Medical-Surgical Nursing: Concepts & Practice (4th Edition) – Practice Questions & Study Guide (Original) | deWit

TEST BANK f9


DEWITT’Sf9MEDICAL-SURGICALf9NURSING:f9CONCEPTS
ANDf9PRACTICE,f94THf9EDITIONf9byf9Hollyf9K.f9Stromberg.

,TABLEf9OFf9CONTENT
Chapterf901:f9Caringf9forf9Medical-Surgicalf9Patients ...................................................................................... 4
Chapterf902:f9Criticalf9Thinkingf9andf9thef9Nursingf9Process .......................................................................... 14
Chapterf903:f9Fluid,f9Electrolytes,f9Acid-Basef9Balance,f9andf9Intravenousf9Therapy .................................... 24
Chapterf904:f9Caref9off9Preoperativef9andf9Intraoperativef9Surgicalf9Patients ................................................. 34
Chapterf905:f9Caref9off9Postoperativef9Patients ............................................................................................... 44
Chapterf906:f9Infectionf9Preventionf9andf9Control .......................................................................................... 54
Chapterf907:f9Caref9off9Patientsf9withf9Pain .................................................................................................... 64
Chapterf908:f9Caref9off9Patientsf9withf9Cancer ................................................................................................ 74
Chapterf909:f9Chronicf9Illnessf9andf9Rehabilitation ......................................................................................... 84
Chapterf910:f9Thef9Immunef9andf9Lymphaticf9System .................................................................................... 95
Chapterf911:f9Caref9off9Patientsf9withf9Immunef9andf9Lymphaticf9Disordersf9(withf9HIVf9andf9AIDS).............105
Chapterf912:f9Thef9Respiratoryf9System.........................................................................................................116
Chapterf913:f9Caref9off9Patientsf9withf9Disordersf9off9thef9Upperf9Respiratoryf9System .................................126
Chapterf914:f9Caref9off9Patientsf9withf9Disordersf9off9thef9Lowerf9Respiratoryf9System ................................136
Chapterf915:f9Thef9Hematologicf9System ......................................................................................................147
Chapterf916:f9Caref9off9Patientsf9withf9Hematologicf9Disorders.....................................................................157
Chapterf917:f9Thef9Cardiovascularf9System ...................................................................................................167
Chapterf918:f9Caref9off9Patientsf9withf9Hypertensionf9andf9Peripheralf9Vascularf9Disease.............................177
Chapterf919:f9Caref9off9Patientsf9withf9Cardiacf9Disorders .............................................................................187
Chapterf920:f9Caref9off9Patientsf9withf9Coronaryf9Arteryf9Diseasef9andf9Cardiacf9Surgery ............................197
Chapterf921:f9Thef9Neurologicf9System .........................................................................................................208
Chapterf922:f9Caref9off9Patientsf9withf9Headf9andf9Spinalf9Cordf9Injuries ......................................................218
Chapterf923:f9Caref9off9Patientsf9withf9Disordersf9off9thef9Brain ....................................................................228
Chapterf924:f9Caref9off9Patientsf9withf9Peripheralf9Nervef9andf9Degenerativef9Diseases ................................238
Chapterf925:f9Thef9Sensoryf9System:f9Eyef9andf9Ear ......................................................................................248
Chapterf926:f9Caref9off9Patientsf9withf9Disordersf9off9thef9Eyesf9andf9Ears.....................................................258
Chapterf927:f9Thef9Gastrointestinalf9System ..................................................................................................269
Chapterf928:f9Caref9off9Patientsf9withf9Disordersf9off9thef9Upperf9Gastrointestinalf9System ..........................280
Chapterf929:f9Caref9off9Patientsf9withf9Disordersf9off9thef9Lowerf9Gastrointestinalf9System ..........................291
Chapterf930:f9Caref9off9Patientsf9withf9Disordersf9off9thef9Liver,f9Gallbladder,f9andf9Pancreas ..........................302
Chapterf931:f9Thef9Musculoskeletalf9System .................................................................................................313
Chapterf932:f9Caref9off9Patientsf9withf9Musculoskeletalf9andf9Connectivef9Tissuef9Disorders .......................323
Chapterf933:f9Thef9Urinaryf9System ...............................................................................................................334
Chapterf934:f9Caref9off9Patientsf9withf9Disordersf9off9thef9Urinaryf9System ...................................................346
Chapterf935:f9Thef9Endocrinef9System...........................................................................................................358
Chapterf936:f9Caref9off9Patientsf9withf9Pituitary,f9Thyroid,f9Parathyroid,f9andf9Adrenalf9Disorders ..................368
Chapterf937:f9Caref9off9Patientsf9withf9Diabetesf9andf9Hypoglycemia ............................................................380
Chapterf938:f9Caref9off9Womenf9withf9Reproductivef9Disorders....................................................................392
Chapterf939:f9Caref9off9Menf9withf9Reproductivef9Disorders .........................................................................404

