TESTlBANK
Medical-SurgicallNursinglinlCanada
SharonlLewislMargaretlMcLeanlHeitkemperlLindalBucher
4thl Edition
TESTBANK l
,Tableofcontent
l l
ll IntroductionltolMedical-SurgicallNursinglPracticelinlCanada
2 CulturallCompetencel andl Healthl EquitylinlNursinglCare
3 HealthlHistorylandlPhysicallExamination
4 PatientlandlCaregiverlTeaching
5 Chronicl Illness
6 Community-BasedlNursinglandlHomelCare
7 OlderlAdults
8 StresslandlStresslManagement
9 SleeplandlSleeplDisorder
slI0lPain
11 Substancel Use
12 ComplementarylandlAlternativelTherapies
13 Palliativel CarelatlthelEndloflLife
14 Inflammationlandl Woundl Healing
15 Genetics
16 AlteredlImmunelResponselandlTransplantation
17 InfectionlandlHumanlImmunodeficiencylViruslInfection
18 Cancer
19 Fluid,lElectrolyte,landlAcid-BaselImbalances
20:lNursinglManagement:lPreoperativelCarel2
1:lNursinglManagement:lIntraoperativelCarel2
2:lNursinglManagement:lPostoperativelCare
23:l NursinglAssessment:l Visuallandl Auditoryl Systemsl24:
lNursinglManagement:lVisuallandlAuditorylProblemsl 25:l
NursinglAssessment:lIntegumentarylSystem
26:l Nursingl Management:l Integumentaryl Problems
27:lNursinglManagement:l Burns
28:l Nursingl Assessment:l Respiratoryl System
29:lNursinglManagement:l UpperlRespiratorylProblems
30:lNursinglManagement:lLowerlRespiratorylProblems
31:lNursinglManagement:lObstructivelPulmonarylDiseases
32:l Nursingl Assessment:l Hematologicall System
33:lNursinglManagement:lHematologicallProblemsl
34:lNursinglAssessment:lCardiovascularlSysteml35
:lNursinglManagement:lHypertension
36:lNursinglManagement:lCoronarylArterylDiseaselandlAcutelCoronarylSy
ndrome
37:lNursinglManagement:lHeartlFailure
38:lNursinglManagement:l Dysrhythmias
39:lNursinglManagement:l InflammatorylandlStructurallHeartlDisorders
40:lNursinglManagement:lVascularlDisorders
41:lNursinglAssessment:lGastro-
intestinallSysteml42:lNursinglManagement:lNutriti
onallProblemsl43:lNursinglManagement:lObesity
44:l NursinglManagement:l UpperlGastro-intestinallProblems
45:lNursinglManagement:lLowerlGastro-intestinallProblems
46:lNursinglManagement:lLiver,lPancreas,landlBiliarylTractlProblems
47:l NursinglManagement:l UrinarylSystem
,48:l Nursingl Management:l Renall andl Urologicall Problems
49:l NursinglManagement:l AcutelKidneylInjurylandlChroniclKidneyl D
isease
50:l Nursingl Assessment:l Endocrinel System
51:lNursinglManagement:lEndocrinelProblemsl5
2:l Nursingl Management:l Diabetesl Mellitusl53:l
NursinglAssessment:lReproductivelSysteml54:lN
ursinglManagement:l BreastlDisorders
55:lNursinglManagement:l SexuallylTransmittedlInfectionsl5
6:lNursinglManagement:l FemalelReproductivelProblemsl57
:l Nursingl Management:l Malel Reproductivel Problemsl58:l
NursinglAssessment:lNervouslSystem
59:lNursinglManagement:lAcutelIntracraniallProblemsl 6
0:lNursinglManagement:l Stroke
61:l Nursingl Management:l Chronicl Neurologicall Problems
62:lNursinglManagement:lDelirium,lAlzheimer'slDisease,landlOtherl Dementia
s
63:l Nursingl Management:l Peripherall Nervel andl Spinall Cordl Problems
64:l Nursingl Assessment:l Musculo-skeletall System
65:l NursinglManagement:l Musculo-
skeletallTraumalandlOrthopedicl Surgery
66:l Nursingl Management:l Musculo-Skeletall Problems
67:lNursinglManagement:lArthritislandlConnectivelTissuelDiseasesl 68
:l Nursingl Management:l Criticall Carel Environment
69:lNursinglManagement:l Shock,lSystemiclInflammatorylResponselSyndrome
,l andl Multiple-Organl Dysfunctionl Syndrome
70:l Nursingl Management:l Respiratoryl Failurel andl Acutel Respiratory
Distressl Syndrome
71:lNursinglManagement:lEmergencylCarelSituationsl72:
l Emergencyl Managementlandl DisasterlPlanning
, Chapterl01:lIntroductionltolMedical-
SurgicallNursinglPracticelinlCanadalLewis:lMedical-
SurgicallNursinglinlCanada,l4thlCanadianlEdition
MULTIPLElCHOICE
1. Whenlcaringlforlclientslusinglevidence-
informedlpractice,lwhichloflthelfollowingldoeslthelnurseluse?
