Medical- Surgical Nursing ConcepMedical- Surgical Nursing Medical- Surgical Nursing Concepts for Interprofessional Collaborative Care 9th Edition TEST BANKfor Interprofessional Collaborative Care 9th Edition TEST BANKts for Interprofessional Collaborative

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TestxBankx-xMedical-SurgicalxNursing:xConceptsxforxInterprofessionalxCollaborativexCarex9e 1



Table of Contents
x x




Tablex ofx Contents 1
Chapterx 01:x Overviewx ofx Professionalx Nursingx Conceptsx forx Medical- 3
Surgicalx NursingxChapterx 02:xOverviewx ofx Healthx Conceptsxforx Medical-Surgicalx Nursing 8
Chapterx 03:x Commonx Healthx Problemsx ofx Olderx AdultsxChapter 13
x 04:x Assessmentx andx Carex ofx Patientsx withx PainxChapterx 05:x G 20
eneticx Conceptsx forx Medical-Surgicalx Nursing 32
Chapterx 06:x Rehabilitationx Conceptsx forx Chronicx andx Disablingx Healthx ProblemsxChapte 38
rx07:xEnd-of-LifexCare 44
Chapterx 08:x Conceptsx ofx Emergencyx andx Traumax Nursing 50
Chapterx 09:x Carex ofx Patientsx withx Commonx Environmentalx EmergenciesxChapterx 56
10:x Conceptsx ofx Emergencyx andx Disasterx Preparedness 62
Chapterx 11:x Assessmentx andx Carex ofx Patientsx withx Fluidx andx Electrolytex ImbalancesxCh 68
apterx 12:x Assessmentx andx Carex ofx Patientsx withx Acid-Basex Imbalances 76
Chapterx 13:x Infusionx Therapy 83
Chapterx 14:x Carex ofx Preoperativex PatientsxChapt 94
erx 15:x Carex ofx Intraoperativex PatientsxChapterx 16:x 103
Carex ofx Postoperativex PatientsxChapterx 17:x Inflam 109
mationx andx Immunity 116
Chapterx 18:x Carex ofx Patientsx withx Arthritisx andx Otherx Connectivex Tissuex DiseasesxChapt 122
erx19:xCarexofxPatientsxwithxHIVxDisease 138
Chapterx 20:x Carex ofx Patientsx withx Hypersensitivityx (Allergy)x andx AutoimmunityxCh 147
apterx21:xCancerxDevelopment 152
Chapterx 22:x Carex ofx Patientsx withx CancerxChapter 157
x 23:x Carex ofx Patientsx withx Infection 167
Chapterx 24:x Assessmentx ofx thex Skin,x Hair,x andx NailsxCh 174
apterx 25:x Carex ofx Patientsx withx Skinx ProblemsxChapterx2 179
6:xCarex ofxPatientsx withxBurns 196
Chapterx 27:x Assessmentx ofx thex Respiratoryx System 213
Chapterx 28:x Carex ofx Patientsx Requiringx Oxygenx Therapyx orx TracheostomyxChapt 220
erx 29:x Carex ofx Patientsx withx Noninfectiousx Upperx Respiratoryx ProblemsxChapterx 3 226
0:x Carex ofx Patientsx withx Noninfectiousx Lowerx Respiratoryx ProblemsxChapterx 31:x C 233
arex ofx Patientsx withx Infectiousx Respiratoryx Problems 245
Chapterx 32:x Carex ofx Criticallyx Illx Patientsx withx Respiratoryx ProblemsxCh 256
apterx 33:x Assessmentx ofx thex Cardiovascularx System 269
Chapterx 34:x Carex ofx Patientsx withx DysrhythmiasxChapter 278
x 35:x Carex ofx Patientsx withx Cardiacx ProblemsxChapterx 36 287
:x Carex ofx Patientsx withx Vascularx ProblemsxChapterx37:xC 298
arex ofxPatientsx withxShock 310
Chapterx 38:x Carex ofx Patientsx withx Acutex Coronaryx SyndromesxChapterx 317
39:x Assessmentx ofxthexHematologicx System 327
Chapterx 40:x Carex ofx Patientsx withx Hematologicx ProblemsxChapt 331
erx 41:x Assessmentx ofxthex Nervousx System 343
Chapterx 42:x Carex ofx Patientsx withx Problemsx ofx thex CNS:x Thex BrainxChapterx 353
43:x Carex ofx Patientsx withx Problemsx ofx thex CNS:x Thex Spinalx Cord 364
Chapterx 44:x Carex ofx Patientsx withx Problemsx ofx thex Peripheralx Nervousx SystemxCh 374
apterx 45:x Carex ofx Criticallyx Illx Patientsx withx Neurologicx Problems 380
Chapterx 46:x Assessmentx ofx thex Eyex andx Vision 394
Chapterx 47:x Carex ofx Patientsx withx Eyex andx Visionx Problems 397
Chapterx 48:x Assessmentx andx Carex ofx Patientsx withx Earx andx Hearingx ProblemsxCh 403
apterx49:xAssessmentx ofxthex MusculoskeletalxSystem 410
Chapterx 50:x Carex ofx Patientsx withx Musculoskeletalx Problems 415

