TEST BANK FOR Lewis's Medical-Surgical Nursing in Canada, 5th Edition by Jane Tyerman ISBN: 9780323791564 COMPLETE GUIDE 100 % VERIFIED A+ GRADE ASSURED !!! LATEST UPDATE !!!!

Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
M? M? M? M? M? M? M? M?




NURSINGTB.COM

, Medical-
Chapter 01: Introduction
M? to Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
M? M? M? M?
M? M? M? M? M? M? M?


Surgical Nursing Practice in Canada Lewis: Medical-
M? M? M? M? M? M?


Surgical Nursing in Canada, 5th Canadian Edition
M? M? M? M? M? M?




MULTIPLE CHOICE M?




1. When caring for clients using evidence-
M? M? M? M? M?


informed practice, which of the following does the nurse use?
M? M? M? M? M? M? M? M? M?


a. Clinical judgement based on experience M? M? M? M?


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


c. The best available evidence to guide clinical expertise
M? M? M? M? M? M? M?


d. Evaluation of data showing that the client outcomes are met
M? M? M? M? M? M? M? M? M?




ANS: M ? C
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, cons
M? M? M? M? M? M? M? M? M? M? M?


cientious, and judicious consideration of the best available evidence to provide care. Four
M? M? M? M? M? M? M? M? M? M? M? M?


primary elements are: (a) clinical state, setting, and circumstances; (b) client preference
M? M? M? M? M? M? M? M? M? M? M? M?


s and actions; (c) best research evidence; and (d) health care resources. Clinical judgeme
M? M? M? M? M? M? M? M? M? M? M? M? M?


nt based on the nurse‘s clinical experience is part of EIP, but clinical decision making
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


also should incorporate current research and research-
M? M? M? M? M? M?


based guidelines. Evidence from one clinical research study does not provide an adequa
M? M? M? M? M? M? M? M? M? M? M? M?


te substantiation for interventions. Evaluation of client outcomes is important, but interv
M? M? M? M? M? M? M? M? M? M? M?


entions should be based on research from randomized control studies with a large numb
M? M? M? M? M? M? M? M? M? M? M? M? M?


er of subjects.
M? M?




DIF: Cognitive Level: Comprehension M? M? TOP: M ? Nursing Process: Planning M? M?




2. Which of the following best e xp l a i n s th e n u r s e s ‘ primary use of the nursing proce
M?
N R I G B . C M
M? M? M? M? M? M? M? M? M? M? M? M? M? M ? M? M? M? M? M?



ss when providing care to clients?
M? M?
USNT O M? M? M?
M? M? M?


a. To explain nursing interventions to other health care professionals
M? M? M? M? M? M? M? M?


b. As a problem-solving tool to identify and treat clients‘ health care needs
M? M? M? M? M? M? M? M? M? M? M?


c. As a scientific-based process of diagnosing the client‘s health care problems
M? M? M? M? M? M? M? M? M? M?


d. To establish nursing theory that incorporates the biopsychosocial nature of humans
M? M? M? M? M? M? M? M? M? M?




ANS: M ? B
The nursing process is an assertive problem-
M? M? M? M? M? M?


solving approach to the identification and treatment of clients‘ problems. Diagnosis is o
M? M? M? M? M? M? M? M? M? M? M? M?


nly one phase of the nursing process. The primary use of the nursing process is in clien
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


t care, not to establish nursing theory or explain nursing interventions to other health car
M? M? M? M? M? M? M? M? M? M? M? M? M? M?


e professionals.
M?




DIF: Cognitive Level: Comprehension M? M? TOP: M ? Nursing Process: Implementation
M? M?




3. The nurse is caring for a critically ill client in the intensive care unit and plans an every
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


2-
M?


hour turning schedule to prevent skin breakdown. Which type of nursing function is de
M? M? M? M? M? M? M? M? M? M? M? M? M?


monstrated with this turning schedule? M? M? M? M?


a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: M ? D



NURSINGTB.COM

, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
M? M? M? M? M? M? M? M?




