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Medical- Surgical Nursing Concepts for Interprofessional Collaborative Care 9th Edition TEST BANK

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  • December 13, 2024
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TESTBANK ’




MEDICAL SURGICAL





NURSING-CONCEPTS FOR ’




INTERPROFESSIONAL
COLLABORATIVE CARE 9TH
’ ’




EDITION BY IGNATAVICIUS
’ ’

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Test’Bank’-’Medical-Surgical’Nursing:’Concepts’for’Interprofessional’Collaborative’Care’9th Edition’Ignatavicius



1





Table’ of’ Contents
Table’ of’ Contents 1
Chapter’ 01:’ Overview’ of’ Professional’ Nursing’ Concepts’ for’ Medical-Surgical’ Nursing 3
Chapter’ 02:’Overview’of’Health’ Concepts’for’Medical-Surgical’ Nursing 8
Chapter’ 03:’ Common’ Health’ Problems’ of’ Older’ Adults 13
Chapter’ 04:’ Assessment’ and’ Care’ of’ Patients’ with’ Pain 20
Chapter’ 05:’ Genetic’ Concepts’ for’ Medical-Surgical’ Nursing 32
Chapter’ 06:’ Rehabilitation’ Concepts’ for’ Chronic’ and’ Disabling’ Health’ Problems 38
Chapter’07:’End-of-Life’Care 44
Chapter’ 08:’ Concepts’ of’ Emergency’ and’ Trauma’ Nursing 50
Chapter’ 09:’ Care’ of’ Patients’ with’ Common’ Environmental’ Emergencies 56
Chapter’ 10:’ Concepts’ of’ Emergency’ and’ Disaster’ Preparedness 62
Chapter’ 11:’ Assessment’ and’ Care’ of’ Patients’ with’ Fluid’ and’ Electrolyte’ Imbalances 68
Chapter’ 12:’ Assessment’ and’ Care’ of’ Patients’with’ Acid-Base’ Imbalances 76
Chapter’ 13:’ Infusion’ Therapy 83
Chapter’ 14:’ Care’ of’ Preoperative’ Patients 94
Chapter’ 15:’ Care’ of’ Intraoperative’ Patients 103
Chapter’ 16:’ Care’ of’ Postoperative’ Patients 109
Chapter’ 17:’ Inflammation’ and’ Immunity 116
Chapter’ 18:’ Care’ of’ Patients’ with’ Arthritis’ and’ Other’ Connective’ Tissue’ Diseases 122
Chapter’19:’Care’of’ Patients’ with’HIV’Disease 138
Chapter’ 20:’ Care’ of’ Patients’ with’ Hypersensitivity’ (Allergy)’ and’ Autoimmunity 147
Chapter’21:’Cancer’Development 152
Chapter’ 22:’ Care’ of’ Patients’ with’ Cancer 157
Chapter’ 23:’ Care’ of’ Patients’ with’ Infection 167
Chapter’ 24:’ Assessment’ of’ the’ Skin,’ Hair,’ and’ Nails 174
Chapter’ 25:’ Care’ of’ Patients’ with’ Skin’ Problems 179
Chapter’26:’Care’of’ Patients’ with’Burns 196
Chapter’ 27:’ Assessment’ of’ the’ Respiratory’ System 213
Chapter’ 28:’ Care’ of’ Patients’ Requiring’ Oxygen’ Therapy’ or’ Tracheostomy 220
Chapter’ 29:’ Care’ of’ Patients’ with’ Noninfectious’ Upper’ Respiratory’ Problems 226
Chapter’ 30:’ Care’ of’ Patients’ with’ Noninfectious’ Lower’ Respiratory’ Problems 233
Chapter’ 31:’Care’of’ Patients’ with’ Infectious’ Respiratory’Problems 245
Chapter’ 32:’ Care’ of’ Critically’ Ill’ Patients’ with’ Respiratory’ Problems 256
Chapter’ 33:’Assessment’of’ the’Cardiovascular’ System 269
Chapter’ 34:’ Care’ of’ Patients’ with’ Dysrhythmias 278
Chapter’ 35:’ Care’ of’ Patients’ with’ Cardiac’ Problems 287
Chapter’ 36:’ Care’ of’ Patients’ with’ Vascular’ Problems 298
Chapter’37:’Care’of’ Patients’ with’Shock 310
Chapter’ 38:’ Care’ of’ Patients’ with’ Acute’ Coronary’ Syndromes 317
Chapter’ 39:’Assessment’ of’ the’Hematologic’ System 327
Chapter’ 40:’ Care’ of’ Patients’ with’ Hematologic’ Problems 331
Chapter’ 41:’Assessment’ of’ the’Nervous’ System 343
Chapter’ 42:’ Care’ of’ Patients’ with’ Problems’of’ the’ CNS:’ The’ Brain 353
Chapter’ 43:’ Care’ of’ Patients’ with’ Problems’ of’ the’ CNS:’ The’ Spinal’ Cord 364
Chapter’ 44:’ Care’ of’ Patients’ with’ Problems’ of’ the’ Peripheral’ Nervous’ System 374
Chapter’ 45:’Care’of’ Critically’Ill’Patients’ with’Neurologic’ Problems 380
Chapter’ 46:’ Assessment’ of’ the’ Eye’ and’ Vision 394
Chapter’ 47:’ Care’ of’ Patients’ with’ Eye’ and’ Vision’ Problems 397
Chapter’ 48:’ Assessment’ and’ Care’ of’ Patients’ with’ Ear’ and’ Hearing’ Problems 403
Chapter’49:’Assessment’ of’ the’Musculoskeletal’System 410
Chapter’ 50:’ Care’ of’ Patients’ with’ Musculoskeletal’ Problems 415

