Medical-Surgical Nursing — Original Study Guide
Lewis Medical-Surgical Nursing 11th Edition — Topic-Based
Review
Use the nursing process: assess, diagnose, plan, implement, and evaluate. Prioritize airway, breathing, circulation,
neurologic status, safety, and rapidly changing findings.
Clinical focus: Identify priority assessment findings, immediate safety concerns, appropriate nursing actions,
reassessment needs, patient teaching, and escalation criteria.
Practice questions:
1. In a patient with this topic, which finding should be prioritized and what is the rationale?
2. In a patient with this topic, which finding should be prioritized and what is the rationale?
3. In a patient with this topic, which finding should be prioritized and what is the rationale?
4. In a patient with this topic, which finding should be prioritized and what is the rationale?
Original Medical-Surgical Nursing Study Guide • Page 1 of 14
, Health Assessment
Obtain a focused history, medication list, allergies, vital signs, pain assessment, functional status, and relevant
physical findings. Compare current findings with baseline.
Clinical focus: Identify priority assessment findings, immediate safety concerns, appropriate nursing actions,
reassessment needs, patient teaching, and escalation criteria.
Practice questions:
1. In a patient with this topic, which finding should be prioritized and what is the rationale?
2. In a patient with this topic, which finding should be prioritized and what is the rationale?
3. In a patient with this topic, which finding should be prioritized and what is the rationale?
4. In a patient with this topic, which finding should be prioritized and what is the rationale?
Original Medical-Surgical Nursing Study Guide • Page 2 of 14
Lewis Medical-Surgical Nursing 11th Edition — Topic-Based
Review
Use the nursing process: assess, diagnose, plan, implement, and evaluate. Prioritize airway, breathing, circulation,
neurologic status, safety, and rapidly changing findings.
Clinical focus: Identify priority assessment findings, immediate safety concerns, appropriate nursing actions,
reassessment needs, patient teaching, and escalation criteria.
Practice questions:
1. In a patient with this topic, which finding should be prioritized and what is the rationale?
2. In a patient with this topic, which finding should be prioritized and what is the rationale?
3. In a patient with this topic, which finding should be prioritized and what is the rationale?
4. In a patient with this topic, which finding should be prioritized and what is the rationale?
Original Medical-Surgical Nursing Study Guide • Page 1 of 14
, Health Assessment
Obtain a focused history, medication list, allergies, vital signs, pain assessment, functional status, and relevant
physical findings. Compare current findings with baseline.
Clinical focus: Identify priority assessment findings, immediate safety concerns, appropriate nursing actions,
reassessment needs, patient teaching, and escalation criteria.
Practice questions:
1. In a patient with this topic, which finding should be prioritized and what is the rationale?
2. In a patient with this topic, which finding should be prioritized and what is the rationale?
3. In a patient with this topic, which finding should be prioritized and what is the rationale?
4. In a patient with this topic, which finding should be prioritized and what is the rationale?
Original Medical-Surgical Nursing Study Guide • Page 2 of 14
