TEST BANK
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
13 13
Section13One13–13Concepts13in13Nursing13Practice
113Introduction13to13Medical-Surgical13Nursing13Practice13in13Canada
213Cultural13Competence13and13Health13Equity13in13Care
313Health13History13and13Physical13Examination
413Patient13and13Caregiver13Teaching
513Chronic13Illness
613Community-Based13Nursing13and13Home13Care
713Older13Adults
813Stress13and13Stress13Management
913Sleep13and13Sleep13Disorders
1013Pain
1113Substance13Use
1213Complementary13and13Alternative13Therapies
1313Palliative13Care13at13the13End13of13Life
Section13Two13–13Pathophysiological13Mechanisms13of13Disease
1413Inflammation13and13Wound13Healing
1513Genetics
1613Altered13Immune13Response13and13Transplantation
1713Infection13and13Human13Immunodeficiency13Virus13Infection
1813Cancer
1913Fluid,13Electrolyte,13and13Acid–Base13Imbalances
Section13Three13–13Perioperative13Care
2013Nursing13Management:13Preoperative13Care
2113Nursing13Management:13Intraoperative13Care
2213Nursing13Management:13Post-operative13Care
Section13Four13–13Problems13Related13to13Altered13Sensory13Input
2313Nursing13Assessment:13Visual13and13Auditory13Systems
2413Nursing13Management:13Visual13and13Auditory13Problems
2513Nursing13Assessment:13Integumentary13System
2613Nursing13Management:13Integumentary13Problems
2713Nursing13Management:13Burns
Section13Five13–13Problems13of13Oxygenation:13Ventilation
2813Nursing13Assessment:13Respiratory13System
2913Nursing13Management:13Upper13Respiratory13Problems
3013Nursing13Management:13Lower13Respiratory13Problems
3113Nursing13Management:13Obstructive13Pulmonary13Diseases
Section13Six13–13Problems13of13Oxygenation:13Transport
3213Nursing13Assessment:13Hematological13System
3313Nursing13Management:13Hematological13Problems
Section13Seven13–13Problems13of13Oxygenation:13Perfusion
3413Nursing13Assessment:13Cardiovascular13System
3513Nursing13Management:13Hypertension
3613Nursing13Management:13Coronary13Artery13Disease13and13Acute13Coronary13Syndrome
,3713Nursing13Management:13Heart13Failure
3813Nursing13Management:13Dysrhythmias
3913Nursing13Management:13Inflammatory13and13Structural13Heart13Diseases
4013Nursing13Management:13Vascular13Disorders
Section13Eight13–13Problems13of13Ingestion,13Digestion,13Absorption,13and13Elimination
4113Nursing13Assessment:13Gastrointestinal13System
4213Nursing13Management:13Nutritional13Problems
4313Nursing13Management:13Obesity
4413Nursing13Management:13Upper13Gastrointestinal13Problems
4513Nursing13Management:13Lower13Gastrointestinal13Problems
4613Nursing13Management:13Liver,13Pancreas,13and13Biliary13Tract13Problems
Section13Nine13–13Problems13of13Urinary13Function
4713Nursing13Assessment:13Urinary13System
4813Nursing13Management:13Renal13and13Urological13Problems
4913Nursing13Management:13Acute13Kidney13Injury13and13Chronic13Kidney13Disease
Section13Ten13–13Problems13Related13to13Regulatory13and13Reproductive13Mechanisms
5013Nursing13Assessment:13Endocrine13System
5113Nursing13Management:13Endocrine13Problems
5213Nursing13Management:13Diabetes13Mellitus
5313Nursing13Assessment:13Reproductive13System
5413Nursing13Management:13Breast13Disorders
5513Nursing13Management:13Sexually13Transmitted13Infections
5613Nursing13Management:13Female13Reproductive13Problems
5713Nursing13Management:13Male13Reproductive13Problems
Section13Eleven13–13Problems13Related13to13Movement13and13Coordination
5813Nursing13Assessment:13Nervous13System
