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Nursing A Concept Based Approach to Learning 3rd Edition Test Bank

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  • Chapters55
  • Format: PDF
  • ISBN-13: 978-0134616810
  • ISBN-10: 0134616812
  • Publisher: ‎ Pearson
  • Authors: Pearson Education

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SKU:tb1001679

Nursing A Concept Based Approach to Learning 3rd Edition Test Bank

Table of Contents

PART II: PSYCHOSOCIAL MODULES
Module 22: Addiction
The Concept of Addiction
22.A Alcohol Abuse
22.B Nicotine Use
22.C Substance Abuse

Module 23: Cognition
The Concept of Cognition
23.A Alzheimer Disease
23.B Delirium
23.C Schizophrenia

Module 24: Culture and Diversity
The Concept of Culture and Diversity

Module 25: Development
The Concept of Development
25.A Attention-Deficit/Hyperactivity Disorder
25.B Autism Spectrum Disorder
25.C Cerebral Palsy
25.D Failure to Thrive

Module 26: Family
The Concept of Family
26.A Family Response to Health Alterations

Module 27: Grief and Loss
The Concept of Grief and Loss

Module 28: Mood and Affect
The Concept of Mood and Affect
28.A Depression
28.B Bipolar Disorders
28.C Postpartum Depression
28.D Suicide

Module 29: Self
The Concept of Self
29.A Feeding and Eating Disorders
29.B Personality Disorders

Module 30: Spirituality
The Concept of Spirituality
30.A Spiritual Distress
30.B Religion

Module 31: Stress and Coping
The Concept of Stress and Coping
31.A Anxiety Disorders
31.B Crisis
31.C Obsessive-Compulsive Disorder

Module 32: Trauma
The Concept of Trauma
32.A Abuse
32.B Multisystem Trauma
32.C Posttraumatic Stress Disorder
32.D Rape and Rape-Trauma Syndrome

PART III: REPRODUCTION MODULE

Module 33: Reproduction
The Concept of Reproduction
33.A Antepartum Care
33.B Intrapartum Care
33.C Postpartum Care
33.D Newborn Care
33.E Prematurity

PART IV: NURSING DOMAIN

Module 34: Assessment
The Concept of Assessment

Module 35: Caring Interventions
The Concept of Caring Interventions

Module 36: Clinical Decision Making
The Concept of Clinical Decision Making
36.A The Nursing Process
36.B The Nursing Plan of Care
36.C Prioritizing Care

 

Module 37: Collaboration
The Concept of Collaboration

Module 38: Communication
The Concept of Communication
38.A Groups and Group Communication
38.B Therapeutic Communication
38.C Documentation
38.D Reporting

Module 39: Managing Care
The Concept of Managing Care
39.A Case Management
39.B Cost-Effective Care
39.C Delegation
39.D Leadership and Management

Module 40: Professionalism
The Concept of Professionalism
40.A Commitment to Profession
40.B Work Ethic

Module 41: Teaching and Learning
The Concept of Teaching and Learning
41.A Patient/Consumer Education

PART V: HEALTHCARE DOMAIN

Module 42: Accountability
The Concept of Accountability
42.A Competence
42.B Professional Development

Module 43: Advocacy
The Concept of Advocacy
43.A Environmental Quality

Module 44: Ethics
The Concept of Ethics
44.A Morality
44.B Ethical Dilemmas
44.C Patient Rights

Module 45: Evidence-Based Practice
The Concept of Evidence-Based Practice

Module 46: Healthcare Systems
The Concept of Healthcare Systems
46.A Emergency Preparedness

Module 47: Health Policy
The Concept of Health Policy

Module 48: Informatics
The Concept of Informatics
48.A Clinical Decision Support Systems
48.B Individual Information at Point of Care

Module 49: Legal Issues
The Concept of Legal Issues
49.A Nurse Practice Acts
49.B Advance Directives
49.C Health Insurance Portability and Accountability Act
49.D Mandatory Reporting
49.E Risk Management

Module 50: Quality Improvement
The Concept of Quality Improvement

Module 51: Safety
The Concept of Safety
51.A Health Promotion and Injury Prevention Across the Lifespan
51.B Patient Safety
51.C Nurse Safety

Nursing: A Concept-Based Approach to Learning Vol. 1 & 2, 3e (Pearson)
Module 1 Acid-Base Balance

