,Table of content dk dk
1. Introduction to Medical-Surgical Nursing Practice in Canada
dk dk dk dk dk dk
2. Cultural Competence and Health Equity in Nursing Care
dk dk dk dk dk dk dk
3. Health History and Physical Examination
dk dk dk dk
4. Patient and Caregiver Teaching
dk dk dk
5. Chronic Illness
dk
6. Community-Based Nursing and Home Care dk dk dk dk
7. Older Persons
dk
8. Stress and Stress Management
dk dk dk
9. Sleep and Sleep Disorders
dk dk dk
10. Pain
11. Substance Use dk
12. Complementary and Alternative Therapies dk dk dk
13. Palliative and End-of-Life Care
dk dk dk
14. Inflammation and Wound Healing dk dk dk
15. Genetics
16. Altered Immune Response and Transplantation
dk dk dk dk
17. Infection and Human Immunodeficiency Virus Infection
dk dk dk dk dk
18. Cancer
19. Fluid, Electrolyte, and Acid–Base Imbalances
dk dk dk dk
20. Nursing Management: Preoperative Care
dk dk dk
21. Nursing Management: Intraoperative Care
dk dk dk
22. Nursing Management: Postoperative Care
dk dk dk
23. Nursing Assessment: Visual and Auditory Systems
dk dk dk dk dk
24. Nursing Management: Visual and Auditory Conditions
dk dk dk dk dk
25. Nursing Assessment: Integumentary System
dk dk dk
26. Nursing Management: Integumentary Conditions
dk dk dk
27. Nursing Management: Burns
dk dk
28. Nursing Assessment: Respiratory System
dk dk dk
29. Nursing Management: Upper Respiratory Conditions
dk dk dk dk
30. Nursing Management: Lower Respiratory Conditions
dk dk dk dk
31. Nursing Management: Obstructive Pulmonary Diseases
dk dk dk dk
32. Nursing Assessment: Hematological System
dk dk dk
33. Nursing Management: Hematological Conditions
dk dk dk
34. Nursing Assessment: Cardiovascular System
dk dk dk
35. Nursing Management: Hypertension
dk dk
36. Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
dk dk dk dk dk dk dk dk
37. Nursing Management: Heart Failure
dk dk dk
38. Nursing Management: Dysrhythmias
dk dk
39. Nursing Management: Inflammatory and Structural Heart Disorders
dk dk dk dk dk dk
40. Nursing Management: Vascular Disorders
dk dk dk
41. Nursing Assessment: Gastrointestinal System
dk dk dk
42. Nursing Management: Nutritional Conditions
dk dk dk
43. Nursing Management: Obesity
dk dk
44. Nursing Management: Upper Gastrointestinal Conditions
dk dk dk dk
45. Nursing Management: Lower Gastrointestinal Conditions
dk dk dk dk
46. Nursing Management: Liver, Pancreas, and Biliary Tract Conditions
dk dk dk dk dk dk dk
47. Nursing Assessment: Urinary System
dk dk dk
48. Nursing Management: Renal and Urological Conditions
dk dk dk dk dk
49. Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
dk dk dk dk dk dk dk dk
50. Nursing Assessment: Endocrine System
dk dk dk
,51. Nursing Management: Endocrine Conditions
dk dk dk
52. Nursing Management: Diabetes Mellitus
dk dk dk
53. Nursing Assessment: Reproductive System
dk dk dk
54. Nursing Management: Breast Disorders
dk dk dk
55. Nursing Management: Sexually Transmitted Infections
dk dk dk dk
56. Nursing Management: Female Reproductive Conditions
dk dk dk dk
57. Nursing Management: Male Reproductive Conditions
dk dk dk dk
58. Nursing Assessment: Nervous System
dk dk dk
59. Nursing Management: Acute Intracranial Conditions
d k d k d k d k
60. Nursing Management: Stroke
d k d k
61. Nursing Management: Chronic Neurological Conditions
dk dk dk dk
62. Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
dk dk dk dk dk dk dk
63. Nursing Management: Peripheral Nerve and Spinal Cord Conditions
d k d k d k d k d k d k d k
64. Nursing Assessment: Musculoskeletal System
dk dk dk
65. Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
d k d k d k d k d k d k
66. Nursing Management: Musculoskeletal Conditions
dk dk dk
67. Nursing Management: Arthritis and Connective Tissue Diseases
dk dk dk dk dk dk
68. Nursing Management: Critical Care Environment
dk dk dk dk
69. Nursing Management: Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome
dk dk dk dk dk dk dk
70. Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
d k d k d k d k d k d k d k d k
71. Nursing Management: Emergency Care Situations
dk dk dk dk
72. Emergency Management and Disaster Planning
dk dk dk dk
, Chapter 01: Introduction to Medical-
dk dk dk dk
Surgical Nursing Practice in Canada Tyerman: Lewis’s Medical-
dk dk dk dk dk dk dk
Surgical Nursing in Canada, 5th Edition
dk dk dk dk dk
MULTIPLE CHOICE dk
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the p
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
atient that together they will plan the patient’s care and set goals for discharge. The patien
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
t asks, “How is that different from what the doctor does?” Which response by the nurse is
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
most appropriate? dk
a. “The role of the nurse is to administer medications and other treatments prescrib
dk dk dk dk dk dk dk dk dk dk dk dk
ed by your doctor.” dk dk dk
b. “The nurse’s job is to help the doctor by collecting data and communicating wh
dk dk dk dk dk dk dk dk dk dk dk dk dk
en there are problems.”
