TEST BANK ff ff
Lewis's Medical Surgical Nursing in Canada,
ff ff ff ff ff ff
4th Edition by Jane Tyerman, Shelley Cobbett
ff ff ff ff ff ff ff
Chapters 1 - 72 Complete
ff ff ff ff ff
,TABLE OF CONTENTS ff ff
Section One – Concepts in Nursing Practice
ff ff ff ff ff ff
1 Introduction to Medical-Surgical Nursing Practice in Canada
ff ff ff ff ff ff ff
2 Cultural Competence and Health Equity in Care
ff ff ff ff ff ff ff
3 Health History and Physical Examination
ff ff ff ff ff
4 Patient and Caregiver Teaching
ff ff ff ff
5 Chronic Illness
ff ff
6 Community-Based Nursing and Home Care
ff ff ff ff ff
7 Older Adults
ff ff
8 Stress and Stress Management
ff ff ff ff
9 Sleep and Sleep Disorders
ff ff ff ff
10 Pain
ff
11 Substance Use
ff ff
12 Complementary and Alternative Therapies
ff ff ff ff
13 Palliative Care at the End of Life
ff ff ff ff ff ff ff
Section Two – Pathophysiological Mechanisms of Disease
ff ff ff ff ff ff
14 Inflammation and Wound Healing
ff ff ff ff
15 Genetics
ff
16 Altered Immune Response and Transplantation
ff ff ff ff ff
17 Infection and Human Immunodeficiency Virus Infection
ff ff ff ff ff ff
18 Cancer
ff
19 Fluid, Electrolyte, and Acid–Base Imbalances
ff ff ff ff ff
Section Three – Perioperative Care
ff ff ff ff
20 Nursing Management: Preoperative Care
ff ff ff ff
21 Nursing Management: Intraoperative Care
ff ff ff ff
22 Nursing Management: Post-operative Care
ff ff ff ff
Section Four – Problems Related to Altered Sensory Input
ff ff ff ff ff ff ff ff
23 Nursing Assessment: Visual and Auditory Systems
ff ff ff ff ff ff
24 Nursing Management: Visual and Auditory Problems
ff ff ff ff ff ff
25 Nursing Assessment: Integumentary System
ff ff ff ff
26 Nursing Management: Integumentary Problems
ff ff ff ff
27 Nursing Management: Burns
ff ff ff
Section Five – Problems of Oxygenation: Ventilation
ff ff ff ff ff ff
28 Nursing Assessment: Respiratory System
ff ff ff ff
29 Nursing Management: Upper Respiratory Problems
ff ff ff ff ff
30 Nursing Management: Lower Respiratory Problems
ff ff ff ff ff
31 Nursing Management: Obstructive Pulmonary Diseases
ff ff ff ff ff
Section Six – Problems of Oxygenation: Transport
ff ff ff ff ff ff
32 Nursing Assessment: Hematological System
ff ff ff ff
33 Nursing Management: Hematological Problems
ff ff ff ff
Section Seven – Problems of Oxygenation: Perfusion
ff ff ff ff ff ff
34 Nursing Assessment: Cardiovascular System
ff ff ff ff
35 Nursing Management: Hypertension
ff ff ff
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
ff ff ff ff ff ff ff ff ff
,37 Nursing Management: Heart Failure
ff ff ff ff
38 Nursing Management: Dysrhythmias
ff ff ff
39 Nursing Management: Inflammatory and Structural Heart Diseases
ff ff ff ff ff ff ff
40 Nursing Management: Vascular Disorders
ff ff ff ff
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
ff ff ff ff ff ff ff ff ff
41 Nursing Assessment: Gastrointestinal System
ff ff ff ff
42 Nursing Management: Nutritional Problems
ff ff ff ff
43 Nursing Management: Obesity
ff ff ff
44 Nursing Management: Upper Gastrointestinal Problems
ff ff ff ff ff
45 Nursing Management: Lower Gastrointestinal Problems
ff ff ff ff ff
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
ff ff ff ff ff ff ff ff
Section Nine – Problems of Urinary Function
ff ff ff ff ff ff
47 Nursing Assessment: Urinary System
ff ff ff ff
48 Nursing Management: Renal and Urological Problems
ff ff ff ff ff ff