The Concept of Acid-Base Balance
1) A client is brought to the emergency department (ED) after passing out in a local department
store. The client has been fasting and has ketones in the urine. Which acid-base imbalance would
the nurse expect to assess in this client?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Metabolic alkalosis
D) Respiratory acidosis
Answer: A
Explanation: A) A client who is fasting is at risk for development of metabolic acidosis. The
body recognizes fasting as starvation and begins to metabolize its own fatty acids into ketones,
which are metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in
metabolic alkalosis.
B) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
C) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
D) A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis or alkalosis or in metabolic
alkalosis.
Page Ref: 6
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered care
that reflects an understanding of human growth and development, pathophysiology,
pharmacology, medical management and nursing management across the health-illness
continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Knowledge and
Science: Relationships between knowledge/science and quality and safe patient care. | Nursing
Process: Assessment
Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
MNL LO: Analyze the concept of acid-base balance and its application to nursing care.

2

Copyright © 2019 Pearson Education, Inc.

2) Which risk factors exhibited by the client presenting in the emergency department (ED) would
place the client at risk for metabolic acidosis? Select all that apply.
A) Abdominal fistulas
B) Chronic obstructive pulmonary disease
C) Pneumonia
D) Acute renal failure
E) Hypovolemic shock
Answer: A, D, E
Explanation: A) Metabolic acidosis is rarely a primary disorder. It usually develops during the
course of another disease; presence of abdominal fistulas, which can cause excess bicarbonate
loss; acute renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and
pneumonia place the client at risk for respiratory acidosis with the increased retention of carbon
dioxide in the blood.
B) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
another disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute
renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia
place the client at risk for respiratory acidosis with the increased retention of carbon dioxide in
the blood.
C) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
another disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute
renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia
place the client at risk for respiratory acidosis with the increased retention of carbon dioxide in
the blood.
D) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
another disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute
renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia
place the client at risk for respiratory acidosis with the increased retention of carbon dioxide in
the blood.
E) Metabolic acidosis is rarely a primary disorder. It usually develops during the course of
another disease; presence of abdominal fistulas, which can cause excess bicarbonate loss; acute
renal failure; and hypovolemic shock. Chronic obstructive pulmonary disease and pneumonia
place the client at risk for respiratory acidosis with the increased retention of carbon dioxide in
the blood.
Page Ref: 6, 14
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered care
that reflects an understanding of human growth and development, pathophysiology,
pharmacology, medical management and nursing management across the health-illness
continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Knowledge and
Science: Relationships between knowledge/science and quality and safe patient care. | Nursing
Process: Assessment
Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
MNL LO: Analyze the concept of acid-base balance and its application to nursing care.

3

Copyright © 2019 Pearson Education, Inc.

3) A child with acute asthma has a PaCO2 of 48 mmHg, a pH of 7.31, and a normal HCO3 blood
gas value. The nurse interprets these findings as indicative of which condition?
A) Metabolic acidosis
B) Respiratory alkalosis
C) Respiratory acidosis
D) Metabolic alkalosis
Answer: C
Explanation: A) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is
uncompensated respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH,
decreased PaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH,
normal PaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH,
normal PaCO2, and increased HCO3.
B) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is uncompensated
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased
PaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal
PaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normal
PaCO2, and increased HCO3.
C) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is uncompensated
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased
PaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal
PaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normal
PaCO2, and increased HCO3.
D) If the pH is decreased and the PaCO2 is increased with a normal HCO3, it is uncompensated
respiratory acidosis. Uncompensated respiratory alkalosis has an increased pH, decreased
PaCO2, and normal HCO3. Uncompensated metabolic acidosis has a decreased pH, normal
PaCO2, and decreased HCO3. Uncompensated metabolic alkalosis has an increased pH, normal
PaCO2, and increased HCO3.
Page Ref: 24
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Essential Competencies: IX.3. Implement holistic, patient-centered care
that reflects an understanding of human growth and development, pathophysiology,
pharmacology, medical management and nursing management across the health-illness
continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Knowledge and
Science: Relationships between knowledge/science and quality and safe patient care. | Nursing
Process: Diagnosis
Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
MNL LO: Analyze the concept of acid-base balance and its application to nursing care.

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