TESTBANKForLewis'sMedicalSurgical
s s s s s ss
Nursingin Canada, 4th Edition
s ss ss ss ss ss s s
by JaneTyerman,ShelleyCobbett, Chapters 1 - 72
ss s s s ss s s ss ss ss
,TABLEOFCONTENTS s s
Section One – Concepts in Nursing Practice
ss ss ss ss ss ss
1 Introduction to Medical-Surgical Nursing Practice in Canada 2
ss ss ss ss ss ss ss s s
Cultural Competence and Health Equity in Care
ss ss ss ss ss ss ss
3 Health History and Physical Examination 4
ss ss s ss ss s s
Patient and Caregiver Teaching
ss ss ss ss
5 ChronicIllness s
6 Community-Based Nursing and Home Care 7 ss ss ss ss s s
Older Adults
ss ss
8 Stress and Stress Management 9
ss ss ss ss ss
Sleep and Sleep Disorders
ss ss ss ss
10 Pain
11 SubstanceUse s
12 ComplementaryandAlternativeTherapies 13 s s s s s
Palliative Care at the End of Life
ss ss ss ss ss ss ss
Section Two – PathophysiologicalMechanisms of Disease 14
ss ss ss s ss ss s s
Inflammation and Wound Healing
ss ss s ss
15 Genetics
16 Altered Immune Response and Transplantation ss ss ss ss
17 Infection and Human ImmunodeficiencyVirus Infection 18 ss ss ss s ss s s
Cancer
ss
19 Fluid, Electrolyte, and Acid–Base Imbalances ss ss ss ss
Section Three – Perioperative Care
s s ss ss ss ss
20 NursingManagement: Preoperative Care 21 s s s s s
Nursing Management: Intraoperative Care 22
ss s ss s ss
Nursing Management: Post-operative Care
ss s ss ss
Section Four – Problems Related to Altered Sensory Input 23
ss ss ss ss ss ss ss ss s s
Nursing Assessment: Visual and Auditory Systems
ss ss ss s ss ss
24 Nursing Management: Visualand Auditory Problems 25
ss ss ss s ss ss s s
Nursing Assessment: IntegumentarySystem
s s ss s
26 Nursing Management: IntegumentaryProblems 27
s s ss s s s
Nursing Management: Burns
ss ss ss
Section Five – Problems of Oxygenation: Ventilation 28
ss ss ss ss ss ss s s
Nursing Assessment: RespiratorySystem
ss s ss s
29 Nursing Management: Upper RespiratoryProblems 30
ss ss ss ss s s s
Nursing Management: Lower RespiratoryProblems
ss ss ss ss s
31 NursingManagement: ObstructivePulmonaryDiseases Section s s s s s s
Six – Problems of Oxygenation: Transport
ss ss ss ss ss ss
32 Nursing Assessment: Hematological System 33 Nursing s ss s s ss
Management:HematologicalProblems
s s s
Section Seven – Problems of Oxygenation: Perfusion 34
ss ss ss ss ss ss s s
Nursing Assessment: Cardiovascular System
s ss ss ss
35 NursingManagement:Hypertension s s
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndromess ss s s ss ss ss s
,37 Nursing Management: Heart Failure 38 s ss ss s s
NursingManagement: Dysrhythmias
s s ss
39 Nursing Management: Inflammatory and StructuralHeart Diseases 40
ss ss ss s ss s ss s s
Nursing Management: Vascular Disorders
ss ss ss ss
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination 41 Nursing
ss ss ss ss ss ss ss ss ss s s ss
Assessment: Gastrointestinal System
s ss s
42 Nursing Management: NutritionalProblems 43
s ss ss s s s
Nursing Management: Obesity
ss ss ss
44 Nursing Management: Upper Gastrointestinal Problems 45
s ss ss ss s s s
Nursing Management: Lower Gastrointestinal Problems
s ss ss ss s
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems Section
ss ss ss ss ss s ss s s
Nine – Problems of Urinary Function
ss ss ss ss ss ss
47 Nursing Assessment: UrinarySystem s ss s
48 Nursing Management: Renal and UrologicalProblems ss ss ss ss s
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Section Ten –
ss ss ss ss ss ss ss s s s ss ss
Problems Related to Regulatory and Reproductive Mechanisms 50 Nursing Assessment:
ss ss ss ss ss ss ss s s ss ss
Endocrine System
ss ss
51 Nursing Management: Endocrine Problems 52
ss ss ss ss s s
Nursing Management: Diabetes Mellitus
ss ss ss ss
53 Nursing Assessment: Reproductive System 54
s ss ss ss ss
Nursing Management: Breast Disorders
ss ss ss ss
55 Nursing Management: Sexually Transmitted Infections 56
ss ss ss ss ss s s
Nursing Management: Female Reproductive Problems 57 Nursing
ss ss ss ss ss s s ss
Management: Male Reproductive Problems
ss ss ss ss
Section Eleven – Problems Related to Movement and Coordination 58
