TEST BANK
Medical-Surgical Nursing in Canada
Sharon Lewis Margaret McLean Heitkemper Linda Bucher
4th Edition
TEST BANK
,Table of content
l Introduction to Medical-Surgical Nursing Practice in Canada
2 Cultural Competence and Health Equity in Nursing Care
3 Health History and Physical Examination
4 Patient and Caregiver Teaching
5 Chronic Illness
6 Community-Based Nursing and Home Care
7 Older Adults
8 Stress and Stress Management
9 Sleep and Sleep
Disorders I0 Pain
11 Substance Use
12 Complementary and Alternative Therapies
13 Palliative Care at the End of Life
14 Inflammation and Wound Healing
15 Genetics
16 Altered Immune Response and Transplantation
17 Infection and Human Immunodeficiency Virus Infection
18 Cancer
19 Fluid, Electrolyte, and Acid-Base Imbalances
20: Nursing Management: Preoperative Care
21: Nursing Management: Intraoperative Care
22: Nursing Management: Postoperative Care
23: Nursing Assessment: Visual and Auditory Systems
24: Nursing Management: Visual and Auditory Problems
25: Nursing Assessment: Integumentary System
26: Nursing Management: Integumentary Problems
27: Nursing Management: Burns
28: Nursing Assessment: Respiratory System
29: Nursing Management: Upper Respiratory Problems
30: Nursing Management: Lower Respiratory Problems
31: Nursing Management: Obstructive Pulmonary Diseases
32: Nursing Assessment: Hematological System
33: Nursing Management: Hematological Problems
34: Nursing Assessment: Cardiovascular System
35: Nursing Management: Hypertension
36: Nursing Management: Coronary Artery Disease and Acute Coronary
Syndrome
37: Nursing Management: Heart Failure
38: Nursing Management: Dysrhythmias
39: Nursing Management: Inflammatory and Structural Heart Disorders
40: Nursing Management: Vascular Disorders
41: Nursing Assessment: Gastro-intestinal System
42: Nursing Management: Nutritional Problems
43: Nursing Management: Obesity
44: Nursing Management: Upper Gastro-intestinal Problems
45: Nursing Management: Lower Gastro-intestinal Problems
46: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
47: Nursing Management: Urinary System
,48: Nursing Management: Renal and Urological Problems
g g g g g g
49: Nursing Management: Acute Kidney Injury and Chronic Kidney
g g g g g g g g
gDisease
50: Nursing Assessment: Endocrine System
g g g g
51: Nursing Management: Endocrine Problems
g g g g
52: Nursing Management: Diabetes Mellitus
g g g g g
53: Nursing Assessment: Reproductive System
g g g g g
54: Nursing Management: Breast Disorders
g g g g g
55: Nursing Management: Sexually Transmitted Infections
g g g g g
56: Nursing Management: Female Reproductive Problems
g g g g g g
57: Nursing Management: Male Reproductive
g g g g g
gProblems 58: Nursing Assessment: Nervous System
g g g g g
59: Nursing Management: Acute Intracranial Problems
g g g g g
g60: Nursing Management: Stroke
g g g
61: Nursing Management: Chronic Neurological Problems
g g g g g
62: Nursing Management: Delirium, Alzheimer's Disease, and Other
g g g g g g g
gDementias
63: Nursing Management: Peripheral Nerve and Spinal Cord Problems
g g g g g g g g
64: Nursing Assessment: Musculo-skeletal System
g g g g
65: Nursing Management: Musculo-skeletal Trauma and Orthopedic
g g g g g g
gSurgery
66: Nursing Management: Musculo-Skeletal Problems
g g g g
67: Nursing Management: Arthritis and Connective Tissue Diseases
g g g g g g g
g68: Nursing Management: Critical Care Environment
g g g g g
69: Nursing Management: Shock, Systemic Inflammatory Response
g g g g g g
Syndrome, and Multiple-Organ Dysfunction Syndrome
g g g g g
70: Nursing Management: Respiratory Failure and Acute Respiratory
g g g g g g g
Distress Syndrome g
71: Nursing Management: Emergency Care Situations
g g g g g
72: Emergency Management and Disaster Planning
g g g g g g
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
g g g g g g g g g
Medical-Surgical Nursing in Canada, 4th Canadian Edition
g g g g g g g
MULTIPLE CHOICE g
1. When caring for clients using evidence-informed practice, which of the following does the
g g g g g g g g g g g g
nurse use?