dk dk dk
c. “Nurses perform many of the procedures done by physicians, but nurses are here
dk dk dk dk dk dk dk dk dk dk dk dk dk
in the hospital for a longer time than doctors.”
dk dk dk dk dk dk dk dk
d. “In addition to caring for you while you are sick, the nurses will assist you
dk dk dk dk dk dk dk dk dk dk dk dk dk dk d
to develop an individualized plan to maintain your health.”
k dk dk dk dk dk dk dk dk
ANS: d k D
This response is consistent with the Canadian Nurses Association (CNA) definition of nurs
dk dk dk dk dk dk dk dk dk dk dk dk
ing. Registered nurses are self-
dk dk dk dk
regulated health care professionals who work autonomously and in collaboration with othe
dk dk dk dk dk dk dk dk dk dk dk
rs. RNs enable individuals, families, groups, communities and populations to achieve their
dk dk dk dk dk dk dk dk dk dk dk dk
optimal level of health. RNs coordinate health care, deliver direct services, and support pati
dk dk dk dk dk dk dk dk dk dk dk dk dk
ents in their self-dk dk dk
care decisions and actions in situations of health, illness, injury, and disability in all stages
dk dk dk dk dk dk dk dk dk dk dk dk dk dk d
kof life. The other responses describe some of the dependent and collaborative functions of
dk dk dk dk dk dk dk dk dk dk dk dk dk d
kthe nursing role but do not accurately describe the nurse’s role in the health care system.
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
DIF: Cognitive Level: Comprehension dk dk
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effecti
d k dk dk dk d k dk dk dk
ve Care Environment
dk dk
2. When caring for patients using evidence-
dk dk dk dk dk
informed practice, which of the following does the nurse use?
dk dk dk dk dk dk dk dk dk
a. Clinical judgement based on experience dk dk dk dk
b. Evidence from a clinical research study dk dk dk dk dk
c. The best available evidence to guide clinical expertise
dk dk dk dk dk dk dk
d. Evaluation of data showing that the patient outcomes are met dk dk dk dk dk dk dk dk dk
ANS: d k C
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, conscie
dk dk dk dk dk dk dk dk dk dk dk
ntious, and judicious consideration of the best available evidence to provide care. Four prim
dk dk dk dk dk dk dk dk dk dk dk dk dk
ary elements are: (a) clinical state, setting, and circumstances; (b) patient preferences and ac
dk dk dk dk dk dk dk dk dk dk dk dk dk
tions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
dk dk dk dk dk dk dk dk dk dk dk dk dk d
kthe nurse’s clinical experience is part of EIP, but clinical decision making also should inco
dk dk dk dk dk dk dk dk dk dk dk dk dk dk
rporate current research and research-
dk dk dk dk
based guidelines. Evidence from one clinical research study does not provide an adequate s
dk dk dk dk dk dk dk dk dk dk dk dk dk
ubstantiation for interventions. Evaluation of patient outcomes is important, but intervention
dk dk dk dk dk dk dk dk dk dk
s should be based on research from randomized control studies with a large number of subj
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
ects.
