TEST HBANK HFOR H HMEDICAL HSURGICAL HNURSING H:ASSESEMENT HAND HMANAGEMENT H
H OF HCLINICAL HPROBLEMS H H9TH HEDITION H HLEWIS HDIRKSEN HHELTKEMPER HBUM
,Study Guide for
H H
Medical-Surgical Nursing: H
Assessment and Management
H H H
of Clinical Problems
H H H
Ninth Edition
H
Prepared Hby:
Susan HA. HSandstrom, HRN, HMSN, HBC,
HCNE HAssociate HProfessor Hin HNursing,
HRetired HCollege Hof HSaint HMary
Omaha, H Nebraska
Sharon HL. HLewis, HRN, HPhD, HFAAN
HShannon HRuff HDirksen, HRN, HPhD, HFAAN
Margaret HMcLean HHeitkemper, HRN, HPhD, HFAAN
HLinda HBucher, HRN, HPhD, HCEN, HCNE
Reviewed Hby:
Charles HD. HRogers, HRN, HMSN
HAdvanced HCardiac HLife HSupport
HProvider HAssistant HProfessor Hof
HNursing HMorehead HState HUniversity
Morehead, H Kentucky
Collin HBowman-Woodall, HRN, HMS
Assistant HProfessor
HSamuel HMerritt
HUniversity
San HFrancisco HPeninsula HCampus
HSan HMateo, HCalifornia
, 3251 HRiverport HLane
St. HLouis, HMissouri H63043
STUDY HGUIDE HFOR HMEDICAL-SURGICAL HNURSING: ISBN: H978-0-323-09147-
3 H ASSESSMENT HAND HMANAGEMENT HOF HCLINICAL HPROBLEMS
Copyright H© H2014 Hby HMosby, Han Himprint Hof HElsevier HInc. HAll Hrights Hreserved.
Copyright H© H2011, H2007, H2004, H2000, H1996, H1992, H1987, H1983 Hby HMosby, HInc., Han Haffiliate Hof HElsevier HInc.
All Hrights Hreserved. HNo Hpart Hof Hthis Hpublication Hmay Hbe Hreproduced Hor Htransmitted Hin Hany Hform Hor Hby
Hany Hmeans, H electronic Hor Hmechanical, Hincluding Hphotocopy, Hrecording, Hor Hany Hinformation Hstorage Hand
Hretrieval Hsystem, Hwithout H permission Hin Hwriting Hfrom Hthe Hpublisher. HDetails Hon Hhow Hto Hseek Hpermission,
Hfurther Hinformation Habout Hthe H Publisher’s Hpermissions Hpolicies Hand Hour Harrangements Hwith Horganizations
Hsuch Has Hthe HCopyright HClearance HCenter H and Hthe HCopyright HLicensing HAgency, Hcan Hbe Hfound Hat Hour
Hwebsite: Hwww.elsevier.com/permissions.
This Hbook Hand Hthe Hindividual Hcontributions Hcontained Hin Hit Hare Hprotected Hunder Hcopyright Hby Hthe
HPublisher H(other H than Has Hmay Hbe Hnoted Hherein).
Although Hfor Hmechanical Hreasons Hall Hpages Hof Hthis Hpublication Hare Hperforated, Honly Hthose Hpages
Himprinted Hwith Han H Elsevier HInc. Hcopyright Hnotice Hare Hintended Hfor Hremoval.
Notices
Knowledge Hand Hbest Hpractice Hin Hthis Hfield Hare Hconstantly Hchanging. HAs Hnew Hresearch Hand Hexperience
Hbroaden H our Hunderstanding, Hchanges Hin Hresearch Hmethods, Hprofessional Hpractices, Hor Hmedical
Htreatment Hmay Hbecome H necessary.
Practitioners Hand Hresearchers Hmust Halways Hrely Hon Htheir Hown Hexperience Hand Hknowledge Hin
Hevaluating Hand H using Hany Hinformation, Hmethods, Hcompounds, Hor Hexperiments Hdescribed Hherein. HIn
Husing Hsuch Hinformation Hor H methods Hthey Hshould Hbe Hmindful Hof Htheir Hown Hsafety Hand Hthe Hsafety
Hof Hothers, Hincluding Hparties Hfor Hwhom Hthey H have Ha Hprofessional Hresponsibility.