5913Nursing13Management:13Acute13Intracranial13Problems
6013Nursing13Management:13Stroke
6113Nursing13Management:13Chronic13Neurological13Problems
6213Nursing13Management:13Delirium,13Alzheimer’s13Disease,13and13Other13Dementias
6313Nursing13Management:13Peripheral13Nerve13and13Spinal13Cord13Problems
6413Nursing13Assessment:13Musculoskeletal13System
6513Nursing13Management:13Musculoskeletal13Trauma13and13Orthopedic13Surgery
6613Nursing13Management:13Musculoskeletal13Problems
6713Nursing13Management:13Arthritis13and13Connective13Tissue13Diseases
Section13Twelve13–13Nursing13Care13in13Specialized13Settings
6813Nursing13Management:13Critical13Care13Environment
6913Nursing13Management:13Shock,13Systemic13Inflammatory13Response13Syndrome,13and13M
ultiple-Organ13Dysfunction13Syndrome
7013Nursing13Management:13Respiratory13Failure13and13Acute13Respiratory13Distress13Syndro
me
7113Nursing13Management:13Emergency13Care13Situations
7213Emergency13Management13and13Disaster13Planning
, Chapter1301:13Introduction13to13Medical-
Surgical13Nursing13Practice13in13Canada13Lewis:13Medical-
Surgical13Nursing13in13Canada,134th13Canadian13Edition
MULTIPLE13CHOICE
1. When13caring13for13clients13using13evidence-
informed13practice,13which13of13the13following13does13the13nurse13use?
a. Clinical13judgement13based13on13experience
b. Evidence13from13a13clinical13research13study
c. The13best13available13evidence13to13guide13clinical13expertise
d. Evaluation13of13data13showing13that13the13client13outcomes13are13met
CORRECT13ANSWER:
1 3 C
Evidence-
informed13nursing13practice13is13a13continuous13interactive13process13involving13the13explicit,13c
onscientious,13and13judicious13consideration13of13the13best13available13evidence13to13provide13car
e.13Four13primary13elements13are:13(a)13clinical13state,13setting,13and13circumstances;13(b)13client1
3preferences13and13actions;13(c)13best13research13evidence;13and13(d)13health13care13resources.13
Clinical13judgement13based13on13the13nurse’s13clinical13experience13is13part13of13EIP,13but13clini
cal13decision13making13also13should13incorporate13current13research13and13research-
based13guidelines.13Evidence13from13one13clinical13research13study13does13not13provide13an13ad
equate13substantiation13for13interventions.13Evaluation13of13client13outcomes13is13important,13bu
t13interventions13should13be13based13on13research13from13randomized13control13studies13with13a
13large13number13of13subjects.
DIF: Cognitive13Level:13Comprehension TOP:1 3 Nursing13Process:13Planning
2. Which13 of13 the13 following13 best13 N
e x p lRa i n sIt h eGn u B
r s e. sC
’ 13 prM
imary13 use13 of13 the13 nursing13 process
13 when
providing13care13to13clien U13S13N13T O
ts?
a. To13explain13nursing13interventions13to13other13health13care13professionals
b. As13a13problem-solving13tool13to13identify13and13treat13clients’13health13care13needs
c. As13a13scientific-based13process13of13diagnosing13the13client’s13health13care13problems
d. To13establish13nursing13theory13that13incorporates13the13biopsychosocial13nature13of13humans
CORRECT13ANSWER:1 3 B
The13nursing13process13is13an13assertive13problem-
solving13approach13to13the13identification13and13treatment13of13clients’13problems.13Diagnosis13is
13only13one13phase13of13the13nursing13process.13The
primary13use13of13the13nursing13process13is13in13client13care,13not13to13establish13nursing13theory1
3or13explain13nursing13interventions13to13other13health13care13professionals.
