, TABLE OF CONTENTS
Brunner & Suddarth's Textbook of Medical-Surgical Nursing
16th Edition
Chapter 1: Professional Nursing Practice 2
Chapter 2: Medical-Surgical Nursing 17
Chapter 3: Health Education and Health Promotion 30
Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment 45
Chapter 5: Stress and Inflammatory Responses 60
Chapter 6: Genetics and Genomics in Nursing 76
Chapter 7: Disability and Chronic Illness 92
Chapter 8: Care of the Older Adult 107
Chapter 9: Pain Management 121
Chapter 10: Principles of Fluid and Electrolytes 137
Chapter 11: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 153
Chapter 12: Oncologic Management 169
Chapter 13: Palliative and End-of-Life Care 183
Chapter 14: Preoperative Nursing Management 199
Chapter 15: Intraoperative Nursing Management 214
Chapter 16: Postoperative Nursing Management 228
Chapter 17: Assessment of Respiratory Function 243
Chapter 18: Management of Patients with Upper Respiratory Tract Disorders 257
Chapter 19: Management of Patients with Chest and Lower Respiratory Tract Disorders 271
Chapter 20: Management of Patients with Chronic Pulmonary Disease 287
Chapter 21: Assessment of Cardiovascular Function 304
Chapter 22: Management of Patients with Arrhythmias and Conduction Disorders 317
Chapter 23: Management of Patients with Coronary Vascular Disorders 330
Chapter 24: Management of Patients with Structural, Infectious, and Inflammatory Cardiac 347
Disorders
Chapter 25: Management of Patients with Complications from Heart Disease 360
Chapter 26: Assessment and Management of Patients with Vascular Disorders and Problems of 374
Peripheral Circulation
Chapter 27: Assessment and Management of Patients with Hypertension 390
Chapter 28: Assessment of Hematologic Function and Treatment Modalities 404
Chapter 29: Management of Patients with Nonmalignant Hematologic Disorders 419
Chapter 30: Management of Patients with Hematologic Neoplasms 432
Chapter 31: Assessment of Immune Function 447
Chapter 32: Management of Patients with Immune Deficiency Disorders 461
Chapter 33: Assessment and Management of Patients with Allergic Disorders 476
Chapter 34: Assessment and Management of Patients with Inflammatory Rheumatic Disorders 491
,Chapter 35: Assessment of Musculoskeletal Function 505
Chapter 36: Management of Patients with Musculoskeletal Disorders 519
Chapter 37: Management of Patients with Musculoskeletal Trauma 535
Chapter 38: Assessment of Digestive and Gastrointestinal Function 549
Chapter 39: Management of Patients with Oral and Esophageal Disorders 563
Chapter 40: Management of Patients with Gastric and Duodenal Disorders 577
Chapter 41: Management of Patients with Intestinal and Rectal Disorders 590
Chapter 42: Assessment and Management of Patients with Obesity 605
Chapter 43: Assessment and Management of Patients with Hepatic Disorders 620
Chapter 44: Assessment and Management of Patients with Biliary Disorders 634
Chapter 45: Assessment and Management of Patients with Endocrine Disorders 649
Chapter 46: Assessment and Management of Patients with Diabetes 664
Chapter 47: Assessment of Kidney and Urinary Function 679
Chapter 48: Management of Patients with Kidney Disorders 694
Chapter 49: Management of Patients with Urinary Disorders 709
Chapter 50: Assessment and Management of Patients with Female Physiologic Processes 724
Chapter 51: Management of Patients with Female Reproductive Disorders 740
Chapter 52: Assessment and Management of Patients with Breast Disorders 756
Chapter 53: Assessment and Management of Patients with Male Reproductive Disorders 770
Chapter 54: Assessment and Management of Patients Who Are LGBT 785
Chapter 55: Assessment of Integumentary Function 793
Chapter 56: Management of Patients with Dermatologic Disorders 807
Chapter 57: Management of Patients with Burn Injury 821
Chapter 58: Assessment and Management of Patients with Eye and Vision Disorders 836
Chapter 59: Assessment and Management of Patients with Hearing and Balance Disorders 850
Chapter 60: Assessment of Neurologic Function 865
Chapter 61: Management of Patients with Neurologic Dysfunction 880
Chapter 62: Management of Patients with Cerebrovascular Disorders 894
Chapter 63: Management of Patients with Neurologic Trauma 910
Chapter 64: Management of Patients with Neurologic Infections, Autoimmune Disorders, and 925
Neuropathies
Chapter 65: Management of Patients with Oncologic or Degenerative Neurologic Disorders 939
Chapter 66: Management of Patients with Infectious Diseases 954
Chapter 67: Emergency Nursing 967
Chapter 68: Disaster Nursing 976
, 16th Edition
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
MULTIPLE CHOICE
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to these
clients.
B. The nurse should make the choice to decline this position and pursue a different nursing
role.
C. The nurse should decline to care for the client’s considering abortion.
D. The nurse should express alternatives to women considering terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The
nurse should not provide care to the client because it is a conflict of personal values. The nurse should
not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is
not requesting information for alternatives to abortions, then the nurse should not be providing this
information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
admission the client states, "I have a living will." What implication of this should the nurse recognize?
A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
because living wills are not always honored in every circumstance, they are not binding for the
duration of the client's life, and they are not drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Analyze
NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
principle of nonmaleficence. Which of the following actions would be considered a violation of this
principle?
