TESTBANK x
MEDICAL SURGICAL NURSI
x x
NG-
CONCEPTS FOR INTERPROFx x
ESSIONAL COLLABORATIV
x
E CARE 9TH EDITION BY IGNA
x x x x x
TAVICIUS
, x x
lOMoAR cPSD| 6
Test xBank x -x Medical-SurgicalxNursing: xConcepts xf orx Interprof essionalxCollaborativexCarex9thx EditionxIgnatavicius
672187
1
Table of Contents
x x
Tablex of x Contents 1
Chapterx 01:x Overviewx of x Professionalx Nursingx Conceptsx forx Medical- 3
Surgicalx Nursingx Chapterx 02:x Overviewx of x Healthx Conceptsx forx Medical-Surgicalx Nursing 8
Chapterx 03:x Commonx Healthx Problem sx of x Olderx Adultsx Chapter 13
x 04:x Assessmentx andx Carex of x Patientsx withx Painx Chapterx 05:x Ge 20
netic x Conceptsx forx Medical-Surgicalx Nursing 32
Chapterx 06:x Rehabilitationx Conceptsx forx Chronic x andx Disablingx Healthx Problemsx Chapte 38
rx 07:x End-of-Lifex Care 44
Chapterx 08:x Conceptsx of x Emergency x andx Traumax Nursing 50
Chapterx 09:x Carex of x Patientsx withx Commonx Environm entalx Emergenciesx Chapter 56
x 10:x Conceptsx of x Emergency x andx Disasterx Preparedness 62
Chapterx 11:x Assessmentx andx Carex of x Patientsx withx Fluidx andx Electrolytex Imbalancesx Ch 68
apterx 12:x Assessm entx andx Carex of x Patientsx withx Acid-Basex Imbalances 76
Chapterx 13:x Infusionx Therapy 83
Chapterx 14:x Carex of x Preoperativex Patientsx Chapt 94
erx 15:x Carex of x Intraoperativex Patientsx Chapterx 16:x 103
Carex of x Postoperativex Patientsx Chapterx 17:x Infla 109
mmationx andx Immunity 116
Chapterx 18:x Carex of x Patientsx withx Arthritisx andx Otherx Connectivex Tissuex Diseasesx Chapt 122
erx 19:x Carex of x Patientsx withx HIVx Disease 138
Chapterx 20:x Carex of x Patientsx withx Hypersensitivity x (Allergy)x andx Autoimmunity x Ch 147
apterx 21:x Cancerx Development 152
Chapterx 22:x Carex of x Patientsx withx Cancerx Chapter 157
x 23:x Carex of x Patientsx withx Infection 167
Chapterx 24:x Assessmentx of x thex Skin,x Hair,x andx Nailsx Ch 174
apterx 25:x Carex of x Patientsx withx Skinx Problemsx Chapterx 2 179
6:x Carex of x Patientsx withx Burns 196
Chapterx 27:x Assessm entx of x thex Respiratory x System 213
Chapterx 28:x Carex of x Patientsx Requiringx Oxygenx Therapy x orx Tracheostomy x Chapt 220
erx 29:x Carex of x Patientsx withx Noninfectiousx Upperx Respiratory x Problem sx Chapterx 3 226
0:x Carex of x Patientsx withx Noninfectiousx Lowerx Respiratory x Problemsx Chapterx 31:x 233
Carex of x Patientsx withx Infectiousx Respiratory x Problem s 245
Chapterx 32:x Carex of x Critically x Illx Patientsx withx Respiratory x Problem sx Chapte 256
rx 33:x Assessmentx of x thex Cardiovascularx System 269
Chapterx 34:x Carex of x Patientsx withx Dysrhythmiasx Chapter 278
x 35:x Carex of x Patientsx withx Cardiac x Problemsx Chapterx 36: 287
x Carex of x Patientsx withx Vascularx Problemsx Chapterx 37:x C 298
arex of x Patientsx withx Shock 310
Chapterx 38:x Carex of x Patientsx withx Acutex Coronary x Syndrom esx 317
Chapterx 39:x Assessmentx of x thex Hematologic x System 327
Chapterx 40:x Carex of x Patientsx withx Hem atologic x Problemsx Chapt 331