a. Clinicalljudgementlbasedlonlexperience
b. Evidencelfromlalclinicallresearchlstudy
c. Thelbestlavailablelevidenceltolguidelclinicallexpertise
d. Evaluationlofldatalshowinglthatlthelclientloutcomeslarelmet
ANS:l C
Evidence-
informedlnursinglpracticelislalcontinuouslinteractivelprocesslinvolvinglthelexplicit,lconscientio
us,landljudiciouslconsiderationloflthelbestlavailablelevidenceltolprovidelcare.lFourlprimarylelem
entslare:l(a)lclinicallstate,lsetting,landlcircumstances;l(b)lclientlpreferenceslandlactions;l(c)lbestl
researchlevidence;landl(d)lhealthlcarelresources.lClinicalljudgementlbasedlonlthelnurse’slclinica
llexperiencelislpartloflEIP,lbutlclinicalldecisionlmakinglalsolshouldlincorporatelcurrentlresearchl
andlresearch-
basedlguidelines.lEvidencelfromlonelclinicallresearchlstudyldoeslnotlprovidelanladequatelsubst
antiationlforlinterventions.lEvaluationloflclientloutcomeslislimportant,lbutlinterventionslshouldl
belbasedlonlresearchlfromlrandomizedlcontrollstudieslwithlallargelnumberloflsubjects.
DIF: CognitivelLevel:lComprehension TOP:l NursinglProcess:lPlanning
2. WhichloflthelfollowinglbestleNxplR rs e.s ’CpriMmary luseloflthelnursinglprocesslwhen
ai nsIt heGnu B
providinglcareltolclients? UlSlNlT O
a. Tolexplainlnursinglinterventionsltolotherlhealthlcarelprofessionals
b. Aslalproblem-solvingltoolltolidentifylandltreatlclients’lhealthlcarelneeds
c. Aslalscientific-basedlprocesslofldiagnosinglthelclient’slhealthlcarelproblems
d. Tolestablishlnursingltheorylthatlincorporateslthelbiopsychosociallnatureloflhumans
ANS:l B
Thelnursinglprocesslislanlassertivelproblem-
solvinglapproachltolthelidentificationlandltreatmentloflclients’lproblems.lDiagnosislislonlylonel
phaseloflthelnursinglprocess.lThelprimaryluseloflthelnursinglprocesslislinlclientlcare,lnotltolestab
lishlnursingltheorylorlexplainlnursinglinterventionsltolotherlhealthlcarelprofessionals.