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TestxBankx-xMedical-SurgicalxNursing:xConceptsxforxInterprofessionalxCollaborativexCarex9e 2



Chapterx 51:x Carex ofx Patientsx withx Musculoskeletalx Traumax 424
Chapterx 52:x Assessmentx ofx thex Gastrointestinalx SystemxCh 435
apterx 53:x Carex ofx Patientsx withx Oralx Cavityx ProblemsxChapte 441
rx 54:x Carex ofx Patientsx withx Esophagealx ProblemsxChapterx 5 445
5:x Carex ofx Patientsx withx Stomachx Disorders 454
Chapterx 56:x Carex ofx Patientsx withx Noninflammatoryx Intestinalx DisordersxCha 461
pterx 57:x Carex ofx Patientsx withx Inflammatoryx Intestinalx DisordersxChapterx58:x 471
CarexofxPatientsxwithxLiverxProblems 481
Chapterx 59:x Carex ofx Patientsx withx Problemsx ofx thex Biliaryx Systemx andx PancreasxCh 489
apterx 60:x Carex ofx Patientsx withx Malnutrition:x Undernutritionx andx ObesityxChapterx61 497
:xAssessmentxofxthexEndocrinexSystem 506
Chapterx 62:x Carex ofx Patientsx withx Pituitaryx andx Adrenalx Glandx Problems 512
Chapterx 63:x Carex ofx Patientsx withx Problemsx ofx thex Thyroidx andx Parathyroidx GlandsxC 520
hapterx64:xCarexofxPatientsxwithxDiabetesxMellitus 527
Chapterx 65:x Assessmentx ofx thex Renal/Urinaryx SystemxChapt 549
erx 66:x Carex ofx Patientsx withx Urinaryx ProblemsxChapterx 67:x C 557
arex ofx Patientsx withx Kidneyx Disorders 568
Chapterx 68:x Carex ofx Patientsx withx Acutex Kidneyx Injuryx andx Chronicx Kidneyx DiseasexC 575
hapterx69:xAssessmentxofxthexReproductivexSystem 587
Chapterx 70:x Carex ofx Patientsx withx Breastx DisordersxChapter 591
x 71:x Carex ofx Patientsx withx Gynecologicx Problems 598
Chapterx 72:x Carex ofx Patientsx withx Malex Reproductivex ProblemsxChapterx 605
73:xCarexofxTransgenderxPatients 614
Chapterx 74:x Carex ofx Patientsx withx Sexuallyx Transmittedx Diseases 618

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TestxBankx-xMedical-SurgicalxNursing:xConceptsxforxInterprofessionalxCollaborativexCarex9e 3



Chapter 01: Overview of Professional Nursing Concepts for Medical-
x x x x x x x x


Surgical Nursing
x x



MULTIPLEx CHOICE

1. Axnursexwishesxtoxprovidexclient-
centeredxcarexinxallxinteractions.xWhichxactionxbyxthexnursexbestxdemonstratesxthisxconcept?
a. Assessesxforxculturalxinfluencesxaffectingxhealthxcare
b. Ensuresxthatxallxthexclientsxbasicxneedsxarexmet
c. Tellsxthexclientxandxfamilyxaboutxallxupcomingxtests
d. Thoroughlyxorientsxthexclientxandxfamilyxtoxthexroom

