TESTBANKFOR i i
MEDICALSURGICALNURSING
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i 9TH EDITION IGNATAVICIUS
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Test i Bank i- iMedical-Surgical i Nursing: i Concepts i for iInterprofessional i Collaborative 1
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Table iof iContents
Table of Contents i i
1
Chapter i01: iOverview iof iProfessional iNursing iConcepts ifor iMedical-Surgical iNursing 3
iChapter i02: iOverview iof iHealth iConcepts ifor iMedical-Surgical iNursing 8
Chapter i03: iCommon iHealth iProblems iof iOlder iAdults 13
iChapter i04: iAssessment iand iCare iof iPatients iwith iPain 20
iChapter i05: iGenetic iConcepts ifor iMedical-Surgical iNursing 32
Chapter i06: iRehabilitation iConcepts ifor iChronic iand iDisabling iHealth iProblems 38
iChapter i07: iEnd-of-Life iCare 44
Chapter i08: iConcepts iof iEmergency iand iTrauma iNursing 50
Chapter i09: iCare iof iPatients iwith iCommon iEnvironmental iEmergencies 56
iChapter i10: iConcepts iof iEmergency iand iDisaster iPreparedness 62
Chapter i11: iAssessment iand iCare iof iPatients iwith iFluid iand iElectrolyte iImbalances 68
iChapter i12: iAssessment iand iCare iof iPatients iwith iAcid-Base iImbalances 76
iChapter i13: iInfusion iTherapy 83
Chapter i14: iCare iof iPreoperative iPatients 94
iChapter i15: iCare iof iIntraoperative iPatients 103
iChapter i16: iCare iof iPostoperative iPatients 109
iChapter i17: iInflammation iand iImmunity 116
Chapter i18: iCare iof iPatients iwith iArthritis iand iOther iConnective iTissue iDiseases 122
iChapter i19: iCare iof iPatients iwith iHIV iDisease 138
Chapter i20: iCare iof iPatients iwith iHypersensitivity i(Allergy) iand iAutoimmunity 147
i Chapter i21: iCancer iDevelopment 152
Chapter i22: iCare iof iPatients iwith iCancer 157
iChapter i23: iCare iof iPatients iwith iInfection 167
Chapter i24: iAssessment iof ithe iSkin, iHair, iand iNails 174
iChapter i25: iCare iof iPatients iwith iSkin iProblems 179
iChapter i26: iCare iof iPatients iwith iBurns 196
Chapter i27: iAssessment iof ithe iRespiratory iSystem 213
Chapter i28: iCare iof iPatients iRequiring iOxygen iTherapy ior iTracheostomy 220
iChapter i29: iCare iof iPatients iwith iNoninfectious iUpper iRespiratory 226
iProblems iChapter i30: iCare iof iPatients iwith iNoninfectious iLower iRespiratory 233
iProblems iChapter i31: iCare iof iPatients iwith iInfectious iRespiratory 245
iProblems iChapter i32: iCare iof iCritically iIll iPatients iwith iRespiratory 256
iProblems 269
Chapter i33: iAssessment iof ithe iCardiovascular iSystem 278
iChapter i34: iCare iof iPatients iwith iDysrhythmias 287
iChapter i35: iCare iof iPatients iwith iCardiac iProblems 298
iChapter i36: iCare iof iPatients iwith iVascular iProblems 310
iChapter i37: iCare iof iPatients iwith iShock 317
Chapter i38: iCare iof iPatients iwith iAcute iCoronary iSyndromes 327
iChapter i39: iAssessment iof ithe iHematologic iSystem 331
iChapter i40: iCare iof iPatients iwith iHematologic iProblems 343
iChapter i41: iAssessment iof ithe iNervous iSystem 353
Chapter i42: iCare iof iPatients iwith iProblems iof ithe iCNS: iThe iBrain 364
iChapter i43: iCare iof iPatients iwith iProblems iof ithe iCNS: iThe iSpinal iCord 374
Chapter i44: iCare iof iPatients iwith iProblems iof ithe iPeripheral iNervous iSystem 380
iChapter i45: iCare iof iCritically iIll iPatients iwith iNeurologic iProblems 394
Chapter i46: iAssessment iof ithe iEye iand iVision 397
Chapter i47: iCare iof iPatients iwith iEye iand iVision iProblems 403
Chapter i48: iAssessment iand iCare iof iPatients iwith iEar iand iHearing iProblems 410
iChapter i49: iAssessment iof ithe iMusculoskeletal iSystem 415
Chapter i50: iCare iof iPatients iwith iMusculoskeletal iProblems
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Chapter i51: iCare iof iPatients iwith iMusculoskeletal iTrauma 424
iChapter i52: iAssessment iof ithe iGastrointestinal iSystem 435
iChapter i53: iCare iof iPatients iwith iOral iCavity iProblems 441
iChapter i54: iCare iof iPatients iwith iEsophageal iProblems 445
iChapter i55: iCare iof iPatients iwith iStomach iDisorders 454
Chapter i56: iCare iof iPatients iwith iNoninflammatory iIntestinal iDisorders 461
iChapter i57: iCare iof iPatients iwith iInflammatory iIntestinal iDisorders 471
iChapter i58: iCare iof iPatients iwith iLiver iProblems 481
Chapter i59: iCare iof iPatients iwith iProblems iof ithe iBiliary iSystem iand iPancreas 489
iChapter i60: iCare iof iPatients iwith iMalnutrition: iUndernutrition iand iObesity 497
iChapter i61: iAssessment iof ithe iEndocrine iSystem 506
Chapter i62: iCare iof iPatients iwith iPituitary iand iAdrenal iGland iProblems 512
Chapter i63: iCare iof iPatients iwith iProblems iof ithe iThyroid iand iParathyroid iGlands 520
iChapter i64: iCare iof iPatients iwith iDiabetes iMellitus 527
Chapter i65: iAssessment iof ithe iRenal/Urinary iSystem 549
iChapter i66: iCare iof iPatients iwith iUrinary iProblems 557
iChapter i67: iCare iof iPatients iwith iKidney iDisorders 568
Chapter i68: iCare iof iPatients iwith iAcute iKidney iInjury iand iChronic iKidney iDisease 575
iChapter i69: iAssessment iof ithe iReproductive iSystem 587
Chapter i70: iCare iof iPatients iwith iBreast iDisorders 591
iChapter i71: iCare iof iPatients iwith iGynecologic iProblems 598
Chapter i72: iCare iof iPatients iwith iMale iReproductive iProblems 605
iChapter i73: iCare iof iTransgender iPatients 614
Chapter i74: iCare iof iPatients iwith iSexually iTransmitted iDiseases 618
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Test i Bank i- iMedical-Surgical i Nursing: i Concepts i for iInterprofessional i Collaborative 3
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing
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MULTIPLE i CHOICE
1. A inurse iwishes ito iprovide iclient-centered icare iin iall iinteractions. iWhich iaction iby ithe inurse
ibest idemonstrates ithis iconcept?