,Chapterf940:f9Caref9off9Patientsf9withf9Sexuallyf9Transmittedf9 Infections......................................................416
Chapterf941:f9Thef9Integumentaryf9System ....................................................................................................426
Chapterf942:f9Caref9off9Patentsf9withf9Integumentaryf9Disordersf9andf9Burns ................................................436
Chapterf943:f9Caref9off9Patientsf9inf9Disastersf9orf9Bioterrorismf9Attack ........................................................447
Chapterf944:f9Caref9off9Patientsf9withf9Emergencies,f9Trauma,f9andf9Shock ..................................................457
Chapterf945:f9Caref9off9Patientsf9withf9Anxiety,f9Mood,f9andf9Eatingf9Disorders ...........................................469
Chapterf946:f9Caref9off9Patientsf9withf9Substancef9Abusef9Disorders .............................................................479
Chapterf947:f9Caref9off9Patientsf9withf9Cognitivef9Disorders .........................................................................490
Chapterf948:f9Caref9off9Patientsf9withf9Thoughtf9andf9Personalityf9Disorders ................................................500

, Chapterf901:f9Caringf9forf9Medical-Surgicalf9Patients
deWit:f9Medical-Surgicalf9Nursing:f9Conceptsf9&f9Practice,f94thf9Edition

MULTIPLEf9CHOICE

1. Whichf9statementf9accuratelyf9describesf9thef9primaryf9purposef9off9thef9statef9nursef9practi
cef9actf9(NPA)?
a. Tof9testf9andf9licensef9LPN/LVNs.
b. Tof9definef9thef9scopef9off9LPN/LVNf9practice.
c. Tof9improvef9thef9qualityf9off9caref9providedf9byf9thef9LPN/LVN.
d. Tof9limitf9thef9LPN/LVNf9employmentf9placement.
ANS:f 9 B
Whilef9improvingf9qualityf9off9caref9providedf9byf9thef9LPN/LVNf9mayf9bef9af9resultf9off9thef9NPA
,f9thef9primaryf9purposef9off9thef9NPAf9off9eachf9statef9definesf9thef9scopef9off9nursingf9practicef9i
nf9thatf9state.

PTS:f 9 f 9 1 DIF: Cognitivef9Level:f9Comprehension REF:f92
OBJ:f 9 3 TOP:f 9 NPA
KEY:f9Nursingf9Processf9Step:f9Implementationf9MSC:f9NCLEX:f9S
afe,f9Effectivef9Caref9Environment:f9Coordinatedf9Care

2. Thef9chargef9nursef9asksf9thef9newf9vocationalf9nursef9tof9startf9anf9intravenousf9infusion,f9af9skillf
9 thatf9thef9vocationalf9nursef9hasf9notf9beenf9taughtf9duringf9herf9educationalf9program.f9Howf9sh
ouldf9thef9vocationalf9nursef9respond?
a. Askf9af9moref9experiencedf9nursef9tof9demonstratef9thef9procedure.
b. Lookf9upf9thef9proceduref9inf9thef9proceduref9manual.
c. Attemptf9tof9performf9thef9proceduref9withf9supervision.
d. Informf9thef9chargef9nursef9off9herf9lackf9off9trainingf9inf9thisf9procedure.
ANS:f 9 D
Thef9chargef9nursef9shouldf9bef9informedf9off9thef9lackf9off9trainingf9tof9performf9thef9procedure,f
9andf9thef9vocationalf9nursef9shouldf9seekf9furtherf9trainingf9tof9gainf9proficiency.f9Althoughf9th
ef9otherf9optionsf9mightf9bef9helpful,f9theyf9aref9notf9safe.

PTS: 1 DIF: Cognitivef9Level:f9Application REF:f93
OBJ:f 9 1 TOP:f 9 Providingf9Safef9Care
KEY:f9Nursingf9Processf9Step:f9N/Af9MSC:f9NCLEX:f9Safe,f9Effectivef9Caref9
Environment:f9Coordinatedf9Care

3. Whichf9patientf9statementf9indicatesf9af9needf9forf9furtherf9dischargef9teachingf9thatf9thef9voca
tionalf9nursef9shouldf9address?
a. ―If9havef9nof9ideaf9off9howf9thisf9drugf9willf9affectf9me.‖
b. ―Dof9 youf9knowf9iff9myf9physicianf9isf9comingf9backf9today?‖
c. ―Willf9myf9insurancef9payf9forf9mystay?‖
d. ―Amf9If9goingf9tof9havef9tof9gof9tof9af9nursingf9home?‖
ANS:f 9 A
Lackf9off9knowledgef9atf9dischargef9aboutf9medicationf9effectsf9andf9sidef9effectsf9isf9af9concernf9
thatf9shouldf9bef9addressedf9byf9thef9vocationalf9nurse.f9Thef9otherf9concernsf9inf9thef9optionsf9ar
ef9thef9responsibilityf9off9otherf9departmentsf9tof9whichf9thef9nursef9mightf9referf9thef9patient.

PTS:f 9 f 9 1 DIF: Cognitivef9Level:f9Application REF:f92
OBJ:f 9 f 9 1 TOP:f 9 Teaching KEY:f9Nursingf9Processf9Step:f9Implementation