Exam (elaborations)
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
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Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Hardi@ @ @ @ @ @ @ @ @ 1
ng
Table of Contents @ @
Table of Contents @ @ 1
Chapter 01: Professional Nursing@ @ @ 3
Chapter 02: Health Equity and Culturally Competent CareChapte
@ @ @ @ @ @ @ 13
r 03: Health History and Physical Examination Chapter 04: Patie
@ @ @ @ @ @ @ @ @ 21
nt and Caregiver Teaching
@ @ @ 28
Chapter 05: Chronic Illness and Older Adult
@ @ @ @ @ @ 38
s Chapter 06: Stress Management
@ @ @ @ 48
Chapter 07: Sleep and Sleep Disorders Chapt
@ @ @ @ @ @ 54
er 08: Pain
@ @ 59
Chapter 09: Palliative and End of Life Care Chap
@ @ @ @ @ @ @ @ 71
ter 10: Substance Use Disorders Chapter 11: Infla
@ @ @ @ @ @ @ 79
mmation and Healing Chapter 12: Genetics
@ @ @ @ @ 91
Chapter 13: Immune Responses and TransplantationChapter 14: I
@ @ @ @ @ @ @ 101
nfection 105
Chapter 15: Cancer @ @ 117
Chapter 16: Fluid, Electrolyte, and Acid-
@ @ @ @ @ 129
Base ImbalancesChapter 17: Preoperative Care
@ @ @ @ 148
Chapter 18: Intraoperative Care Cha
@ @ @ @ 165
pter 19: Postoperative Care
@ @ @ 175
Chapter 20: Assessment and Management: Visual Problems Chapter 21: A
@ @ @ @ @ @ @ @ @ 184
ssessment and Management: Auditory ProblemsChapter 22: Assessment: I
@ @ @ @ @ @ @ 196
ntegumentary System @ 216
Chapter 23: Integumentary Problems
@ @ @ 227
@Chapter 24: Burns @ @ 233
Chapter 25: Assessment: Respiratory System Chapt
@ @ @ @ @ 245
er 26: Upper Respiratory Problems Chapter 27: Low
@ @ @ @ @ @ @ 259
er Respiratory Problems Chapter 28: Obstructive Pul
@ @ @ @ @ @ 270
monary Diseases Chapter 29: Assessment:
@ @ @ @ 282
Hematologic SystemChapter 30: Hematologic Proble@ @ @ @ 305
ms 325
Chapter 31: Assessment: Cardiovascular SystemChapter 32: Hyp
@ @ @ @ @ @ 332
ertension 353
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome Cha
@ @ @ @ @ @ @ @ @ 364
pter 34: Heart Failure
@ @ @ 375
Chapter 35: Dysrhythmias @ @ 394
Chapter 36: Inflammatory and Structural Heart DisordersChapter
@ @ @ @ @ @ @ 406
37: Vascular Disorders
@ @ 420
Chapter 38: Assessment: Gastrointestinal SystemChapter 39: Nutritio
@ @ @ @ @ @ 435
nal Problems@ 450
Chapter 40: Obesity @ @ 458
Chapter 41: Upper Gastrointestinal Problems Cha
@ @ @ @ @ 469
pter 42: Lower Gastrointestinal Problems
@ @ @ @ 478
Chapter 43: Liver, Biliary Tract, and Pancreas ProblemsChapter
@ @ @ @ @ @ @ @ 499
44: Assessment: Urinary System
@ @ @ 523
Chapter 45: Renal and Urologic Problems
@ @ @ @ @ 543
Chapter 46: Acute Kidney Injury and Chronic Kidney DiseaseChapter 47:
@ @ @ @ @ @ @ @ @ 553
@Assessment: Endocrine System @ @ 573
Chapter 48: Diabetes Mellitus Chapt
@ @ @ @ 590
er 49: Endocrine Problems
@ @ @ 600
Chapter 50: Assessment: Reproductive System
@ @ @ @ 622
642
,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Hardi
@ @ @ @ @ @ @ @ @ 2
ng
Chapter 51: Breast Disorders
@ @ @ 650
Chapter 52: Sexually Transmitted InfectionsChapter
@ @ @ @ 662
@53: Female Reproductive ProblemsChapter 54:
@ @ @ @ 671
Male Reproductive Problems Chapter 55:
@ @ @ @ 693
Assessment: Nervous System Chapter 56: Acute Int
@ @ @ @ @ @ 708
racranial Problems Chapter 57: Stroke
@ @ @ @ 717
Chapter 58: Chronic Neurologic ProblemsChapter 5
@ @ @ @ @ 734
9: Dementia and Delirium
@ @ @ 747
Chapter 60: Spinal Cord and Peripheral Nerve ProblemsChapter 61: A
@ @ @ @ @ @ @ @ @ 763
ssessment: Musculoskeletal System
@ @ 772
Chapter 62: Musculoskeletal Trauma and Orthopedic SurgeryChapter
@ @ @ @ @ @ @ 787
63: Musculoskeletal Problems
@ @ 794
Chapter 64: Arthritis and Connective Tissue DiseasesChapter 65: Criti
@ @ @ @ @ @ @ @ 814
cal Care@ 825
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
@ @ @ @ @ @ @ @ 845
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress SyndromeChapter
@ @ @ @ @ @ @ @ @ 864
@68: Emergency and Disaster Nursing
@ @ @ @ 877
889
TEST BANK FOR @ @
Lewis’s Medical Surgical @ @ @
Nursing 11th Edition Hard @ @ @
ing
,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Hardi
@ @ @ @ @ @ @ @ @ 3
ng
Chapter 01: Professional Nursing @ @ @
Test Bank MULTIPL
@ @
E CHOICE
@
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient car
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
e. Which statement, if made by the student nurse, indicates that teaching was successful?