ANS:xA
Competencyxinxclient-
focusedxcarexisxdemonstratedxwhenxthexnursexfocusesxonxcommunication,xculture,xrespectxcompassion,xclientxedu
cation,xandxempowerment.xByxassessingxthexeffectxofxthexclientsxculturexonxhealthxcare,xthisxnursexisxpracticingxcl
ient-focusedxcare.xProvidingxforxbasicxneedsxdoesxnotxdemonstratexthisxcompetence.
Simplyxtellingxthexclientxaboutxallxupcomingxtestsxisxnotxprovidingxempoweringxeducation.xOrientingxthexclientxan
dxfamilyxtoxthexroomxisxanximportantxsafetyxmeasure,xbutxnotxdirectlyxrelatedxtoxdemonstratingxclient-centeredxcare.

DIF:x Understanding/Comprehensionx REF:x 3
KEY:x Patient-
centeredx care|x culturex MSC:x Integratedx Process:x CaringxNOT:xClientx
NeedsxCategory:xPsychosocialxIntegrity

2. Axnursexisxcaringxforxaxpostoperativexclientxonxthexsurgicalxunit.xThexclientsxbloodxpressurexwasx142/76xmmx
Hgx30xminutesxago,xandxnowxisx88/50xmmxHg.xWhatxactionxbyxthexnursexisxbest?
a. CallxthexRapidxResponsexTeam.
b. Documentxandxcontinuextoxmonitor.
c. Notifyxthexprimaryxcarexprovider.
d. Repeatxbloodxpressurexmeasurementxinx15xminutes.

ANS:xA
ThexpurposexofxthexRapidxResponsexTeamx(RRT)xisxtoxintervenexwhenxclientsxarexdeterioratingxbeforextheyxsuff
erxeitherxrespiratoryxorxcardiacxarrest.xSincexthexclientxhasxmanifestedxaxsignificantxchange,xthexnursexshouldxcallxth
exRRT.xChangesxinxbloodxpressure,xmentalxstatus,xheartxrate,xandxpainxarexparticularlyxsignificant.
Documentationxisxvital,xbutxthexnursexmustxdoxmorexthanxdocument.xThexprimaryxcarexproviderxshouldxbex
notified,xbutxthisxisxnotxthexpriorityxoverxcallingxthexRRT.xThexclientsxbloodxpressurexshouldxbexreassessedxf
requently,xbutxthexpriorityxisxgettingxthexrapidxcarextoxthexclient.

DIF:xApplying/ApplicationxREF:x3
KEY:xRapidxResponsexTeamx(RRT)|xmedicalxemergenciesxM
SC:x Integratedx Process:x Communicationx andx Documentation
NOT:x Clientx Needsx Category:x Physiologicalx Integrity:x Physiologicalx Adaptation

3. Axnursexisxorientingxaxnewxclientxandxfamilyxtoxthexinpatientxunit.xWhatxinformationxdoesxthexnursexprovidextox
helpxthexclientxpromotexhisxorxherxownxsafety?
a. Encouragexthexclientxandxfamilyxtoxbexactivexpartners.
b. Havexthexclientxmonitorxhandxhygienexinxcaregivers.
c. Offerxthexfamilyxthexopportunityxtoxstayxwithxthexclient.
d. Tellxthexclientxtoxalwaysxwearxhisxorxherxarmband.

ANS:xA
Eachxactionxcouldxbeximportantxforxthexclientxorxfamilyxtoxperform.xHowever,xencouragingxthexclientxtoxbexacti
vexinxhisxorxherxhealthxcarexasxaxpartnerxisxthexmostxcritical.xThexotherxactionsxarexveryxlimitedxinxscopexandxdoxnot
xprovidexthexbroadxprotection xthatxbeingxactivexandxinvolved xdoes.



DIF:x Understanding/Comprehensionx REF:x 3xKEY
:xPatientxsafety