1. Introduction to Medical-Surgical Nursing Practice in Canada
dk dk dk dk dk dk
2. Cultural Competence and Health Equity in Nursing Care
dk dk dk dk dk dk dk
3. Health History and Physical Examination
dk dk dk dk
4. Patient and Caregiver Teaching
dk dk dk
5. Chronic Illness
dk
6. Community-Based Nursing and Home Care dk dk dk dk
7. Older Persons
dk
8. Stress and Stress Management
dk dk dk
9. Sleep and Sleep Disorders
dk dk dk
10. Pain
11. Substance Use dk
12. Complementary and Alternative Therapies dk dk dk
13. Palliative and End-of-Life Care
dk dk dk
14. Inflammation and Wound Healing dk dk dk
15. Genetics
16. Altered Immune Response and Transplantation
dk dk dk dk
17. Infection and Human Immunodeficiency Virus Infection
dk dk dk dk dk
18. Cancer
19. Fluid, Electrolyte, and Acid–Base Imbalances
dk dk dk dk
20. Nursing Management: Preoperative Care
dk dk dk
21. Nursing Management: Intraoperative Care
dk dk dk
22. Nursing Management: Postoperative Care
dk dk dk
23. Nursing Assessment: Visual and Auditory Systems
dk dk dk dk dk
24. Nursing Management: Visual and Auditory Conditions
dk dk dk dk dk
25. Nursing Assessment: Integumentary System
dk dk dk
26. Nursing Management: Integumentary Conditions
dk dk dk
27. Nursing Management: Burns
dk dk
28. Nursing Assessment: Respiratory System
dk dk dk
29. Nursing Management: Upper Respiratory Conditions
dk dk dk dk
30. Nursing Management: Lower Respiratory Conditions
dk dk dk dk
31. Nursing Management: Obstructive Pulmonary Diseases
dk dk dk dk
32. Nursing Assessment: Hematological System
dk dk dk
33. Nursing Management: Hematological Conditions
dk dk dk
34. Nursing Assessment: Cardiovascular System
dk dk dk
35. Nursing Management: Hypertension
dk dk
36. Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
dk dk dk dk dk dk dk dk
37. Nursing Management: Heart Failure
dk dk dk
38. Nursing Management: Dysrhythmias
dk dk
39. Nursing Management: Inflammatory and Structural Heart Disorders
dk dk dk dk dk dk
40. Nursing Management: Vascular Disorders
dk dk dk
41. Nursing Assessment: Gastrointestinal System
dk dk dk
42. Nursing Management: Nutritional Conditions
dk dk dk
43. Nursing Management: Obesity
dk dk
44. Nursing Management: Upper Gastrointestinal Conditions
dk dk dk dk
45. Nursing Management: Lower Gastrointestinal Conditions
dk dk dk dk
46. Nursing Management: Liver, Pancreas, and Biliary Tract Conditions
dk dk dk dk dk dk dk
47. Nursing Assessment: Urinary System
dk dk dk
48. Nursing Management: Renal and Urological Conditions
dk dk dk dk dk
49. Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
dk dk dk dk dk dk dk dk
50. Nursing Assessment: Endocrine System
dk dk dk
,51. Nursing Management: Endocrine Conditions
dk dk dk
52. Nursing Management: Diabetes Mellitus
dk dk dk
53. Nursing Assessment: Reproductive System
dk dk dk
54. Nursing Management: Breast Disorders
dk dk dk
55. Nursing Management: Sexually Transmitted Infections
dk dk dk dk
56. Nursing Management: Female Reproductive Conditions
dk dk dk dk
57. Nursing Management: Male Reproductive Conditions
dk dk dk dk
58. Nursing Assessment: Nervous System
dk dk dk
59. Nursing Management: Acute Intracranial Conditions
d k d k d k d k
60. Nursing Management: Stroke
d k d k
61. Nursing Management: Chronic Neurological Conditions
dk dk dk dk
62. Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
dk dk dk dk dk dk dk
63. Nursing Management: Peripheral Nerve and Spinal Cord Conditions
d k d k d k d k d k d k d k
64. Nursing Assessment: Musculoskeletal System
dk dk dk
65. Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
d k d k d k d k d k d k
66. Nursing Management: Musculoskeletal Conditions
dk dk dk
67. Nursing Management: Arthritis and Connective Tissue Diseases
dk dk dk dk dk dk
68. Nursing Management: Critical Care Environment
dk dk dk dk
69. Nursing Management: Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome
dk dk dk dk dk dk dk
70. Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
d k d k d k d k d k d k d k d k
71. Nursing Management: Emergency Care Situations
dk dk dk dk
72. Emergency Management and Disaster Planning
dk dk dk dk
, Chapter 01: Introduction to Medical-
dk dk dk dk
Surgical Nursing Practice in Canada Tyerman: Lewis’s Medical-
dk dk dk dk dk dk dk
Surgical Nursing in Canada, 5th Edition
dk dk dk dk dk
MULTIPLE CHOICE dk
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the p
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
atient that together they will plan the patient’s care and set goals for discharge. The patien
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
t asks, “How is that different from what the doctor does?” Which response by the nurse is
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
most appropriate? dk
a. “The role of the nurse is to administer medications and other treatments prescrib
dk dk dk dk dk dk dk dk dk dk dk dk
ed by your doctor.” dk dk dk
b. “The nurse’s job is to help the doctor by collecting data and communicating wh
dk dk dk dk dk dk dk dk dk dk dk dk dk
en there are problems.”
