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FULL TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION
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FULL TEST BANK FORMEDICAL SURGICAL NURSING 11TH EDITION
IGNATAVICIUS WORKMAN ALL CHAPTERS
,TABLE OF CONTENTS
CHAPTER 01: OVERVIEW OF PROFESSIONAL NURSING CONCEPTS FOR MEDICAL-SURGICAL NURSING .. 5
CHAPTER 02: CLINICAL JUDGMENT AND SYSTEMS THINKING.................................................................. 14
CHAPTER 03: OVERVIEW OF HEALTH CONCEPTS FOR MEDICAL-SURGICALNURSING ............................. 21
CHAPTER 04: COMMON HEALTH PROBLEMS OF OLDER ADULTS............................................................. 29
CHAPTER 05: ASSESSMENT AND CARE OF PATIENTS WITH PAIN............................................................. 41
CHAPTER 06: CONCEPTS OF GENETICS AND GENOMICS ........................................................................... 58
CHAPTER 07: CONCEPTS OF REHABILITATION FOR CHRONIC AND DISABLING HEALTH PROBLEMS ...... 68
CHAPTER 08: CONCEPTS OF CARE FOR PATIENTS AT END OF LIFE ........................................................... 78
CHAPTER 09: CONCEPTS OF CARE FOR PERIOPERATIVE PATIENTS .......................................................... 89
CHAPTER 10: CONCEPTS OF EMERGENCY AND TRAUMA NURSING....................................................... 107
CHAPTER 11: CONCEPTS OF CARE FOR PATIENTS WITH COMMON ENVIRONMENTAL EMERGENCIES 119
CHAPTER 12: CONCEPTS OF DISASTER PREPAREDNESS .......................................................................... 133
CHAPTER 13: CONCEPTS OF FLUID AND ELECTROLYTE BALANCE ........................................................... 145
CHAPTER 14: CONCEPTS OF ACID–BASE BALANCE.................................................................................. 159
CHAPTER 15: CONCEPTS OF INFUSION THERAPY .................................................................................... 171
CHAPTER 16: CONCEPTS OF INFLAMMATION AND IMMUNITY ............................................................. 184
CHAPTER 17: CONCEPTS OF CARE FOR PATIENTS WITH HIV DISEASE .................................................... 196
CHAPTER 18: CONCEPTS OF CARE FOR PATIENTS WITH HYPERSENSITIVITY (ALLERGY) AND
AUTOIMMUNITY ...................................................................................................................................... 211
CHAPTER 19: CONCEPTS OF CANCER DEVELOPMENT ............................................................................. 217
CHAPTER 20: CONCEPTS OF CARE FOR PATIENTS WITH CANCER ........................................................... 224
CHAPTER 21: CONCEPTS OF CARE FOR PATIENTS WITH INFECTION ...................................................... 243
CHAPTER 22: ASSESSMENT OF THE SKIN, HAIR, AND NAILS ................................................................... 254
CHAPTER 23: CONCEPTS OF CARE FOR PATIENTS WITH SKIN PROBLEMS ............................................. 263
CHAPTER 24: ASSESSMENT OF THE RESPIRATORY SYSTEM.................................................................... 279
,CHAPTER 25: CONCEPTS OF CARE FOR PATIENTS REQUIRING OXYGEN THERAPY OR TRACHEOSTOMY
.................................................................................................................................................................. 290
CHAPTER 26: CONCEPTS OF CARE FOR PATIENTS WITH NONINFECTIOUS UPPER RESPIRATORY
PROBLEMS ................................................................................................................................................ 300
CHAPTER 27: CONCEPTS OF CARE FOR PATIENTS WITH NONINFECTIOUS LOWER RESPIRATORY
PROBLEMS ................................................................................................................................................ 311
CHAPTER 28: CONCEPTS OF CARE FOR PATIENTS WITH INFECTIOUS RESPIRATORY PROBLEMS ......... 331
CHAPTER 29: CRITICAL CARE OF PATIENTS WITH RESPIRATORY EMERGENCIES ................................... 350
CHAPTER 30: ASSESSMENT OF THE CARDIOVASCULAR SYSTEM ............................................................ 367
CHAPTER 31: CONCEPTS OF CARE FOR PATIENTS WITH DYSRHYTHMIAS.............................................. 382
CHAPTER 32: CONCEPTS OF CARE FOR PATIENTS WITH CARDIAC PROBLEMS ...................................... 397
CHAPTER 33: CONCEPTS OF CARE FOR PATIENTS WITH VASCULAR PROBLEMS ................................... 415
CHAPTER 34: CRITICAL CARE OF PATIENTS WITH SHOCK ....................................................................... 436
CHAPTER 35: CRITICAL CARE OF PATIENTS WITH ACUTE CORONARY SYNDROMES ............................. 448
CHAPTER 36: ASSESSMENT OF THE HEMATOLOGIC SYSTEM ................................................................. 465
CHAPTER 37: CONCEPTS OF CARE FOR PATIENTS WITH HEMATOLOGIC PROBLEMS ............................ 471