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
ff ff ff ff ff ff ff ff ff
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
ff ff ff ff ff ff ff ff ff
50 Nursing Assessment: Endocrine System
ff ff ff ff
51 Nursing Management: Endocrine Problems
ff ff ff ff
52 Nursing Management: Diabetes Mellitus
ff ff ff ff
53 Nursing Assessment: Reproductive System
ff ff ff ff
54 Nursing Management: Breast Disorders
ff ff ff ff
55 Nursing Management: Sexually Transmitted Infections
ff ff ff ff ff
56 Nursing Management: Female Reproductive Problems
ff ff ff ff ff
57 Nursing Management: Male Reproductive Problems
ff ff ff ff ff
Section Eleven – Problems Related to Movement and Coordination
ff ff ff ff ff ff ff ff
58 Nursing Assessment: Nervous System
ff ff ff ff
59 Nursing Management: Acute Intracranial Problems
ff ff ff ff ff
60 Nursing Management: Stroke
ff ff ff
61 Nursing Management: Chronic Neurological Problems
ff ff ff ff ff
62 Nursing Management: Delirium, Alzheimer‘s Disease, and Other Dementias
ff ff ff ff ff ff ff ff
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
ff ff ff ff ff ff ff ff
64 Nursing Assessment: Musculoskeletal System
ff ff ff ff
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
ff ff ff ff ff ff ff
66 Nursing Management: Musculoskeletal Problems
ff ff ff ff
67 Nursing Management: Arthritis and Connective Tissue Diseases
ff ff ff ff ff ff ff
Section Twelve – Nursing Care in Specialized Settings
ff ff ff ff ff ff ff
68 Nursing Management: Critical Care Environment
ff ff ff ff ff
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
ff ff ff ff ff ff ff ff ff
Organ Dysfunction Syndrome
ff ff
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
ff ff ff ff ff ff ff ff ff
71 Nursing Management: Emergency Care Situations
ff ff ff ff ff
72 Emergency Management and Disaster Planning
ff ff ff ff ff
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
ff ff ff ff ff ff ff ff ff
Medical-Surgical Nursing in Canada, 4th Canadian Edition
ff ff ff ff ff ff ff
MULTIPLE ffCHOICE
1. When ffcaring fffor ffclients ffusing ffevidence-informed ffpractice, ffwhich ffof ffthe fffollowing ffdoes ffthe
ff nurse ffuse?
a. Clinical ffjudgement ffbased ffon ffexperience
b. Evidence fffrom ffa ffclinical ffresearch ffstudy
c. The ffbest ffavailable ffevidence ffto ffguide ffclinical ffexpertise
d. Evaluation ffof ffdata ffshowing ffthat ffthe ffclient ffoutcomes ffare ffmet
CORRECT ffANSWER:
f f C
Evidence-informed ffnursing ffpractice ffis ffa ffcontinuous ffinteractive ffprocess ffinvolving ffthe ffexplicit,
ffconscientious, ffand ffjudicious ffconsideration ffof ffthe ffbest ffavailable ffevidence ffto ffprovide ffcare. ffFour
ffprimary ffelements ffare: ff(a) ffclinical ffstate, ffsetting, ffand ffcircumstances; ff(b) ffclient ffpreferences ffand
ffactions; ff(c) ffbest ffresearch ffevidence; ffand ff(d) ffhealth ffcare ffresources. ffClinical ffjudgement ffbased ffon
ffthe ffnurse‘s ffclinical ffexperience ffis ffpart ffof ffEIP, ffbut ffclinical ffdecision ffmaking ffalso ffshould
ffincorporate ffcurrent ffresearch ffand ffresearch-based ffguidelines. ffEvidence fffrom ffone ffclinical
ffresearch ffstudy ffdoes ffnot ffprovide ffan ffadequate ffsubstantiation fffor ffinterventions. ffEvaluation ffof
ffclient ffoutcomes ffis ffimportant, ffbut ffinterventions ffshould ffbe ffbased ffon ffresearch fffrom
ffrandomized ffcontrol ffstudies ffwith ffa fflarge ffnumber ffof ffsubjects.