With Hrespect Hto Hany Hdrug Hor Hpharmaceutical Hproducts Hidentified, Hreaders Hare Hadvised Hto Hcheck
Hthe Hmost H current Hinformation Hprovided H(i) Hon Hprocedures Hfeatured Hor H(ii) Hby Hthe Hmanufacturer
Hof Heach Hproduct Hto Hbe H administered, Hto Hverify Hthe Hrecommended Hdose Hor Hformula, Hthe Hmethod
Hand Hduration Hof Hadministration, Hand H contraindications. HIt His Hthe Hresponsibility Hof Hpractitioners,
Hrelying Hon Htheir Hown Hexperience Hand Hknowledge Hof H their Hpatients, Hto Hmake Hdiagnoses, Hto
Hdetermine Hdosages Hand Hthe Hbest Htreatment Hfor Heach Hindividual Hpatient, Hand H to Htake Hall Happropriate
Hsafety Hprecautions.
To Hthe Hfullest Hextent Hof Hthe Hlaw, Hneither Hthe HPublisher Hnor Hthe Hauthors, Hcontributors, Hor Heditors,
Hassume Hany H liability Hfor Hany Hinjury Hand/or Hdamage Hto Hpersons Hor Hproperty Has Ha Hmatter Hof
Hproducts Hliability, Hnegligence Hor H otherwise, Hor Hfrom Hany Huse Hor Hoperation Hof Hany Hmethods,
Hproducts, Hinstructions, Hor Hideas Hcontained Hin Hthe H material Hherein.
NANDA HInternational HNursing HDiagnoses: HDefinitions Hand HClassifications H2012-2014; HHerdman HT.H.
H(ED); H copyright H© H2012, H1994-2012 HNANDA HInternational; Hpublished Hby HJohn HWiley H& HSons,
HLimited.
ISBN: H9780323091473
Executive HContent HStrategist: HKristin HGeen
Content HManager: HJamie HRandall
Associate HContent HDevelopment HSpecialist: HMelissa HRawe
Publishing HServices HManager: HJeff HPatterson
Project HManager: HMegan
HIsenberg H Design HDirection:
HMaggie HReid H Cover
HDesigner: HMaggie HReid
Printed Hin Hthe HUnited HStates Hof HAmerica
Last Hdigit His Hthe Hprint Hnumber: H H 9 H H 8 H H 7 H H 6 H H 5 H H 4 H H 3 H H 2 H H 1
, Contents
Section H1: HConcepts Hin HNursing HPractice
1 Professional HNursing HPractice, H1
2 Health HDisparities Hand HCulturally HCompetent HCare, H5
3 Health HHistory Hand HPhysical HExamination, H8
4 Patient Hand HCaregiver HTeaching, H11
5 Chronic HIllness Hand HOlder HAdults, H15
6 Complementary Hand HAlternative HTherapies, H19
7 Stress Hand HStress HManagement, H22
8 Sleep Hand HSleep HDisorders, H26
9 Pain, H29
10 Palliative HCare Hat HEnd Hof HLife, H33
11 Substance HAbuse, H36
Section H2: HPathophysiologic HMechanisms Hof HDisease
12 Inflammation Hand HWound HHealing, H40
13 Genetics Hand HGenomics, H44
14 Altered HImmune HResponses Hand HTransplantation, H47
15 Infection Hand HHuman HImmunodeficiency HVirus HInfection, H51
16 Cancer, H55
17 Fluid, HElectrolyte, Hand HAcid-Base HImbalances, H60
Section H3: HPerioperative HCare
18 Nursing HManagement: HPreoperative HCare, H66
19 Nursing HManagement: HIntraoperative HCare, H69
20 Nursing HManagement: HPostoperative HCare, H72
Section H4: HProblems HRelated Hto HAltered HSensory HInput
21 Nursing HAssessment: HVisual Hand HAuditory HSystems, H75
22 Nursing HManagement: HVisual Hand HAuditory HProblems, H80
23 Nursing HAssessment: HIntegumentary HSystem, H85
24 Nursing HManagement: HIntegumentary HProblems, H88
25 Nursing HManagement: HBurns, H92
Section H5: HProblems Hof HOxygenation:HVentilation
26 Nursing HAssessment: HRespiratory HSystem, H97
27 Nursing HManagement: HUpper HRespiratory HProblems, H101
28 Nursing HManagement: HLower HRespiratory HProblems, H105
29 Nursing HManagement: HObstructive HPulmonary HDiseases, H111
Section H6: HProblems Hof HOxygenation: HTransport
30 Nursing HAssessment: HHematologic HSystem, H117
31 Nursing HManagement: HHematologic HProblems, H120
Section H7: HProblems Hof HOxygenation: HPerfusion
32 Nursing HAssessment: HCardiovascular HSystem, H127
33 Nursing HManagement: HHypertension, H134
34 Nursing HManagement: HCoronary HArtery HDisease Hand HAcute HCoronary HSyndrome, H138
