Study Guide Davis Advantage for Understanding Medic
m m m m m m
al Surgical Nursing 7th Edition by Williams
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All Chapters 1-57
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1
,(DaviskAdvantagekforkUnderstandingkMedical-SurgicalkNursing,k7ekLindakWilliams,kPaulakHopper)
Answers
CHAPTERk 1 tokcollectkappropriatekdata,kidentifykakpati
entkproblem,kandkdeterminekthekbestkpossib
CRITICALk THINKING,
lekplankofkaction.kClinicalkjudgmentkiskbased
CLINICALkJUD GM ENT,kANDkTHEk NU RSINGk konkgoodkcriticalkthinking.
PROCESS
Cue
k
are Definition:kSignificantkorkrelevantkdata.kNotkallkdatak
cuesk(relevant),kbutkallkcueskarekdata.
AUDIO k CASEk STU D Y Criticalkthinking
Janek Practicesk Clinicalk Judgm ent Definition:kThekusekofkthosekcognitivek(kn
1. Identifykandkanalyzekcues;kprioritizekhypothes owledge)kskillskorkstrategieskthatkincrea
es;kgenerateksolutions;ktakekaction;kevaluateko sekthekprobabilitykofkakdesirablekoutco
utcomes;krepeat. me.kAlsokinvolveskreflection,kproblem-
2. Janekwaskexhausted,kfailedkaktest,kandkwas solving,kandkrelatedkthinkingkskills.
kpulledkinktookmanykdirections.kShekwaskals Clinicalkjudgment
okcryingkinkherkcarkandkhadkpoorkstudykhab
Definition:kThekobservedkoutcomekofkcritic
itskandknotkenoughksleep.
alkthinkingkandkdecisionkmaking.kAkproc
3. Jane’skresourceskincludedkakgoodkfriend,ksic
esskthatkusesknursingkknowledge
kktimekfromkwork,kandkwastedktimekbetwee
nkclasseskthatkshekcouldkbetterkutilize.kYourk
resourceskwillkbekdifferent,kbutktheykexist!
4. Criticalkthinking—
thekwhy:kJanekuseskcriticalkthinkingktokdeterm
inekwhykherkcurrentkplankisn’tkworking.kShekt
hinkskhonestlykaboutkherkpoorkstudykhabits,k
herktime-
kmanagementkproblems,kandkthekimpactkthis
kiskhavingkonkherkandkherkfamily.
Clinicalkjudgment—
thekdo:kJanekuseskherkthinkingktokdevelopkand
kcarrykoutkakplankthatkuseskherkresourceskand
kprovideskmorekproductivekstudyktimekandkmo
rekqualityktimekwithkherkkids.
VOCABULARY
SampleksentenceskwillkvarykforkthekVocabularykpr
oblems.
Nursingk process
Definition:kAnkorganizingkframeworkkthatklinkskt
hinkingkwithknursingkactions.kStepskincludekass
essment/datakcollection,knursingkdiagnosis,kpl
anning,kimplementation,kandkevaluation.
,Collaboration
Definition:kWorkingktogetherkwithkthekhealthktea
mktokimprovekpatientkoutcomes.
Intervention
Definition:kTakingkactionktokcarrykoutkakplan.
Evaluation
Definition:kComparingkthekoutcomeskyoukexpectedk
withkactualkoutcomes.kDidkthekplankwork?kWerek
expectedkoutcomeskmet?
Vigilance
Definition:kThekactkofkbeingkattentive,kalert,kandkwatchf
ul.
CRITICA LkTHIN KINGk AND k CLINICALkJUDGMENT
Criticalkthinkingkandkclinicalkjudgmentkbothkfollowkaksi
milarkformat.kBothkfollowkstepskfromkcollectingkdatakt
okdetermin-
kingkproblemskandkoutcomes,kdevelopingkandktakingk
actions,kandkevaluatingkoutcomes.kHowever,kcriticalkthi
nkingkhelpskyoukthinkkaboutkthekproblem:kWhatkiskit?k
Whykiskitkhappen-
king?kAndkclinicalkjudgmentkleadskyouktokdoksomethin
gktokmanagekthekproblem.
