/
12th Edition
P.
, Table of Contents
P. P.
Chapter P. 01: P.Professional P.Nursing ....................................................................................................................................... 4
Chapter P. 02: P.Social P.Determinants P. of P. Health.................................................................................................................... 10
Chapter P.03: P.Health P.History P.and P.Physical P. Examination P . Harding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition . 15
Chapter P.04: P.Patient P. and P.Caregiver P . Teaching ................................................................................................................. 20
Chapter P.05: P.Chronic P.Illness P.and P.Older P.Adults ................................................................................................................. 26
Chapter P.06: P.Caring P.for P. Lesbian, P. Gay, P. Bisexual, P.Transgender, P. Queer P. or P. Questioning, P.and P.Gender P . Diverse P.Patients
............................................................................................................................................................................................. 34
Chapter P. 07: P.Stress P.Management ....................................................................................................................................... 38
Chapter P.08: P.Sleep P.and P.Sleep P.Disorders ............................................................................................................................ 42
Chapter P.09: P.Pain ................................................................................................................................................................. 47
Chapter P. 10: P.Palliative P. and P.End-of-Life P.Care .................................................................................................................. 56
Chapter P.11: P.Substance P.Use P.Disorders P.in P.Acute P.Care ...................................................................................................... 61
Chapter P.12: P.Inflammation P.and P.Healing ............................................................................................................................ 69
Chapter P. 13: P.Genetics .......................................................................................................................................................... 76
Chapter P.14: P.Immune P.Responses P.and P.Transplantation P . Harding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition ..... 79
Chapter P.15: P.Infection.......................................................................................................................................................... 87
Chapter P.16: P.Cancer ............................................................................................................................................................. 97
Chapter P.17: P.Fluid, P.Electrolyte, P.and P.Acid-Base P.Imbalances P.Harding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition
........................................................................................................................................................................................... 111
Chapter P.18: P.Preoperative P.Care ......................................................................................................................................... 124
Chapter P.19: P.Intraoperative P.Care ...................................................................................................................................... 131
Chapter P.20: P.Postoperative P.Care ....................................................................................................................................... 137
Chapter P.21: P.Emergency P.and P.Disaster P.Nursing................................................................................................................ 145
Chapter P . 22: P.Assessment P . and P.Management: P. Visual P.Problems P.Harding: P . Lewis‘s P . Medical-Surgical P . Nursing,
P. 12th P.Edition.153 P
. Chapter P . 23: P.Assessment P . and P.Management: P . Auditory P . ProblemsHarding: P . Lewis‘s P . Medical-Surgical P . Nursing,
12th P . Edition
. ......................................................................................................................................................................................... 166
Chapter P.24: P.Assessment: P.Integumentary P.System P.Harding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition............ 173
Chapter P.25: P.Integumentary P.Problems.............................................................................................................................. 178
Chapter P.26: P.Burns............................................................................................................................................................. 186
Chapter P. 27: P.Assessment: P.Respiratory P.System................................................................................................................ 195
Chapter P.28: P.Supporting P.Ventilation ................................................................................................................................. 203
Chapter P. 29: P.Upper P. Respiratory P.Problems ...................................................................................................................... 214
Chapter P.30: P.Lower P . Respiratory P.Problems...................................................................................................................... 220
Chapter P. 31: P.Obstructive P.Pulmonary P.Diseases ................................................................................................................ 235
Chapter P.32: P.Acute P.Respiratory P.Failure P.and P.Acute P.Respiratory P.Distress P.SyndromeHarding: P.Lewis‘s P.Medical-
Surgical P . Nursing, P . 12th P. Edition................................................................................................................................... 248
Chapter P.33: P.Assessment: P.Hematologic P.System .............................................................................................................. 257
Chapter P.34: P.Hematologic P.Problems ................................................................................................................................ 262
Chapter P.35: P.Assessment: P.Cardiovascular P.System P. Harding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition ........... 277
Chapter P.36: P.Hypertension ................................................................................................................................................. 289
Chapter P. 37: P . Coronary P . Artery P . Disease P . and P . Acute P . Coronary P . Syndrome P . Harding: P . Lewis‘s P . Medical-
2
,Surgical P . Nursing, P.12th P . Edition ................................................................................................................................... 297
Chapter P.38: P.Heart P.Failure ................................................................................................................................................ 311
Chapter P.39: P.Dysrhythmias ................................................................................................................................................ 319
Chapter P.40: P.Inflammatory P.and P.Structural P.Heart P.DisordersHarding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition
P.