@ @ @ @ @ @ @ @ @ @ @ @ @
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
@ @ @ @ @ @ @ @ @ @ @ @ @
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature
@ @ @ @ @ @ @ @ @ @ @ @ @
of humans.
@
d. The nursing process is used primarily to explain nursing interventions to other health car
@ @ @ @ @ @ @ @ @ @ @ @ @
e professionals.
@
ANS: B @
The nursing process is a problem-
@ @ @ @ @
solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of t
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
he nursing process. The primary use of the nursing process is in patient care, not to establish nursing the
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
ory or explain nursing interventions to other health care professionals.
@ @ @ @ @ @ @ @ @
DIF: Cognitive Level: Understand (comprehension)
@ @ @ @
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
@ @ @ @ @ @ @ @ @ @
2. The nurse describes to a student nurse how to use evidence-
@ @ @ @ @ @ @ @ @ @
based practice guidelines when caring for patients. Which statement, if made by the nurse, would b
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
e the most accurate?
@ @ @
a. Inferences from clinical research studies are used as a guide.
@ @ @ @ @ @ @ @ @
b. Patient care is based on clinical judgment, experience, and traditions.
@ @ @ @ @ @ @ @ @
c. Data are evaluated to show that the patient outcomes are consistently met.
@ @ @ @ @ @ @ @ @ @ @
d. Recommendations are based on research, clinical expertise, and patient preferences.
@ @ @ @ @ @ @ @ @
ANS: D @
Evidence-based practice (EBP) is the use of the best research-
@ @ @ @ @ @ @ @ @
based evidence combined with clinician expertise. Clinical judgment based on the nurses clinical experi
@ @ @ @ @ @ @ @ @ @ @ @ @
ence is part of EBP, but clinical decision making should also incorporate current research and research-
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
based guidelines. Evaluation of patient outcomes is important, but interventions should be based on rese
@ @ @ @ @ @ @ @ @ @ @ @ @ @
arch from randomized control studies with a large number of subjects.
@ @ @ @ @ @ @ @ @ @
DIF: Cognitive Level: Remember (knowledge)
@ @ @ @
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
@ @ @ @ @ @ @ @ @ @
, Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Hardi
@ @ @ @ @ @ @ @ @ 4
ng
3. The nurse completes an admission database and explains that the plan of care and discharge goals will b
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
e developed with the patients input. The patient states, How is this different from what the doctor does? W
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
hich response would be most appropriate for the nurse to make?
@ @ @ @ @ @ @ @ @ @
a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
b. The nurses job is to help the doctor by collecting information and communicating any proble
@ @ @ @ @ @ @ @ @ @ @ @ @ @
ms that occur.
@ @
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
a longer time than the doctor.
@ @ @ @ @ @
d. In addition to caring for you while you are sick, the nurses will assist you to develop
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
an individualized plan to maintain your health.
@ @ @ @ @ @
ANS: D @
This response is consistent with the American Nurses Association (ANA) definition of nursing, whic
@ @ @ @ @ @ @ @ @ @ @ @ @
h describes the role of nurses in promoting health. The other responses describe some of the dependent an
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
d collaborative functions of the nursing role but do not accurately describe the nurses role in the health ca
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
re system.
@
DIF: Cognitive Level: Understand (comprehension)
@ @ @ @
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
@ @ @ @ @ @ @ @ @ @
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
hip Which nursing diagnosis is most appropriate?
@ @ @ @ @ @
a. Impaired physical mobility related to left-sided paralysis
@ @ @ @ @ @
b. Risk for impaired tissue integrity related to left-sided weakness
@ @ @ @ @ @ @ @
c. Impaired skin integrity related to altered circulation and pressure
@ @ @ @ @ @ @ @
d. Ineffective tissue perfusion related to inability to move independentl
@ @ @ @ @ @ @ @
y ANS: C
@ @
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulce
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
r. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patie
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
nt. Although left-
@ @
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for diagnosis
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
is not appropriate for this patient, who already has impaired tissue integrity. The patient does have ineffectiv
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
e tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health proble
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
m is.
@
DIF: Cognitive Level: Apply (application)
@ @ @ @
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
@ @ @ @ @ @ @
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leavi
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
ng my children with my parents. Which action should the nurse take next?
@ @ @ @ @ @ @ @ @ @ @ @
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