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Exam (elaborations)

Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)

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Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)

Preview 4 out of 906  pages

  • November 25, 2024
  • 906
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Book Title:

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  • Edition:
  • ISBN:
  • Edition:
  • Lewis's Medical Surgical Nur
  • Lewis's Medical Surgical Nur
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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
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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
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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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