A. Discussing a DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
1|Page
Brunner & Suddarth's Textbook of Medical-Surgical Nursing
16th Edition
Chapter 1: Professional Nursing Practice 2
Chapter 2: Medical-Surgical Nursing 17
Chapter 3: Health Education and Health Promotion 30
Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment 45
Chapter 5: Stress and Inflammatory Responses 60
Chapter 6: Genetics and Genomics in Nursing 76
Chapter 7: Disability and Chronic Illness 92
Chapter 8: Care of the Older Adult 107
Chapter 9: Pain Management 121
Chapter 10: Principles of Fluid and Electrolytes 137
Chapter 11: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 153
Chapter 12: Oncologic Management 169
Chapter 13: Palliative and End-of-Life Care 183
Chapter 14: Preoperative Nursing Management 199
Chapter 15: Intraoperative Nursing Management 214
Chapter 16: Postoperative Nursing Management 228
Chapter 17: Assessment of Respiratory Function 243
Chapter 18: Management of Patients with Upper Respiratory Tract Disorders 257
Chapter 19: Management of Patients with Chest and Lower Respiratory Tract Disorders 271
Chapter 20: Management of Patients with Chronic Pulmonary Disease 287
Chapter 21: Assessment of Cardiovascular Function 304
Chapter 22: Management of Patients with Arrhythmias and Conduction Disorders 317
Chapter 23: Management of Patients with Coronary Vascular Disorders 330
Chapter 24: Management of Patients with Structural, Infectious, and Inflammatory Cardiac 347
Disorders
Chapter 25: Management of Patients with Complications from Heart Disease 360
Chapter 26: Assessment and Management of Patients with Vascular Disorders and Problems of 374
Peripheral Circulation
Chapter 27: Assessment and Management of Patients with Hypertension 390
Chapter 28: Assessment of Hematologic Function and Treatment Modalities 404
Chapter 29: Management of Patients with Nonmalignant Hematologic Disorders 419
Chapter 30: Management of Patients with Hematologic Neoplasms 432
Chapter 31: Assessment of Immune Function 447
Chapter 32: Management of Patients with Immune Deficiency Disorders 461
Chapter 33: Assessment and Management of Patients with Allergic Disorders 476
Chapter 34: Assessment and Management of Patients with Inflammatory Rheumatic Disorders 491
,Chapter 35: Assessment of Musculoskeletal Function 505
Chapter 36: Management of Patients with Musculoskeletal Disorders 519
Chapter 37: Management of Patients with Musculoskeletal Trauma 535
Chapter 38: Assessment of Digestive and Gastrointestinal Function 549
Chapter 39: Management of Patients with Oral and Esophageal Disorders 563
Chapter 40: Management of Patients with Gastric and Duodenal Disorders 577
Chapter 41: Management of Patients with Intestinal and Rectal Disorders 590
Chapter 42: Assessment and Management of Patients with Obesity 605
Chapter 43: Assessment and Management of Patients with Hepatic Disorders 620
Chapter 44: Assessment and Management of Patients with Biliary Disorders 634
Chapter 45: Assessment and Management of Patients with Endocrine Disorders 649
Chapter 46: Assessment and Management of Patients with Diabetes 664
Chapter 47: Assessment of Kidney and Urinary Function 679
Chapter 48: Management of Patients with Kidney Disorders 694
Chapter 49: Management of Patients with Urinary Disorders 709
Chapter 50: Assessment and Management of Patients with Female Physiologic Processes 724
Chapter 51: Management of Patients with Female Reproductive Disorders 740
Chapter 52: Assessment and Management of Patients with Breast Disorders 756
Chapter 53: Assessment and Management of Patients with Male Reproductive Disorders 770
Chapter 54: Assessment and Management of Patients Who Are LGBT 785
Chapter 55: Assessment of Integumentary Function 793
Chapter 56: Management of Patients with Dermatologic Disorders 807
Chapter 57: Management of Patients with Burn Injury 821
Chapter 58: Assessment and Management of Patients with Eye and Vision Disorders 836
Chapter 59: Assessment and Management of Patients with Hearing and Balance Disorders 850
Chapter 60: Assessment of Neurologic Function 865
Chapter 61: Management of Patients with Neurologic Dysfunction 880
Chapter 62: Management of Patients with Cerebrovascular Disorders 894
Chapter 63: Management of Patients with Neurologic Trauma 910
Chapter 64: Management of Patients with Neurologic Infections, Autoimmune Disorders, and 925
Neuropathies
Chapter 65: Management of Patients with Oncologic or Degenerative Neurologic Disorders 939
Chapter 66: Management of Patients with Infectious Diseases 954
Chapter 67: Emergency Nursing 967
Chapter 68: Disaster Nursing 976
, 16th Edition
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
MULTIPLE CHOICE
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to these
clients.
B. The nurse should make the choice to decline this position and pursue a different nursing
role.
C. The nurse should decline to care for the client’s considering abortion.
D. The nurse should express alternatives to women considering terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The
nurse should not provide care to the client because it is a conflict of personal values. The nurse should
not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is
not requesting information for alternatives to abortions, then the nurse should not be providing this
information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
admission the client states, "I have a living will." What implication of this should the nurse recognize?
A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
because living wills are not always honored in every circumstance, they are not binding for the
duration of the client's life, and they are not drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Analyze
NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
principle of nonmaleficence. Which of the following actions would be considered a violation of this
principle?
A. Discussing a DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
1|Page