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Test’Bank’-’Medical-Surgical’Nursing:’Concepts’for’Interprofessional’Collaborative’Care’9th Edition’Ignatavicius



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Chapter’ 51:’ Care’ of’ Patients’ with’ Musculoskeletal’ Trauma 424
Chapter’ 52:’ Assessment’ of’ the’ Gastrointestinal’ System 435
Chapter’ 53:’ Care’ of’ Patients’ with’ Oral’ Cavity’ Problems 441
Chapter’ 54:’ Care’ of’ Patients’ with’ Esophageal’ Problems 445
Chapter’ 55:’ Care’ of’ Patients’ with’ Stomach’Disorders 454
Chapter’ 56:’ Care’ of’ Patients’ with’ Noninflammatory’ Intestinal’ Disorders 461
Chapter’ 57:’ Care’ of’ Patients’ with’ Inflammatory’ Intestinal’ Disorders 471
Chapter’58:’Care’of’ Patients’with’Liver’Problems 481
Chapter’ 59:’ Care’ of’ Patients’ with’ Problems’ of’ the’ Biliary’ System’ and’ Pancreas 489
Chapter’ 60:’ Care’ of’ Patients’ with’ Malnutrition:’ Undernutrition’and’ Obesity 497
Chapter’61:’Assessment’of’the’Endocrine’System 506
Chapter’ 62:’ Care’ of’ Patients’ with’ Pituitary’ and’ Adrenal’ Gland’ Problems 512
Chapter’ 63:’ Care’ of’ Patients’ with’ Problems’ of’ the’ Thyroid’ and’ Parathyroid’ Glands 520
Chapter’64:’Care’of’ Patients’with’Diabetes’Mellitus 527
Chapter’ 65:’ Assessment’ of’ the’ Renal/Urinary’ System 549
Chapter’ 66:’ Care’ of’ Patients’ with’ Urinary’ Problems 557
Chapter’ 67:’ Care’ of’ Patients’ with’ Kidney’ Disorders 568
Chapter’ 68:’ Care’ of’ Patients’ with’ Acute’ Kidney’ Injury’ and’ Chronic’ Kidney’ Disease 575
Chapter’69:’Assessment’of’the’Reproductive’ System 587
Chapter’ 70:’ Care’ of’ Patients’ with’ Breast’ Disorders 591
Chapter’ 71:’ Care’ of’ Patients’ with’ Gynecologic’ Problems 598
Chapter’ 72:’ Care’ of’ Patients’ with’ Male’ Reproductive’ Problems 605
Chapter’73:’Care’of’ Transgender’Patients 614
Chapter’ 74:’ Care’ of’ Patients’ with’ Sexually’ Transmitted’ Diseases 618