erx 41:x Assessmentx of x thex Nervousx System 343
Chapterx 42:x Carex of x Patientsx withx Problemsx of x thex CNS:x Thex Brainx Chapterx 353
43:x Carex of x Patientsx withx Problem sx of x thex CNS:x Thex Spinalx Cord 364
Chapterx 44:x Carex of x Patientsx withx Problemsx of x thex Peripheralx Nervousx System x Ch 374
apterx 45:x Carex of x Critically x Illx Patientsx withx Neurologic x Problems 380
Chapterx 46:x Assessmentx of x thex Eyex andx Vision 394
Chapterx 47:x Carex of x Patientsx withx Eyex andx Visionx Problems 397
Chapterx 48:x Assessmentx andx Carex of x Patientsx withx Earx andx Hearingx Problemsx Ch 403
apterx 49:x Assessm entx of x thex Musculoskeletalx System 410
Chapterx 50:x Carex of x Patientsx withx Musculoskeletalx Problems 415
, x x
lOMoAR cPSD| 6
Test xBank x -x Medical-SurgicalxNursing: xConcepts xf orx Interprof essionalxCollaborativexCarex9thx EditionxIgnatavicius
672187
2
Chapterx 51:x Carex of x Patientsx withx Musculoskeletalx Traumax 424
Chapterx 52:x Assessmentx of x thex Gastrointestinalx System x Ch 435
apterx 53:x Carex of x Patientsx withx Oralx Cavity x Problemsx Chapte 441
rx 54:x Carex of x Patientsx withx Esophagealx Problemsx Chapterx 5 445
5:x Carex of x Patientsx withx Stomachx Disorders 454
Chapterx 56:x Carex of x Patientsx withx Noninflammatory x Intestinalx Disordersx Cha 461
pterx 57:x Carex of x Patientsx withx Inflammatory x Intestinalx Disordersx Chapterx 58:x 471
Carex of x Patientsx withx Liverx Problems 481
Chapterx 59:x Carex of x Patientsx withx Problemsx of x thex Biliary x System x andx Pancreasx Ch 489
apterx 60:x Carex of x Patientsx withx Malnutrition:x Undernutritionx andx Obesity x Chapterx 61 497
:x Assessmentx of x thex Endocrinex System 506
Chapterx 62:x Carex of x Patientsx withx Pituitary x andx Adrenalx Glandx Problem s 512
Chapterx 63:x Carex of x Patientsx withx Problemsx of x thex Thyroidx andx Parathyroidx Glandsx Ch 520
apterx 64:x Carex of x Patientsx withx Diabetesx Mellitus 527
Chapterx 65:x Assessmentx of x thex Renal/Urinary x System x Chap 549
terx 66:x Carex of x Patientsx withx Urinary x Problem sx Chapterx 67:x 557
Carex of x Patientsx withx Kidney x Disorders 568
Chapterx 68:x Carex of x Patientsx withx Acutex Kidney x Injury x andx Chronic x Kidney x Diseasex Ch 575
apterx 69:x Assessm entx of x thex Reproductivex System 587
Chapterx 70:x Carex of x Patientsx withx Breastx Disordersx Chapter 591
x 71:x Carex of x Patientsx withx Gynecologic x Problem s 598
Chapterx 72:x Carex of x Patientsx withx Malex Reproductivex Problem sx Chapter 605
x 73:x Carex of x Transgenderx Patients 614
Chapterx 74:x Carex of x Patientsx withx Sexually x Transmittedx Diseases 618
, x x
lOMoAR cPSD| 6
Test xBank x -x Medical-SurgicalxNursing: xConcepts xf orx Interprof essionalxCollaborativexCarex9thx EditionxIgnatavicius
672187
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. Ax nursex wishesx tox providex client-
centeredx carex inx allx interactions. x Whichx actionx byx thex nursex bestx demonstratesx thisx concept?
