TEST BANK ss ss
Lewis's Medical Surgical Nursing in Canada,
ss ss ss ss ss ss
4th Edition by Jane Tyerman, Shelley Cobbett
ss ss ss ss ss ss ss
Chapters 1 - 72 Complete
ss ss ss ss ss
,TABLE OF CONTENTS ss ss
Section One – Concepts in Nursing Practice
ss ss ss ss ss ss
1 Introduction to Medical-Surgical Nursing Practice in Canada
ss ss ss ss ss ss ss
2 Cultural Competence and Health Equity in Care
ss ss ss ss ss ss ss
3 Health History and Physical Examination
ss ss ss ss ss
4 Patient and Caregiver Teaching
ss ss ss ss
5 Chronic Illness
ss ss
6 Community-Based Nursing and Home Care
ss ss ss ss ss
7 Older Adults
ss ss
8 Stress and Stress Management
ss ss ss ss
9 Sleep and Sleep Disorders
ss ss ss ss
10 Pain
ss
11 Substance Use
ss ss
12 Complementary and Alternative Therapies
ss ss ss ss
13 Palliative Care at the End of Life
ss ss ss ss ss ss ss
Section Two – Pathophysiological Mechanisms of Disease
ss ss ss ss ss ss
14 Inflammation and Wound Healing
ss ss ss ss
15 Genetics
ss
16 Altered Immune Response and Transplantation
ss ss ss ss ss
17 Infection and Human Immunodeficiency Virus Infection
ss ss ss ss ss ss
18 Cancer
ss
19 Fluid, Electrolyte, and Acid–Base Imbalances
ss ss ss ss ss
Section Three – Perioperative Care
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20 Nursing Management: Preoperative Care
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21 Nursing Management: Intraoperative Care
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22 Nursing Management: Post-operative Care
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Section Four – Problems Related to Altered Sensory Input
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23 Nursing Assessment: Visual and Auditory Systems
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24 Nursing Management: Visual and Auditory Problems
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25 Nursing Assessment: Integumentary System
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26 Nursing Management: Integumentary Problems
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27 Nursing Management: Burns
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Section Five – Problems of Oxygenation: Ventilation
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28 Nursing Assessment: Respiratory System
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29 Nursing Management: Upper Respiratory Problems
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30 Nursing Management: Lower Respiratory Problems
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31 Nursing Management: Obstructive Pulmonary Diseases
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Section Six – Problems of Oxygenation: Transport
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32 Nursing Assessment: Hematological System
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33 Nursing Management: Hematological Problems
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Section Seven – Problems of Oxygenation: Perfusion
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34 Nursing Assessment: Cardiovascular System
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35 Nursing Management: Hypertension
ss ss ss
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
ss ss ss ss ss ss ss ss ss
,37 Nursing Management: Heart Failure
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38 Nursing Management: Dysrhythmias
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39 Nursing Management: Inflammatory and Structural Heart Diseases
ss ss ss ss ss ss ss
40 Nursing Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
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41 Nursing Assessment: Gastrointestinal System
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42 Nursing Management: Nutritional Problems
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43 Nursing Management: Obesity
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44 Nursing Management: Upper Gastrointestinal Problems
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45 Nursing Management: Lower Gastrointestinal Problems
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46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
ss ss ss ss ss ss ss ss
Section Nine – Problems of Urinary Function
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47 Nursing Assessment: Urinary System
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48 Nursing Management: Renal and Urological Problems
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49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
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50 Nursing Assessment: Endocrine System
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51 Nursing Management: Endocrine Problems
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52 Nursing Management: Diabetes Mellitus
ss ss ss ss
53 Nursing Assessment: Reproductive System
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54 Nursing Management: Breast Disorders
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55 Nursing Management: Sexually Transmitted Infections
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56 Nursing Management: Female Reproductive Problems
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57 Nursing Management: Male Reproductive Problems
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Section Eleven – Problems Related to Movement and Coordination
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58 Nursing Assessment: Nervous System
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59 Nursing Management: Acute Intracranial Problems