CHAPTER 38: ASSESSMENT OF THE NERVOUS SYSTEM .......................................................................... 491
CHAPTER 39: CONCEPTS OF CARE FOR PATIENTS WITH PROBLEMS OF THE CENTRAL NERVOUS
SYSTEM: THE BRAIN ................................................................................................................................. 503
CHAPTER 40: CONCEPTS OF CARE FOR PATIENTS WITH PROBLEMS OF THE CENTRAL NERVOUS
SYSTEM: THE SPINAL CORD ...................................................................................................................... 521
CHAPTER 41: CRITICAL CARE OF PATIENTS WITH NEUROLOGIC EMERGENCIES .................................... 537
CHAPTER 42: ASSESSMENT AND CARE OF PATIENTS WITH EYE AND VISION PROBLEMS ..................... 554
CHAPTER 43: ASSESSMENT AND CARE OF PATIENTS WITH EAR AND HEARING PROBLEMS ................ 566
CHAPTER 44: ASSESSMENT OF THE MUSCULOSKELETAL SYSTEM .......................................................... 577
CHAPTER 45: CONCEPTS OF CARE FOR PATIENTS WITH MUSCULOSKELETAL PROBLEMS .................... 585
CHAPTER 46: CONCEPTS OF CARE FOR PATIENTS WITH ARTHRITIS AND TOTAL JOINT ARTHROPLASTY
.................................................................................................................................................................. 596
CHAPTER 47: CONCEPTS OF CARE FOR PATIENTS WITH MUSCULOSKELETAL TRAUMA ....................... 612
CHAPTER 48: ASSESSMENT OF THE GASTROINTESTINAL SYSTEM ......................................................... 629
CHAPTER 49: CONCEPTS OF CARE FOR PATIENTS WITH ORAL CAVITY AND ESOPHAGEAL PROBLEMS 637
CHAPTER 50: CONCEPTS OF CARE FOR OF PATIENTS WITH STOMACH DISORDERS .............................. 645
CHAPTER 51: CONCEPTS OF CARE FOR PATIENTS WITH NONINFLAMMATORY INTESTINAL DISORDERS
.................................................................................................................................................................. 655
CHAPTER 52: CONCEPTS OF CARE FOR PATIENTS WITH INFLAMMATORY INTESTINAL DISORDERS .... 670
,CHAPTER 53: CONCEPTS OF CARE FOR PATIENTS WITH LIVER PROBLEMS ............................................ 684
CHAPTER 54: CONCEPTS OF CARE FOR PATIENTS WITH PROBLEMS OF THE BILIARY SYSTEM AND
PANCREAS ................................................................................................................................................. 697
CHAPTER 55: CONCEPTS OF CARE FOR PATIENTS WITH MALNUTRITION: UNDERNUTRITION AND
OBESITY..................................................................................................................................................... 707
CHAPTER 56: ASSESSMENT OF THE ENDOCRINE SYSTEM ....................................................................... 717
CHAPTER 57: CONCEPTS OF CARE FOR PATIENTS WITH PITUITARY AND ADRENAL GLAND PROBLEMS
.................................................................................................................................................................. 725
CHAPTER 58: CONCEPTS OF CARE FOR PATIENTS WITH PROBLEMS OF THE THYROID AND
PARATHYROID GLANDS............................................................................................................................ 734
CHAPTER 59: CONCEPTS OF CARE FOR PATIENTS WITH DIABETES MELLITUS ....................................... 741
CHAPTER 60: ASSESSMENT OF THE RENAL/URINARY SYSTEM............................................................... 766
CHAPTER 61: CONCEPTS OF CARE FOR PATIENTS WITH URINARY PROBLEMS ...................................... 775
CHAPTER 62: CONCEPTS OF CARE FOR PATIENTS WITH KIDNEY DISORDERS ........................................ 790
CHAPTER 63: CONCEPTS OF CARE FOR PATIENTS WITH ACUTE KIDNEY INJURY AND CHRONIC KIDNEY
DISEASE ..................................................................................................................................................... 799
CHAPTER 64: ASSESSMENT OF THE REPRODUCTIVE SYSTEM ................................................................. 815
CHAPTER 65: CONCEPTS OF CARE FOR PATIENTS WITH BREAST DISORDERS........................................ 821
CHAPTER 66: CONCEPTS OF CARE FOR PATIENTS WITH GYNECOLOGIC PROBLEMS ............................. 831
CHAPTER 67: CONCEPTS OF CARE FOR CLIENTS WITH MALE REPRODUCTIVE PROBLEMS ................... 842
CHAPTER 68: CONCEPTS OF CARE FOR TRANSGENDER PATIENTS ......................................................... 851
CHAPTER 69: CONCEPTS OF CARE FOR PATIENTS WITH SEXUALLY TRANSMITTED INFECTIONS .......... 858
,CHAPTER 01: OVERVIEW OF PROFESSIONAL NURSING CONCEPTS FOR
MEDICAL-SURGICAL NURSING
MULTIPLE CHOICE
1. A NEW NURSE IS WORKING WITH A PRECEPTOR ON A MEDICAL-SURGICAL UNIT. THE
PRECEPTOR ADVISES THE NEW NURSE THAT WHICH IS THE PRIORITY WHEN WORKING AS A
PROFESSIONAL NURSE?