g g
a. Clinical judgement based on experience g g g g
b. Evidence from a clinical research study g g g g g
c. The best available evidence to guide clinical expertise
g g g g g g g
d. Evaluation of data showing that the client outcomes are met
g g g g g g g g g
ANS: C g
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
g g g g g g g g g g
conscientious, and judicious consideration of the best available evidence to provide care. Four
g g g g g g g g g g g g g
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
g g g g g g g g g g g g g
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
g g g g g g g g g g g g g g
the nurse’s clinical experience is part of EIP, but clinical decision making also should
g g g g g g g g g g g g g g
incorporate current research and research-based guidelines. Evidence from one clinical
g g g g g g g g g g
research study does not provide an adequate substantiation for interventions. Evaluation of
g g g g g g g g g g g g
client outcomes is important, but interventions should be based on research from randomized
g g g g g g g g g g g g g
control studies with a large number of subjects.
g g g g g g g g
DIF: Cognitive Level: Comprehension g g TOP: g Nursing Process: Planning g g
2. Which of the following best e xpl ai ns the nu rs e s ’ pri mar y use of the nursing process when
g
N R I G B.C M
g g g g g g g g g g
providing care to clients? USNT O g g g
g g g
a. To explain nursing interventions to other health care professionals
g g g g g g g g
b. As a problem-solving tool to identify and treat clients’ health care needs
g g g g g g g g g g g
c. As a scientific-based process of diagnosing the client’s health care problems
g g g g g g g g g g
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
g g g g g g g g g g
ANS: B g
The nursing process is an assertive problem-solving approach to the identification and
g g g g g g g g g g g
treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The
g g g g g g g g g g g g g g
primary use of the nursing process is in client care, not to establish nursing theory or explain
g g g g g g g g g g g g g g g g g
nursing interventions to other health care professionals.
g g g g g g g
DIF: Cognitive Level: Comprehension g g TOP: g Nursing Process: Implementation g g
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
g g g g g g g g g g g g g g g g g g
turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
g g g g g g g g g g g g g
with this turning schedule?
g g g g
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: D g
Medical-Surgical Nursing in Canada
Sharon Lewis Margaret McLean Heitkemper Linda Bucher
4th Edition
TEST BANK
,Table of content
l Introduction to Medical-Surgical Nursing Practice in Canada
2 Cultural Competence and Health Equity in Nursing Care
3 Health History and Physical Examination
4 Patient and Caregiver Teaching
5 Chronic Illness
6 Community-Based Nursing and Home Care
7 Older Adults
8 Stress and Stress Management
9 Sleep and Sleep
Disorders I0 Pain
11 Substance Use
12 Complementary and Alternative Therapies
13 Palliative Care at the End of Life
14 Inflammation and Wound Healing
15 Genetics
16 Altered Immune Response and Transplantation
17 Infection and Human Immunodeficiency Virus Infection
18 Cancer
19 Fluid, Electrolyte, and Acid-Base Imbalances
20: Nursing Management: Preoperative Care
21: Nursing Management: Intraoperative Care
22: Nursing Management: Postoperative Care
23: Nursing Assessment: Visual and Auditory Systems
24: Nursing Management: Visual and Auditory Problems
25: Nursing Assessment: Integumentary System
26: Nursing Management: Integumentary Problems
27: Nursing Management: Burns
28: Nursing Assessment: Respiratory System
29: Nursing Management: Upper Respiratory Problems
30: Nursing Management: Lower Respiratory Problems
31: Nursing Management: Obstructive Pulmonary Diseases
32: Nursing Assessment: Hematological System
33: Nursing Management: Hematological Problems
34: Nursing Assessment: Cardiovascular System
35: Nursing Management: Hypertension
36: Nursing Management: Coronary Artery Disease and Acute Coronary
Syndrome
37: Nursing Management: Heart Failure
38: Nursing Management: Dysrhythmias
39: Nursing Management: Inflammatory and Structural Heart Disorders
40: Nursing Management: Vascular Disorders
41: Nursing Assessment: Gastro-intestinal System
42: Nursing Management: Nutritional Problems
43: Nursing Management: Obesity
44: Nursing Management: Upper Gastro-intestinal Problems
45: Nursing Management: Lower Gastro-intestinal Problems
46: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