35 Nursing HManagement: HHeart HFailure, H145
36 Nursing HManagement: HDysrhythmias, H149
37 Nursing HManagement: HInflammatory Hand HStructural HHeart HDisorders, H156
38 Nursing HManagement: HVascular HDisorders, H161
iii
H OF HCLINICAL HPROBLEMS H H9TH HEDITION H HLEWIS HDIRKSEN HHELTKEMPER HBUM
,Study Guide for
H H
Medical-Surgical Nursing: H
Assessment and Management
H H H
of Clinical Problems
H H H
Ninth Edition
H
Prepared Hby:
Susan HA. HSandstrom, HRN, HMSN, HBC,
HCNE HAssociate HProfessor Hin HNursing,
HRetired HCollege Hof HSaint HMary
Omaha, H Nebraska
Sharon HL. HLewis, HRN, HPhD, HFAAN
HShannon HRuff HDirksen, HRN, HPhD, HFAAN
Margaret HMcLean HHeitkemper, HRN, HPhD, HFAAN
HLinda HBucher, HRN, HPhD, HCEN, HCNE
Reviewed Hby:
Charles HD. HRogers, HRN, HMSN
HAdvanced HCardiac HLife HSupport
HProvider HAssistant HProfessor Hof
HNursing HMorehead HState HUniversity
Morehead, H Kentucky
Collin HBowman-Woodall, HRN, HMS
Assistant HProfessor
HSamuel HMerritt
HUniversity
San HFrancisco HPeninsula HCampus
HSan HMateo, HCalifornia
, 3251 HRiverport HLane
St. HLouis, HMissouri H63043
STUDY HGUIDE HFOR HMEDICAL-SURGICAL HNURSING: ISBN: H978-0-323-09147-
3 H ASSESSMENT HAND HMANAGEMENT HOF HCLINICAL HPROBLEMS
Copyright H© H2014 Hby HMosby, Han Himprint Hof HElsevier HInc. HAll Hrights Hreserved.
Copyright H© H2011, H2007, H2004, H2000, H1996, H1992, H1987, H1983 Hby HMosby, HInc., Han Haffiliate Hof HElsevier HInc.
All Hrights Hreserved. HNo Hpart Hof Hthis Hpublication Hmay Hbe Hreproduced Hor Htransmitted Hin Hany Hform Hor Hby
Hany Hmeans, H electronic Hor Hmechanical, Hincluding Hphotocopy, Hrecording, Hor Hany Hinformation Hstorage Hand
Hretrieval Hsystem, Hwithout H permission Hin Hwriting Hfrom Hthe Hpublisher. HDetails Hon Hhow Hto Hseek Hpermission,
Hfurther Hinformation Habout Hthe H Publisher’s Hpermissions Hpolicies Hand Hour Harrangements Hwith Horganizations
Hsuch Has Hthe HCopyright HClearance HCenter H and Hthe HCopyright HLicensing HAgency, Hcan Hbe Hfound Hat Hour
Hwebsite: Hwww.elsevier.com/permissions.
This Hbook Hand Hthe Hindividual Hcontributions Hcontained Hin Hit Hare Hprotected Hunder Hcopyright Hby Hthe
HPublisher H(other H than Has Hmay Hbe Hnoted Hherein).
Although Hfor Hmechanical Hreasons Hall Hpages Hof Hthis Hpublication Hare Hperforated, Honly Hthose Hpages
Himprinted Hwith Han H Elsevier HInc. Hcopyright Hnotice Hare Hintended Hfor Hremoval.
Notices
Knowledge Hand Hbest Hpractice Hin Hthis Hfield Hare Hconstantly Hchanging. HAs Hnew Hresearch Hand Hexperience
Hbroaden H our Hunderstanding, Hchanges Hin Hresearch Hmethods, Hprofessional Hpractices, Hor Hmedical
Htreatment Hmay Hbecome H necessary.
Practitioners Hand Hresearchers Hmust Halways Hrely Hon Htheir Hown Hexperience Hand Hknowledge Hin
Hevaluating Hand H using Hany Hinformation, Hmethods, Hcompounds, Hor Hexperiments Hdescribed Hherein. HIn
Husing Hsuch Hinformation Hor H methods Hthey Hshould Hbe Hmindful Hof Htheir Hown Hsafety Hand Hthe Hsafety
Hof Hothers, Hincluding Hparties Hfor Hwhom Hthey H have Ha Hprofessional Hresponsibility.
With Hrespect Hto Hany Hdrug Hor Hpharmaceutical Hproducts Hidentified, Hreaders Hare Hadvised Hto Hcheck
Hthe Hmost H current Hinformation Hprovided H(i) Hon Hprocedures Hfeatured Hor H(ii) Hby Hthe Hmanufacturer
Hof Heach Hproduct Hto Hbe H administered, Hto Hverify Hthe Hrecommended Hdose Hor Hformula, Hthe Hmethod
Hand Hduration Hof Hadministration, Hand H contraindications. HIt His Hthe Hresponsibility Hof Hpractitioners,
Hrelying Hon Htheir Hown Hexperience Hand Hknowledge Hof H their Hpatients, Hto Hmake Hdiagnoses, Hto
Hdetermine Hdosages Hand Hthe Hbest Htreatment Hfor Heach Hindividual Hpatient, Hand H to Htake Hall Happropriate
Hsafety Hprecautions.
