SOLUTIONS MANUAL
** All Chapters included
** Answer Keys for Study Guide
,Table of Contents are given below
1.Aspects of Medical-Surgical Nursing
2.Medical-Surgical Practice Settings
3.Medical-Surgical Patients: Individuals, Families, and Communities
4.Health, Illness, Stress, and Coping
5.Immunity, Inflammation, and Infection
6.Fluid, Electrolyte, and Acid-Base Balance
7.The Patient With Cancer
8.Pain
9.Shock
10.The Older Adult Patient
11.Falls
12.Immobility
13.Delirium and Dementia
14.Incontinence
15.Nutrition
16.Intravenous Therapy
17.Surgery
18.The Patient With an Ostomy
19.Palliative and Hospice Care
20.Complementary and Alternative Therapies and Integrative Health Care
21.Neurologic System Introduction
22.Neurologic Disorders
23.Cerebrovascular Accident
24.Spinal Cord Injury
25.Respiratory System Introduction
26.Upper Respiratory Disorders
27.Acute Lower Respiratory Tract Disorders
28.Chronic Lower Respiratory Tract Disorders
29.Hematologic System Introduction
30.Hematologic Disorders
31.Immunologic System Introduction
32.Immunologic Disorders
33.Cardiovascular System Introduction
34.Hypertension
35.Cardiac Disorders
36.Vascular Disorders
37.Digestive System Introduction
38.Upper Digestive Tract Disorders
39.Lower Digestive Tract Disorders
40.Liver, Gallbladder, and Pancreatic Disorders
41.Urologic System Introduction
42.Urologic Disorders
43.Musculoskeletal Introduction
44.Connective Tissue Disorders
45.Fractures
46.Amputations
47.Endocrine System Introduction
48.Pituitary and Adrenal Disorders
49.Thyroid and Parathyroid Disorders
50.Diabetes and Hypoglycemia
51.Female Reproductive System Introduction
52.Female Reproductive Disorders
53.Male Reproductive System Introduction
54.Male Reproductive Disorders
55.Sexually Transmitted Infections
56.Integumentary System Introduction
57.Skin Disorders
58.Special Senses: Vision and Hearing Introduction
59.Eye and Vision Disorders
60.Ear and Hearing Disorders
61.Psychobiologic Disorders
62.Substance-Related and Addictive Disorders
63.First Aid, Emergency Care, and Disaster Management
,Answer Key
CHAPTER 1 2. 2 16. B
Aspects of Medical-Surgical 3. The Academy of Medical- 17. B
Nursing Surgical Nurses (AMSN) 18. 1, 4, 5, 6
is the professional Characteristics of an
A. organization for nurses effective leader include: is
1. D practicing in medical- an effective communicator;
2. B surgical settings. It is consistent in managing
3. F establishes the scope conflict; is knowledgeable
4. A of practice and sets the and competent in all aspects
5. E standards for nursing of delivery of care; is a
6. C practice. role model for staff; uses
4. A participatory approach in
B. 5. B decision-making; shows
1. 1, 2, 3, 4, 5 6. F appreciation for a job well
Depending on nursing 7. E done; delegates work
preparation, education, 8. C appropriately; sets objectives
practice settings, and 9. D and guides staff; displays
specialized education, the 10. 1, 2, 4, 6 caring, understanding,
medical-surgical nurse may The following are examples and empathy for others;
function as a caregiver, of negligent acts that motivates and empowers
care coordinator, patient- have resulted in lawsuits others; is proactive and
educator, case manager, against hospitals and flexible; and focuses on team
counselor, patient advocate, nurses: failure to monitor a development.
consultant, researcher, patient; failure to document 19. 1, 2, 3, 5
administrator/manager, staff findings; failure to notify The five rights of delegation
educator, and expert witness. other staff of changes include:
2. 2 in patient status; failure Right Task: The activity falls
The roles that LVNs/LPNs to maintain or correctly within the job description
may assume are specified in use equipment; failure to of the person being given
their state nurse practice act. respond to or correctly the task (the delegatee)
carry out orders; failure or is specified in the
C. to follow the six rights of agency written policies or
1. 2, 3, 4, 6 medication administration; procedures.