a. Assessesx forx culturalx influencesx affectingx healthx care
b. Ensuresx thatx allx thex clientsx basicx needsx arex met
c. Tellsx thex clientx andx familyx aboutx allx upcomingx tests
d. Thoroughlyx orientsx thex clientx andx familyx tox thex room
ANS:x A
Competencyx inx client-
focusedx carex isx demonstratedx whenx thex nursex focusesx onx communication, x culture, x respectx compassion, xclientxeduc
ation, xandxempowerment. x Byxassessingxthex effectxofxthexclientsx culturexonxhealthxcare, x thisx nursex isx practicingx cl
ient-
focusedx care. x Providingx forx basicx needsx doesx notx demonstratex thisx competence. x Simplyxtellingxthexclientxaboutx
allxupcomingxtestsxisxnotxprovidingxempoweringx education. xOrientingxthexclientx andx familyx tox thex roomx isx anx im
portantx safetyx measure, x butx notx directlyx relatedx tox demonstratingx client-centeredx care.
DIF:x Understanding/Comprehensionx REF:x 3
KEY:x Patient-
centeredx care|x culturex MSC:x Integratedx Process:x Caringx NOT:x Clientx
Needsx Category:x Psychosocialx Integrity
2. Ax nursex isx caringx forx axpostoperativex clientx onxthexsurgicalx unit.x Thex clientsx bloodxpressurex wasx 142/76x mmx H
gx 30x minutesx ago, x andx nowx isx 88/50x mmx Hg. x Whatx actionx byx thex nursex isx best?
a. Callx thex Rapidx Responsex Team.
b. Documentx andx continuex tox monitor.
c. Notifyx thex primaryx carex provider.
d. Repeatx bloodx pressurex measurementx inx 15x minutes.
ANS:x A
Thex purposex ofx thex Rapidx Responsex Teamx (RRT) x isx tox intervenex whenx clientsx arex deterioratingx beforex theyx s
ufferx eitherx respiratoryx orx cardiacx arrest. xSincex thexclientx hasx manifestedx axsignificantx change, xthex nursex shouldx cal
lx thex RRT. x Changesx inx bloodx pressure, x mentalx status, x heartx rate, x andx painx arex particularlyx significant.
Documentationxisxvital, xbutxthexnursex mustxdoxmorexthanxdocument. xThexprimaryxcarexprovider xshouldxbex
notified,x butx thisx isx notx thex priorityx overx callingxthex RRT. x Thex clientsx bloodx pressurex shouldx bexreassessedx fre
quently, x butx thex priorityx isx gettingx thex rapidx carex tox thex client.
DIF:x Applying/Applicationx REF:x 3
KEY:x Rapidx Responsex Teamx (RRT)|x medicalx emergenciesx MS
C:x Integratedx Process:x Communicationx andx Documentation
NOT:x Clientx Needsx Category:x Physiologicalx Integrity:x Physiologicalx Adaptation
3. Ax nursex isx orientingx ax newx clientxandx familyx toxthex inpatientx unit.xWhatx informationx doesx thexnursex providex toxhe
lpx thex clientx promotex hisx orx herx ownx safety?
a. Encouragex thex clientx andx familyx tox bex activex partners.
b. Havex thex clientx monitor x handx hygienex inx caregivers.
c. Offer x thex familyx thex opportunityx tox stayx withx thex client.
d. Tellx thex clientx tox alwaysx wearx hisx orx herx armband.
ANS:x A
Eachx actionx couldx bex importantx forx thex clientx orx familyx tox perform. x However, x encouragingx thex clientx tox bex ac
tivexinxhisxorxherxhealthxcarexasxaxpartnerxisxthexmostxcritical. xThexother xactionsxarexveryxlimitedxinxscopexandx dox
notx providex thex broadx protectionx thatx beingx activex andx involvedx does.