. .. P.329 P.Chapter P.41: P.Vascular P. Disorders .......................................................................................................................... 341
Chapter P . 42: P . Shock, P . Sepsis, P . and P . Multiple P . Organ P . Dysfunction P . SyndromeHarding: P . Lewis‘s P . Medical-
Surgical P . Nursing, P.12th P . Edition ................................................................................................................................... 352
Chapter P.43: P.Assessment: P.Gastrointestinal P.System P.Harding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition .......... 364
Chapter P. 44: P.Nutrition P.Problems ...................................................................................................................................... 369
Chapter P. 45: P.Obesity ......................................................................................................................................................... 377
Chapter P.46: P.Upper P.Gastrointestinal P.Problems................................................................................................................. 383
Chapter P.47: P.Lower P.Gastrointestinal P.Problems................................................................................................................. 397
Chapter P.48: P.Liver, P.Biliary P.Tract, P.and P.Pancreas P . ProblemsHarding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition
........................................................................................................................................................................................... 414
Chapter P. 49: P.Assessment: P.Urinary P.System ..................................................................................................................... 429
Chapter P. 50: P.Renal P.and P.Urologic P.Problems ................................................................................................................... 436
Chapter P.51: P.Acute P.Kidney P.Injury P.and P.Chronic P.Kidney P.DiseaseHarding: P. Lewis‘s P . Medical-Surgical P. Nursing, P . 12th
P. Edition
. ......................................................................................................................................................................................... 450
Chapter P.52: P.Assessment: P.Endocrine P.System................................................................................................................... 462
Chapter P. 53: P.Diabetes ........................................................................................................................................................ 469
Chapter P. 54: P.Endocrine P.Problems ..................................................................................................................................... 484
Chapter P. 55: P.Assessment: P.Reproductive P.System ............................................................................................................ 499
Chapter P. 56: P.Breast P. Problems .......................................................................................................................................... 503
Chapter P.57: P.Sexually P.Transmitted P.Infections ................................................................................................................. 512
Chapter P.58: P.Female P.Reproductive P.Problems .................................................................................................................. 519
Chapter P. 59: P.Male P.Reproductive P.Problems ..................................................................................................................... 533
Chapter P.60: P.Assessment: P.Nervous P. System .................................................................................................................... 544
Chapter P. 61: P.Acute P.Intracranial P. Problems ...................................................................................................................... 550
Chapter P.62: P.Stroke ............................................................................................................................................................ 565
Chapter P.63: P.Chronic P.Neurologic P. Problems .................................................................................................................... 574
Chapter P.64: P.Dementia P . and P.Delirium .............................................................................................................................. 585
Chapter P.65: P.Spinal P.Cord P.and P.Peripheral P.Nerve P.ProblemsHarding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition
........................................................................................................................................................................................... 593
Chapter P.66: P.Assessment: P.Musculoskeletal P.System P.Harding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition ......... 603
Chapter P.67: P.Musculoskeletal P.Trauma P.and P.Orthopedic P.SurgeryHarding: P.Lewis‘s P.Medical-Surgical P.Nursing, P . 12th
P.Edition
. ......................................................................................................................................................................................... 608
Chapter P.68: P.Musculoskeletal P.Problems ............................................................................................................................ 622
Chapter P.69: P.Arthritis P. and P.Connective P.Tissue P.Diseases P . Harding: P.Lewis‘s P.Medical-Surgical P.Nursing, P.12th P.Edition 629
3
, Chapter 01: Professional Nursing
P. P. P.
MULTIPLE P. CHOICE
1. The P . nurse P . completes P . an P . admission P . database P . and P . explains P . that P . the P . plan P . of
care P . and P.discharge P.goals P.will P.be P.developed P.with P.the P.patient‗s P.input. P.The P.patient
P.