47: Nursing Management: Urinary System
,48: Nursing Management: Renal and Urological Problems
g g g g g g
49: Nursing Management: Acute Kidney Injury and Chronic Kidney
g g g g g g g g
gDisease
50: Nursing Assessment: Endocrine System
g g g g
51: Nursing Management: Endocrine Problems
g g g g
52: Nursing Management: Diabetes Mellitus
g g g g g
53: Nursing Assessment: Reproductive System
g g g g g
54: Nursing Management: Breast Disorders
g g g g g
55: Nursing Management: Sexually Transmitted Infections
g g g g g
56: Nursing Management: Female Reproductive Problems
g g g g g g
57: Nursing Management: Male Reproductive
g g g g g
gProblems 58: Nursing Assessment: Nervous System
g g g g g
59: Nursing Management: Acute Intracranial Problems
g g g g g
g60: Nursing Management: Stroke
g g g
61: Nursing Management: Chronic Neurological Problems
g g g g g
62: Nursing Management: Delirium, Alzheimer's Disease, and Other
g g g g g g g
gDementias
63: Nursing Management: Peripheral Nerve and Spinal Cord Problems
g g g g g g g g
64: Nursing Assessment: Musculo-skeletal System
g g g g
65: Nursing Management: Musculo-skeletal Trauma and Orthopedic
g g g g g g
gSurgery
66: Nursing Management: Musculo-Skeletal Problems
g g g g
67: Nursing Management: Arthritis and Connective Tissue Diseases
g g g g g g g
g68: Nursing Management: Critical Care Environment
g g g g g
69: Nursing Management: Shock, Systemic Inflammatory Response
g g g g g g
Syndrome, and Multiple-Organ Dysfunction Syndrome
g g g g g
70: Nursing Management: Respiratory Failure and Acute Respiratory
g g g g g g g
Distress Syndrome g
71: Nursing Management: Emergency Care Situations
g g g g g
72: Emergency Management and Disaster Planning
g g g g g g
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
g g g g g g g g g
Medical-Surgical Nursing in Canada, 4th Canadian Edition
g g g g g g g
MULTIPLE CHOICE g
1. When caring for clients using evidence-informed practice, which of the following does the
g g g g g g g g g g g g
nurse use?
g g
a. Clinical judgement based on experience g g g g
b. Evidence from a clinical research study g g g g g
c. The best available evidence to guide clinical expertise
g g g g g g g
d. Evaluation of data showing that the client outcomes are met
g g g g g g g g g
ANS: C g
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
g g g g g g g g g g
conscientious, and judicious consideration of the best available evidence to provide care. Four
g g g g g g g g g g g g g
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
g g g g g g g g g g g g g
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
g g g g g g g g g g g g g g
the nurse’s clinical experience is part of EIP, but clinical decision making also should
g g g g g g g g g g g g g g
incorporate current research and research-based guidelines. Evidence from one clinical
g g g g g g g g g g
research study does not provide an adequate substantiation for interventions. Evaluation of
g g g g g g g g g g g g
client outcomes is important, but interventions should be based on research from randomized
g g g g g g g g g g g g g
control studies with a large number of subjects.
g g g g g g g g
DIF: Cognitive Level: Comprehension g g TOP: g Nursing Process: Planning g g
2. Which of the following best e xpl ai ns the nu rs e s ’ pri mar y use of the nursing process when
g
N R I G B.C M
g g g g g g g g g g
providing care to clients? USNT O g g g
g g g
a. To explain nursing interventions to other health care professionals
g g g g g g g g
b. As a problem-solving tool to identify and treat clients’ health care needs
g g g g g g g g g g g
c. As a scientific-based process of diagnosing the client’s health care problems
g g g g g g g g g g
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
g g g g g g g g g g
ANS: B g
The nursing process is an assertive problem-solving approach to the identification and
g g g g g g g g g g g
treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The
g g g g g g g g g g g g g g
primary use of the nursing process is in client care, not to establish nursing theory or explain
g g g g g g g g g g g g g g g g g
nursing interventions to other health care professionals.
g g g g g g g
DIF: Cognitive Level: Comprehension g g TOP: g Nursing Process: Implementation g g
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
g g g g g g g g g g g g g g g g g g
turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
g g g g g g g g g g g g g
with this turning schedule?
g g g g
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: D g