dk dk dk
c. “Nurses perform many of the procedures done by physicians, but nurses are here
dk dk dk dk dk dk dk dk dk dk dk dk dk
in the hospital for a longer time than doctors.”
dk dk dk dk dk dk dk dk
d. “In addition to caring for you while you are sick, the nurses will assist you
dk dk dk dk dk dk dk dk dk dk dk dk dk dk d
to develop an individualized plan to maintain your health.”
k dk dk dk dk dk dk dk dk
ANS: d k D
This response is consistent with the Canadian Nurses Association (CNA) definition of nurs
dk dk dk dk dk dk dk dk dk dk dk dk
ing. Registered nurses are self-
dk dk dk dk
regulated health care professionals who work autonomously and in collaboration with othe
dk dk dk dk dk dk dk dk dk dk dk
rs. RNs enable individuals, families, groups, communities and populations to achieve their
dk dk dk dk dk dk dk dk dk dk dk dk
optimal level of health. RNs coordinate health care, deliver direct services, and support pati
dk dk dk dk dk dk dk dk dk dk dk dk dk
ents in their self-dk dk dk
care decisions and actions in situations of health, illness, injury, and disability in all stages
dk dk dk dk dk dk dk dk dk dk dk dk dk dk d
kof life. The other responses describe some of the dependent and collaborative functions of
dk dk dk dk dk dk dk dk dk dk dk dk dk d
kthe nursing role but do not accurately describe the nurse’s role in the health care system.
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
DIF: Cognitive Level: Comprehension dk dk
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effecti
d k dk dk dk d k dk dk dk
ve Care Environment
dk dk
2. When caring for patients using evidence-
dk dk dk dk dk
informed practice, which of the following does the nurse use?
dk dk dk dk dk dk dk dk dk
a. Clinical judgement based on experience dk dk dk dk
b. Evidence from a clinical research study dk dk dk dk dk
c. The best available evidence to guide clinical expertise
dk dk dk dk dk dk dk
d. Evaluation of data showing that the patient outcomes are met dk dk dk dk dk dk dk dk dk
ANS: d k C
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, conscie
dk dk dk dk dk dk dk dk dk dk dk
ntious, and judicious consideration of the best available evidence to provide care. Four prim
dk dk dk dk dk dk dk dk dk dk dk dk dk
ary elements are: (a) clinical state, setting, and circumstances; (b) patient preferences and ac
dk dk dk dk dk dk dk dk dk dk dk dk dk
tions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
dk dk dk dk dk dk dk dk dk dk dk dk dk d
kthe nurse’s clinical experience is part of EIP, but clinical decision making also should inco
dk dk dk dk dk dk dk dk dk dk dk dk dk dk
rporate current research and research-
dk dk dk dk
based guidelines. Evidence from one clinical research study does not provide an adequate s
dk dk dk dk dk dk dk dk dk dk dk dk dk
ubstantiation for interventions. Evaluation of patient outcomes is important, but intervention
dk dk dk dk dk dk dk dk dk dk
s should be based on research from randomized control studies with a large number of subj
dk dk dk dk dk dk dk dk dk dk dk dk dk dk dk
ects.
