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12th Edition
, Table of Contents
P P
Chapter P01: PProfessional PNursing .......................................................................................................................................... 4
Chapter P02: PSocial PDeterminants Pof PHealth ........................................................................................................................ 10
Chapter P03: PHealth PHistory Pand PPhysical PExamination PHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition.......... 15
Chapter P04: PPatient Pand PCaregiver PTeaching ...................................................................................................................... 20
Chapter P05: PChronic PIllness Pand POlder PAdults ..................................................................................................................... 26
Chapter P06: PCaring Pfor PLesbian, PGay, PBisexual, PTransgender, PQueer Por PQuestioning,and PGender PDiverse PPatients ........ 34
Chapter P07: PStress PManagement .......................................................................................................................................... 38
Chapter P08: PSleep Pand PSleep PDisorders ................................................................................................................................ 42
Chapter P09: PPain................................................................................................................................................................... 47
Chapter P10: PPalliative Pand PEnd-of-Life PCare....................................................................................................................... 56
Chapter P11: PSubstance PUse PDisorders Pin PAcute PCare ........................................................................................................... 61
Chapter P12: PInflammation Pand PHealing ............................................................................................................................... 69
Chapter P13: PGenetics............................................................................................................................................................ 76
Chapter P14: PImmune PResponses Pand PTransplantation PHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition ............ 79
Chapter P15: PInfection ........................................................................................................................................................... 87
Chapter P16: PCancer .............................................................................................................................................................. 97
Chapter P17: PFluid, PElectrolyte, Pand PAcid-Base PImbalancesHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition ... 111
Chapter P18: PPreoperative PCare ........................................................................................................................................... 124
Chapter P19: PIntraoperative PCare......................................................................................................................................... 131
Chapter P20: PPostoperative PCare ......................................................................................................................................... 137
Chapter P21: PEmergency Pand PDisaster PNursing ................................................................................................................... 145
Chapter P22: PAssessment Pand PManagement: PVisual PProblemsHarding: PLewis‘s PMedical-Surgical PNursing, P12th
Edition.153 PChapter P23: PAssessment Pand PManagement: PAuditory PProblemsHarding: PLewis‘s PMedical-Surgical PNursing,
P
12th PEdition
P
. ......................................................................................................................................................................................... 166
Chapter P24: PAssessment: PIntegumentary PSystem PHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition.................. 173
Chapter P25: PIntegumentary PProblems ................................................................................................................................ 178
Chapter P26: PBurns .............................................................................................................................................................. 186
Chapter P27: PAssessment: PRespiratory PSystem ................................................................................................................... 195
Chapter P28: PSupporting PVentilation ................................................................................................................................... 203
Chapter P29: PUpper PRespiratory PProblems ......................................................................................................................... 214
Chapter P30: PLower PRespiratory PProblems ......................................................................................................................... 220
Chapter P31: PObstructive PPulmonary PDiseases ................................................................................................................... 235
Chapter P32: PAcute PRespiratory PFailure Pand PAcute PRespiratory PDistress PSyndromeHarding: PLewis‘s PMedical-Surgical
PNursing, P12th PEdition ....................................................................................................................................................... 248
Chapter P33: PAssessment: PHematologic PSystem ................................................................................................................. 257
Chapter P34: PHematologic PProblems................................................................................................................................... 262
Chapter P35: PAssessment: PCardiovascular PSystem PHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition ................. 277
Chapter P36: PHypertension .................................................................................................................................................. 289
Chapter P37: PCoronary PArtery PDisease Pand PAcute PCoronary PSyndrome PHarding: PLewis‘s PMedical-Surgical PNursing,
P12th PEdition ...................................................................................................................................................................... 297
Chapter P38: PHeart PFailure .................................................................................................................................................. 311
Chapter P39: PDysrhythmias ................................................................................................................................................. 319
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,Chapter P40: PInflammatory Pand PStructural PHeart PDisordersHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition ... 329
Chapter P41: PVascular PDisorders ......................................................................................................................................... 341
Chapter P42: PShock, PSepsis, Pand PMultiple POrgan PDysfunction PSyndromeHarding: PLewis‘s PMedical-Surgical PNursing,
P12th PEdition ...................................................................................................................................................................... 352
Chapter P43: PAssessment: PGastrointestinal PSystem PHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition ................ 364
Chapter P44: PNutrition PProblems ......................................................................................................................................... 369
Chapter P45: PObesity ........................................................................................................................................................... 377
Chapter P46: PUpper PGastrointestinal PProblems ................................................................................................................... 383
Chapter P47: PLower PGastrointestinal PProblems ................................................................................................................... 397
Chapter P48: PLiver, PBiliary PTract, Pand PPancreas PProblemsHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition ..... 414
Chapter P49: PAssessment: PUrinary PSystem ......................................................................................................................... 429
Chapter P50: PRenal Pand PUrologic PProblems........................................................................................................................ 436
Chapter P51: PAcute PKidney PInjury Pand PChronic PKidney PDiseaseHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition
. ......................................................................................................................................................................................... 450
Chapter P52: PAssessment: PEndocrine PSystem ..................................................................................................................... 462
Chapter P53: PDiabetes.......................................................................................................................................................... 469
Chapter P54: PEndocrine PProblems ....................................................................................................................................... 484
Chapter P55: PAssessment: PReproductive PSystem ................................................................................................................ 499
Chapter P56: PBreast PProblems ............................................................................................................................................. 503
Chapter P57: PSexually PTransmitted PInfections .................................................................................................................... 512
Chapter P58: PFemale PReproductive PProblems ..................................................................................................................... 519
Chapter P59: PMale PReproductive PProblems ........................................................................................................................ 533
Chapter P60: PAssessment: PNervous PSystem........................................................................................................................ 544
Chapter P61: PAcute PIntracranial PProblems .......................................................................................................................... 550
Chapter P62: PStroke ............................................................................................................................................................. 565
Chapter P63: PChronic PNeurologic PProblems ....................................................................................................................... 574
Chapter P64: PDementia Pand PDelirium ................................................................................................................................. 585
Chapter P65: PSpinal PCord Pand PPeripheral PNerve PProblemsHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition...... 593
Chapter P66: PAssessment: PMusculoskeletal PSystem PHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition ............... 603
Chapter P67: PMusculoskeletal PTrauma Pand POrthopedic PSurgeryHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition
. ......................................................................................................................................................................................... 608
Chapter P68: PMusculoskeletal PProblems ............................................................................................................................. 622
Chapter P69: PArthritis Pand PConnective PTissue PDiseases PHarding: PLewis‘s PMedical-Surgical PNursing, P12th PEdition ........ 629
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, Chapter 01: Professional Nursing
P P P
MULTIPLE PCHOICE
1. The Pnurse Pcompletes Pan Padmission Pdatabase Pand Pexplains Pthat Pthe Pplan Pof Pcare Pand
Pdischarge Pgoals Pwill Pbe Pdeveloped Pwith Pthe Ppatient‗s Pinput. PThe Ppatient Pasks, P―How Pis Pthis
different Pfrom Pwhat Pthe Pphysician Pdoes?‖ PWhich Presponse Pwould Pthe Pnurse Pprovide?
