Chapter 38 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 38 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

During review of admission data, the nurse learns that the new client has impairment of kinesthetic sensation. Which nursing intervention should be planned for this client?

1. Use the clock face as a format for describing the position of food on meal trays.
2. Provide all teaching materials in very large font.
3. Ensure that the client has assistance when ambulating.
4. Use only nonirritating soaps for bathing.

Correct Answer: 3

Rationale 1: This would be appropriate for the client with an alteration in vision.

Rationale 2: This would be appropriate for the client with an alteration in vision.

Rationale 3: Kinesthetic sensation refers to the awareness of the position and movement of body parts. The client with impairment of this sensation may be prone to injury by falling and should be assisted when ambulating.

Rationale 4: This intervention would be appropriate for a client having a tactile or skin disorder.

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. Discuss nursing interventions to promote and maintain sensory function.

MNL Learning Outcome: 4.3.3. Implement the nursing process in the care of the client with diminished mobility.

Page Number: 904

 

Question 2

Type: MCSA

A client diagnosed with congestive heart failure has been treated for many years with intravenous furosemide (Lasix). What sensory impairment should the nurse assess in this client?

1. Loss of ability to taste
2. Hearing loss
3. Vision loss
4. Loss of ability to smell

Correct Answer: 2

Rationale 1: Furosemide (Lasix) does not affect the ability to taste.

Rationale 2: Furosemide (Lasix) can be ototoxic if taken over long periods of time. The nurse would monitor for hearing loss.

Rationale 3: Furosemide (Lasix) does not affect vision.

Rationale 4: Furosemide (Lasix) does not affect the ability to smell.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

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: 5. Discuss factors that place a client at risk for sensory disturbances.

MNL Learning Outcome: 4.14.1. Consider how drugs act on the body and how the body acts on drugs in the care of the client.

Page Number: 906

 

Question 3

Type: MCSA

A client has been treated for diabetes mellitus since childhood. Currently, the client’s blood glucose reading is 180 mg/dl. For which sensory disturbance should the nurse assess in this client?

1. Loss of ability to taste
2. Hearing loss
3. Vision loss
4. Loss of ability to smell

Correct Answer: 3

Rationale 1: Uncontrolled diabetes mellitus does not affect the ability to taste.

Rationale 2: Uncontrolled diabetes mellitus does not affect hearing.

Rationale 3: Uncontrolled diabetes mellitus is a leading cause of blindness in the United States.

Rationale 4: Uncontrolled diabetes mellitus does not affect the ability to smell.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

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: 5. Discuss factors that place a client at risk for sensory disturbances.

MNL Learning Outcome: 4.1.1. Recognize factors that affect client safety.

Page Number: 906