Test Bank For Medical-Surgical Nursing 15th Edition Chapter 1-68 QUESTIONS&EXPERT SOLUTIONS/RATIONALES | LATEST UPDATE

Test Bank For Medical-Surgical Nursing 15th Edition Chapter 1-68 QUESTIONS&EXPERT SOLUTIONS/RATIONALES | LATEST UPDATE Chapter list for your book: UNIT 1 Principles of Nursing Practice Chapter 1 Professional Nursing Practice Chapter 2 Medical-Surgical Nursing Chapter 3 Health Education and Health Promotion Chapter 4 Adult Health and Physical, Nutritional, and Cultural Assessment Chapter 5 Stress and Inflammatory Responses Chapter 6 Genetics and Genomics in Nursing Chapter 7 Disability and Chronic Illness Chapter 8 Management of the Older Adult Patient UNIT 2 Concepts and Principles of Patient Management Chapter 9 Pain Management Chapter 10 Fluid and Electrolytes Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome Chapter 12 Oncologic Management Chapter 13 Palliative and End-of-Life Care UNIT 3 Perioperative Concepts and Nursing Management Chapter 14 Preoperative Nursing Management Chapter 15 Intraoperative Nursing Management Chapter 16 Postoperative Nursing Management UNIT 4 Gas Exchange and Respiratory Function Chapter 17 Assessment of Respiratory Function Chapter 18 Management of Patients With Upper Respiratory Tract Disorders Chapter 19 Management of Patients With Chest and Lower Respiratory Tract Disorders Chapter 20 Management of Patients With Chronic Pulmonary Disease UNIT 5 Cardiovascular and Circulatory Function Chapter 21 Assessment of Cardiovascular Function Chapter 22 Management of Patients With Arrhythmias and Conduction Problems Chapter 23 Management of Patients With Coronary Vascular Disorders Chapter 24 Management of Patients With Structural, Infectious, and Inflammatory Cardiac Disorders Chapter 25 Management of Patients With Complications From Heart Disease Chapter 26 Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation Chapter 27 Assessment and Management of Patients With Hypertension UNIT 6 Hematologic Function Chapter 28 Assessment of Hematologic Function and Treatment Modalities Chapter 29 Management of Patients With Nonmalignant Hematologic Disorders Chapter 30 Management of Patients With Hematologic Neoplasms UNIT 7 Immunologic Function Chapter 31 Assessment of Immune Function Chapter 32 Management of Patients With Immune Deficiency Disorders Chapter 33 Assessment and Management of Patients With Allergic Disorders Chapter 34 Assessment and Management of Patients With Inflammatory Rheumatic Disorders UNIT 8 Musculoskeletal Function Chapter 35 Assessment of Musculoskeletal Function Chapter 36 Management of Patients With Musculoskeletal Disorders Chapter 37 Management of Patients With Musculoskeletal Trauma UNIT 9 Digestive and Gastrointestinal Function Chapter 38 Assessment of Digestive and Downloaded by Elizabeth Whitney () Chapter 39 Management of Patients With Oral and Esophageal Disorders Chapter 40 Management of Patients With Gastric and Duodenal Disorders Chapter 41 Management of Patients With Intestinal and Rectal Disorders UNIT 10 Metabolic and Endocrine Function Chapter 42 Assessment and Management of Patients With Obesity Chapter 43 Assessment and Management of Patients With Hepatic Disorders Chapter 44 Management of Patients With Biliary Disorders Chapter 45 Assessment and Management of Patients With Endocrine Disorders Chapter 46 Management of Patients With Diabetes UNIT 11 Kidney and Urinary Tract Function Chapter 47 Assessment of Kidney and Urinary Function Downloaded by Elizabeth Whitney () Chapter 48 Management of Patients With Kidney Disorders Chapter 49 Management of Patients With Urinary Disorders UNIT 12 Reproductive Function Chapter 50 Assessment and Management of Patients With Female Physiologic Processes Chapter 51 Management of Patients With Female Reproductive Disorders Chapter 52 Assessment and Management of Patients With Breast Disorders Chapter 53 Assessment and Management of Patients With Male Reproductive Disorders Chapter 54 Assessment and Management of Patients Who Are LGBTQ UNIT 13 Integumentary Function Chapter 55 Assessment of Integumentary Function Chapter 56 Management of Patients With Dermatologic Disorders Chapter 57 Management of Patients With Burn Injury Assessment and Management of Patients With Eye and Vision Disorders Chapter 59 Assessment and Management of Patients With Hearing and Balance Disorders UNIT 15 Neurologic Function Chapter 60 Assessment of Neurologic Function Chapter 61 Management of Patients With Neurologic Dysfunction Chapter 62 Management of Patients With Cerebrovascular Disorders Chapter 63 Management of Patients With Neurologic Trauma Chapter 64 Management