CUEk RECO GNITION
Youkwillkdokmanykthingskforkeachkindividual,kbutkthekF
IRSTkthingkisklistedkbelow.
1. Sitkthekpatientkupright.
2. Callk911kwhilekrunningkacrosskthekstreet.
3. Elevatekthekfeetkoffkthekbedkbykplacingkakpillowku
nderkthekcalveskandkallowingkthekfeetktokhangkoffk
thekedgekofkthekpillow.
4. Checkkbloodkglucosekandkhavekakglucoseksourcekrea
dy.
5. Turnkthekpatientktoktheksidektokpreventkaspiration.
1
, 2 Chapterk1 Answers
CRITICALk THINKING
Thiskiskjustkonekpossiblekwayktokcompletekakcognitivekmap.
Could kitkbe klow Amk Ik diabetic? Frontal karea "Sick"k feeling Hard Tylenol khelps Hungerkmakes
blood ksugar? itkworse
Patient's Where kiskit? Quality Aggravating k and
perception alleviating k factors
Foodkhelps
Headache
Useful k other Severity Timing
data
Sometimes k feel Motherkis 7–8konk0–10 Lastsk1–2khours Before kmeals Early kinkthe
sick k to k stomach diabetic scale once k starts morning
REVIEWk QUESTIONS takingkvitalksigns;kdatakcollectionkiskthekfirstk
Thekcorrectkanswerskarekinkboldface. stepkinktheknursingkprocess.k(2,k3,k4)karekall
kstepskinktheknursingkprocess,kforkwhichkthekr
1. (2)kCriticalkthinkingkcankleadktokbetterkoutco egisteredknursekiskresponsible;kthekLPN/LVNk
meskforkthekpatient.k(1,k3,k4)kmaykbektruekb maykassistkthekregisteredknursekwithkthese.k
utkareknotkthekbestkanswer. Nitroglycerinkshouldknotkbekadministeredkwit
2. (4)kiskcorrect.kTheknursekwhokcankadmitktokn houtkfirstkknowingkthekpatient’skbloodkpressur
otkknowingksomethingkiskexhibitingkintellectua e.
lkhumility.k(1)kshowskexpertisekbutknotknecess 7. (2)kindicateskthatkthekpatientkiskconcernedka
arilykintellectualkhumility; boutkfreedomkfromkinjurykandkharm.k(1)krelat
(2) reportingkankerrorkshowskintellectualkintegr
esktokbasickneedsksuchkaskair,koxygen,kandk
ity; water.k(3)krelatesktokfeelingkloved.k(4)kiskrel
(3) empathizingkiskpositivekbutkdoeskiskno
atedktokhavingkpositivekself-esteem.
tkevidencekofkhumility. 8. (3,k1,k2,k4)kiskthekcorrectkorderkaccordingktokMas
3. (3,k4,k5,k1,k2)kiskthekcorrectkorder. low.
4. (1)kiskthekbestkdefinition.k(2,k3,k4)kdoknotk 9. (5,k2,k1,k4,k6,k3)kiskthekcorrectkorder.
definekcriticalkthinkingkbutkarekexampleskof 10. (3)kshowskthekpatientkiskactuallyktakingkacti
kgoodkthinking. on.k(1,k2,k4)karekallkpositivekbutkdoknotksho
5. (4)kiskcorrect.kEvaluationkdetermineskwhetherk wkintentktoktakekaction.
goalskarekachievedkandkinterventionskeffectiv 11. (4)kisktheknurse’skanalysiskofktheksituation.
e.k(2)kiskthekrolekofkthekphysician.k(1,k3)kenco k(1,k2)karekdata;k(3)kiskakrecommendatio
mpasskdatakcollectionkandkimple- n.
kmentation,kwhichkarekearlierkstepskinktheknur 12. (1,k2,k3,k4)kshouldkbekpresent.kSincekthek
singkprocess. datakprovideskonlykhipkreplacementkaskthe
6. (1)kiskcorrect.kTheklicensedkpracticalknurse/lice kpatient’skproblem,k(5)kthekdietitiankisknotk
nsedkvoca- necessary.