DIF: CognitivelLevel:lComprehension TOP:l NursinglProcess:lImplementation
3. Thelnurselislcaringlforlalcriticallylilllclientlinlthelintensivelcarelunitlandlplanslanleveryl2-
hourlturninglscheduleltolpreventlskinlbreakdown.lWhichltypeloflnursinglfunctionlisldemonstrat
edlwithlthislturninglschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS:l D
Medical-SurgicallNursinglinlCanada
SharonlLewislMargaretlMcLeanlHeitkemperlLindalBucher
4thl Edition
TESTBANK l
,Tableofcontent
l l
ll IntroductionltolMedical-SurgicallNursinglPracticelinlCanada
2 CulturallCompetencel andl Healthl EquitylinlNursinglCare
3 HealthlHistorylandlPhysicallExamination
4 PatientlandlCaregiverlTeaching
5 Chronicl Illness
6 Community-BasedlNursinglandlHomelCare
7 OlderlAdults
8 StresslandlStresslManagement
9 SleeplandlSleeplDisorder
slI0lPain
11 Substancel Use
12 ComplementarylandlAlternativelTherapies
13 Palliativel CarelatlthelEndloflLife
14 Inflammationlandl Woundl Healing
15 Genetics
16 AlteredlImmunelResponselandlTransplantation
17 InfectionlandlHumanlImmunodeficiencylViruslInfection
18 Cancer
19 Fluid,lElectrolyte,landlAcid-BaselImbalances
20:lNursinglManagement:lPreoperativelCarel2
1:lNursinglManagement:lIntraoperativelCarel2
2:lNursinglManagement:lPostoperativelCare
23:l NursinglAssessment:l Visuallandl Auditoryl Systemsl24:
lNursinglManagement:lVisuallandlAuditorylProblemsl 25:l
NursinglAssessment:lIntegumentarylSystem
26:l Nursingl Management:l Integumentaryl Problems
27:lNursinglManagement:l Burns
28:l Nursingl Assessment:l Respiratoryl System
29:lNursinglManagement:l UpperlRespiratorylProblems
30:lNursinglManagement:lLowerlRespiratorylProblems
31:lNursinglManagement:lObstructivelPulmonarylDiseases
32:l Nursingl Assessment:l Hematologicall System
33:lNursinglManagement:lHematologicallProblemsl
34:lNursinglAssessment:lCardiovascularlSysteml35
:lNursinglManagement:lHypertension
36:lNursinglManagement:lCoronarylArterylDiseaselandlAcutelCoronarylSy
ndrome
37:lNursinglManagement:lHeartlFailure
38:lNursinglManagement:l Dysrhythmias
39:lNursinglManagement:l InflammatorylandlStructurallHeartlDisorders
40:lNursinglManagement:lVascularlDisorders
41:lNursinglAssessment:lGastro-
intestinallSysteml42:lNursinglManagement:lNutriti
onallProblemsl43:lNursinglManagement:lObesity
44:l NursinglManagement:l UpperlGastro-intestinallProblems
45:lNursinglManagement:lLowerlGastro-intestinallProblems
46:lNursinglManagement:lLiver,lPancreas,landlBiliarylTractlProblems
47:l NursinglManagement:l UrinarylSystem
,48:l Nursingl Management:l Renall andl Urologicall Problems
49:l NursinglManagement:l AcutelKidneylInjurylandlChroniclKidneyl D
isease
50:l Nursingl Assessment:l Endocrinel System
51:lNursinglManagement:lEndocrinelProblemsl5
2:l Nursingl Management:l Diabetesl Mellitusl53:l
NursinglAssessment:lReproductivelSysteml54:lN
ursinglManagement:l BreastlDisorders
55:lNursinglManagement:l SexuallylTransmittedlInfectionsl5
6:lNursinglManagement:l FemalelReproductivelProblemsl57
:l Nursingl Management:l Malel Reproductivel Problemsl58:l
NursinglAssessment:lNervouslSystem
59:lNursinglManagement:lAcutelIntracraniallProblemsl 6
0:lNursinglManagement:l Stroke
61:l Nursingl Management:l Chronicl Neurologicall Problems
62:lNursinglManagement:lDelirium,lAlzheimer'slDisease,landlOtherl Dementia
s
63:l Nursingl Management:l Peripherall Nervel andl Spinall Cordl Problems
64:l Nursingl Assessment:l Musculo-skeletall System
65:l NursinglManagement:l Musculo-
skeletallTraumalandlOrthopedicl Surgery
66:l Nursingl Management:l Musculo-Skeletall Problems
67:lNursinglManagement:lArthritislandlConnectivelTissuelDiseasesl 68
:l Nursingl Management:l Criticall Carel Environment
69:lNursinglManagement:l Shock,lSystemiclInflammatorylResponselSyndrome
,l andl Multiple-Organl Dysfunctionl Syndrome
70:l Nursingl Management:l Respiratoryl Failurel andl Acutel Respiratory
Distressl Syndrome
71:lNursinglManagement:lEmergencylCarelSituationsl72:
l Emergencyl Managementlandl DisasterlPlanning
, Chapterl01:lIntroductionltolMedical-
SurgicallNursinglPracticelinlCanadalLewis:lMedical-
SurgicallNursinglinlCanada,l4thlCanadianlEdition
MULTIPLElCHOICE
1. Whenlcaringlforlclientslusinglevidence-
informedlpractice,lwhichloflthelfollowingldoeslthelnurseluse?