P
a. ―The Prole Pof Pthe Pnurse Pis Pto Padminister Pmedications Pand Pother Ptreatments
Pprescribed Pby P your Pphysician.‖
b. ―In Paddition Pto Pcaring Pfor Pyou Pwhile Pyou Pare Psick, Pthe Pnurses Pwill Phelp Pyou Pplan
Pto Pmaintain Pyour Phealth.‖
c. ―The Pnurse‗s Pjob Pis Pto Pcollect Pinformation Pand Pcommunicate PanyPproblems
Pthat Poccur Pto Pthe Pphysician.‖
d. ―Nurses Pperform PmanyPof Pthe Psame Pprocedures Pas Pthe Pphysician, Pbut Pnurses
Pare Pwith Pthe Ppatients Pfor Pa Plonger Ptime Pthan Pthe Pphysician.‖
ANS: P B
The PAmerican PNurses PAssociation P(ANA) Pdefinition Pof Pnursing Pdescribes Pthe Prole Pof Pnurses
Pin Ppromoting Phealth. PThe Pother Presponses Pdescribe Pdependent Pand Pcollaborative Pfunctions
Pof Pthe Pnursing Prole Pbut Pdo Pnot Paccurately Pdescribe Pthe Pnurse‗s Punique Prole Pin Pthe Phealth
Pcare Psystem.
DIF: P P Cognitive PLevel: PAnalyze P(Analysis)
TOP: P Nursing PProcess: PImplementation P P P MSC: P NCLEX: PSafe Pand PEffective PCare PEnvironment
2. Which Pstatement PbyPthe Pnurse PaccuratelyPdescribes Pthe Puse Pof Pevidence-based Ppractice P(EBP)?
a. ―Patient Pcare Pis Pbased Pon Pclinical Pjudgment, Pexperience, Pand Ptraditions.‖
b. ―Data Pare Panalyzed Plater Pto Pshow Pthat Pthe Ppatient Poutcomes Pare Pconsistently Pmet.‖
c. ―Research Pfrom Pall Ppublished Particles Pare Pused Pas Pa Pguide Pfor Pplanning Ppatient Pcare.‖
d. ―Recommendations Pare Pbased Pon Presearch, Pclinical Pexpertise, Pand
patient Ppreferences.‖
P
ANS: P D
Evidence-based Ppractice P(EBP) Pis Pthe Puse Pof Pthe Pbest Presearch-based Pevidence Pcombined
Pwith Pclinician Pexpertise Pand Pconsideration Pof Ppatient Ppreferences. PClinical Pjudgment Pbased
Pon Pthe Pnurse‗s Pclinical Pexperience Pis Ppart Pof PEBP, Pbut Pclinical Pdecision Pmaking Pshould Palso
Pincorporate Pcurrent Presearch Pand Presearch-based Pguidelines. PEvaluation Pof Ppatient Poutcomes
Pis Pimportant, Pbut Pdata Panalysis Pis Pnot Prequired Pto Puse PEBP. PAll Ppublished Particles Pdo Pnot
Pprovide Presearch Pevidence; Pinterventions Pshould Pbe Pbased Pon Pcredible Presearch, Ppreferably
Prandomized Pcontrolled Pstudies Pwith Pa Plarge Pnumber Pof Psubjects.
DIF: Cognitive PLevel: PUnderstand P(Comprehension) TOP: PNursing PProcess:
PPlanning PMSC: P NCLEX: PSafe Pand PEffective PCare PEnvironment
3. Which Pstatement PbyPthe Pnurse Pprovides Pa Pclear Pexplanation Pof Pthe Pnursing Pprocess?
a. ―The Pnursing Pprocess Pis Pa Presearch Pmethod Pof Pdiagnosing Pthe Ppatient‗s Phealth
care Pproblems.‖
P
b. ―The Pnursing Pprocess Pis Pused PprimarilyPto Pexplain Pnursing Pinterventions Pto
other Phealth Pcare Pprofessionals.‖
P
c. ―The Pnursing Pprocess Pis Pa Pproblem-solving Ptool Pused Pto PidentifyPand Pmanage Pthe
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