DIF: Cognitive13Level:13Comprehension TOP:1 3 Nursing13Process:13Implementation
3. The13nurse13is13caring13for13a13critically13ill13client13in13the13intensive13care13unit13and13plans13an
13every132-
hour13turning13schedule13to13prevent13skin13breakdown.13Which13type13of13nursing13function13i
s13demonstrated13with13this13turning13schedule?
a. Dependent
b. Cooperative
c. Independent
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
13 13
Section13One13–13Concepts13in13Nursing13Practice
113Introduction13to13Medical-Surgical13Nursing13Practice13in13Canada
213Cultural13Competence13and13Health13Equity13in13Care
313Health13History13and13Physical13Examination
413Patient13and13Caregiver13Teaching
513Chronic13Illness
613Community-Based13Nursing13and13Home13Care
713Older13Adults
813Stress13and13Stress13Management
913Sleep13and13Sleep13Disorders
1013Pain
1113Substance13Use
1213Complementary13and13Alternative13Therapies
1313Palliative13Care13at13the13End13of13Life
Section13Two13–13Pathophysiological13Mechanisms13of13Disease
1413Inflammation13and13Wound13Healing
1513Genetics
1613Altered13Immune13Response13and13Transplantation
1713Infection13and13Human13Immunodeficiency13Virus13Infection
1813Cancer
1913Fluid,13Electrolyte,13and13Acid–Base13Imbalances
Section13Three13–13Perioperative13Care
2013Nursing13Management:13Preoperative13Care
2113Nursing13Management:13Intraoperative13Care
2213Nursing13Management:13Post-operative13Care
Section13Four13–13Problems13Related13to13Altered13Sensory13Input
2313Nursing13Assessment:13Visual13and13Auditory13Systems
2413Nursing13Management:13Visual13and13Auditory13Problems
2513Nursing13Assessment:13Integumentary13System
2613Nursing13Management:13Integumentary13Problems
2713Nursing13Management:13Burns
Section13Five13–13Problems13of13Oxygenation:13Ventilation
2813Nursing13Assessment:13Respiratory13System
2913Nursing13Management:13Upper13Respiratory13Problems
3013Nursing13Management:13Lower13Respiratory13Problems
3113Nursing13Management:13Obstructive13Pulmonary13Diseases
Section13Six13–13Problems13of13Oxygenation:13Transport
3213Nursing13Assessment:13Hematological13System
3313Nursing13Management:13Hematological13Problems
Section13Seven13–13Problems13of13Oxygenation:13Perfusion
3413Nursing13Assessment:13Cardiovascular13System
3513Nursing13Management:13Hypertension
3613Nursing13Management:13Coronary13Artery13Disease13and13Acute13Coronary13Syndrome
,3713Nursing13Management:13Heart13Failure
3813Nursing13Management:13Dysrhythmias
3913Nursing13Management:13Inflammatory13and13Structural13Heart13Diseases
4013Nursing13Management:13Vascular13Disorders
Section13Eight13–13Problems13of13Ingestion,13Digestion,13Absorption,13and13Elimination
4113Nursing13Assessment:13Gastrointestinal13System
4213Nursing13Management:13Nutritional13Problems
4313Nursing13Management:13Obesity
4413Nursing13Management:13Upper13Gastrointestinal13Problems
4513Nursing13Management:13Lower13Gastrointestinal13Problems
4613Nursing13Management:13Liver,13Pancreas,13and13Biliary13Tract13Problems
Section13Nine13–13Problems13of13Urinary13Function
4713Nursing13Assessment:13Urinary13System
4813Nursing13Management:13Renal13and13Urological13Problems
4913Nursing13Management:13Acute13Kidney13Injury13and13Chronic13Kidney13Disease
Section13Ten13–13Problems13Related13to13Regulatory13and13Reproductive13Mechanisms
5013Nursing13Assessment:13Endocrine13System
5113Nursing13Management:13Endocrine13Problems
5213Nursing13Management:13Diabetes13Mellitus
5313Nursing13Assessment:13Reproductive13System
5413Nursing13Management:13Breast13Disorders
5513Nursing13Management:13Sexually13Transmitted13Infections
5613Nursing13Management:13Female13Reproductive13Problems
5713Nursing13Management:13Male13Reproductive13Problems
Section13Eleven13–13Problems13Related13to13Movement13and13Coordination
5813Nursing13Assessment:13Nervous13System