Medical-surgical practice failure to convey discharge Right Circumstance: The
requires knowledge of an instructions appropriately; patient’s condition is stable.
array of medical-surgical failure to ensure patient If the condition changes,
conditions including the safety, especially those the delegatee must inform
related pathophysiology, who are at risk for injury; the licensed nurse who will
manifestations, failure to follow policies reassess the patient.
complications, treatments, and procedures; and failure Right Person: The licensed
nursing interventions, and to properly delegate and nurse and the employer
expected patient responses. supervise. must ensure that the
This knowledge guides 11. 1 delegatee has the skills and
the nursing assessment, The nurse’s best protection knowledge to perform the
planning, intervention, and against negligence and delegated activity.
evaluation. Other essential malpractice is to adhere to Right Directions and
skills for medical-surgical standards of care. Communication: The
nursing are communication, 12. A licensed nurse should
organization, teamwork, 13. A communicate specific
technical skills, and the ability 14. B instructions, and the
to multitask. 15. A delegatee should clarify
e354
, Answer Key e355
any questions and agree to interventions. (1) Diagnosis recognizing the principles
accept the delegated activity. is not the responsibility involved. Distinguish
The licensed nurse must of the LPN/LVN. (3) (4) among fact, opinion, and
confirm that the delegatee Accountability and safety values.
cannot make any decisions are important functions of Step 4: Name the problem.
and cannot modify the the nurse that relate to all A clear, simple statement
activity unless approved by aspects of nursing care, not of the problem is not
the licensed nurse. just assessment. always easy, but it helps to
Right Supervision and 3. 3 ensure effectiveness in the
Evaluation: The licensed The state nurse practice final plan and facilitates
nurse must monitor the act provides rules and discussion.
activity, follow up with the regulations for every Step 5: Identify possible
delegatee once the activity state identifying the roles courses of action. Access
has been completed, and a nurse can assume. (1) others for their input and
evaluate the outcome of The Academy of Medical- be creative in identifying
the activity. The licensed Surgical Nurses professional different options.
nurse should be available to organization represents Step 6: Create and
intervene if necessary and the interests of nurses. (2) implement an action
should ensure appropriate Healthcare institutions plan. Gather support
documentation of the activity. may provide further role from others and identify
20. 3 delineation within the state an alternative action if
An LVN/LPN who makes nurse practice act. (4) The the chosen one does not
assignments or delegates Standards of Practice and achieve resolution.
tasks to other providers is Educational Competencies Step 7: Evaluate the action
accountable not only for his of Graduates of Practical/ plan to determine whether
or her own actions but also Vocational Nursing further action is needed or
for the actions of the staff he Programs is published by if lessons learned in this
or she is directing. NAPNES and defines LPN/ experience can be applied
LVN competencies. forward.
D. 4. 1, 3, 4, 5 6. 1, 2, 4
1. 3 These are just some of the Nurses are at risk for
Autonomy is the principle areas that nurses must committing a tort such as
that states that the patient become knowledgeable in to restraining or medicating
can make his or her own provide to assess, plan, care a patient against his or her
decisions about health for, and evaluate patients. wishes, sharing personal
care. This right extends (2) and (6) are items that patient information, or
to all healthcare workers, may be useful in the nurse’s giving false information.
including physicians, role but are not necessary in (3) (5) (6) All examples
and regardless of the patient assessment. represent situations where
healthcare worker’s feelings 5. 1, 2, 3, 5 the patient’s preferences
about the effectiveness or Key steps in the resolution and privacy were respected.
necessity of the treatment, of ethical dilemmas include: 7. 2
it is ultimately the patient’s Step 1: Ask: Is this an ethical In this example, the nurse
right to refuse treatment. problem? owed a duty to the patient
2. 2 Step 2: Gather information and did not carry out that
It is the nurse’s relevant to the case. Patient, duty. The patient was
responsibility to collect family, healthcare agency, injured by the nurse’s
holistic assessment data and social perspectives negligence. (1) (3) (4)
from multiple sources, are important sources of The remaining words all
communicate the data to relevant information. describe similar situations,
appropriate healthcare Step 3: Identify the ethical but malpractice is specific
providers, and evaluate elements in the situation to medical and legal
patient responses to by clarifying values and professionals.
