Test Bank for Lewis’s Medical-Surgical Nursing in Canada, 5th Edition by Tyerman, 9780323791564, Covering Chapters 1-72 Includes Rationales

TEST BANK FOR LEWIS’S MEDICAL SURGICAL
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NURSING 11TH EDITION HARDING CHAPTER 1-
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68|COMPLETE GUIDE-2024
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,Chapterg01:gProfessionalgNursing
Harding:gLewis’sgMedical-SurgicalgNursing,g11thgEdition

MULTIPLEgCHOICE

1. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdischarg
eggoalsgwillgbegdevelopedgwithgthegpatient’sginput.gThegpatientgasks,g“Howgisgthisgdifferentgfr
omgwhatgthegdoctorgdoes?”gWhichgresponsegwouldgbegmostgappropriategforgthegnursegtogma
ke?
a. “Thegrolegofgthegnursegisgtogadministergmedicationsgandgothergtreatmentsgprescribe
dgbygyourgdoctor.”
b. “Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillghelpgyougplangt
ogmaintaingyourghealth.”
c. “Thegnurse’sgjobgisgtoghelpgthegdoctorgbygcollectingginformationgan
dgcommunicatingganygproblemsgthatgoccur.”
d. “Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgaregwit
hgthegpatientsgforgaglongergtimegthangthegdoctor.”
ANS:g B
ThegAmericangNursesgAssociationg(ANA)gdefinitiongofgnursinggdescribesgthegrolegofgnursesgingpr
omotingghealth.gThegothergresponsesgdescribegdependentgandgcollaborativegfunctionsgofgthegnursi
nggrolegbutgdognotgaccuratelygdescribegthegnurse’sguniquegrolegingtheghealthgcaregsystem.

DIF: CognitivegLevel:gAnalyzeg(analysis)
TOP:g NursinggProcess:gImplementation MSC:gNCLEX:gSafegandgEffectivegCaregEnvironment

2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
TESTBANKWORLD.ORG
basedgpracticeg(EBP)gwhengcaring gforgpatients.gWhichgstatementgbygthegnursegaccuratelygdes
cribesgthegusegofgEBP?
a. “Inferencesgfromgallgpublishedgarticlesgaregusedgasgagguide.”
b. “Patientgcaregisgbasedgongclinicalgjudgment,gexperience,gandgtraditions.”
c. “Datagareganalyzedglatergtogshowgthatgthegpatientgoutcomesgaregconsistentlygmet.”
d. “Recommendationsgaregbasedgongresearch,gclinicalgexpertise,gandgpatien
tgpreferences.”
ANS:g D
Evidence-basedgpracticeg(EBP)gisgthegusegofgthegbestgresearch-
basedgevidencegcombinedgwithgcliniciangexpertisegandgconsiderationgofgpatientgpreferences.g
Clinicalgjudgmentgbasedgongthegnurse’sgclinicalgexperiencegisgpartgofgEBP,gbutgclinicalgdecisi
ongmakinggshouldgalsogincorporategcurrentgresearchgandgresearch-
basedgguidelines.gEvaluationgofgpatientgoutcomesgisgimportant,gbutgdataganalysisgisgnotgrequir
edgtogusegEBP.gAllgpublishedgarticlesgdognotgprovidegresearchgevidence;ginterventionsgshould
gbegbasedgongcrediblegresearch,gpreferablygrandomizedgcontrolledgstudiesgwithgaglargegnumbe
rgofgsubjects.

DIF: CognitivegLevel:gRememberg(knowledge)
TOP:gNursinggProcess:gPlanninggMSC:gNCLEX:gSafegandgEffectivegCaregEnvironment

3. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengprovidin
ggpatientgcare.gWhichgstatementgbygthegstudentgnursegindicatesgthatgteachinggwasgsuccessf
ul?
a. “Thegnursinggprocessgisgagresearchgmethodgofgdiagnosinggthegpatient’sghealthgcar
egproblems.”
b. “Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogother

, healthgcaregprofessionals.”
c. “Thegnursinggprocessgisgagproblem-
solvinggtoolgusedgtogidentifygandgtreatgthegpatients’ghealthgcaregneeds.”
d. “Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporatesgth
egbiopsychosocialgnaturegofghumans.”
ANS:gC
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofgpatients’gproblems.gNursinggprocessg
doesgnotgrequiregresearchgmethodsgforgdiagnosis.gThegprimarygusegofgthegnursinggprocessgisgi
ngpatientgcare,gnotgtogestablishgnursinggtheorygorgexplaingnursingginterventionsgtogotherghealt
hgcaregprofessionals.

DIF: CognitivegLevel:gUnderstandg(comprehension)
TOP:gNursinggProcess:gEvaluationgMSC:gNCLEX:gSafegandgEffectivegCaregEnvironment

4. Agpatientgadmittedgtogtheghospitalgforgsurgerygtellsgthegnurse,g“Igdognotgfeelgcomfortabl
egleavinggmygchildrengwithgmygparents.”gWhichgactiongshouldgthegnursegtakegnext?
a. Reassuregthegpatientgthatgthesegfeelingsgaregcommongforgparents.
b. Havegthegpatientgcallgthegchildrengtogensuregthatgtheygaregdoinggwell.
c. Gatherginformationgongthegpatient’sgconcernsgaboutgthegchildgcaregarrangements.
d. Callgthegpatient’sgparentsgtogdeterminegwhethergadequategchildgcaregisgbein
ggprovided.
ANS:gC
Becausegagcompletegassessmentgisgnecessarygingordergtogidentifygagproblemgandgchooseganga
ppropriategintervention,gthegnurse’sgfirstgactiongshouldgbegtogobtaingmoreginformation.gTheg
othergactionsgmaygbegappropriate,gbutgmoregassessmentgisgneededgbeforegthegbestginterventio
ngcangbegchosen. TESTBANKWORLD.ORG
DIF: CognitivegLevel:gAnalyzeg(analysis)
OBJ:g SpecialgQuestions:gPrioritization
TOP:gNursinggProcess:gAssessmen
tgMSC:gNCLEX:gPsychosocialgIntegrity