ktionalknursek(LPN/LVN)kcankcollectkdata,kwhic
hkincludes
m m m m m m
al Surgical Nursing 7th Edition by Williams
m m m m m m mm
All Chapters 1-57
m m
1
,(DaviskAdvantagekforkUnderstandingkMedical-SurgicalkNursing,k7ekLindakWilliams,kPaulakHopper)
Answers
CHAPTERk 1 tokcollectkappropriatekdata,kidentifykakpati
entkproblem,kandkdeterminekthekbestkpossib
CRITICALk THINKING,
lekplankofkaction.kClinicalkjudgmentkiskbased
CLINICALkJUD GM ENT,kANDkTHEk NU RSINGk konkgoodkcriticalkthinking.
PROCESS
Cue
k
are Definition:kSignificantkorkrelevantkdata.kNotkallkdatak
cuesk(relevant),kbutkallkcueskarekdata.
AUDIO k CASEk STU D Y Criticalkthinking
Janek Practicesk Clinicalk Judgm ent Definition:kThekusekofkthosekcognitivek(kn
1. Identifykandkanalyzekcues;kprioritizekhypothes owledge)kskillskorkstrategieskthatkincrea
es;kgenerateksolutions;ktakekaction;kevaluateko sekthekprobabilitykofkakdesirablekoutco
utcomes;krepeat. me.kAlsokinvolveskreflection,kproblem-
2. Janekwaskexhausted,kfailedkaktest,kandkwas solving,kandkrelatedkthinkingkskills.
kpulledkinktookmanykdirections.kShekwaskals Clinicalkjudgment
okcryingkinkherkcarkandkhadkpoorkstudykhab
Definition:kThekobservedkoutcomekofkcritic
itskandknotkenoughksleep.
alkthinkingkandkdecisionkmaking.kAkproc
3. Jane’skresourceskincludedkakgoodkfriend,ksic
esskthatkusesknursingkknowledge
kktimekfromkwork,kandkwastedktimekbetwee
nkclasseskthatkshekcouldkbetterkutilize.kYourk
resourceskwillkbekdifferent,kbutktheykexist!
4. Criticalkthinking—
thekwhy:kJanekuseskcriticalkthinkingktokdeterm
inekwhykherkcurrentkplankisn’tkworking.kShekt
hinkskhonestlykaboutkherkpoorkstudykhabits,k
herktime-
kmanagementkproblems,kandkthekimpactkthis
kiskhavingkonkherkandkherkfamily.
Clinicalkjudgment—
thekdo:kJanekuseskherkthinkingktokdevelopkand
kcarrykoutkakplankthatkuseskherkresourceskand
kprovideskmorekproductivekstudyktimekandkmo
rekqualityktimekwithkherkkids.
VOCABULARY
SampleksentenceskwillkvarykforkthekVocabularykpr
oblems.
Nursingk process
Definition:kAnkorganizingkframeworkkthatklinkskt
hinkingkwithknursingkactions.kStepskincludekass
essment/datakcollection,knursingkdiagnosis,kpl
anning,kimplementation,kandkevaluation.
,Collaboration
Definition:kWorkingktogetherkwithkthekhealthktea
mktokimprovekpatientkoutcomes.
Intervention
Definition:kTakingkactionktokcarrykoutkakplan.
Evaluation
Definition:kComparingkthekoutcomeskyoukexpectedk
withkactualkoutcomes.kDidkthekplankwork?kWerek
expectedkoutcomeskmet?
Vigilance
Definition:kThekactkofkbeingkattentive,kalert,kandkwatchf
ul.
CRITICA LkTHIN KINGk AND k CLINICALkJUDGMENT
Criticalkthinkingkandkclinicalkjudgmentkbothkfollowkaksi
milarkformat.kBothkfollowkstepskfromkcollectingkdatakt
okdetermin-
kingkproblemskandkoutcomes,kdevelopingkandktakingk
actions,kandkevaluatingkoutcomes.kHowever,kcriticalkthi
nkingkhelpskyoukthinkkaboutkthekproblem:kWhatkiskit?k
Whykiskitkhappen-
king?kAndkclinicalkjudgmentkleadskyouktokdoksomethin
gktokmanagekthekproblem.
