection. An uncomplicated abdominal hysterectomy would be included in the study.

Rationale 3: A breast biopsy is considered a clean wound. Clean wounds are uninfected wounds in which there is minimal inflammation and the respiratory, gastrointestinal, genital, and urinary tracts are not entered. Clean wounds are primarily closed wounds.

Rationale 4: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered. These wounds show no evidence of infection. A lung resection would be included in the study.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

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; apply health promotion/disease prevention strategies; apply health policy;

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 7. Identify the main complications of and factors that affect wound healing.

MNL Learning Outcome: 4.6.1. Recognize factors affecting skin integrity.

Page Number: 829

 

Question 2

Type: MCSA

The surgical report of a newly transferred client indicates that there was a great deal of intestinal spillage into the abdominal cavity during the client’s bowel resection. For which category of wound should the receiving nurse plan care for this client?

1. Clean-contaminated
2. Contaminated
3. Dirty
4. Infected

Correct Answer: 2

Rationale 1: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered, but minimal to no spillage has occurred.

Rationale 2: A surgical wound in which there is a large amount of spillage from the gastrointestinal tract is considered a contaminated wound.

Rationale 3: A dirty wound is one that contains dead tissue or that has evidence of a clinical infection, such as purulent drainage.

Rationale 4: An infected wound is one that contains dead tissue or that has evidence of a clinical infection, such as purulent drainage.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

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: Planning

Learning Outcome: 7. Identify the main complications of and factors that affect wound healing.

MNL Learning Outcome: 4.6.1. Recognize factors affecting skin integrity.

Page Number: 829

 

Question 3

Type: MCSA

A client has sustained multiple contusions from a motor vehicle accident. What should the nurse do to prepare for this client’s care?

1. Obtain ice packs to apply to the wounds.
2. Request gauze to pack the wounds.
3. Organize suture material to close the wounds.
4. Notify the surgical staff that a surgical client will soon be arriving.

Correct Answer: 1

Rationale 1: Contusions are closed wounds in which the skin is ecchymotic or bruised due to damage of blood vessels. These wounds are treated with ice pack application for the first 24 hours.

Rationale 2: Contusions are closed wounds in which the skin is ecchymotic or bruised due to damage of blood vessels. These wounds are treated with ice pack application for the first 24 hours. Because these wounds are closed, there is no need for packing.

Rationale 3: Contusions are closed wounds in which the skin is ecchymotic or bruised due to damage of blood vessels. These wounds are treated with ice pack application for the first 24 hours. Because these wounds are closed, there is no need for suturing.

Rationale 4: Contusions are closed wounds in which the skin is ecchymotic or bruised due to damage of blood vessels. These wounds are treated with ice pack application for the first 24 hours. Because these wounds are closed, there is no need for surgery.

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: Planning

Learning Outcome: 14. Identify physiological responses to and purposes of heat and cold.

MNL Learning Outcome: 4.6.3. Implement nursing strategies to treat wounds, promote wound healing, and prevent complications.

Page Number: 829