of Patients With Neurologic Infections, Autoimmune Disorders, and Neuropathies Chapter 65 Management of Patients With Oncologic or Degenerative Neurologic Disorders UNIT 16 Acute Community Based Challenges Chapter 66 Management of Patients With Infectious Diseases Chapter 67 Emergency Nursing Chapter 68 Disaster Nursing Downloaded by Elizabeth Whitney () UNIT 1 PRINCIPLES OF NURSING PRACTICE Brunner & Suddarthts Textbook of Medical Surgical Nursing 15th Edition Chapter 1: Professional Nursing Practice When the nurse encourages a patient with heart failure to alternate rest and activity periods to reduce cardiac workload, which phase of the nursing process is being used? A. Planning B. Diagnosis C. Evaluation D. Implementation D. Implementation Carrying out a specific, individualized plan constitutes the implementation phase of the nursing process. The nurse's action of encouragement and instruction to the patient is part of carrying out a plan of action. When planning care for a patient, the nurse may use a visual diagram of patient problems and interventions to illustrate the relationships among pertinent clinical data. This format is called a A. concept map. B. critical pathway. C. clinical pathway. D. nursing care plan. A. concept map A concept map is another method of recording a nursing care plan. In a concept map, the nursing process is recorded in a visual diagram of patient problems and interventions. A clinical (critical) pathway is a prewritten plan that directs the entire interprofessional care team in the daily care goals for select health care problems. A nurse is providing care for a patient who had a transurethral resection of his prostate this morning. The patient is receiving continuous bladder irrigation, and the urinary catheter is now occluded. The nurse is planning to contact the patientts health care provider and communicate using the SBAR (Situation-Background-AssessmentRecommendation) format. Which statement is a component of communication using SBAR? A. "What do you think could be causing this occlusion?" B. "I think that we should manually irrigate his catheter." C. "What do you know about this patient and his history?" D. "Could you please provide some direction for his care?" Downloaded by Elizabeth Whitney () B."I think that we should manually irrigate his catheter." Proposing a recommendation is a component of the "R" component of SBAR communication. Asking the health care provider for possible contributing factors to the problem or for general direction may be appropriate in some circumstances, but these are not explicit components of SBAR. The nurse should briefly identify the patient and his circumstances, not ask an open-ended question regarding the health care provider's familiarity. What factor has been most clearly identified as an influence on the future of nursing practice? A. Aging of the American population and increases in chronic illnesses Correct B. Increasing birth rates coupled with decreased average life expectancy C. Increased awareness of determinants of health and improved self-care D. Apathy around health behaviors and the relationship of lifestyle to health A. Aging of the American population and increases in chronic illnesses The American population is aging at the same time that the incidence of chronic health conditions is increasing. There is no noted increase in the overall awareness of the determinants of health, but at the same time, observers have not identified apathy as a predominant attitude. Life expectancy is increasing, not decreasing. A registered nurse (RN) has delegated the administration of IV medications to a licensed practical/vocational nurse (LPN/LVN). Which statement accurately describes delegation? A. The RN must teach the LPN how to administer the IV medications. B. Ultimate responsibility for administering the medication lies with the LPN.. C. The RN is responsible for observing the LPN administer the IV medication D. The RN is the one accountable for the quality of care that the patient receives. D. The RN is the one accountable for the quality of care that the patient receives. Delegation entails a redistribution of nursing work, but the RN remains ultimately responsible and accountable for the execution of the task. It would be inappropriate to delegate if the LPN was unfamiliar with the task. The RN is not obliged to observe the LPN's execution of the task. In which patient care delivery model does the nurse plan and coordinate the aspects of patient care with other disciplines focusing on continuity of care and interprofessional collaboration even if the nurse is absent? A. Team