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Lewis's Medical Surgical Nursing in Canada,
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4th Edition by Jane Tyerman, Shelley Cobbett
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Chapters 1 - 72 Complete
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,TABLE OF CONTENTS vb vb
Section One – Concepts in Nursing Practice
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1 Introduction to Medical-Surgical Nursing Practice in Canada
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2 Cultural Competence and Health Equity in Care
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3 Health History and Physical Examination
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4 Patient and Caregiver Teaching
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5 Chronic Illness
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6 Community-Based Nursing and Home Care
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7 Older Adults
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8 Stress and Stress Management
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9 Sleep and Sleep Disorders
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10 Pain
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11 Substance Use
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12 Complementary and Alternative Therapies
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13 Palliative Care at the End of Life
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Section Two – Pathophysiological Mechanisms of Disease
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14 Inflammation and Wound Healing
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15 Genetics
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16 Altered Immune Response and Transplantation
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17 Infection and Human Immunodeficiency Virus Infection
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18 Cancer
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19 Fluid, Electrolyte, and Acid–Base Imbalances
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Section Three – Perioperative Care
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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: Post-operative Care
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Section Four – Problems Related to Altered Sensory Input
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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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25 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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Section Five – Problems of Oxygenation: Ventilation
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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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Section Six – Problems of Oxygenation: Transport
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32 Nursing Assessment: Hematological System
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33 Nursing Management: Hematological Problems
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Section Seven – Problems of Oxygenation: Perfusion
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34 Nursing Assessment: Cardiovascular System
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35 Nursing Management: Hypertension
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36 Nursing Management: Coronary Artery Disease and Acute Coronary 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 Diseases
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40 Nursing Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
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41 Nursing Assessment: Gastrointestinal System
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42 Nursing Management: Nutritional Problems
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43 Nursing Management: Obesity
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44 Nursing Management: Upper Gastrointestinal Problems
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45 Nursing Management: Lower Gastrointestinal Problems
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46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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Section Nine – Problems of Urinary Function
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47 Nursing Assessment: 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 Disease
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Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
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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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Section Eleven – Problems Related to Movement and Coordination
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58 Nursing Assessment: Nervous System
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59 Nursing Management: Acute Intracranial Problems
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60 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: Musculoskeletal System
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65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
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66 Nursing Management: Musculoskeletal Problems
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67 Nursing Management: Arthritis and Connective Tissue Diseases
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Section Twelve – Nursing Care in Specialized Settings
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68 Nursing Management: Critical Care Environment
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69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and
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Multiple-Organ Dysfunction Syndrome
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70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
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71 Nursing Management: Emergency Care Situations
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72 Emergency 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 vb
1. When caring for clients using evidence-informed practice, which of the following does
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the nurse use?
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a. Clinical judgement based on experience vb vb vb vb
b. Evidence from a clinical research study vb vb vb vb vb
c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met vb vb vb vb vb vb vb vb vb
CORRECT ANSWER: vb
C v b
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
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conscientious, and judicious consideration of the best available evidence to provide care.
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Four primary elements are: (a) clinical state, setting, and circumstances; (b) client
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preferences and actions; (c) best research evidence; and (d) health care resources. Clinical
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judgement based on the nurse’s clinical experience is part of EIP, but clinical decision
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making also should incorporate current research and research-based guidelines. Evidence
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from one clinical research study does not provide an adequate substantiation for
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interventions. Evaluation of client outcomes is important, but interventions should be
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based on research from randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Comprehension vb vb TOP: v b Nursing Process: Planning vb vb
2. Which of the following best e x p l a in s t h e n u r s e s ’ pr imary use of the nursing process when
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N R I G B. C M vb vb vb vb vb vb vb
providing care to vb vb USN T O vb vb vb
clients?