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60 Nursing Management: Stroke
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61 Nursing Management: Chronic Neurological Problems
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62 Nursing Management: Delirium, Alzheimer‘s Disease, and Other Dementias
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63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
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64 Nursing Assessment: Musculoskeletal System
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65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
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66 Nursing Management: Musculoskeletal Problems
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67 Nursing Management: Arthritis and Connective Tissue Diseases
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Section Twelve – Nursing Care in Specialized Settings
ss ss ss ss ss ss ss
68 Nursing Management: Critical Care Environment
ss ss ss ss ss
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
ss ss ss ss ss ss ss ss ss
Organ Dysfunction Syndrome
ss ss
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
ss ss ss ss ss ss ss ss ss
71 Nursing Management: Emergency Care Situations
ss ss ss ss ss
72 Emergency Management and Disaster Planning
ss ss ss ss ss
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
ss ss ss ss ss ss ss ss ss
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
ss 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: ss
C s s
Evidence-informed nursing practice is a continuous interactive process involving the explicit, ss ss ss ss ss ss ss ss ss ss
conscientious, and judicious consideration of the best available evidence to provide care. Four
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primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
ss ss ss ss ss ss ss ss ss ss ss ss ss
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the nurse‘s clinical experience is part of EIP, but clinical decision making also should
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
incorporate current research and research-based guidelines. Evidence from one clinical
ss ss ss ss ss ss ss ss ss ss
research study does not provide an adequate substantiation for interventions. Evaluation of
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client outcomes is important, but interventions should be based on research from
ss ss ss ss ss ss ss ss ss ss ss ss
randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Comprehension ss ss TOP: s s Nursing Process: Planning ss ss
2. Which of the following best N
ss e x p lRa i n sIt h eGn u B
ss r s e. sC
‘ prM
ss imary use of the nursing process when ss ss ss ss ss ss ss ss ss
providing care to clients? U SNT ss O ss ss s s s
a. To explain nursing interventions to other health care professionals
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b. As a problem-solving tool to identify and treat clients‘ health care needs
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c. As a scientific-based process of diagnosing the client‘s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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CORRECT ANSWER: ss s s B
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
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
primary use of the nursing process is in client care, not to establish nursing theory or explain
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
nursing interventions to other health care professionals.
ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss TOP: s s Nursing Process: Implementation 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
turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
ss ss ss ss ss ss ss ss ss ss ss ss ss
with this turning schedule?
ss ss ss ss
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: ss s s D
Lewis's Medical Surgical Nursing in Canada,
ss ss ss ss ss ss
4th Edition by Jane Tyerman, Shelley Cobbett
ss ss ss ss ss ss ss
Chapters 1 - 72 Complete
ss ss ss ss ss
,TABLE OF CONTENTS ss ss
Section One – Concepts in Nursing Practice
ss ss ss ss ss ss
1 Introduction to Medical-Surgical Nursing Practice in Canada
ss ss ss ss ss ss ss
2 Cultural Competence and Health Equity in Care
ss ss ss ss ss ss ss
3 Health History and Physical Examination
ss ss ss ss ss
4 Patient and Caregiver Teaching
ss ss ss ss
5 Chronic Illness
ss ss
6 Community-Based Nursing and Home Care
ss ss ss ss ss
7 Older Adults
ss ss
8 Stress and Stress Management
ss ss ss ss
9 Sleep and Sleep Disorders
ss ss ss ss
10 Pain
ss
11 Substance Use
ss ss
12 Complementary and Alternative Therapies
ss ss ss ss
13 Palliative Care at the End of Life
ss ss ss ss ss ss ss
Section Two – Pathophysiological Mechanisms of Disease
ss ss ss ss ss ss
14 Inflammation and Wound Healing
ss ss ss ss
15 Genetics
ss
16 Altered Immune Response and Transplantation
ss ss ss ss ss
17 Infection and Human Immunodeficiency Virus Infection
ss ss ss ss ss ss
18 Cancer
ss
19 Fluid, Electrolyte, and Acid–Base Imbalances
ss ss ss ss ss
Section Three – Perioperative Care
ss ss ss ss
20 Nursing Management: Preoperative Care
ss ss ss ss
21 Nursing Management: Intraoperative Care
ss ss ss ss
22 Nursing Management: Post-operative Care
ss ss ss ss
Section Four – Problems Related to Altered Sensory Input
ss ss ss ss ss ss ss ss
23 Nursing Assessment: Visual and Auditory Systems
ss ss ss ss ss ss
24 Nursing Management: Visual and Auditory Problems
ss ss ss ss ss ss
25 Nursing Assessment: Integumentary System
ss ss ss ss