a. Clinicalljudgementlbasedlonlexperience
b. Evidencelfromlalclinicallresearchlstudy
c. Thelbestlavailablelevidenceltolguidelclinicallexpertise
d. Evaluationlofldatalshowinglthatlthelclientloutcomeslarelmet
ANS:l C
Evidence-
informedlnursinglpracticelislalcontinuouslinteractivelprocesslinvolvinglthelexplicit,lconscientio
us,landljudiciouslconsiderationloflthelbestlavailablelevidenceltolprovidelcare.lFourlprimarylelem
entslare:l(a)lclinicallstate,lsetting,landlcircumstances;l(b)lclientlpreferenceslandlactions;l(c)lbestl
researchlevidence;landl(d)lhealthlcarelresources.lClinicalljudgementlbasedlonlthelnurse’slclinica
llexperiencelislpartloflEIP,lbutlclinicalldecisionlmakinglalsolshouldlincorporatelcurrentlresearchl
andlresearch-
basedlguidelines.lEvidencelfromlonelclinicallresearchlstudyldoeslnotlprovidelanladequatelsubst
antiationlforlinterventions.lEvaluationloflclientloutcomeslislimportant,lbutlinterventionslshouldl
belbasedlonlresearchlfromlrandomizedlcontrollstudieslwithlallargelnumberloflsubjects.
DIF: CognitivelLevel:lComprehension TOP:l NursinglProcess:lPlanning
2. WhichloflthelfollowinglbestleNxplR rs e.s ’CpriMmary luseloflthelnursinglprocesslwhen
ai nsIt heGnu B
providinglcareltolclients? UlSlNlT O
a. Tolexplainlnursinglinterventionsltolotherlhealthlcarelprofessionals
b. Aslalproblem-solvingltoolltolidentifylandltreatlclients’lhealthlcarelneeds
c. Aslalscientific-basedlprocesslofldiagnosinglthelclient’slhealthlcarelproblems
d. Tolestablishlnursingltheorylthatlincorporateslthelbiopsychosociallnatureloflhumans
ANS:l B
Thelnursinglprocesslislanlassertivelproblem-
solvinglapproachltolthelidentificationlandltreatmentloflclients’lproblems.lDiagnosislislonlylonel
phaseloflthelnursinglprocess.lThelprimaryluseloflthelnursinglprocesslislinlclientlcare,lnotltolestab
lishlnursingltheorylorlexplainlnursinglinterventionsltolotherlhealthlcarelprofessionals.
DIF: CognitivelLevel:lComprehension TOP:l NursinglProcess:lImplementation
3. Thelnurselislcaringlforlalcriticallylilllclientlinlthelintensivelcarelunitlandlplanslanleveryl2-
hourlturninglscheduleltolpreventlskinlbreakdown.lWhichltypeloflnursinglfunctionlisldemonstrat
edlwithlthislturninglschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS:l D