, lOMo ARc P SD|6 672 187




Test’Bank’-’Medical-Surgical’Nursing:’Concepts’for’Interprofessional’Collaborative’Care’9th Edition’Ignatavicius



3





Chapter’ 01:’ Overview’ of’ Professional’ Nursing’ Concepts’ for’ Medical-
Surgical’Nursing
MULTIPLE’ CHOICE

1.’ A’nurse’wishes’to’provide’client-centered’care’in’all’interactions.’Which’action’by ’the’nurse’best
demonstrates’this’concept?
a.’Assesses’for’cultural’influences’affecting’health’care
b.’Ensures’that’all’the ’clients’basic ’needs’are’met
c.’Tells’the’client’and’family’about’all’upcoming’tests
d.’Thoroughly’orients’the’client’and ’family ’to’the’room

ANS: ’A
Competency’in’client-focused’care’is’demonstrated’when’the’nurse’focuses’on’communication,’culture,’respect
compassion,’client’education,’and’empowerment.’By’assessing’the’effect’of’the’clients’culture’on ’health’care,
this’nurse ’is’practicing’client-focused’care.’Providing’for ’basic’needs’does’not’demonstrate’this’competence.
Simply’telling’the’client’about’all’upcoming’tests’is’not’providing’empowering’education.’Orienting’the’client
and’family’to ’the’room’is’an’important’safety’measure,’but’not’directly’related’to’demonstrating’client-centered
care.

DIF:’ Understanding/Comprehension’ REF:’ 3
KEY:’ Patient-centered’ care|’ culture’ MSC:’ Integrated’ Process:’ Caring
NOT:’Client’Needs’Category:’Psychosocial’Integrity

2.’ A’nurse’is’caring’for’a’postoperative’client’on’the’surgical’unit.’The ’clients’blood’pressure ’was’142/76’mm
Hg ’30’minutes’ago,’and’now’is’88/50’mm ’Hg.’What ’action ’by ’the’nurse ’is’best?
a.’Call’the’Rapid’Response’Team.
b.’Document ’and’continue’to’monitor.
c.’Notify’the’primary’care ’provider.
d.’Repeat’blood’pressure’measurement’in’15’minutes.

ANS: ’A
The ’purpose’of’the’Rapid ’Response’Team’(RRT)’is’to’intervene’when ’clients’are’deteriorating’before ’they
suffer’either’respiratory’or’cardiac’arrest.’Since’the’client’has’manifested’a’significant’change,’the’nurse’should
call’the’RRT.’Changes’in’blood’pressure,’mental’status,’heart’rate,’and’pain’are’particularly’significant.
Documentation ’is’vital,’but’the’nurse’must ’do’more’than’document.’The ’primary’care’provider’should’be
notified,’but’this’is’not’the’priority’over ’calling’the’RRT.’The’clients’blood ’pressure’should’be’reassessed
frequently,’but’the’priority’is’getting’the’rapid’care’to’the’client.

DIF:’Applying/Application’REF:’3
KEY:’Rapid ’Response’Team’(RRT)|’medical’emergencies
MSC:’ Integrated’ Process:’ Communication’ and’ Documentation
NOT:’ Client’ Needs’ Category:’ Physiological’ Integrity:’ Physiological’ Adaptation

3.’ A’nurse’is’orienting’a’new’client’and’family’to’the’inpatient’unit.’What’information ’does’the’nurse’provide’to
help’the’client’promote’his’or ’her’own ’safety?
a.’Encourage’the’client ’and’family’to’be’active’partners.
b.’Have ’the’client’monitor’hand’hygiene’in’caregivers.
c.’Offer’the’family’the’opportunity’to’stay’with’the’client.
d.’Tell’the’client’to’always’wear’his’or’her’armband.

ANS: ’A
Each ’action’could ’be’important’ for ’the’client’or’family’to’perform.’However,’encouraging’the’client’to’be
active’in’his’or ’her ’health’care’as’a’partner’is’the’most’critical.’The ’other’actions’are’very’limited’in’scope’and
do’not’provide’the’broad ’protection’that’being’active’and’involved’does.

DIF:’ Understanding/Comprehension’ REF:’ 3
KEY:’Patient’safety

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