DIF: Cognitive ffLevel: ffComprehension TOP: f f Nursing ffProcess: ffPlanning
2. Which ff of ff the f f following f f best ff N
e x p lRa i n sIt h eGn u B
r s e. sC
‘ f f prM
imary f f use f f of f f the ff nursing f f process f f when
providing ffcare ffto ffclients? UfSfNfT O
a. To ffexplain ffnursing ffinterventions ffto ffother ffhealth ffcare ffprofessionals
b. As ffa ffproblem-solving fftool ffto ffidentify ffand fftreat ffclients‘ ffhealth ffcare ffneeds
c. As ffa ffscientific-based ffprocess ffof ffdiagnosing ffthe ffclient‘s ffhealth ffcare ffproblems
d. To ffestablish ffnursing fftheory ffthat ffincorporates ffthe ffbiopsychosocial ffnature ffof ffhumans
CORRECT ffANSWER: f f B
The ffnursing ffprocess ffis ffan ffassertive ffproblem-solving ffapproach ffto ffthe ffidentification ffand
fftreatment ffof ffclients‘ ffproblems. ffDiagnosis ffis ffonly ffone ffphase ffof ffthe ffnursing ffprocess. ffThe
primary ffuse ffof ffthe ffnursing ffprocess ffis ffin ffclient ffcare, ffnot ffto ffestablish ffnursing fftheory ffor ffexplain
ffnursing ffinterventions ffto ffother ffhealth ffcare ffprofessionals.
DIF: Cognitive ffLevel: ffComprehension TOP: f f Nursing ffProcess: ffImplementation
3. The ffnurse ffis ffcaring fffor ffa ffcritically ffill ffclient ffin ffthe ffintensive ffcare ffunit ffand ffplans ffan ffevery ff2-
hour ffturning ffschedule ffto ffprevent ffskin ffbreakdown. ffWhich fftype ffof ffnursing fffunction ffis
ffdemonstrated ffwith ffthis ffturning ffschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ffANSWER: f f D
Lewis's Medical Surgical Nursing in Canada,
ff ff ff ff ff ff
4th Edition by Jane Tyerman, Shelley Cobbett
ff ff ff ff ff ff ff
Chapters 1 - 72 Complete
ff ff ff ff ff
,TABLE OF CONTENTS ff ff
Section One – Concepts in Nursing Practice
ff ff ff ff ff ff
1 Introduction to Medical-Surgical Nursing Practice in Canada
ff ff ff ff ff ff ff
2 Cultural Competence and Health Equity in Care
ff ff ff ff ff ff ff
3 Health History and Physical Examination
ff ff ff ff ff
4 Patient and Caregiver Teaching
ff ff ff ff
5 Chronic Illness
ff ff
6 Community-Based Nursing and Home Care
ff ff ff ff ff
7 Older Adults
ff ff
8 Stress and Stress Management
ff ff ff ff
9 Sleep and Sleep Disorders
ff ff ff ff
10 Pain
ff
11 Substance Use
ff ff
12 Complementary and Alternative Therapies
ff ff ff ff
13 Palliative Care at the End of Life
ff ff ff ff ff ff ff
Section Two – Pathophysiological Mechanisms of Disease
ff ff ff ff ff ff
14 Inflammation and Wound Healing
ff ff ff ff
15 Genetics
ff
16 Altered Immune Response and Transplantation
ff ff ff ff ff
17 Infection and Human Immunodeficiency Virus Infection
ff ff ff ff ff ff
18 Cancer
ff
19 Fluid, Electrolyte, and Acid–Base Imbalances
ff ff ff ff ff
Section Three – Perioperative Care
ff ff ff ff
20 Nursing Management: Preoperative Care
ff ff ff ff
21 Nursing Management: Intraoperative Care
ff ff ff ff
22 Nursing Management: Post-operative Care
ff ff ff ff
Section Four – Problems Related to Altered Sensory Input
ff ff ff ff ff ff ff ff
23 Nursing Assessment: Visual and Auditory Systems
ff ff ff ff ff ff
24 Nursing Management: Visual and Auditory Problems
ff ff ff ff ff ff
25 Nursing Assessment: Integumentary System
ff ff ff ff
26 Nursing Management: Integumentary Problems
ff ff ff ff
27 Nursing Management: Burns
ff ff ff
Section Five – Problems of Oxygenation: Ventilation
ff ff ff ff ff ff
28 Nursing Assessment: Respiratory System
ff ff ff ff
29 Nursing Management: Upper Respiratory Problems
ff ff ff ff ff
30 Nursing Management: Lower Respiratory Problems