P.asks, P.―How P.is P.this P.different P . from P . what P . the P . physician P . does?‖ P . Which P . response
P . would P . the P . nurse P . provide?
a. ―The P.role P.of P.the P.nurse P.is P.to P.administer P.medications P.and P.other
P.treatments P.prescribed P.by P. your P.physician.‖
b. ―In P.addition P.to P.caring P.for P.you P.while P.you P.are P.sick, P.the P.nurses P.will P.help P. you
P.plan P.to P.maintain P. your P.health.‖
c. ―The P.nurse‗s P.job P.is P.to P.collect P.information P.and P.communicate P.any
. roblems P.that P.occur P.to P.the P.physician.‖
Pp
d. ―Nurses P.perform P.manyPo . f P.the P.same P.procedures P.as P.the P.physician, P.but
P.nurses P.are P . with P . the P . patients P . for P . a P . longer P . time P . than P . the
P . physician.‖
ANS: P . B
The P.American P.Nurses P.Association P.(ANA) P.definition P.of P.nursing P.describes P.the P.role P.of
P.nurses P.in P . promoting P . health. P . The P . other P . responses P . describe P . dependent P . and
P . collaborative P . functions P.of P . the P . nursing P . role P . but P . do P . not P . accurately P.describe
P . the P . nurse‗s P . unique P . role P . in P . the P . health P.care P.system.
DIF: P . P . P . Cognitive P.Level: P.Analyze P.(Analysis)
TOP: Nursing P.Process: P . Implementation MSC: P . NCLEX: P. Safe P.and P. Effective P.Care
P. Environment
2. Which P.statement P . byPt. he P . nurse P.accuratelyP.describes P . the P . use P.of P. evidence-based P . practice
(EBP)?
P.
a. ―Patient P.care P.is P.based P.on P.clinical P.judgment, P.experience, P.and P.traditions.‖
b. ―Data P.are P.analyzed P.later P.to P.show P.that P.the P.patient P.outcomes P.are P.consistently P.met.‖
c. ―Research P.from P.all P.published P.articles P.are P.used P.as P.a P.guide P.for P.planning P.patient P.care.‖
d. ―Recommendations P.are P.based P.on P.research, P.clinical P.expertise,
P.and P.patient P.preferences.‖
ANS: P . D
Evidence-based P . practice P . (EBP) P . is P.the P.use P.of P.the P.best P . research-based P . evidence
P.combined P.with P.clinician P.expertise P.and P.consideration P.of P.patient P.preferences. P.Clinical
P.judgment P.based P . on P.the P.nurse‗s P.clinical P.experience P.is P.part P.of P.EBP, P.but P.clinical
P.decision P.making P.should P.also P . incorporate P.current P.research P.and P.research-based
P.guidelines. P.Evaluation P.of P.patient P.outcomes P.is P.important, P.but P.data P.analysis P.is P.not
P.required P.to P.use P.EBP. P.All P.published P.articles P.do P.not P . provide P.research P.evidence;
P.interventions P.should P.be P.based P.on P.credible P.research, P.preferably P.randomized P.controlled
P.studies P.with P.a P.large P.number P.of P.subjects.
DIF: Cognitive P.Level: P.Understand P.(Comprehension) TOP: P.Nursing
P.Process: P.Planning P.MSC: P . NCLEX: P.Safe P.and P.Effective P . Care P . Environment
3. Which P.statement P . byPt. he P . nurse P.provides P . a P. clear P . explanation P . of P.the P . nursing P. process?
a. ―The P.nursing P.process P.is P.a P.research P.method P.ofP.diagnosing P.the P.patient‗s
health P.care P.problems.‖
P.
b. ―The P.nursing P.process P.is P.used P.primarilyPt. o P.explain P.nursing P.interventions
P.to P.other P.health P.care P.professionals.‖
c. ―The P.nursing P.process P.is P.a P.problem-solving P.tool P.used P.to P.identifyPa. nd P. manage P. the
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