26 Nursing Management: Integumentary Problems
ss ss ss ss
27 Nursing Management: Burns
ss ss ss
Section Five – Problems of Oxygenation: Ventilation
ss ss ss ss ss ss
28 Nursing Assessment: Respiratory System
ss ss ss ss
29 Nursing Management: Upper Respiratory Problems
ss ss ss ss ss
30 Nursing Management: Lower Respiratory Problems
ss ss ss ss ss
31 Nursing Management: Obstructive Pulmonary Diseases
ss ss ss ss ss
Section Six – Problems of Oxygenation: Transport
ss ss ss ss ss ss
32 Nursing Assessment: Hematological System
ss ss ss ss
33 Nursing Management: Hematological Problems
ss ss ss ss
Section Seven – Problems of Oxygenation: Perfusion
ss ss ss ss ss ss
34 Nursing Assessment: Cardiovascular System
ss ss ss ss
35 Nursing Management: Hypertension
ss ss ss
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
ss ss ss ss ss ss ss ss ss
,37 Nursing Management: Heart Failure
ss ss ss ss
38 Nursing Management: Dysrhythmias
ss ss ss
39 Nursing Management: Inflammatory and Structural Heart Diseases
ss ss ss ss ss ss ss
40 Nursing Management: Vascular Disorders
ss ss ss ss
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
ss ss ss ss ss ss ss ss ss
41 Nursing Assessment: Gastrointestinal System
ss ss ss ss
42 Nursing Management: Nutritional Problems
ss ss ss ss
43 Nursing Management: Obesity
ss ss ss
44 Nursing Management: Upper Gastrointestinal Problems
ss ss ss ss ss
45 Nursing Management: Lower Gastrointestinal Problems
ss ss ss ss ss
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
ss ss ss ss ss ss ss ss
Section Nine – Problems of Urinary Function
ss ss ss ss ss ss
47 Nursing Assessment: Urinary System
ss ss ss ss
48 Nursing Management: Renal and Urological Problems
ss ss ss ss ss ss
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
ss ss ss ss ss ss ss ss ss
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
ss ss ss ss ss ss ss ss ss
50 Nursing Assessment: Endocrine System
ss ss ss ss
51 Nursing Management: Endocrine Problems
ss ss ss ss
52 Nursing Management: Diabetes Mellitus
ss ss ss ss
53 Nursing Assessment: Reproductive System
ss ss ss ss
54 Nursing Management: Breast Disorders
ss ss ss ss
55 Nursing Management: Sexually Transmitted Infections
ss ss ss ss ss
56 Nursing Management: Female Reproductive Problems
ss ss ss ss ss
57 Nursing Management: Male Reproductive Problems
ss ss ss ss ss
Section Eleven – Problems Related to Movement and Coordination
ss ss ss ss ss ss ss ss
58 Nursing Assessment: Nervous System
ss ss ss ss
59 Nursing Management: Acute Intracranial Problems
ss ss ss ss ss
60 Nursing Management: Stroke
ss ss ss
61 Nursing Management: Chronic Neurological Problems
ss ss ss ss ss
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
ss ss ss ss ss ss ss ss
64 Nursing Assessment: Musculoskeletal System
ss ss ss ss
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
ss ss ss ss ss ss ss
66 Nursing Management: Musculoskeletal Problems
ss ss ss ss
67 Nursing Management: Arthritis and Connective Tissue Diseases
ss ss ss ss ss ss ss
Section Twelve – Nursing Care in Specialized Settings
ss ss ss ss ss ss ss
68 Nursing Management: Critical Care Environment
ss ss ss ss ss
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
ss ss ss ss ss ss ss ss ss
Organ Dysfunction Syndrome
ss ss
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
ss ss ss ss ss ss ss ss ss
71 Nursing Management: Emergency Care Situations
ss ss ss ss ss
72 Emergency Management and Disaster Planning
ss ss ss ss ss
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
ss ss ss ss ss ss ss ss ss
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
ss 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: ss
C s s
Evidence-informed nursing practice is a continuous interactive process involving the explicit, ss ss ss ss ss ss ss ss ss ss
conscientious, and judicious consideration of the best available evidence to provide care. Four
ss ss ss ss ss ss ss ss ss ss ss ss ss
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
ss ss ss ss ss ss ss ss ss ss ss ss ss
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the nurse‘s clinical experience is part of EIP, but clinical decision making also should
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
incorporate current research and research-based guidelines. Evidence from one clinical
ss ss ss ss ss ss ss ss ss ss
research study does not provide an adequate substantiation for interventions. Evaluation of
ss ss ss ss ss ss ss ss ss ss ss ss
client outcomes is important, but interventions should be based on research from
ss ss ss ss ss ss ss ss ss ss ss ss
randomized control studies with a large number of subjects.
ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss TOP: s s Nursing Process: Planning ss ss
2. Which of the following best N
ss e x p lRa i n sIt h eGn u B
ss r s e. sC
‘ prM
ss imary use of the nursing process when ss ss ss ss ss ss ss ss ss
providing care to clients? U SNT ss O 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: ss s s B
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
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
primary use of the nursing process is in client care, not to establish nursing theory or explain
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
nursing interventions to other health care professionals.
ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension ss ss TOP: s s Nursing Process: Implementation 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
turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
ss ss ss ss ss ss ss ss ss ss ss ss ss
with this turning schedule?
ss ss ss ss
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: ss s s D