DIF:x Understanding/Comprehensionx REF:x 3x
KEY:x Patientx safety
MEDICAL SURGICAL NURSI
x x
NG-
CONCEPTS FOR INTERPROFx x
ESSIONAL COLLABORATIV
x
E CARE 9TH EDITION BY IGNA
x x x x x
TAVICIUS
, x x
lOMoAR cPSD| 6
Test xBank x -x Medical-SurgicalxNursing: xConcepts xf orx Interprof essionalxCollaborativexCarex9thx EditionxIgnatavicius
672187
1
Table of Contents
x x
Tablex of x Contents 1
Chapterx 01:x Overviewx of x Professionalx Nursingx Conceptsx forx Medical- 3
Surgicalx Nursingx Chapterx 02:x Overviewx of x Healthx Conceptsx forx Medical-Surgicalx Nursing 8
Chapterx 03:x Commonx Healthx Problem sx of x Olderx Adultsx Chapter 13
x 04:x Assessmentx andx Carex of x Patientsx withx Painx Chapterx 05:x Ge 20
netic x Conceptsx forx Medical-Surgicalx Nursing 32
Chapterx 06:x Rehabilitationx Conceptsx forx Chronic x andx Disablingx Healthx Problemsx Chapte 38
rx 07:x End-of-Lifex Care 44
Chapterx 08:x Conceptsx of x Emergency x andx Traumax Nursing 50
Chapterx 09:x Carex of x Patientsx withx Commonx Environm entalx Emergenciesx Chapter 56
x 10:x Conceptsx of x Emergency x andx Disasterx Preparedness 62
Chapterx 11:x Assessmentx andx Carex of x Patientsx withx Fluidx andx Electrolytex Imbalancesx Ch 68
apterx 12:x Assessm entx andx Carex of x Patientsx withx Acid-Basex Imbalances 76
Chapterx 13:x Infusionx Therapy 83
Chapterx 14:x Carex of x Preoperativex Patientsx Chapt 94
erx 15:x Carex of x Intraoperativex Patientsx Chapterx 16:x 103
Carex of x Postoperativex Patientsx Chapterx 17:x Infla 109
mmationx andx Immunity 116
Chapterx 18:x Carex of x Patientsx withx Arthritisx andx Otherx Connectivex Tissuex Diseasesx Chapt 122
erx 19:x Carex of x Patientsx withx HIVx Disease 138
Chapterx 20:x Carex of x Patientsx withx Hypersensitivity x (Allergy)x andx Autoimmunity x Ch 147
apterx 21:x Cancerx Development 152
Chapterx 22:x Carex of x Patientsx withx Cancerx Chapter 157
x 23:x Carex of x Patientsx withx Infection 167
Chapterx 24:x Assessmentx of x thex Skin,x Hair,x andx Nailsx Ch 174
apterx 25:x Carex of x Patientsx withx Skinx Problemsx Chapterx 2 179
6:x Carex of x Patientsx withx Burns 196
Chapterx 27:x Assessm entx of x thex Respiratory x System 213
Chapterx 28:x Carex of x Patientsx Requiringx Oxygenx Therapy x orx Tracheostomy x Chapt 220
erx 29:x Carex of x Patientsx withx Noninfectiousx Upperx Respiratory x Problem sx Chapterx 3 226
0:x Carex of x Patientsx withx Noninfectiousx Lowerx Respiratory x Problemsx Chapterx 31:x 233
Carex of x Patientsx withx Infectiousx Respiratory x Problem s 245
Chapterx 32:x Carex of x Critically x Illx Patientsx withx Respiratory x Problem sx Chapte 256
rx 33:x Assessmentx of x thex Cardiovascularx System 269
Chapterx 34:x Carex of x Patientsx withx Dysrhythmiasx Chapter 278
x 35:x Carex of x Patientsx withx Cardiac x Problemsx Chapterx 36: 287
x Carex of x Patientsx withx Vascularx Problemsx Chapterx 37:x C 298
arex of x Patientsx withx Shock 310
Chapterx 38:x Carex of x Patientsx withx Acutex Coronary x Syndrom esx 317
Chapterx 39:x Assessmentx of x thex Hematologic x System 327