ss ss ss ss ss ss ss ss s s
Nursing Assessment: Nervous System
ss ss ss ss
59 Nursing Management: Acute IntracranialProblems 60
ss ss ss ss s s s
Nursing Management: Stroke
ss ss ss
61 Nursing Management: Chronic NeurologicalProblems
ss ss ss ss s
62 Nursing Management: Delirium, Alzheimer‘s Disease, and Other Dementias
ss ss ss ss ss ss ss ss
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems 64
ss ss ss ss ss ss s ss s s
Nursing Assessment: Musculoskeletal System
s s ss s
65 Nursing Management: MusculoskeletalTrauma and Orthopedic Surgery 66 Nursing
ss ss ss s ss ss ss s s s
Management: MusculoskeletalProblems
s ss s
67 Nursing Management: Arthritis and Connective Tissue Diseases Section
ss ss s ss ss ss s s
Twelve – Nursing Care in Specialized Settings
ss ss ss ss ss ss ss
68 Nursing Management: CriticalCare Environment s ss s ss
69 Nursing Management: Shock, Systemic InflammatoryResponse Syndrome, and Multiple-
ss ss ss ss s ss ss s s
OrganDysfunctionSyndrome
s s
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
ss ss s ss ss ss s s s
71 Nursing Management: Emergency Care Situations 72 s ss s s s s
Emergency Management and Disaster Planning
ss s ss ss ss
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
ss ss ss ss ss ss ss ss s s
Medical-Surgical Nursing in Canada, 4th Canadian Edition
ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. When caring for clients using evidence-informed practice, which of the following does the
ss ss ss ss ss ss ss ss ss ss ss ss
s s nurse use? ss
a. Clinical judgement based on experience ss ss ss ss
b. Evidence from a clinical research study ss ss ss ss ss
c. The best available evidence to guide clinical expertise
ss ss ss ss ss ss ss
d. Evaluation of data showing that the client outcomes are met ss ss ss ss ss ss ss ss ss
CORRECT ANSWER: C ss ss s s
Evidence-informed nursing practice is a continuous interactive process involving the explicit, ss ss ss ss ss ss ss ss ss ss
s conscientious, and judicious consideration of the best available evidence to provide care. Four
s ss ss ss ss ss ss ss ss ss ss ss ss
s primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
s ss ss ss ss ss ss ss ss ss ss ss ss
s actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
s ss ss ss ss ss ss ss ss ss ss ss ss ss
s the nurse‘s clinical experience is part of EIP, but clinical decision making also should
s ss ss ss ss ss ss ss ss ss ss ss ss ss
s incorporate current research and research-based guidelines. Evidence from one clinical
s ss ss ss ss ss ss ss ss ss
s research study does not provide an adequate substantiation for interventions. Evaluation of
s ss ss ss ss ss ss ss ss ss ss ss
s client outcomes is important, but interventions should be based on research from randomized
s ss ss ss ss ss ss ss ss ss ss ss ss
s control studies with a large number of subjects.
s ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss TOP: Nursing Process: Planning ss s s ss ss
2. Which of the following best N
ex plRai nsIt heGnu B
ss s rs e. sC
‘ prM
imary use of the nursing process when
ss ss ss s s s s s s s s s s ss ss s ss ss ss
ss providing care to clients? USNT O ss ss ss
s s s
a. To explain nursing interventions to other health care professionals
ss ss ss ss ss ss ss ss
b. As a problem-solving tool to identify and treat clients‘ health care needs
ss ss ss ss ss ss ss ss ss ss ss
c. As a scientific-based process of diagnosing the client‘s health care problems
ss ss ss ss ss ss ss ss ss ss
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
ss ss ss ss ss ss ss ss ss ss
CORRECT ANSWER: B ss ss s s
The nursing process is an assertive problem-solving approach to the identification and
ss ss ss ss ss ss ss ss ss ss ss
treatment of clients‘ problems. Diagnosis is only one phase of the nursing process. The primary
s s ss ss ss ss ss ss ss ss ss ss ss ss ss s s
use of the nursing process is in client care, not to establish nursing theory or explain nursing
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss s s
interventions to other health care professionals.
ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss TOP: Nursing Process: Implementation ss s s ss ss
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
s turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
s ss ss ss ss ss ss ss ss ss ss ss ss
with this turning schedule?
s s ss ss ss
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: D ss ss s s
s s s s s ss
Nursingin Canada, 4th Edition
s ss ss ss ss ss s s
by JaneTyerman,ShelleyCobbett, Chapters 1 - 72
ss s s s ss s s ss ss ss
,TABLEOFCONTENTS s s
Section One – Concepts in Nursing Practice
ss ss ss ss ss ss
1 Introduction to Medical-Surgical Nursing Practice in Canada 2
ss ss ss ss ss ss ss s s
Cultural Competence and Health Equity in Care
ss ss ss ss ss ss ss
3 Health History and Physical Examination 4
ss ss s ss ss s s
Patient and Caregiver Teaching
ss ss ss ss
5 ChronicIllness s
6 Community-Based Nursing and Home Care 7 ss ss ss ss s s
Older Adults
ss ss
8 Stress and Stress Management 9
ss ss ss ss ss
Sleep and Sleep Disorders
ss ss ss ss
10 Pain
11 SubstanceUse s
12 ComplementaryandAlternativeTherapies 13 s s s s s
Palliative Care at the End of Life
ss ss ss ss ss ss ss
Section Two – PathophysiologicalMechanisms of Disease 14
ss ss ss s ss ss s s
Inflammation and Wound Healing
ss ss s ss
15 Genetics
16 Altered Immune Response and Transplantation ss ss ss ss
17 Infection and Human ImmunodeficiencyVirus Infection 18 ss ss ss s ss s s
Cancer
ss
19 Fluid, Electrolyte, and Acid–Base Imbalances ss ss ss ss
Section Three – Perioperative Care
s s ss ss ss ss
20 NursingManagement: Preoperative Care 21 s s s s s
Nursing Management: Intraoperative Care 22
ss s ss s ss
Nursing Management: Post-operative Care
ss s ss ss
Section Four – Problems Related to Altered Sensory Input 23
ss ss ss ss ss ss ss ss s s
Nursing Assessment: Visual and Auditory Systems
ss ss ss s ss ss
24 Nursing Management: Visualand Auditory Problems 25
ss ss ss s ss ss s s
Nursing Assessment: IntegumentarySystem
s s ss s
26 Nursing Management: IntegumentaryProblems 27
s s ss s s s
Nursing Management: Burns
ss ss ss
Section Five – Problems of Oxygenation: Ventilation 28
ss ss ss ss ss ss s s
Nursing Assessment: RespiratorySystem
ss s ss s
29 Nursing Management: Upper RespiratoryProblems 30
ss ss ss ss s s s
Nursing Management: Lower RespiratoryProblems
ss ss ss ss s
31 NursingManagement: ObstructivePulmonaryDiseases Section s s s s s s
Six – Problems of Oxygenation: Transport
ss ss ss ss ss ss
32 Nursing Assessment: Hematological System 33 Nursing s ss s s ss
Management:HematologicalProblems
s s s
Section Seven – Problems of Oxygenation: Perfusion 34
ss ss ss ss ss ss s s
Nursing Assessment: Cardiovascular System
s ss ss ss
35 NursingManagement:Hypertension s s
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndromess ss s s ss ss ss s
,37 Nursing Management: Heart Failure 38 s ss ss s s
NursingManagement: Dysrhythmias
s s ss
39 Nursing Management: Inflammatory and StructuralHeart Diseases 40
ss ss ss s ss s ss s s
Nursing Management: Vascular Disorders
ss ss ss ss
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination 41 Nursing
ss ss ss ss ss ss ss ss ss s s ss
Assessment: Gastrointestinal System
s ss s
42 Nursing Management: NutritionalProblems 43
s ss ss s s s
Nursing Management: Obesity
ss ss ss
44 Nursing Management: Upper Gastrointestinal Problems 45
s ss ss ss s s s
Nursing Management: Lower Gastrointestinal Problems
s ss ss ss s
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems Section
ss ss ss ss ss s ss s s
Nine – Problems of Urinary Function
ss ss ss ss ss ss
47 Nursing Assessment: UrinarySystem s ss s
48 Nursing Management: Renal and UrologicalProblems ss ss ss ss s
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Section Ten –
ss ss ss ss ss ss ss s s s ss ss
Problems Related to Regulatory and Reproductive Mechanisms 50 Nursing Assessment:
ss ss ss ss ss ss ss s s ss ss
Endocrine System
ss ss
51 Nursing Management: Endocrine Problems 52
ss ss ss ss s s
Nursing Management: Diabetes Mellitus
ss ss ss ss
53 Nursing Assessment: Reproductive System 54
s ss ss ss ss
Nursing Management: Breast Disorders
ss ss ss ss
55 Nursing Management: Sexually Transmitted Infections 56
ss ss ss ss ss s s
Nursing Management: Female Reproductive Problems 57 Nursing
ss ss ss ss ss s s ss
Management: Male Reproductive Problems
ss ss ss ss
Section Eleven – Problems Related to Movement and Coordination 58