CUEk RECO GNITION
Youkwillkdokmanykthingskforkeachkindividual,kbutkthekF
IRSTkthingkisklistedkbelow.
1. Sitkthekpatientkupright.
2. Callk911kwhilekrunningkacrosskthekstreet.
3. Elevatekthekfeetkoffkthekbedkbykplacingkakpillowku
nderkthekcalveskandkallowingkthekfeetktokhangkoffk
thekedgekofkthekpillow.
4. Checkkbloodkglucosekandkhavekakglucoseksourcekrea
dy.
5. Turnkthekpatientktoktheksidektokpreventkaspiration.
1
, 2 Chapterk1 Answers
CRITICALk THINKING
Thiskiskjustkonekpossiblekwayktokcompletekakcognitivekmap.
Could kitkbe klow Amk Ik diabetic? Frontal karea "Sick"k feeling Hard Tylenol khelps Hungerkmakes
blood ksugar? itkworse
Patient's Where kiskit? Quality Aggravating k and
perception alleviating k factors
Foodkhelps
Headache
Useful k other Severity Timing
data
Sometimes k feel Motherkis 7–8konk0–10 Lastsk1–2khours Before kmeals Early kinkthe
sick k to k stomach diabetic scale once k starts morning
REVIEWk QUESTIONS takingkvitalksigns;kdatakcollectionkiskthekfirstk
Thekcorrectkanswerskarekinkboldface. stepkinktheknursingkprocess.k(2,k3,k4)karekall
kstepskinktheknursingkprocess,kforkwhichkthekr
1. (2)kCriticalkthinkingkcankleadktokbetterkoutco egisteredknursekiskresponsible;kthekLPN/LVNk
meskforkthekpatient.k(1,k3,k4)kmaykbektruekb maykassistkthekregisteredknursekwithkthese.k
utkareknotkthekbestkanswer. Nitroglycerinkshouldknotkbekadministeredkwit
2. (4)kiskcorrect.kTheknursekwhokcankadmitktokn houtkfirstkknowingkthekpatient’skbloodkpressur
otkknowingksomethingkiskexhibitingkintellectua e.
lkhumility.k(1)kshowskexpertisekbutknotknecess 7. (2)kindicateskthatkthekpatientkiskconcernedka
arilykintellectualkhumility; boutkfreedomkfromkinjurykandkharm.k(1)krelat
(2) reportingkankerrorkshowskintellectualkintegr
esktokbasickneedsksuchkaskair,koxygen,kandk
ity; water.k(3)krelatesktokfeelingkloved.k(4)kiskrel
(3) empathizingkiskpositivekbutkdoeskiskno
atedktokhavingkpositivekself-esteem.
tkevidencekofkhumility. 8. (3,k1,k2,k4)kiskthekcorrectkorderkaccordingktokMas
3. (3,k4,k5,k1,k2)kiskthekcorrectkorder. low.
4. (1)kiskthekbestkdefinition.k(2,k3,k4)kdoknotk 9. (5,k2,k1,k4,k6,k3)kiskthekcorrectkorder.
definekcriticalkthinkingkbutkarekexampleskof 10. (3)kshowskthekpatientkiskactuallyktakingkacti
kgoodkthinking. on.k(1,k2,k4)karekallkpositivekbutkdoknotksho
5. (4)kiskcorrect.kEvaluationkdetermineskwhetherk wkintentktoktakekaction.
goalskarekachievedkandkinterventionskeffectiv 11. (4)kisktheknurse’skanalysiskofktheksituation.
e.k(2)kiskthekrolekofkthekphysician.k(1,k3)kenco k(1,k2)karekdata;k(3)kiskakrecommendatio
mpasskdatakcollectionkandkimple- n.
kmentation,kwhichkarekearlierkstepskinktheknur 12. (1,k2,k3,k4)kshouldkbekpresent.kSincekthek
singkprocess. datakprovideskonlykhipkreplacementkaskthe
6. (1)kiskcorrect.kTheklicensedkpracticalknurse/lice kpatient’skproblem,k(5)kthekdietitiankisknotk
nsedkvoca- necessary.
ktionalknursek(LPN/LVN)kcankcollectkdata,kwhic
hkincludes