Chapterx 40:x Carex of x Patientsx withx Hem atologic x Problemsx Chapt 331
erx 41:x Assessmentx of x thex Nervousx System 343
Chapterx 42:x Carex of x Patientsx withx Problemsx of x thex CNS:x Thex Brainx Chapterx 353
43:x Carex of x Patientsx withx Problem sx of x thex CNS:x Thex Spinalx Cord 364
Chapterx 44:x Carex of x Patientsx withx Problemsx of x thex Peripheralx Nervousx System x Ch 374
apterx 45:x Carex of x Critically x Illx Patientsx withx Neurologic x Problems 380
Chapterx 46:x Assessmentx of x thex Eyex andx Vision 394
Chapterx 47:x Carex of x Patientsx withx Eyex andx Visionx Problems 397
Chapterx 48:x Assessmentx andx Carex of x Patientsx withx Earx andx Hearingx Problemsx Ch 403
apterx 49:x Assessm entx of x thex Musculoskeletalx System 410
Chapterx 50:x Carex of x Patientsx withx Musculoskeletalx Problems 415
, x x
lOMoAR cPSD| 6
Test xBank x -x Medical-SurgicalxNursing: xConcepts xf orx Interprof essionalxCollaborativexCarex9thx EditionxIgnatavicius
672187
2
Chapterx 51:x Carex of x Patientsx withx Musculoskeletalx Traumax 424
Chapterx 52:x Assessmentx of x thex Gastrointestinalx System x Ch 435
apterx 53:x Carex of x Patientsx withx Oralx Cavity x Problemsx Chapte 441
rx 54:x Carex of x Patientsx withx Esophagealx Problemsx Chapterx 5 445
5:x Carex of x Patientsx withx Stomachx Disorders 454
Chapterx 56:x Carex of x Patientsx withx Noninflammatory x Intestinalx Disordersx Cha 461
pterx 57:x Carex of x Patientsx withx Inflammatory x Intestinalx Disordersx Chapterx 58:x 471
Carex of x Patientsx withx Liverx Problems 481
Chapterx 59:x Carex of x Patientsx withx Problemsx of x thex Biliary x System x andx Pancreasx Ch 489
apterx 60:x Carex of x Patientsx withx Malnutrition:x Undernutritionx andx Obesity x Chapterx 61 497
:x Assessmentx of x thex Endocrinex System 506
Chapterx 62:x Carex of x Patientsx withx Pituitary x andx Adrenalx Glandx Problem s 512
Chapterx 63:x Carex of x Patientsx withx Problemsx of x thex Thyroidx andx Parathyroidx Glandsx Ch 520
apterx 64:x Carex of x Patientsx withx Diabetesx Mellitus 527
Chapterx 65:x Assessmentx of x thex Renal/Urinary x System x Chap 549
terx 66:x Carex of x Patientsx withx Urinary x Problem sx Chapterx 67:x 557
Carex of x Patientsx withx Kidney x Disorders 568
Chapterx 68:x Carex of x Patientsx withx Acutex Kidney x Injury x andx Chronic x Kidney x Diseasex Ch 575
apterx 69:x Assessm entx of x thex Reproductivex System 587
Chapterx 70:x Carex of x Patientsx withx Breastx Disordersx Chapter 591
x 71:x Carex of x Patientsx withx Gynecologic x Problem s 598
Chapterx 72:x Carex of x Patientsx withx Malex Reproductivex Problem sx Chapter 605
x 73:x Carex of x Transgenderx Patients 614
Chapterx 74:x Carex of x Patientsx withx Sexually x Transmittedx Diseases 618
, x x
lOMoAR cPSD| 6
Test xBank x -x Medical-SurgicalxNursing: xConcepts xf orx Interprof essionalxCollaborativexCarex9thx EditionxIgnatavicius
672187
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. Ax nursex wishesx tox providex client-
centeredx carex inx allx interactions. x Whichx actionx byx thex nursex bestx demonstratesx thisx concept?