ff ff ff ff ff
31 Nursing Management: Obstructive Pulmonary Diseases
ff ff ff ff ff
Section Six – Problems of Oxygenation: Transport
ff ff ff ff ff ff
32 Nursing Assessment: Hematological System
ff ff ff ff
33 Nursing Management: Hematological Problems
ff ff ff ff
Section Seven – Problems of Oxygenation: Perfusion
ff ff ff ff ff ff
34 Nursing Assessment: Cardiovascular System
ff ff ff ff
35 Nursing Management: Hypertension
ff ff ff
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
ff ff ff ff ff ff ff ff ff
,37 Nursing Management: Heart Failure
ff ff ff ff
38 Nursing Management: Dysrhythmias
ff ff ff
39 Nursing Management: Inflammatory and Structural Heart Diseases
ff ff ff ff ff ff ff
40 Nursing Management: Vascular Disorders
ff ff ff ff
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
ff ff ff ff ff ff ff ff ff
41 Nursing Assessment: Gastrointestinal System
ff ff ff ff
42 Nursing Management: Nutritional Problems
ff ff ff ff
43 Nursing Management: Obesity
ff ff ff
44 Nursing Management: Upper Gastrointestinal Problems
ff ff ff ff ff
45 Nursing Management: Lower Gastrointestinal Problems
ff ff ff ff ff
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
ff ff ff ff ff ff ff ff
Section Nine – Problems of Urinary Function
ff ff ff ff ff ff
47 Nursing Assessment: Urinary System
ff ff ff ff
48 Nursing Management: Renal and Urological Problems
ff ff ff ff ff ff
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
ff ff ff ff ff ff ff ff ff
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
ff ff ff ff ff ff ff ff ff
50 Nursing Assessment: Endocrine System
ff ff ff ff
51 Nursing Management: Endocrine Problems
ff ff ff ff
52 Nursing Management: Diabetes Mellitus
ff ff ff ff
53 Nursing Assessment: Reproductive System
ff ff ff ff
54 Nursing Management: Breast Disorders
ff ff ff ff
55 Nursing Management: Sexually Transmitted Infections
ff ff ff ff ff
56 Nursing Management: Female Reproductive Problems
ff ff ff ff ff
57 Nursing Management: Male Reproductive Problems
ff ff ff ff ff
Section Eleven – Problems Related to Movement and Coordination
ff ff ff ff ff ff ff ff
58 Nursing Assessment: Nervous System
ff ff ff ff
59 Nursing Management: Acute Intracranial Problems
ff ff ff ff ff
60 Nursing Management: Stroke
ff ff ff
61 Nursing Management: Chronic Neurological Problems
ff ff ff ff ff
62 Nursing Management: Delirium, Alzheimer‘s Disease, and Other Dementias
ff ff ff ff ff ff ff ff
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
ff ff ff ff ff ff ff ff
64 Nursing Assessment: Musculoskeletal System
ff ff ff ff
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
ff ff ff ff ff ff ff
66 Nursing Management: Musculoskeletal Problems
ff ff ff ff
67 Nursing Management: Arthritis and Connective Tissue Diseases
ff ff ff ff ff ff ff
Section Twelve – Nursing Care in Specialized Settings
ff ff ff ff ff ff ff
68 Nursing Management: Critical Care Environment
ff ff ff ff ff
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
ff ff ff ff ff ff ff ff ff
Organ Dysfunction Syndrome
ff ff
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
ff ff ff ff ff ff ff ff ff
71 Nursing Management: Emergency Care Situations
ff ff ff ff ff
72 Emergency Management and Disaster Planning
ff ff ff ff ff
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
ff ff ff ff ff ff ff ff ff
Medical-Surgical Nursing in Canada, 4th Canadian Edition
ff ff ff ff ff ff ff
MULTIPLE ffCHOICE
1. When ffcaring fffor ffclients ffusing ffevidence-informed ffpractice, ffwhich ffof ffthe fffollowing ffdoes ffthe
ff nurse ffuse?