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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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CORRECT ANSWER: vb v b B
The nursing process is an assertive problem-solving approach to the identification and
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treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The
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primary use of the nursing process is in client care, not to establish nursing theory or
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explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Comprehension vb vb TOP: v b Nursing Process: Implementation vb vb
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-
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hour turning schedule to prevent skin breakdown. Which type of nursing function is
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demonstrated with this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: vb v b D
Lewis's Medical Surgical Nursing in Canada,
vb vb vb vb vb vb
4th Edition by Jane Tyerman, Shelley Cobbett
vb vb vb vb vb vb vb
Chapters 1 - 72 Complete
vb vb vb vb vb
,TABLE OF CONTENTS vb vb
Section One – Concepts in Nursing Practice
vb vb vb vb vb vb
1 Introduction to Medical-Surgical Nursing Practice in Canada
vb vb vb vb vb vb vb
2 Cultural Competence and Health Equity in Care
vb vb vb vb vb vb vb
3 Health History and Physical Examination
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4 Patient and Caregiver Teaching
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5 Chronic Illness
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6 Community-Based Nursing and Home Care
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7 Older Adults
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8 Stress and Stress Management
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9 Sleep and Sleep Disorders
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10 Pain
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11 Substance Use
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12 Complementary and Alternative Therapies
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13 Palliative Care at the End of Life
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Section Two – Pathophysiological Mechanisms of Disease
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14 Inflammation and Wound Healing
vb vb vb vb
15 Genetics
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16 Altered Immune Response and Transplantation
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17 Infection and Human Immunodeficiency Virus Infection
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18 Cancer
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19 Fluid, Electrolyte, and Acid–Base Imbalances
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Section Three – Perioperative Care
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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: Post-operative Care
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Section Four – Problems Related to Altered Sensory Input
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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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25 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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Section Five – Problems of Oxygenation: Ventilation
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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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Section Six – Problems of Oxygenation: Transport
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32 Nursing Assessment: Hematological System
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33 Nursing Management: Hematological Problems
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Section Seven – Problems of Oxygenation: Perfusion
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34 Nursing Assessment: Cardiovascular System
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35 Nursing Management: Hypertension
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36 Nursing Management: Coronary Artery Disease and Acute Coronary 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 Diseases
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40 Nursing Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
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41 Nursing Assessment: Gastrointestinal System
vb vb vb vb
42 Nursing Management: Nutritional Problems
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43 Nursing Management: Obesity
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44 Nursing Management: Upper Gastrointestinal Problems
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45 Nursing Management: Lower Gastrointestinal Problems
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46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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Section Nine – Problems of Urinary Function
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47 Nursing Assessment: 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 Disease
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Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
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50 Nursing Assessment: Endocrine System
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51 Nursing Management: Endocrine Problems
vb vb vb vb
52 Nursing Management: Diabetes Mellitus
vb vb vb vb
53 Nursing Assessment: Reproductive System
vb vb vb vb
54 Nursing Management: Breast Disorders
vb vb vb vb
55 Nursing Management: Sexually Transmitted Infections
vb vb vb vb vb
56 Nursing Management: Female Reproductive Problems
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57 Nursing Management: Male Reproductive Problems
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Section Eleven – Problems Related to Movement and Coordination
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58 Nursing Assessment: Nervous System
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59 Nursing Management: Acute Intracranial Problems
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60 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: Musculoskeletal System
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65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
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66 Nursing Management: Musculoskeletal Problems
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67 Nursing Management: Arthritis and Connective Tissue Diseases
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Section Twelve – Nursing Care in Specialized Settings
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68 Nursing Management: Critical Care Environment
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69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and
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Multiple-Organ Dysfunction Syndrome
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70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
vb vb vb vb vb vb vb vb vb
71 Nursing Management: Emergency Care Situations
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72 Emergency Management and Disaster Planning
vb vb vb vb vb
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
vb vb vb vb vb vb vb vb vb
Medical-Surgical Nursing in Canada, 4th Canadian Edition
vb vb vb vb vb vb vb
MULTIPLE CHOICE vb
1. When caring for clients using evidence-informed practice, which of the following does
vb vb vb vb vb vb vb vb vb vb vb
the nurse use?
vb vb vb
a. Clinical judgement based on experience vb vb vb vb
b. Evidence from a clinical research study vb vb vb vb vb
c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met vb vb vb vb vb vb vb vb vb
CORRECT ANSWER: vb
C v b
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
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conscientious, and judicious consideration of the best available evidence to provide care.
vb vb vb vb vb vb vb vb vb vb vb vb
Four primary elements are: (a) clinical state, setting, and circumstances; (b) client
vb vb vb vb vb vb vb vb vb vb vb vb
preferences and actions; (c) best research evidence; and (d) health care resources. Clinical
vb vb vb vb vb vb vb vb vb vb vb vb vb
judgement based on the nurse’s clinical experience is part of EIP, but clinical decision
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
making also should incorporate current research and research-based guidelines. Evidence
vb vb vb vb vb vb vb vb vb vb
from one clinical research study does not provide an adequate substantiation for
vb vb vb vb vb vb vb vb vb vb vb vb
interventions. Evaluation of client outcomes is important, but interventions should be
vb vb vb vb vb vb vb vb vb vb vb
based on research from randomized control studies with a large number of subjects.
vb vb vb vb vb vb vb vb vb vb vb vb vb
DIF: Cognitive Level: Comprehension vb vb TOP: v b Nursing Process: Planning vb vb
2. Which of the following best e x p l a in s t h e n u r s e s ’ pr imary use of the nursing process when
vb vb vb vb vb
N R I G B. C M vb vb vb vb vb vb vb
providing care to vb vb USN T O vb vb vb
clients?
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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
vb vb vb vb vb vb vb vb vb vb
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
vb vb vb vb vb vb vb vb vb vb
CORRECT ANSWER: vb v b B
The nursing process is an assertive problem-solving approach to the identification and
vb vb vb vb vb vb vb vb vb vb vb
treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
primary use of the nursing process is in client care, not to establish nursing theory or
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
explain nursing interventions to other health care professionals.
vb vb vb vb vb vb vb vb
DIF: Cognitive Level: Comprehension vb vb TOP: v b Nursing Process: Implementation vb vb
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
hour turning schedule to prevent skin breakdown. Which type of nursing function is
vb vb vb vb vb vb vb vb vb vb vb vb
demonstrated with this turning schedule?
vb vb vb vb vb
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: vb v b D