a. Assessesx forx culturalx influencesx affectingx healthx care
b. Ensuresx thatx allx thex clientsx basicx needsx arex met
c. Tellsx thex clientx andx familyx aboutx allx upcomingx tests
d. Thoroughlyx orientsx thex clientx andx familyx tox thex room
ANS:x A
Competencyx inx client-
focusedx carex isx demonstratedx whenx thex nursex focusesx onx communication, x culture, x respectx compassion, xclientxeduc
ation, xandxempowerment. x Byxassessingxthex effectxofxthexclientsx culturexonxhealthxcare, x thisx nursex isx practicingx cl
ient-
focusedx care. x Providingx forx basicx needsx doesx notx demonstratex thisx competence. x Simplyxtellingxthexclientxaboutx
allxupcomingxtestsxisxnotxprovidingxempoweringx education. xOrientingxthexclientx andx familyx tox thex roomx isx anx im
portantx safetyx measure, x butx notx directlyx relatedx tox demonstratingx client-centeredx care.
DIF:x Understanding/Comprehensionx REF:x 3
KEY:x Patient-
centeredx care|x culturex MSC:x Integratedx Process:x Caringx NOT:x Clientx
Needsx Category:x Psychosocialx Integrity
2. Ax nursex isx caringx forx axpostoperativex clientx onxthexsurgicalx unit.x Thex clientsx bloodxpressurex wasx 142/76x mmx H
gx 30x minutesx ago, x andx nowx isx 88/50x mmx Hg. x Whatx actionx byx thex nursex isx best?
a. Callx thex Rapidx Responsex Team.
b. Documentx andx continuex tox monitor.
c. Notifyx thex primaryx carex provider.
d. Repeatx bloodx pressurex measurementx inx 15x minutes.
ANS:x A
Thex purposex ofx thex Rapidx Responsex Teamx (RRT) x isx tox intervenex whenx clientsx arex deterioratingx beforex theyx s
ufferx eitherx respiratoryx orx cardiacx arrest. xSincex thexclientx hasx manifestedx axsignificantx change, xthex nursex shouldx cal
lx thex RRT. x Changesx inx bloodx pressure, x mentalx status, x heartx rate, x andx painx arex particularlyx significant.
Documentationxisxvital, xbutxthexnursex mustxdoxmorexthanxdocument. xThexprimaryxcarexprovider xshouldxbex
notified,x butx thisx isx notx thex priorityx overx callingxthex RRT. x Thex clientsx bloodx pressurex shouldx bexreassessedx fre
quently, x butx thex priorityx isx gettingx thex rapidx carex tox thex client.
DIF:x Applying/Applicationx REF:x 3
KEY:x Rapidx Responsex Teamx (RRT)|x medicalx emergenciesx MS
C:x Integratedx Process:x Communicationx andx Documentation
NOT:x Clientx Needsx Category:x Physiologicalx Integrity:x Physiologicalx Adaptation
3. Ax nursex isx orientingx ax newx clientxandx familyx toxthex inpatientx unit.xWhatx informationx doesx thexnursex providex toxhe
lpx thex clientx promotex hisx orx herx ownx safety?
a. Encouragex thex clientx andx familyx tox bex activex partners.
b. Havex thex clientx monitor x handx hygienex inx caregivers.
c. Offer x thex familyx thex opportunityx tox stayx withx thex client.
d. Tellx thex clientx tox alwaysx wearx hisx orx herx armband.
ANS:x A
Eachx actionx couldx bex importantx forx thex clientx orx familyx tox perform. x However, x encouragingx thex clientx tox bex ac
tivexinxhisxorxherxhealthxcarexasxaxpartnerxisxthexmostxcritical. xThexother xactionsxarexveryxlimitedxinxscopexandx dox
notx providex thex broadx protectionx thatx beingx activex andx involvedx does.
DIF:x Understanding/Comprehensionx REF:x 3x
KEY:x Patientx safety
