Test Bank Medical-Surgical Nursing in Canada 4th Edition Lewi Questions & Answers with rationales (Chapter 1-72)

TEST BANK
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Medical-Surgical Nursing in Canada
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Sharon Lewis Margaret McLean HeitkemperLinda Bucher
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4th Edition
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TESTBANK b

,Tableofcontent b b




l Introduction to Medical-Surgical Nursing Practice in Canada
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2 Cultural Competence and Health Equity in Nursing Care
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3 Health History and Physical Examination b b b b




4 Patient and Caregiver Teaching b b b




5 Chronic Illness b




6 Community-Based Nursing and Home Care b b b b




7 Older Adults b




8 Stress and Stress Management b b b




9 Sleep and Sleep Disorders b b b




I0 Pain
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11 Substance Use b




12 Complementary and Alternative Therapies b b b




13 Palliative Care at the End of Life b b b b b b




14 Inflammation and Wound Healing b b b




15 Genetics
16 Altered Immune Response and Transplantation b b b b




17 Infection and Human Immunodeficiency Virus Infection b b b b b




18 Cancer
19 Fluid, Electrolyte, and Acid-Base Imbalances
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20: Nursing Management: Preoperative Care
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21: Nursing Management: Intraoperative Care
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22: Nursing Management: Postoperative Care
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23: Nursing Assessment: Visual and Auditory Systems
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24: Nursing Management: Visual and Auditory Problems
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b25: Nursing Assessment: Integumentary System
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26: Nursing Management: Integumentary Problems
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27: Nursing Management: Burns
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28: Nursing Assessment: Respiratory System
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29: Nursing Management: Upper Respiratory Problems
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30: Nursing Management: Lower Respiratory Problems
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31: Nursing Management: Obstructive Pulmonary Diseases
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32: Nursing Assessment: Hematological System
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33: Nursing Management: Hematological Problems
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34: Nursing Assessment: Cardiovascular System 35:
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Nursing Management: Hypertension
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36: Nursing Management: Coronary Artery Disease and Acute Coronary
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Syndrome
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37: Nursing Management: Heart Failure
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38: Nursing Management: Dysrhythmias
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39: Nursing Management: Inflammatory and Structural Heart Disorders
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40: Nursing Management: Vascular Disorders
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41: Nursing Assessment: Gastro-intestinal System
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42: Nursing Management: Nutritional Problems 43:
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Nursing Management: Obesity
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44: Nursing Management: Upper Gastro-intestinal Problems
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45: Nursing Management: Lower Gastro-intestinal Problems
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46: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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47: Nursing Management: Urinary System
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,48: Nursing Management: Renal and Urological Problems
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49: Nursing Management: Acute Kidney Injury and Chronic Kidney
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bDisease
50: Nursing Assessment: Endocrine System
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51: Nursing Management: Endocrine Problems
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52: Nursing Management: Diabetes Mellitus
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53: Nursing Assessment: Reproductive System
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54: Nursing Management: Breast Disorders
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55: Nursing Management: Sexually Transmitted Infections
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56: Nursing Management: Female Reproductive Problems
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57: Nursing Management: Male Reproductive Problems
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58: Nursing Assessment: Nervous System
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59: Nursing Management: Acute Intracranial Problems
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b60: Nursing Management: Stroke
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61: Nursing Management: Chronic Neurological Problems
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62: Nursing Management: Delirium, Alzheimer's Disease, and Other Dementias
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63: Nursing Management: Peripheral Nerve and Spinal Cord Problems
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64: Nursing Assessment: Musculo-skeletal System
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65: Nursing Management: Musculo-skeletal Trauma and Orthopedic
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bSurgery
66: Nursing Management: Musculo-Skeletal Problems
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67: Nursing Management: Arthritis and Connective Tissue Diseases 68:
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bNursing Management: Critical Care Environment
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69: Nursing Management: Shock, Systemic Inflammatory Response Syndrome,
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band Multiple-Organ Dysfunction Syndrome
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70: Nursing Management: Respiratory Failure and Acute Respiratory
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Distress Syndrome b




71: Nursing Management: Emergency Care Situations 72:
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bEmergency Management and Disaster Planning
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, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
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Medical-Surgical Nursing in Canada, 4th Canadian Edition
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MULTIPLE CHOICE b




1. When caring for clients using evidence-informed practice, which of the following does the
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nurse use?
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a. Clinical judgement based on experience b b b b




b. Evidence from a clinical research study b b b b b




c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met b b b b b b b b b




ANS: C b




Evidence-informed nursing practice is a continuous interactive process involving the explicit, b b b b b b b b b b




conscientious, and judicious consideration of the best available evidence to provide care. Four
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primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
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actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on the
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nurse’s clinical experience is part of EIP, but clinical decision making also should incorporate
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current research and research-based guidelines. Evidence from one clinical research study does
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not provide an adequate substantiation for interventions. Evaluation of client outcomes is
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important, but interventions should be based on research from randomized control studies with a
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large number of subjects.
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DIF: Cognitive Level: Comprehension b b TOP: Nursing Process: Planning b b b




2. Which of the following best e xpl ai ns t he nu rs e s ’ pri mary use of the nursing process when
N R I G B .C M
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providing care to clients? USNT O b b b
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a. To explain nursing interventions to other health care professionals
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b. As a problem-solving tool to identify and treat clients’ health care needs
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c. As a scientific-based process of diagnosing the client’s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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ANS: B b




The nursing process is an assertive problem-solving approach to the identification and treatment
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of clients’ problems. Diagnosis is only one phase of the nursing process. The primary use of the
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nursing process is in client care, not to establish nursing theory or explain nursing interventions to
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other health care professionals.
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DIF: Cognitive Level: Comprehension b b TOP: Nursing Process: Implementation b b b




3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
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turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated with
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this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: D b