5913Nursing13Management:13Acute13Intracranial13Problems
6013Nursing13Management:13Stroke
6113Nursing13Management:13Chronic13Neurological13Problems
6213Nursing13Management:13Delirium,13Alzheimer’s13Disease,13and13Other13Dementias
6313Nursing13Management:13Peripheral13Nerve13and13Spinal13Cord13Problems
6413Nursing13Assessment:13Musculoskeletal13System
6513Nursing13Management:13Musculoskeletal13Trauma13and13Orthopedic13Surgery
6613Nursing13Management:13Musculoskeletal13Problems
6713Nursing13Management:13Arthritis13and13Connective13Tissue13Diseases
Section13Twelve13–13Nursing13Care13in13Specialized13Settings
6813Nursing13Management:13Critical13Care13Environment
6913Nursing13Management:13Shock,13Systemic13Inflammatory13Response13Syndrome,13and13M
ultiple-Organ13Dysfunction13Syndrome
7013Nursing13Management:13Respiratory13Failure13and13Acute13Respiratory13Distress13Syndro
me
7113Nursing13Management:13Emergency13Care13Situations
7213Emergency13Management13and13Disaster13Planning
, Chapter1301:13Introduction13to13Medical-
Surgical13Nursing13Practice13in13Canada13Lewis:13Medical-
Surgical13Nursing13in13Canada,134th13Canadian13Edition
MULTIPLE13CHOICE
1. When13caring13for13clients13using13evidence-
informed13practice,13which13of13the13following13does13the13nurse13use?
a. Clinical13judgement13based13on13experience
b. Evidence13from13a13clinical13research13study
c. The13best13available13evidence13to13guide13clinical13expertise
d. Evaluation13of13data13showing13that13the13client13outcomes13are13met
CORRECT13ANSWER:
1 3 C
Evidence-
informed13nursing13practice13is13a13continuous13interactive13process13involving13the13explicit,13c
onscientious,13and13judicious13consideration13of13the13best13available13evidence13to13provide13car
e.13Four13primary13elements13are:13(a)13clinical13state,13setting,13and13circumstances;13(b)13client1
3preferences13and13actions;13(c)13best13research13evidence;13and13(d)13health13care13resources.13
Clinical13judgement13based13on13the13nurse’s13clinical13experience13is13part13of13EIP,13but13clini
cal13decision13making13also13should13incorporate13current13research13and13research-
based13guidelines.13Evidence13from13one13clinical13research13study13does13not13provide13an13ad
equate13substantiation13for13interventions.13Evaluation13of13client13outcomes13is13important,13bu
t13interventions13should13be13based13on13research13from13randomized13control13studies13with13a
13large13number13of13subjects.
DIF: Cognitive13Level:13Comprehension TOP:1 3 Nursing13Process:13Planning
2. Which13 of13 the13 following13 best13 N
e x p lRa i n sIt h eGn u B
r s e. sC
’ 13 prM
imary13 use13 of13 the13 nursing13 process
13 when
providing13care13to13clien U13S13N13T O
ts?
a. To13explain13nursing13interventions13to13other13health13care13professionals
b. As13a13problem-solving13tool13to13identify13and13treat13clients’13health13care13needs
c. As13a13scientific-based13process13of13diagnosing13the13client’s13health13care13problems
d. To13establish13nursing13theory13that13incorporates13the13biopsychosocial13nature13of13humans
CORRECT13ANSWER:1 3 B
The13nursing13process13is13an13assertive13problem-
solving13approach13to13the13identification13and13treatment13of13clients’13problems.13Diagnosis13is
13only13one13phase13of13the13nursing13process.13The
primary13use13of13the13nursing13process13is13in13client13care,13not13to13establish13nursing13theory1
3or13explain13nursing13interventions13to13other13health13care13professionals.
DIF: Cognitive13Level:13Comprehension TOP:1 3 Nursing13Process:13Implementation
3. The13nurse13is13caring13for13a13critically13ill13client13in13the13intensive13care13unit13and13plans13an
13every132-
hour13turning13schedule13to13prevent13skin13breakdown.13Which13type13of13nursing13function13i
s13demonstrated13with13this13turning13schedule?
a. Dependent
b. Cooperative
c. Independent
