Chapter 52 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 52 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 154-pound adult client has had vomiting and diarrhea for 4 days secondary to a viral infection. What hourly urine measurement would indicate that efforts to rehydrate this client have not yet been successful and should continue?

1. 35 mL per hour
2. 80 mL per hour
3. 50 mL per hour
4. 30 mL per hour

Correct Answer: 4

Rationale 1: This is the expected urine output and would be considered successful.

Rationale 2: This volume of urine output means efforts to rehydrate the client have been successful.

Rationale 3: This volume of urine output indicates efforts to rehydrate the client have been successful.

Rationale 4: Normal urine output for adult clients is at least 0.5 mL/kg/hour. This client weighs 70 kg, so adequate urine output would be 35 mL/hour. A urine output of 30/mL/hr indicates that efforts at rehydration have not been successful.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

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: Evaluation

Learning Outcome: 1. Discuss the function, distribution, composition, movement, and regulation of fluids and electrolytes in the body.

MNL Learning Outcome: 4.13.2. Explain the factors that regulate body fluids and electrolytes.

Page Number: 1313

Question 2

Type: MCSA

The nurse suspects that a client’s body is attempting to correct an acid–base imbalance. How will this imbalance be corrected?

1. Slow but efficient respiratory regulation will occur.
2. Primary regulation is through GI system losses.
3. Kidney regulation is powerfully effective.
4. The cardiovascular system is the major buffer.

Correct Answer: 3

Rationale 1: Respiratory regulation is rapid, but temporary.

Rationale 2: The gastrointestinal system is not involved in the regulation of acid–base balance.

Rationale 3: Renal regulation is slower, but powerfully effective.

Rationale 4: The cardiovascular system is not involved in the regulation of acid–base balance.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

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. Describe the regulation of acid–base balance in the body, including the roles of buffers, the lungs, and the kidneys.

MNL Learning Outcome: 4.13.3. Examine the processes and components that maintain acid–base balance.

Page Number: 1317

Question 3

Type: MCSA

The nurse is caring for a client who is recovering from surgery. Which intervention should the nurse implement to decrease the client’s possibility of developing hypercalcemia?

1. Measure vital signs every 4 hours.
2. Assist the client to turn, cough, and deep breathe every 2 hours.
3. Assist the client to ambulate around the room at least three times daily.
4. Irrigate the client’s nasogastric tube every 2 hours.

Correct Answer: 3

Rationale 1: Measuring vital signs will not decrease the possibility of developing hypercalcemia.

Rationale 2: Turning, coughing, and deep breathing every 2 hours will not prevent the development of hypercalcemia.

Rationale 3: Hypercalcemia can occur from immobility. Ambulation of the client helps to prevent leaching of calcium from the bones into the serum.

Rationale 4: Irrigating the nasogastric tube every 2 hours is not going to prevent the development of hypercalcemia.

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: 8. Implement measures to correct imbalances of fluids, electrolytes, acids, and bases, such as enteral or parenteral replacements and blood transfusions.

MNL Learning Outcome: 4.13.4. Implement the nursing process to maintain or restore normal fluid and electrolyte balance.

Page Number: 1323