When implementing collaborative nursing actions, the nurse is responsible primarily for
M? M? M? M? M? M? M? M? M? M? M?


monitoring for complications of acute illness or providing care to prevent or treat comp
M? M? M? M? M? M? M? M? M? M? M? M? M?


lications. Independent nursing actions are focused on health promotion, illness preventio
M? M? M? M? M? M? M? M? M? M?


n, and client advocacy. A dependent action would require a physician order to impleme
M? M? M? M? M? M? M? M? M? M? M? M? M?


nt. Cooperative nursing functions are not described as one of the formal nursing functions
M? M? M? M? M? M? M? M? M? M? M? M? M?


.

DIF: Cognitive Level: Application M? M? TOP: M ? Nursing Process: Implementation
M? M?




4. The nurse is caring for a client who has been admitted to the hospital for surgery and t
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


ells the nurse, ―I do not feel right about leaving my children with my neighbour.‖ W
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


hich action should the nurse take next?
M? M? M? M? M? M?


a. Reassure the client that these feelings are common for parents.
M? M? M? M? M? M? M? M? M?


b. Have the client call the children to ensure that they are doing well.
M? M? M? M? M? M? M? M? M? M? M? M?


c. Call the neighbour to determine whether adequate childcare is being provided.
M? M? M? M? M? M? M? M? M? M?


d. Gather more data about the client‘s feelings about the childcare arrangements.
M? M? M? M? M? M? M? M? M? M?




ANS: M ? D
Since a complete assessment is necessary in order to identify a problem and choose an
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M


appropriate intervention, the nurse‘s first action should be to obtain more information.
? M? M? M? M? M? M? M? M? M? M? M? M?


The other actions may be appropriate, but more assessment is needed before the best inte
M? M? M? M? M? M? M? M? M? M? M? M? M? M?


rvention can be chosen. M? M? M?




DIF: Cognitive Level: Application M? M? TOP: M ? Nursing Process: AssessmentM? M?




5. The nurse is caring for a client who has left-
M? M? M? M? M? M? M? M? M?


sided paralysis as the result of a stroke and assesses a pressure injury on the clie
N theRfollowing
I G isBthe
.CmostM appropriate nursing diagnosis f Uo
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


nt‘s left h i p . W hich of
M? M? M? M? M? M? M? M?
M ?
M? M?
M ? M ? M ?
M? M?
?
M ?
M
M?
M ?
M? M? M? M? M?



r t Sh i s cNl i e nTt ?
M? M? M? M? O M? M? M? M?


a. Impaired physical mobility related to decrease in muscle control (left-sided
M? M? M? M? M? M? M? M? M?


paralysis)
b. Risk for impaired tissue integrity as evidenced by insufficient knowledge a
M? M? M? M? M? M? M? M? M? M?


bout protecting tissue integrity
M? M? M?


c. Impaired skin integrity related to pressure over bony prominence (impai
M? M? M? M? M? M? M? M? M?


red circulation) M?


d. Ineffective tissue perfusion related to sedentary lifestyle
M? M? M? M? M? M?




ANS: M ? C
The client‘s major problem is the impaired skin integrity as demonstrated by the presence
M? M? M? M? M? M? M? M? M? M? M? M? M?


of a pressure injury. The nurse is able to treat the cause of altered circulation and pre
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


ssure by frequently repositioning the client. Although left-
M? M? M? M? M? M? M?


sided weakness is a problem for the client, the nurse cannot treat the weakness. The ―r
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


isk for‖ diagnosis is not appropriate for this client, who already has impaired tissue integ
M? M? M? M? M? M? M? M? M? M? M? M? M? M?


rity. The client does have ineffective tissue perfusion, but the impaired skin integrity di
M? M? M? M? M? M? M? M? M? M? M? M? M?


agnosis indicates more clearly what the health problem is.
M? M? M? M? M? M? M? M?




DIF: Cognitive Level: Application M? M? TOP: M ? Nursing Process: Diagnosis M? M?




6. The nurse caring for a client with an infection has a nursing diagnosis of deficien
M? M? M? M? M? M? M? M? M? M? M? M? M? M?


t fluid volume related to excessive diaphoresis. Which of the following is an appr
M? M? M? M? M? M? M? M? M? M? M? M? M?


opriate client outcome? M? M?


a. Client has a balanced intake and output.
M? M? M? M? M? M?


b. Client‘s bedding is changed when it becomes damp.
M? M? M? M? M? M? M?




