Test Bank for Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg / All Chapters 1-49 / Full Complete 2023

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DEWITT’S MEDICAL-SURGICAL NURSING: CONCEPTS
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ANDPRACTICE,4THEDITIONbyHollyK.Stromberg.
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,TABLE OF CONTENT
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Chapter 01: Caring for Medical-Surgical Patients ............................................................................................... 4
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Chapter 02: Critical Thinking and the Nursing Process .................................................................................... 14
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Chapter03: Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy ................................................ 24
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Chapter04: Care of Preoperative and Intraoperative Surgical Patients ............................................................. 34
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Chapter 05: Care of Postoperative Patients ...................................................................................................... 44
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Chapter 06: Infection Prevention and Control .................................................................................................. 54
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Chapter 07: Care of Patients with Pain ............................................................................................................. 64
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Chapter 08: Care of Patients with Cancer ......................................................................................................... 74
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Chapter 09: Chronic Illness and Rehabilitation ................................................................................................ 84
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Chapter 10: The Immune and Lymphatic System ............................................................................................. 95
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Chapter11:CareofPatients with Immune and LymphaticDisorders (with HIVand AIDS)................................105
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Chapter 12: The Respiratory System ..............................................................................................................116
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Chapter 13: Care of Patients with Disorders of the Upper Respiratory System .................................................126
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Chapter 14: Care of Patients with Disorders of the Lower Respiratory System.................................................136
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Chapter 15: The Hematologic System ............................................................................................................147
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Chapter 16: Care of Patients with Hematologic Disorders ...............................................................................157
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Chapter 17: The Cardiovascular System .........................................................................................................167
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Chapter 18: Care of Patients with Hypertension and Peripheral Vascular Disease............................................177
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Chapter 19: Care of Patients with Cardiac Disorders .......................................................................................187
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Chapter 20: Care of Patients with Coronary Artery Disease and Cardiac Surgery .............................................197
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Chapter 21: The Neurologic System ...............................................................................................................208
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Chapter 22: Care of Patients with Head and Spinal Cord Injuries .....................................................................218
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Chapter 23: Care of Patients with Disorders of the Brain ................................................................................. 228
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Chapter 24: Care of Patients with Peripheral Nerve and Degenerative Diseases ...............................................238
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Chapter 25: The Sensory System: Eye and Ear ................................................................................................248
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Chapter 26: Care of Patients with Disorders of the Eyes and Ears .....................................................................258
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Chapter 27: The Gastrointestinal System .......................................................................................................269
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Chapter 28: Care of Patients with Disorders of the Upper Gastrointestinal System ..........................................280
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Chapter 29: Care of Patients with Disorders of the Lower Gastrointestinal System ..........................................291
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Chapter30:CareofPatients with Disordersofthe Liver,Gallbladder, and Pancreas ...........................................302
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Chapter 31: The Musculoskeletal System .......................................................................................................313
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Chapter 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders .....................................323
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Chapter 33: The Urinary System ....................................................................................................................334
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Chapter 34: Care of Patients with Disorders of the Urinary System ..................................................................346
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Chapter 35: The Endocrine System.................................................................................................................358
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Chapter36:CareofPatients withPituitary, Thyroid, Parathyroid, andAdrenal Disorders ..................................368
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Chapter 37: Care of Patients with Diabetes and Hypoglycemia .......................................................................380
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Chapter 38: Care of Women with Reproductive Disorders ..............................................................................392
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Chapter 39: Care of Men with Reproductive Disorders ...................................................................................404
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,Chapter 40: Care of Patients with Sexually Transmitted Infections .................................................................416
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Chapter 41: The Integumentary System .......................................................................................................... 426
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Chapter 42: Care of Patents with Integumentary Disorders and Burns .............................................................436
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Chapter 43: Care of Patients in Disasters or Bioterrorism Attack .....................................................................447
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Chapter 44: Care of Patients with Emergencies, Trauma, and Shock ...............................................................457
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Chapter 45: Care of Patients with Anxiety, Mood, and Eating Disorders..........................................................469
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Chapter 46: Care of Patients with Substance Abuse Disorders .........................................................................479
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Chapter 47: Care of Patients with Cognitive Disorders....................................................................................490
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Chapter 48: Care of Patients with Thought and Personality Disorders .............................................................500
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, Chapter01:Caring forMedical-Surgical Patients
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deWit:Medical-SurgicalNursing:Concepts &Practice, 4thEdition
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MULTIPLE CHOICE v




1. Whichstatement accuratelydescribes the primarypurpose of the state nursepractice act
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v(NPA)?
a. To test and licenseLPN/LVNs. v v v v




b. Todefinethe scopeof LPN/LVN practice.
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c. To improve the quality of care provided by theLPN/LVN.
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d. Tolimitthe LPN/LVNemployment placement.
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ANS: B v




Whileimproving qualityof careprovided bythe LPN/LVN maybe a result of the NPA, the primary
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purpose of the NPAof each state defines the scope of nursing practice in that state.
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PTS: 1 DIF: Cognitive Level: Comprehension
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OBJ: 3 TOP: NPA
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The chargenurse asks the new vocational nurse to start an intravenous infusion, a skill that the
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vvocational nurse has not been taught during her educational program. How should the vocational
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vnurse respond? v




a. Ask a more experienced nurse to demonstrate theprocedure.
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b. Look up the procedure in the procedure manual. v v v v v v v




c. Attempt to perform the procedure with supervision. v v v v v v




d. Inform the charge nurse of her lack of training in thisprocedure. v v v v v v v v v v v




ANS: D v




The charge nurse should be informed of the lack of training to perform the procedure, and the
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vocational nurse should seek further training to gain proficiency. Although the other options
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might be helpful, they are not safe.
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PTS: 1 DIF: Cognitive Level: Application REF: 3 v v v




OBJ: 1 TOP: Providing Safe Care
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vMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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3. Whichpatient statement indicates aneed for further discharge teaching that the vocational
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vnurse should address? v v




a. “I have no idea of how this drug will affectme.”
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b. “Do you know if my physician is coming backtoday?”
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c. “Will my insurance pay for mystay?” v v v v v




d. “Am I going to have to go to a nursing home?” v v v v v v v v v v




ANS: A v




Lack of knowledge at discharge about medication effects and side effects is a concern that should
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be addressed by the vocational nurse. The other concerns in the options are the responsibility of
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other departments to which the nurse might refer the patient.
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PTS: 1 v v DIF: Cognitive Level: Application REF: 2 v v v




OBJ: 1 v v TOP: Teaching KEY:Nursing Process Step: Implementation v v v v v