** All Chapters included
** Answer Keys for Study Guide
,Table of Contents are given below
1.Aspects of Medical-Surgical Nursing
2.Medical-Surgical Practice Settings
3.Medical-Surgical Patients: Individuals, Families, and Communities
4.Health, Illness, Stress, and Coping
5.Immunity, Inflammation, and Infection
6.Fluid, Electrolyte, and Acid-Base Balance
7.The Patient With Cancer
8.Pain
9.Shock
10.The Older Adult Patient
11.Falls
12.Immobility
13.Delirium and Dementia
14.Incontinence
15.Nutrition
16.Intravenous Therapy
17.Surgery
18.The Patient With an Ostomy
19.Palliative and Hospice Care
20.Complementary and Alternative Therapies and Integrative Health Care
21.Neurologic System Introduction
22.Neurologic Disorders
23.Cerebrovascular Accident
24.Spinal Cord Injury
25.Respiratory System Introduction
26.Upper Respiratory Disorders
27.Acute Lower Respiratory Tract Disorders
28.Chronic Lower Respiratory Tract Disorders
29.Hematologic System Introduction
30.Hematologic Disorders
31.Immunologic System Introduction
32.Immunologic Disorders
33.Cardiovascular System Introduction
34.Hypertension
35.Cardiac Disorders
36.Vascular Disorders
37.Digestive System Introduction
38.Upper Digestive Tract Disorders
39.Lower Digestive Tract Disorders
40.Liver, Gallbladder, and Pancreatic Disorders
41.Urologic System Introduction
42.Urologic Disorders
43.Musculoskeletal Introduction
44.Connective Tissue Disorders
45.Fractures
46.Amputations
47.Endocrine System Introduction
48.Pituitary and Adrenal Disorders
49.Thyroid and Parathyroid Disorders
50.Diabetes and Hypoglycemia
51.Female Reproductive System Introduction
52.Female Reproductive Disorders
53.Male Reproductive System Introduction
54.Male Reproductive Disorders
55.Sexually Transmitted Infections
56.Integumentary System Introduction
57.Skin Disorders
58.Special Senses: Vision and Hearing Introduction
59.Eye and Vision Disorders
60.Ear and Hearing Disorders
61.Psychobiologic Disorders
62.Substance-Related and Addictive Disorders
63.First Aid, Emergency Care, and Disaster Management
,Answer Key
CHAPTER 1 2. 2 16. B
Aspects of Medical-Surgical 3. The Academy of Medical- 17. B
Nursing Surgical Nurses (AMSN) 18. 1, 4, 5, 6
is the professional Characteristics of an
A. organization for nurses effective leader include: is
1. D practicing in medical- an effective communicator;
2. B surgical settings. It is consistent in managing
3. F establishes the scope conflict; is knowledgeable
4. A of practice and sets the and competent in all aspects
5. E standards for nursing of delivery of care; is a
6. C practice. role model for staff; uses
4. A participatory approach in
B. 5. B decision-making; shows
1. 1, 2, 3, 4, 5 6. F appreciation for a job well
Depending on nursing 7. E done; delegates work
preparation, education, 8. C appropriately; sets objectives
practice settings, and 9. D and guides staff; displays
specialized education, the 10. 1, 2, 4, 6 caring, understanding,
medical-surgical nurse may The following are examples and empathy for others;
function as a caregiver, of negligent acts that motivates and empowers
care coordinator, patient- have resulted in lawsuits others; is proactive and
educator, case manager, against hospitals and flexible; and focuses on team
counselor, patient advocate, nurses: failure to monitor a development.
consultant, researcher, patient; failure to document 19. 1, 2, 3, 5
administrator/manager, staff findings; failure to notify The five rights of delegation
educator, and expert witness. other staff of changes include:
2. 2 in patient status; failure Right Task: The activity falls
The roles that LVNs/LPNs to maintain or correctly within the job description
may assume are specified in use equipment; failure to of the person being given
their state nurse practice act. respond to or correctly the task (the delegatee)
carry out orders; failure or is specified in the
C. to follow the six rights of agency written policies or
1. 2, 3, 4, 6 medication administration; procedures.
Medical-surgical practice failure to convey discharge Right Circumstance: The
requires knowledge of an instructions appropriately; patient’s condition is stable.
array of medical-surgical failure to ensure patient If the condition changes,
conditions including the safety, especially those the delegatee must inform
related pathophysiology, who are at risk for injury; the licensed nurse who will
manifestations, failure to follow policies reassess the patient.
complications, treatments, and procedures; and failure Right Person: The licensed
nursing interventions, and to properly delegate and nurse and the employer
expected patient responses. supervise. must ensure that the
This knowledge guides 11. 1 delegatee has the skills and
the nursing assessment, The nurse’s best protection knowledge to perform the
planning, intervention, and against negligence and delegated activity.
evaluation. Other essential malpractice is to adhere to Right Directions and
skills for medical-surgical standards of care. Communication: The
nursing are communication, 12. A licensed nurse should
organization, teamwork, 13. A communicate specific
technical skills, and the ability 14. B instructions, and the
to multitask. 15. A delegatee should clarify
e354
, Answer Key e355
any questions and agree to interventions. (1) Diagnosis recognizing the principles
accept the delegated activity. is not the responsibility involved. Distinguish
The licensed nurse must of the LPN/LVN. (3) (4) among fact, opinion, and
confirm that the delegatee Accountability and safety values.
cannot make any decisions are important functions of Step 4: Name the problem.
and cannot modify the the nurse that relate to all A clear, simple statement
activity unless approved by aspects of nursing care, not of the problem is not
the licensed nurse. just assessment. always easy, but it helps to
Right Supervision and 3. 3 ensure effectiveness in the
Evaluation: The licensed The state nurse practice final plan and facilitates
nurse must monitor the act provides rules and discussion.
activity, follow up with the regulations for every Step 5: Identify possible
delegatee once the activity state identifying the roles courses of action. Access
has been completed, and a nurse can assume. (1) others for their input and
evaluate the outcome of The Academy of Medical- be creative in identifying
the activity. The licensed Surgical Nurses professional different options.
nurse should be available to organization represents Step 6: Create and
intervene if necessary and the interests of nurses. (2) implement an action
should ensure appropriate Healthcare institutions plan. Gather support
documentation of the activity. may provide further role from others and identify
20. 3 delineation within the state an alternative action if
An LVN/LPN who makes nurse practice act. (4) The the chosen one does not
assignments or delegates Standards of Practice and achieve resolution.
tasks to other providers is Educational Competencies Step 7: Evaluate the action
accountable not only for his of Graduates of Practical/ plan to determine whether
or her own actions but also Vocational Nursing further action is needed or
for the actions of the staff he Programs is published by if lessons learned in this
or she is directing. NAPNES and defines LPN/ experience can be applied
LVN competencies. forward.
D. 4. 1, 3, 4, 5 6. 1, 2, 4
1. 3 These are just some of the Nurses are at risk for
Autonomy is the principle areas that nurses must committing a tort such as
that states that the patient become knowledgeable in to restraining or medicating
can make his or her own provide to assess, plan, care a patient against his or her
decisions about health for, and evaluate patients. wishes, sharing personal
care. This right extends (2) and (6) are items that patient information, or
to all healthcare workers, may be useful in the nurse’s giving false information.
including physicians, role but are not necessary in (3) (5) (6) All examples
and regardless of the patient assessment. represent situations where
healthcare worker’s feelings 5. 1, 2, 3, 5 the patient’s preferences
about the effectiveness or Key steps in the resolution and privacy were respected.
necessity of the treatment, of ethical dilemmas include: 7. 2
it is ultimately the patient’s Step 1: Ask: Is this an ethical In this example, the nurse
right to refuse treatment. problem? owed a duty to the patient
2. 2 Step 2: Gather information and did not carry out that
It is the nurse’s relevant to the case. Patient, duty. The patient was
responsibility to collect family, healthcare agency, injured by the nurse’s
holistic assessment data and social perspectives negligence. (1) (3) (4)
from multiple sources, are important sources of The remaining words all
communicate the data to relevant information. describe similar situations,
appropriate healthcare Step 3: Identify the ethical but malpractice is specific
providers, and evaluate elements in the situation to medical and legal
patient responses to by clarifying values and professionals.