NURSINGTB.COM

, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
M? M? M? M? M? M? M? M?



c. Client understands the need for increased fluid intake.
M? M? M? M? M? M? M?


d. Client‘s skin remains cool and dry throughout hospitalization.
M? M? M? M? M? M? M?




ANS: M ? A
This statement gives measurable data showing resolution of the problem of deficient flu
M? M? M? M? M? M? M? M? M? M? M? M?


id volume that was identified in the nursing diagnosis statement. The other statements wo
M? M? M? M? M? M? M? M? M? M? M? M? M?


uld not indicate that the problem of deficient fluid volume was resolved.
M? M? M? M? M? M? M? M? M? M? M?




DIF: Cognitive Level: Application M? M? TOP: M ? Nursing Process: Planning M? M?




7. Which of the following represents a nursing activity that is carried out during the eval
M? M? M? M? M? M? M? M? M? M? M? M? M? M?


uation phase of the nursing process?
M? M? M? M? M?


a. Determining if interventions have been effective in meeting client outcomes
M? M? M? M? M? M? M? M? M?


b. Documenting the nursing care plan in the progress notes in the medical record
M? M? M? M? M? M? M? M? M? M? M? M?


c. Deciding whether the client‘s health problems have been completely resolved
M? M? M? M? M? M? M? M? M?


d. Asking the client to evaluate whether the nursing care provided was satisfactory
M? M? M? M? M? M? M? M? M? M? M?




ANS: M ? A
Evaluation consists of determining whether the desired client outcomes have been met a
M? M? M? M? M? M? M? M? M? M? M? M?


nd whether the nursing interventions were appropriate. The other responses do not descri
M? M? M? M? M? M? M? M? M? M? M? M?


be the evaluation phase.
M? M? M?




DIF: Cognitive Level: Comprehension M? M? TOP: M ? Nursing Process: Evaluation M? M?




8. Which of the following would the nurse perform during the assessment phase of the n
M? M? M? M? M? M? M? M? M? M? M? M? M? M?


ursing process? M?


a. Obtains data with which to diagnose client problems
M? M? M? M? M? M? M?


b. Uses client data to develoNp p R
M?
UriSoNriITt y nGursB
M? in.
gCdiagMnoses
c. Teaches interventions to relieve client health problems
M?
M? M?


M?
M?


M?
M? M? M?
M?
M? M ?


M?
M?


M?


d. Assists the client to identify realistic outcomes to health problems
M? M? M? M? M? M? M? M? M?




ANS: M ? A
During the assessment phase, the nurse gathers information about the client. The other r
M? M? M? M? M? M? M? M? M? M? M? M? M?


esponses are examples of the intervention, diagnosis, and planning phases of the nursing
M? M? M? M? M? M? M? M? M? M? M? M? M?


process.

DIF: Cognitive Level: Knowledge M? M? TOP: M ? Nursing Process: Assessment M? M?




9. Which of the following is an example of a correctly written nursing diagnosis statement?
M? M? M? M? M? M? M? M? M? M? M? M? M?


a. Altered tissue perfusion related to heart failure
M? M? M? M? M? M?


b. Risk for impaired tissue integrity related to sacral redness
M? M? M? M? M? M? M? M?


c. Ineffective coping related to insufficient sense of control.
M? M? M? M? M? M? M?


d. Altered urinary elimination related to urinary tract infection
M? M? M? M? M? M? M?




ANS: M ? C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that desc
M? M? M? M? M? M? M? M? M? M? M? M?


ribes a client‘s response to a health problem that can be treated by nursing. The use o
M? M? M? M? M? M? M? M? M? M? M? M? M? M? M? M?


f a medical diagnosis (as in the responses beginning ―Altered tissue perfusion‖ and ―
M? M? M? M? M? M? M? M? M? M? M? M? M?


Altered urinary elimination‖) is not appropriate. The response beginning ―Risk for imp
M? M? M? M? M? M? M? M? M? M? M?


aired tissue integrity‖ uses the defining characteristics as the etiology.
M? M? M? M? M? M? M? M? M?




DIF: Cognitive Level: Comprehension M? M? TOP: M ? Nursing Process: Diagnosis M? M?





NURSINGTB.COM