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Chapter 01 Professional Nursing Practice
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Chapter 02 Medical-Surgical Nursing
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Chapter 03 Health Education and Health Promotion
*$ *$ *$ *$ *$ *$ 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
*$ *$ *$ *$ *$ *$ *$ *$ *$ 45
Chapter 05 Stress and Inflammatory Responses
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Chapter 06 Genetics and Genomics in Nursing
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Chapter 07 Disability and Chronic Illness
*$ *$ *$ *$ *$ 92
Chapter 08 Management of the Older Adult Patient
*$ *$ *$ *$ *$ *$ *$ 107
Chapter 09 Pain Management
*$ *$ *$ 121
Chapter 10 Fluid and Electrolytes
*$ *$ *$ *$ 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
*$ *$ *$ *$ *$ *$ *$ *$ 153
Chapter 12 Management of Patients with Oncologic Disorders
*$ *$ *$ *$ *$ *$ *$ 169
Chapter 13 Palliative and End-of-Life Care
*$ *$ *$ *$ *$ 183
Chapter 14 Preoperative Nursing Management
*$ *$ *$ *$ 199
Chapter 15 Intraoperative Nursing Management
*$ *$ *$ *$ 214
Chapter 16 Postoperative Nursing Management
*$ *$ *$ *$ 228
Chapter 17 Assessment of Respiratory Function
*$ *$ *$ *$ *$ 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
*$ *$ *$ *$ *$ *$ *$ *$ 288
Chapter 21 Assessment of Cardiovascular Function
*$ *$ *$ *$ *$ 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
*$ *$ *$ *$ *$ *$ *$ *$ *$ 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
*$ *$ *$ *$ *$ *$ *$ *$ 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
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Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
*$ *$ *$ *$ *$ *$ *$ *$ *$ 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
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of Peripheral Circulation
*$ *$ 375
Chapter 27 Assessment and Management of Patients with Hypertension
*$ *$ *$ *$ *$ *$ *$ *$ 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
*$ *$ *$ *$ *$ *$ *$ *$ 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
*$ *$ *$ *$ *$ *$ *$ *$ 420
Chapter 30 Management of Patients with Hematologic Neoplasms
*$ *$ *$ *$ *$ *$ *$ 433
Chapter 31 Assessment of Immune Function
*$ *$ *$ *$ *$ 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
*$ *$ *$ *$ *$ *$ *$ *$ 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ 492
,Chapter 35 Assessment of Musculoskeletal Function
*$ *$ *$ *$ *$ 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
*$ *$ *$ *$ *$ *$ *$ 520
Chapter 37 Management of Patients with Musculoskeletal Trauma
*$ *$ *$ *$ *$ *$ *$ 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
*$ *$ *$ *$ *$ *$ *$ 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ 591
Chapter 42 Assessment and Management of Patients with Obesity
*$ *$ *$ *$ *$ *$ *$ *$ 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ 621
Chapter 44 Management of Patients with Biliary Disorders
*$ *$ *$ *$ *$ *$ *$ 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ 650
Chapter 46 Management of Patients with Diabetes
*$ *$ *$ *$ *$ *$ 665
Chapter 47 Assessment of Kidney and Urinary Function
*$ *$ *$ *$ *$ *$ *$ 680
Chapter 48 Management of Patients with Kidney Disorders
*$ *$ *$ *$ *$ *$ *$ 695
Chapter 49 Management of Patients with Urinary Disorders
*$ *$ *$ *$ *$ *$ *$ 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ 725
Chapter 51 Management of Patients with Female Reproductive Disorders
*$ *$ *$ *$ *$ *$ *$ *$ 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ
*$ *$ *$ *$ *$ *$ *$ *$ *$ 786
Chapter 55 Assessment of Integumentary Function
*$ *$ *$ *$ *$ 794
Chapter 56 Management of Patients with Dermatologic Disorders
*$ *$ *$ *$ *$ *$ *$ 808
Chapter 57 Management of Patients with Burn Injury
*$ *$ *$ *$ *$ *$ *$ 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ 851
Chapter 60 Assessment of Neurologic Function
*$ *$ *$ *$ *$ 866
Chapter 61 Management of Patients With Neurologic Dysfunction
*$ *$ *$ *$ *$ *$ *$ 881
Chapter 62 Management of Patients With Cerebrovascular Disorders
*$ *$ *$ *$ *$ *$ *$ 895
Chapter 63 Management of Patients with Neurologic Trauma
*$ *$ *$ *$ *$ *$ *$ 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ 940
Chapter 66 Management of Patients with Infectious Diseases
*$ *$ *$ *$ *$ *$ *$ 955
Chapter 67 Emergency Nursing
*$ *$ *$ 968
Chapter 68 Disaster Nursing
*$ *$ *$ 977
, Chapter 1: Professional Nursing Practice
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Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
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MULTIPLE CHOICE *$
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
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abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical obligat
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ion to these clients?*$ *$ *$
A. The nurse should adhere to professional standards of practice and offer service to these
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clients. *$
B. The nurse should make the choice to decline this position and pursue a different nursing
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role. *$
C. The nurse should decline to care for the client’s considering abortion.
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D. The nurse should express alternatives to women considering terminating their pregnancy.
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ANS: B * $
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
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beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. Th
$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$
e nurse should not provide care to the client because it is a conflict of personal values. The nurse shou
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$
ld not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the clien
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$
t is not requesting information for alternatives to abortions, then the nurse should not be providing thi
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$
s information.
*$
PTS: 1 REF: p. 27 * $ * $ * $ * $ *$
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
* $ *$ *$ *$ *$ *$ *$ *$ *$
TOP: Chapter 1: Professional Nursing Practice
* $ *$ *$ *$ *$
KEY: Integrated Process: Caring BLM: Cognitive Le * $ *$ *$ *$ * $ *$
vel: Apply *$ NOT: Multiple Choice * $ *$
2. An 80-year-old client is admitted with a diagnosis of community-
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acquired pneumonia. During admission the client states, "I have a living will." What implication of thi
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$
s should the nurse recognize?
*$ *$ *$ *$
A. This document is always honored, regardless of circumstances.
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B. This document specifies the client's wishes before hospitalization.
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C. This document is binding for the duration of the client's life.
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D. This document has been drawn up by the client's family to determine DNR status.
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ANS: B * $
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
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because living wills are not always honored in every circumstance, they are not binding for the durati
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on of the client's life, and they are not drawn up by the client's family.
*$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$ *$
PTS: 1 REF: p. 29
* $ * $ * $ * $ *$
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
* $ *$ *$ *$ *$ *$ *$ *$ *$ *$
TOP: Chapter 1: Professional Nursing Practice
* $ *$ *$ *$ *$
KEY: Integrated Process: Communication and Documentation
* $ *$ *$ *$ *$
BLM: Cognitive Level: Analyze * $ *$ *$
*$ NOT: Multiple Choice * $ *$
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
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principle of nonmaleficence. Which of the following actions would be considered a violation of this
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principle?
A. Discussing a DNR order with a terminally ill client *$ *$ *$ *$ *$ *$ *$ *$
B. Assisting a semi-independent client with ADLs *$ *$ *$ *$ *$
C. Refusing to administer pain medication as prescribed *$ *$ *$ *$ *$ *$
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