nursing model B. Primary nursing model C. Total patient care model D. Case management nursing model B. Primary nursing model The primary nursing model includes planning the patient's care and coordinating and communicating all aspects of care Downloaded by Elizabeth Whitney () with other disciplines and those providing care in the nurse's absence. The focus is on continuity of care and interprofessional collaboration. Team nursing uses the RN as the team leader to organize and manage the care for a group of patients with other ancillary workers. The RN has authority and accountability for the quality of care delivered by the team only during the work period. In a total patient care model, the nurse is accountable for the complete care of the patient during the assigned shift. Case management is not a model of care delivery but a collaborative process that involves assessing, planning, facilitating, and advocating for health services with a variety of resources to promote costeffective outcomes. A nurse with an associate or baccalaureate degree who meets licensing requirements is qualified to practice as A. a nurse practitioner. B. a certified specialist. C. an entry-level generalist. D. an advanced practice nurse. C. an entry-level generalist Entry-level nurses with an associate or baccalaureate degree are prepared to function as generalists. With experience and continued study, nurses may specialize in an area of practice and may obtain certification in nursing specialties. Certification usually requires clinical experience and successful completion of an examination. A nurse practitioner is an example of an advanced practice nurse. An advanced practice nurse has a minimum of a master's degree with advanced education in pharmacology and physical assessment as well as expertise in a specialized area of practice. When nurses disagree about the effectiveness of a commonly practiced nursing intervention, the best evidence for determining which intervention to use is A. a systematic review of randomized controlled trials. B. a qualitative research study with a large sample size C. a methodological Internet search using key medical terms. D. anecdotal evidence retrieved from two or more case studies. A. a systematic review of randomized controlled trials. Systematic reviews of randomized controlled trials (RCTs) are considered the strongest level of evidence to answer questions about interventions (i.e., cause and effect). The nurse establishes priorities and determines outcomes for an individual patient during which phase of the nursing process? A. Analysis B. Planning C. Evaluation D. Assessment B. Planning Downloaded by Elizabeth Whitney () During the planning phase of the nursing process, patient outcomes or goals are developed and nursing interventions are identified to accomplish the outcomes. The assessment phase of the nursing process includes the collection of subjective and objective patient information on which to base the plan of care. The evaluation phase of the nursing process determines if the patient outcomes have been met as a result of nursing interventions. Nursing diagnosis is the act of analyzing the assessment data and making a judgment about the nature of the data. A nurse is monitoring all of the patients in an outpatient procedure area for complications of administering IV fluids. What type of nursing function is being demonstrated by the nurse? A. Dependent B. Independent C. Autonomous D. Collaborative D. Collaborative A collaborative nursing function is demonstrated when the nurse monitors patients for complications of acute illness, administers IV fluids and medications per health care provider's orders, and implements nursing interventions such as providing emotional support or teaching about specific procedures. Nursing functions may be dependent, collaborative, or independent. The nurse functions dependently when carrying out medical orders. Physician-initiated nursing functions may include administering medications, performing or assisting with certain medical treatments, and assisting with diagnostic tests and procedures. Independent nursing functions include interventions such as promotion and optimization of health, prevention of illness, and patient advocacy. A patient is being prepared for discharge home after a laparoscopic cholecystectomy. Which team member can be assigned to complete a discharge assessment and provide patient teaching for post-discharge care? A. Registered nurse (RN) B. Nursing technician (NT) C. Unlicensed assistive personnel (UAP) D. Licensed practical/vocational nurse (LPN/LVN) A. Registered nurse (RN)