To Hthe Hfullest Hextent Hof Hthe Hlaw, Hneither Hthe HPublisher Hnor Hthe Hauthors, Hcontributors, Hor Heditors,
Hassume Hany H liability Hfor Hany Hinjury Hand/or Hdamage Hto Hpersons Hor Hproperty Has Ha Hmatter Hof
Hproducts Hliability, Hnegligence Hor H otherwise, Hor Hfrom Hany Huse Hor Hoperation Hof Hany Hmethods,
Hproducts, Hinstructions, Hor Hideas Hcontained Hin Hthe H material Hherein.
NANDA HInternational HNursing HDiagnoses: HDefinitions Hand HClassifications H2012-2014; HHerdman HT.H.
H(ED); H copyright H© H2012, H1994-2012 HNANDA HInternational; Hpublished Hby HJohn HWiley H& HSons,
HLimited.
ISBN: H9780323091473
Executive HContent HStrategist: HKristin HGeen
Content HManager: HJamie HRandall
Associate HContent HDevelopment HSpecialist: HMelissa HRawe
Publishing HServices HManager: HJeff HPatterson
Project HManager: HMegan
HIsenberg H Design HDirection:
HMaggie HReid H Cover
HDesigner: HMaggie HReid
Printed Hin Hthe HUnited HStates Hof HAmerica
Last Hdigit His Hthe Hprint Hnumber: H H 9 H H 8 H H 7 H H 6 H H 5 H H 4 H H 3 H H 2 H H 1
, Contents
Section H1: HConcepts Hin HNursing HPractice
1 Professional HNursing HPractice, H1
2 Health HDisparities Hand HCulturally HCompetent HCare, H5
3 Health HHistory Hand HPhysical HExamination, H8
4 Patient Hand HCaregiver HTeaching, H11
5 Chronic HIllness Hand HOlder HAdults, H15
6 Complementary Hand HAlternative HTherapies, H19
7 Stress Hand HStress HManagement, H22
8 Sleep Hand HSleep HDisorders, H26
9 Pain, H29
10 Palliative HCare Hat HEnd Hof HLife, H33
11 Substance HAbuse, H36
Section H2: HPathophysiologic HMechanisms Hof HDisease
12 Inflammation Hand HWound HHealing, H40
13 Genetics Hand HGenomics, H44
14 Altered HImmune HResponses Hand HTransplantation, H47
15 Infection Hand HHuman HImmunodeficiency HVirus HInfection, H51
16 Cancer, H55
17 Fluid, HElectrolyte, Hand HAcid-Base HImbalances, H60
Section H3: HPerioperative HCare
18 Nursing HManagement: HPreoperative HCare, H66
19 Nursing HManagement: HIntraoperative HCare, H69
20 Nursing HManagement: HPostoperative HCare, H72
Section H4: HProblems HRelated Hto HAltered HSensory HInput
21 Nursing HAssessment: HVisual Hand HAuditory HSystems, H75
22 Nursing HManagement: HVisual Hand HAuditory HProblems, H80
23 Nursing HAssessment: HIntegumentary HSystem, H85
24 Nursing HManagement: HIntegumentary HProblems, H88
25 Nursing HManagement: HBurns, H92
Section H5: HProblems Hof HOxygenation:HVentilation
26 Nursing HAssessment: HRespiratory HSystem, H97
27 Nursing HManagement: HUpper HRespiratory HProblems, H101
28 Nursing HManagement: HLower HRespiratory HProblems, H105
29 Nursing HManagement: HObstructive HPulmonary HDiseases, H111
Section H6: HProblems Hof HOxygenation: HTransport
30 Nursing HAssessment: HHematologic HSystem, H117
31 Nursing HManagement: HHematologic HProblems, H120
Section H7: HProblems Hof HOxygenation: HPerfusion
32 Nursing HAssessment: HCardiovascular HSystem, H127
33 Nursing HManagement: HHypertension, H134
34 Nursing HManagement: HCoronary HArtery HDisease Hand HAcute HCoronary HSyndrome, H138
35 Nursing HManagement: HHeart HFailure, H145
36 Nursing HManagement: HDysrhythmias, H149
37 Nursing HManagement: HInflammatory Hand HStructural HHeart HDisorders, H156
38 Nursing HManagement: HVascular HDisorders, H161
iii