5. Agpatientgwithgagbacterialginfectiongisghypovolemicgduegtogagfevergandgexcessivegdiaphoresi
s.gWhichgexpectedgoutcomegwouldgthegnursegrecognizegasgappropriategforgthisgpatient?
a. Patientghasgagbalancedgintakegandgoutput.
b. Patient’sgbeddinggisgkeptgcleangandgfreegofgmoisture.
c. Patientgunderstandsgthegneedgforgincreasedgfluidgintake.
d. Patient’sgskingremainsgcoolgandgdrygthroughoutghospitalization.
ANS:gA
Balancedgintakegandgoutputggivesgmeasurablegdatagshowinggresolutiongofgthegproblemgofgdefi
cientgfluidgvolume.gThegothergstatementsgwouldgnotgindicategthatgthegproblemgofghypovolemi
agwasgresolved.

DIF: CognitivegLevel:gApplyg(application) TOP:
NursinggProcess:gPlanninggMSC:gNCLEX:gPhysiologicalgIntegrity

6. Aftergadministeringgmedication,gthegnursegasksgthegpatientgifgpaingwasgrelieved.gWhatgisgth
egpurposegofgthegevaluationgphasegofgthegnursinggprocess?
a. Togdocumentgthegnursinggcaregplangingthegprogressgnotesgofgtheghealthgrecord
b. Togdeterminegifginterventionsghavegbeengeffectivegingmeetinggpatientgoutcomes

, c. Togdecidegwhethergthegpatient’sghealthgproblemsghavegbeengcompletelygresolved
d. Togestablishgifgthegpatientgagreesgthatgthegnursinggcaregprovidedgwasgsatisfactory
ANS:gB
Evaluationgconsistsgofgdetermininggwhethergthegdesiredgpatientgoutcomesghavegbeengmetgan
dgwhethergthegnursingginterventionsgweregappropriate.gThegothergresponsesgdognotgdescribeg
thegevaluationgphase.

DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:gNursinggProcess:gEvaluatio
ngMSC:gNCLEX:gSafegandgEffectivegCaregEnvironment

7. Thegnurseginterviewsgagpatientgwhilegcompletinggtheghealthghistorygandgphysicalgexaminatio
n.gWhatgisgthegpurposegofgthegassessmentgphasegofgthegnursinggprocess?
a. Togteachginterventionsgthatgrelieveghealthgproblems
b. Togusegpatientgdatagtogevaluategpatientgcaregoutcomes
c. Toghelpgthegpatientgidentifygrealisticgoutcomesgforghealthgproblems
d. Togobtaingdatagwithgwhichgtogdiagnosegpatientgstrengthsgandgproblems
ANS:gD
Duringgthegassessmentgphase,gthegnurseggathersginformationgaboutgthegpatientgtogdiagnosegpat
ientgstrengthsgandgproblems.gThegothergresponsesgaregexamplesgofgthegplanning,gintervention,
gandgevaluationgphasesgofgthegnursinggprocess.


DIF: CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gAssessment MSC:gNCLEX:gSafegandgEffectivegCaregEnvironment

8. Thegnursegadmitsgagpatientgtogtheghospitalgandgdevelopsgagplangofgcare.gWhatgcomponen
tsgshouldgthegnursegincludegingthTeEpS
atiT
enBtA
prNoK
blWOR
em staLteDm.eO
ntR
?gG
a. Thegproblemgandgthegsuggestedgpatientggoalsgorgoutcomes
b. Thegproblem,gitsgcauses,gandgthegsignsgandgsymptomsgofgthegproblem
c. Thegproblemgwithgthegpossiblegetiologygandgthegplannedginterventions
d. Thegproblem,gthegpathophysiologygofgthegproblem,gandgthegexpectedgoutcome
ANS:gB
Whengwritinggpatientgproblemsgorgnursinggdiagnoses,gthisgformatgshouldgbegused:gproblem,get
iology,gandgsignsgandgsymptoms.gThegsubjectivegasgwellgasgobjectivegdatagshouldgbeginclude
d.gGoals,goutcomes,gandginterventionsgaregnotgincludedgingthegproblemgstatement.

DIF: CognitivegLevel:gUnderstandg(comprehension)
TOP:gNursinggProcess:gDiagnosisgMSC:gNCLEX:gSafegandgEffectivegCaregEnvironment

9. Whichgpatientgcaregtaskgisgappropriategforgthegnursegtogdelegategtogexperiencedgunlicense
dgassistivegpersonnelg(UAP)?
a. Instructgthegpatientgaboutgthegneedgtogalternategactivitygandgrest.
b. Monitorglevelgofgshortnessgofgbreathgorgfatiguegaftergambulation.
c. Obtaingthegpatient’sgbloodgpressuregandgpulsegrategaftergambulation.
d. Determinegwhethergthegpatientgisgreadygtogincreasegthegactivityglevel.
ANS:gC
UAPgeducationgincludesgaccurategvitalgsigngmeasurement.gAssessmentgandgpatientgteachinggr
equiregregisteredgnursegeducationgandgscopegofgpracticegandgcannotgbegdelegated.