ss ss ss ss ss ss ss ss s s
Nursing Assessment: Nervous System
ss ss ss ss
59 Nursing Management: Acute IntracranialProblems 60
ss ss ss ss s s s
Nursing Management: Stroke
ss ss ss
61 Nursing Management: Chronic NeurologicalProblems
ss ss ss ss s
62 Nursing Management: Delirium, Alzheimer‘s Disease, and Other Dementias
ss ss ss ss ss ss ss ss
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems 64
ss ss ss ss ss ss s ss s s
Nursing Assessment: Musculoskeletal System
s s ss s
65 Nursing Management: MusculoskeletalTrauma and Orthopedic Surgery 66 Nursing
ss ss ss s ss ss ss s s s
Management: MusculoskeletalProblems
s ss s
67 Nursing Management: Arthritis and Connective Tissue Diseases Section
ss ss s ss ss ss s s
Twelve – Nursing Care in Specialized Settings
ss ss ss ss ss ss ss
68 Nursing Management: CriticalCare Environment s ss s ss
69 Nursing Management: Shock, Systemic InflammatoryResponse Syndrome, and Multiple-
ss ss ss ss s ss ss s s
OrganDysfunctionSyndrome
s s
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
ss ss s ss ss ss s s s
71 Nursing Management: Emergency Care Situations 72 s ss s s s s
Emergency Management and Disaster Planning
ss s ss ss ss
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
ss ss ss ss ss ss ss ss s s
Medical-Surgical Nursing in Canada, 4th Canadian Edition
ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. When caring for clients using evidence-informed practice, which of the following does the
ss ss ss ss ss ss ss ss ss ss ss ss
s s nurse use? ss
a. Clinical judgement based on experience ss ss ss ss
b. Evidence from a clinical research study ss ss ss ss ss
c. The best available evidence to guide clinical expertise
ss ss ss ss ss ss ss
d. Evaluation of data showing that the client outcomes are met ss ss ss ss ss ss ss ss ss
CORRECT ANSWER: C ss ss s s
Evidence-informed nursing practice is a continuous interactive process involving the explicit, ss ss ss ss ss ss ss ss ss ss
s conscientious, and judicious consideration of the best available evidence to provide care. Four
s ss ss ss ss ss ss ss ss ss ss ss ss
s primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
s ss ss ss ss ss ss ss ss ss ss ss ss
s actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
s ss ss ss ss ss ss ss ss ss ss ss ss ss
s the nurse‘s clinical experience is part of EIP, but clinical decision making also should
s ss ss ss ss ss ss ss ss ss ss ss ss ss
s incorporate current research and research-based guidelines. Evidence from one clinical
s ss ss ss ss ss ss ss ss ss
s research study does not provide an adequate substantiation for interventions. Evaluation of
s ss ss ss ss ss ss ss ss ss ss ss
s client outcomes is important, but interventions should be based on research from randomized
s ss ss ss ss ss ss ss ss ss ss ss ss
s control studies with a large number of subjects.
s ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss TOP: Nursing Process: Planning ss s s ss ss
2. Which of the following best N
ex plRai nsIt heGnu B
ss s rs e. sC
‘ prM
imary use of the nursing process when
ss ss ss s s s s s s s s s s ss ss s ss ss ss
ss providing care to clients? USNT O ss ss ss
s s s
a. To explain nursing interventions to other health care professionals
ss ss ss ss ss ss ss ss
b. As a problem-solving tool to identify and treat clients‘ health care needs
ss ss ss ss ss ss ss ss ss ss ss
c. As a scientific-based process of diagnosing the client‘s health care problems
ss ss ss ss ss ss ss ss ss ss
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
ss ss ss ss ss ss ss ss ss ss
CORRECT ANSWER: B ss ss s s
The nursing process is an assertive problem-solving approach to the identification and
ss ss ss ss ss ss ss ss ss ss ss
treatment of clients‘ problems. Diagnosis is only one phase of the nursing process. The primary
s s ss ss ss ss ss ss ss ss ss ss ss ss ss s s
use of the nursing process is in client care, not to establish nursing theory or explain nursing
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss s s
interventions to other health care professionals.
ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss TOP: Nursing Process: Implementation ss s s ss ss
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
s turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
s ss ss ss ss ss ss ss ss ss ss ss ss
with this turning schedule?
s s ss ss ss
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: D ss ss s s