a. Clinical ffjudgement ffbased ffon ffexperience
b. Evidence fffrom ffa ffclinical ffresearch ffstudy
c. The ffbest ffavailable ffevidence ffto ffguide ffclinical ffexpertise
d. Evaluation ffof ffdata ffshowing ffthat ffthe ffclient ffoutcomes ffare ffmet
CORRECT ffANSWER:
f f C
Evidence-informed ffnursing ffpractice ffis ffa ffcontinuous ffinteractive ffprocess ffinvolving ffthe ffexplicit,
ffconscientious, ffand ffjudicious ffconsideration ffof ffthe ffbest ffavailable ffevidence ffto ffprovide ffcare. ffFour
ffprimary ffelements ffare: ff(a) ffclinical ffstate, ffsetting, ffand ffcircumstances; ff(b) ffclient ffpreferences ffand
ffactions; ff(c) ffbest ffresearch ffevidence; ffand ff(d) ffhealth ffcare ffresources. ffClinical ffjudgement ffbased ffon
ffthe ffnurse‘s ffclinical ffexperience ffis ffpart ffof ffEIP, ffbut ffclinical ffdecision ffmaking ffalso ffshould
ffincorporate ffcurrent ffresearch ffand ffresearch-based ffguidelines. ffEvidence fffrom ffone ffclinical
ffresearch ffstudy ffdoes ffnot ffprovide ffan ffadequate ffsubstantiation fffor ffinterventions. ffEvaluation ffof
ffclient ffoutcomes ffis ffimportant, ffbut ffinterventions ffshould ffbe ffbased ffon ffresearch fffrom
ffrandomized ffcontrol ffstudies ffwith ffa fflarge ffnumber ffof ffsubjects.
DIF: Cognitive ffLevel: ffComprehension TOP: f f Nursing ffProcess: ffPlanning
2. Which ff of ff the f f following f f best ff N
e x p lRa i n sIt h eGn u B
r s e. sC
‘ f f prM
imary f f use f f of f f the ff nursing f f process f f when
providing ffcare ffto ffclients? UfSfNfT O
a. To ffexplain ffnursing ffinterventions ffto ffother ffhealth ffcare ffprofessionals
b. As ffa ffproblem-solving fftool ffto ffidentify ffand fftreat ffclients‘ ffhealth ffcare ffneeds
c. As ffa ffscientific-based ffprocess ffof ffdiagnosing ffthe ffclient‘s ffhealth ffcare ffproblems
d. To ffestablish ffnursing fftheory ffthat ffincorporates ffthe ffbiopsychosocial ffnature ffof ffhumans
CORRECT ffANSWER: f f B
The ffnursing ffprocess ffis ffan ffassertive ffproblem-solving ffapproach ffto ffthe ffidentification ffand
fftreatment ffof ffclients‘ ffproblems. ffDiagnosis ffis ffonly ffone ffphase ffof ffthe ffnursing ffprocess. ffThe
primary ffuse ffof ffthe ffnursing ffprocess ffis ffin ffclient ffcare, ffnot ffto ffestablish ffnursing fftheory ffor ffexplain
ffnursing ffinterventions ffto ffother ffhealth ffcare ffprofessionals.
DIF: Cognitive ffLevel: ffComprehension TOP: f f Nursing ffProcess: ffImplementation
3. The ffnurse ffis ffcaring fffor ffa ffcritically ffill ffclient ffin ffthe ffintensive ffcare ffunit ffand ffplans ffan ffevery ff2-
hour ffturning ffschedule ffto ffprevent ffskin ffbreakdown. ffWhich fftype ffof ffnursing fffunction ffis
ffdemonstrated ffwith ffthis ffturning ffschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ffANSWER: f f D