A. ATTENDING TO HOLISTIC CLIENT NEEDS
B. ENSURING CLIENT SAFETY
C. NOT MAKING MEDICATION ERRORS
D. PROVIDING CLIENT-FOCUSED CARE
ANS:B
ALL ACTIONS ARE APPROPRIATE FOR THE PROFESSIONAL NURSE. HOWEVER, ENSURING CLIENT SAFETY
IS THE PRIORITY. HEALTH CARE ERRORS HAVE BEEN WIDELY REPORTED FOR 25 YEARS, MANY OF WHICH
RESULT IN CLIENT INJURY, DEATH, AND INCREASED HEALTH CARE COSTS. THERE ARE SEVERAL
NATIONAL AND INTERNATIONAL ORGANIZATIONS THAT HAVE EITHER RECOMMENDED OR MANDATED
SAFETY INITIATIVES.
EVERY NURSE HAS THE RESPONSIBILITY TO GUARD THE CLIENT’S SAFETY. THE OTHER ACTIONS ARE
IMPORTANT
FOR QUALITY NURSING, BUT THEY ARE NOT AS VITAL AS PROVIDING SAFETY. NOT MAKING MEDICATION
ERRORS DOES PROVIDE SAFETY, BUT IS TOO NARROW IN SCOPE TO BE THE BEST ANSWER.
DIF: UNDERSTANDING TOP: INTEGRATED PROCESS: NURSING PROCESS: INTERVENTION KEY: CLIENT
SAFETY
MSC: CLIENT NEEDS CATEGORY: SAFE AND EFFECTIVE CARE ENVIRONMENT: SAFETY AND INFECTION
CONTROL
2. A NURSE IS ORIENTING A NEW CLIENT AND FAMILY TO THE MEDICAL-SURGICAL UNIT. WHAT
INFORMATION DOES THE NURSE PROVIDE TO BEST 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 SAFETY 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 TOP: INTEGRATED PROCESS: TEACHING/LEARNING KEY: CLIENT SAFETY
MSC: CLIENT NEEDS CATEGORY: SAFE AND EFFECTIVE CARE ENVIRONMENT: SAFETY AND INFECTION
CONTROL
3. A NURSE IS CARING FOR A POSTOPERATIVE CLIENT ON THE SURGICAL UNIT. THE CLIENT’S
BLOOD PRESSURE WAS 142/76 MM HG 30 MINUTES AGO, AND NOW IS 88/50 MM HG. WHAT ACTION
WOULD THE NURSE TAKE FIRST?
A. CALL THE RAPID RESPONSE TEAM.
B. DOCUMENT AND CONTINUE TO MONITOR.
C. NOTIFY THE PRIMARY HEALTH CARE PROVIDER.
D. REPEAT THE BLOOD PRESSURE 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 WOULD CALL THE RRT. CHANGES IN BLOOD
PRESSURE, MENTAL STATUS, HEART RATE, TEMPERATURE, OXYGEN SATURATION, AND LAST 2 HOURS’
URINE OUTPUT ARE PARTICULARLY SIGNIFICANT AND ARE PART OF THE MODIFIED EARLY WARNING
SYSTEM GUIDE. DOCUMENTATION IS VITAL, BUT THE NURSE MUST DO MORE THAN DOCUMENT. THE
PRIMARY HEALTH CARE PROVIDER WOULD BE NOTIFIED, BUT THIS IS NOT MORE IMPORTANT THAN
CALLING THE RRT. THE CLIENT’S BLOOD PRESSURE WOULD BE REASSESSED FREQUENTLY, BUT THE
PRIORITY IS GETTING THE RAPID CARE TO THE CLIENT.
DIF: APPLYING TOP: INTEGRATED PROCESS: COMMUNICATION AND DOCUMENTATION
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