AND MANAGEMENT OF CLINICAL PROBLEMS, 5TH EDITION BY JEFFREY KWONG,
COURTNEY REINISCH, JANE TYERMAN, SHELLEY COBBETT, DEBRA HAGLER,
MARIANN HARDING, AND DOTTIE ROBERTS.
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,Test Bank Lewis's Medical-Surgical Nursing in Canada: Assessment and Management of Clinical Problems,
5th Edition (Tyerman, 2026)
Contents
Chapter 1: Introduction to Medical-Surgical Nursing Practice in Canada
Chapter 2: Cultural Competence and Health Equity in Nursing Care
Chapter 3: Health History and Physical Examination
Chapter 4: Patient and Caregiver Teaching
Chapter 5: Chronic Illness
Chapter 6: Community-Based Nursing and Home Care
Chapter 7: Older Persons
Chapter 8: Stress and Stress Management
Chapter 9: Sleep and Sleep Disorders
Chapter 10: Pain
Chapter 11: Substance Use
Chapter 12: Complementary and Alternative Therapies
Chapter 13: Palliative and End-of-Life Care
Chapter 14: Inflammation and Wound Healing
Chapter 15: Genetics
Chapter 16: Altered Immune Response and Transplantation
Chapter 17: Infection and Human Immunodeficiency Virus Infection
Chapter 18: Cancer
Chapter 19: Fluid, Electrolyte, and Acid–Base Imbalances
Chapter 20: Nursing Management: Preoperative Care
Chapter 21: Nursing Management: Intraoperative Care
Chapter 22: Nursing Management: Postoperative Care
Chapter 23: Nursing Assessment: Visual and Auditory Systems
Chapter 24: Nursing Management: Visual and Auditory Conditions
Chapter 25: Nursing Assessment: Integumentary System
Chapter 26: Nursing Management: Integumentary Conditions
Chapter 27: Nursing Management: Burns
Chapter 28: Nursing Assessment: Respiratory System
Chapter 29: Nursing Management: Upper Respiratory Conditions
Chapter 30: Nursing Management: Lower Respiratory Conditions
Chapter 31: Nursing Management: Obstructive Pulmonary Diseases
Chapter 32: Nursing Assessment: Hematological System
Chapter 33: Nursing Management: Hematological Conditions
Chapter 34: Nursing Assessment: Cardiovascular System
Chapter 35: Nursing Management: Hypertension
Chapter 36: Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
,Contents
Chapter 37: Nursing Management: Heart Failure
Chapter 38: Nursing Management: Dysrhythmias
Chapter 39: Nursing Management: Inflammatory and Structural Heart Disorders
Chapter 40: Nursing Management: Vascular Disorders
Chapter 41: Nursing Assessment: Gastrointestinal System
Chapter 42: Nursing Management: Nutritional Conditions
Chapter 43: Nursing Management: Obesity
Chapter 44: Nursing Management: Upper Gastrointestinal Conditions
Chapter 45: Nursing Management: Lower Gastrointestinal Conditions
Chapter 46: Nursing Management: Liver, Pancreas, and Biliary Tract Conditions
Chapter 47: Nursing Assessment: Urinary System
Chapter 48: Nursing Management: Renal and Urological Conditions
Chapter 49: Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
Chapter 50: Nursing Assessment: Endocrine System
Chapter 51: Nursing Management: Endocrine Conditions
Chapter 52: Nursing Management: Diabetes Mellitus
Chapter 53: Nursing Assessment: Reproductive System
Chapter 54: Nursing Management: Breast Disorders
Chapter 55: Nursing Management: Sexually Transmitted Infections
Chapter 56: Nursing Management: Female Reproductive Conditions
Chapter 57: Nursing Management: Male Reproductive Conditions
Chapter 58: Nursing Assessment: Nervous System
Chapter 59: Nursing Management: Acute Intracranial Conditions
Chapter 60: Nursing Management: Stroke
Chapter 61: Nursing Management: Chronic Neurological Conditions
Chapter 62: Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
Chapter 63: Nursing Management: Peripheral Nerve and Spinal Cord Conditions
Chapter 64: Nursing Assessment: Musculoskeletal System
Chapter 65: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
Chapter 66: Nursing Management: Musculoskeletal Conditions
Chapter 67: Nursing Management: Arthritis and Connective Tissue Diseases
Chapter 68: Nursing Management: Critical Care Environment
Chapter 69: Nursing Management: Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome
Chapter 70: Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
Chapter 71: Nursing Management: Emergency Care Situations
Chapter 72: Emergency Management and Disaster Planning
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Tyerman: Lewis’s Medical-Surgical Nursing in Canada, 5th Edition
MULTIPLE CHOICE
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the
patient that together they will plan the patient’s care and set goals for discharge. The patient
asks, “How is that different from what the doctor does?” Which response by the nurse is most
appropriate?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your doctor.”
b. “The nurse’s job is to help the doctor by collecting data and communicating when
there are problems.”
c. “Nurses perform many of the procedures done by physicians, but nurses are here in
the hospital for a longer time than doctors.”
d. “In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.”
ANS: D
This response is consistent with the Canadian Nurses Association (CNA) definition of
nursing. Registered nurses are self-regulated health care professionals who work
autonomously and in collaboration with others. RNs enable individuals, families, groups,
communities and populations to achieve their optimal level of health. RNs coordinate health
care, deliver direct services, and support patients in their self-care decisions and actions in
situations of health, illness, injury, and disability in all stages of life. The other responses
describe some of the dependent and collaborative functions of the nursing role but do not
accurately describe the nurse’s role in the health care system.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
2. When caring for patients using evidence-informed practice, which of the following does the
nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the patient outcomes are met
ANS: C
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) patient preferences and
actions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
the nurse’s clinical experience is part of EIP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from one clinical
research study does not provide an adequate substantiation for interventions. Evaluation of
patient outcomes is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning