Test Bank Ignatavicius Medical Surgical 9th 2017.pdf.VERIFIED

Test Bank Ignatavicius Medical Surgical 9th Table of Contents Table of Contents 1 Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing 3 Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing 11 Chapter 03: Common Health Problems of Older Adults 18 Chapter 04: Assessment and Care of Patients with Pain 28 Chapter 05: Genetic Concepts for Medical-Surgical Nursing 46 Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems 55 Chapter 07: End-of-Life Care 64 Chapter 08: Concepts of Emergency and Trauma Nursing 73 Chapter 09: Care of Patients with Common Environmental Emergencies 82 Chapter 10: Concepts of Emergency and Disaster Preparedness 91 Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances 100 Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances 111 Chapter 13: Infusion Therapy 121 Chapter 14: Care of Preoperative Patients 136 Chapter 15: Care of Intraoperative Patients 149 Chapter 16: Care of Postoperative Patients 157 Chapter 17: Inflammation and Immunity 167 Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases 176 Chapter 19: Care of Patients with HIV Disease 199 Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity 212 Chapter 21: Cancer Development 219 Chapter 22: Care of Patients with Cancer 225 Chapter 23: Care of Patients with Infection 239 Chapter 24: Assessment of the Skin, Hair, and Nails 249 Chapter 25: Care of Patients with Skin Problems 256 lOMoAR cPSD| Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2 Page 2 of 893 Chapter 26: Care of Patients with Burns 279 Chapter 27: Assessment of the Respiratory System 301 Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy 311 Chapter 29: Care of Patients with Noninfectious Upper Respiratory Problems 320 Chapter 30: Care of Patients with Noninfectious Lower Respiratory Problems 330 Chapter 31: Care of Patients with Infectious Respiratory Problems 348 Chapter 32: Care of Critically Ill Patients with Respiratory Problems 362 Chapter 33: Assessment of the Cardiovascular System 379 Chapter 34: Care of Patients with Dysrhythmias 392 Chapter 35: Care of Patients with Cardiac Problems 405 Chapter 36: Care of Patients with Vascular Problems 421 Chapter 37: Care of Patients with Shock 438 Chapter 38: Care of Patients with Acute Coronary Syndromes 449 Chapter 39: Assessment of the Hematologic System 464 Chapter 40: Care of Patients with Hematologic Problems 469 Chapter 41: Assessment of the Nervous System 487 Chapter 42: Care of Patients with Problems of the CNS: The Brain 502 Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord 518 Chapter 44: Care of Patients with Problems of the Peripheral Nervous System 532 Chapter 45: Care of Critically Ill Patients with Neurologic Problems 540 Chapter 46: Assessment of the Eye and Vision 561 Chapter 47: Care of Patients with Eye and Vision Problems 565 Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems 573 Chapter 49: Assessment of the Musculoskeletal System 583 Chapter 50: Care of Patients with Musculoskeletal Problems 589 Chapter 51: Care of Patients with Musculoskeletal Trauma 602 Chapter 52: Assessment of the Gastrointestinal System 618 lOMoAR cPSD| Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3 Chapter 53: Care of Patients with Oral Cavity Problems 627 Chapter 54: Care of Patients with Esophageal Problems 632 Chapter 55: Care of Patients with Stomach Disorders 644 Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders 653 Chapter 57: Care of Patients with Inflammatory Intestinal Disorders 668 Chapter 58: Care of Patients with Liver Problems 683 Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas 695 Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity 707 Chapter 61: Assessment of the Endocrine System 720 Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems 728 Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands 740 Chapter 64: Care of Patients with Diabetes Mellitus 750 Chapter 65: Assessment of the Renal/Urinary System 780 Chapter 66: Care of Patients with Urinary Problems 793 Chapter 67: Care of Patients with Kidney Disorders 809 Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease 820 Chapter 69: Assessment of the Reproductive System 837 Chapter 70: Care of Patients with Breast Disorders 842 Chapter 71: Care of Patients with Gynecologic Problems 853 Chapter 72: Care of Patients with Male Reproductive Problems 863 Chapter 73: Care of Transgender Patients 875 Chapter 74: Care of Patients with Sexually Transmitted Diseases 881 lOMoAR cPSD| Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 4 Page 4 of 893 Chapter 01: Overview of Professional Nursing Concepts for MedicalSurgical Nursing MULTIPLE CHOICE 1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensures that all the clients basic needs are met c. Tells the client and family about all upcoming tests d. Thoroughly orients the client and family to the room ANS: A Competency in client-focused care is demonstrated when the nurse focuses on communication,culture, respect, compassion, client education, and empowerment. By assessing the effect of the clients culture on health care, this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence. Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client and family to the room is an important safety measure, but not directly related to demonstrating client-centered care. DIF: Understanding/Comprehension REF: 3 KEY: Patient-centeredcare| culture MSC: Integrated Process: Caring NOT: Client Needs Category: Psychosocial Integrity 2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm Hg 30 minutesago, and now is 88/50 mm Hg. What action by the nurse is best? a. Call the Rapid Response Team. b. Document and continue to monitor. c. Notify the primarycare provider. d. Repeat blood pressure measurement in 15 minutes. ANS: A The purposeof the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do more than document. The primarycare provider should be notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed frequently, but the priority is getting the rapid care to the client. DIF: Applying/Application REF: 3 lOMoAR cPSD| Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 5 KEY: Rapid Response Team (RRT)| medicalemergencies MSC: Integrated Process: Communicationand Documentation NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation 3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to help the client promote his or her own safety? a. Encourage the client and family to be active partners. b. Have the client monitorhand hygienein caregivers. c. Offerthe family the opportunity to stay with the client. d. Tell the client to always wear his or her armband. ANS: A Each action could be important for the client or family to perform. However, encouraging the client to be active in his or her health care as a partner is the most critical. The other actions are very limited in scope and do not provide the broad protection that being active and involved does. DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control 4. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care ANS: B All actions are appropriate for the professional nurse. However, ensuring client safety is the priority.Up to 98,000 deaths result each year from errors in hospitalcare, according to the 2000 Institute of Medicine report. Many more clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to guard the clients safety. DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process: NursingProcess: Intervention NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control lOMoAR cPSD| Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 6 Page 6 of 893 5. A client is going to be admitted for a scheduled surgicalprocedure. Which action does the nurse explain is the most important thing the client can do to protect against errors? a. Bring a list of all medications and what they are for. b. Keep the doctors phone number by the telephone. c. Make sure all providers wash hands before entering the room. d. Write down the name of each caregiver who comes in the room. ANS: A Medication errors are the most