a. Assesses ifor icultural iinfluences iaffecting ihealth icare
b. Ensures ithat iall ithe iclients ibasic ineeds iare imet
c. Tells ithe iclient iand ifamily iabout iall iupcoming itests
d. Thoroughly iorients ithe iclient iand ifamily ito ithe iroom
ANS: iA
Competency iin iclient-focused icare iis idemonstrated iwhen ithe inurse ifocuses ion icommunication, iculture, irespect
icompassion, iclient ieducation, iand iempowerment. iBy iassessing ithe ieffect iof ithe iclients iculture ion ihealth icare,
ithis inurse iis ipracticing iclient-focused icare. iProviding ifor ibasic ineeds idoes inot idemonstrate ithis icompetence.
Simply itelling ithe iclient iabout iall iupcoming itests iis inot iproviding iempowering ieducation. iOrienting ithe
iclient iand ifamily ito ithe iroom iis ian iimportant isafety imeasure, ibut inot idirectly irelated ito idemonstrating iclient-
centered icare.
DIF: iUnderstanding/Comprehension iREF: i3
KEY: iPatient-centered icare| iculture iMSC: iIntegrated iProcess: iCaring
iNOT: iClient iNeeds iCategory: iPsychosocial iIntegrity
2. A inurse iis icaring ifor ia ipostoperative iclient ion ithe isurgical iunit. iThe iclients iblood ipressure iwas i142/76
imm iHg i30 iminutes iago, iand inow iis i88/50 imm iHg. iWhat iaction iby ithe inurse iis ibest?
a. Call ithe iRapid iResponse iTeam.
b. Document iand icontinue ito imonitor.
c. Notify ithe iprimary icare iprovider.
d. Repeat iblood ipressure imeasurement iin i15 iminutes.
ANS: iA
The ipurpose iof ithe iRapid iResponse iTeam i(RRT) iis ito iintervene iwhen iclients iare ideteriorating ibefore
ithey isuffer ieither irespiratory ior icardiac iarrest. iSince ithe iclient ihas imanifested ia isignificant ichange, ithe inurse
ishould icall ithe iRRT. iChanges iin iblood ipressure, imental istatus, iheart irate, iand ipain iare iparticularly isignificant.
Documentation iis ivital, ibut ithe inurse imust ido imore ithan idocument. iThe iprimary icare iprovider ishould
ibe inotified, ibut ithis iis inot ithe ipriority iover icalling ithe iRRT. iThe iclients iblood ipressure ishould ibe
ireassessed ifrequently, ibut ithe ipriority iis igetting ithe irapid icare ito ithe iclient.
DIF: iApplying/Application iREF: i3
KEY: iRapid iResponse iTeam i(RRT)| imedical iemergencies
iMSC: iIntegrated iProcess: iCommunication iand
iDocumentation
NOT: iClient iNeeds iCategory: iPhysiological iIntegrity: iPhysiological iAdaptation
3. A inurse iis iorienting ia inew iclient iand ifamily ito ithe iinpatient iunit. iWhat iinformation idoes ithe inurse
iprovide ito ihelp ithe iclient ipromote ihis ior iher iown isafety?
a. Encourage ithe iclient iand ifamily ito ibe iactive ipartners.
b. Have ithe iclient imonitor ihand ihygiene iin icaregivers.
c. Offer ithe ifamily ithe iopportunity ito istay iwith ithe iclient.
d. Tell ithe iclient ito ialways iwear ihis ior iher iarmband.
ANS: iA
Each iaction icould ibe iimportant ifor ithe iclient ior ifamily ito iperform. iHowever, iencouraging ithe iclient ito
ibe iactive iin ihis ior iher ihealth icare ias ia ipartner iis ithe imost icritical. iThe iother iactions iare ivery ilimited iin
iscope iand ido inot iprovide ithe ibroad iprotection ithat ibeing iactive iand iinvolved idoes.
DIF: iUnderstanding/Comprehension iREF: i3
iKEY: iPatient isafety
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