,Table cof cContents
Chapter c01 cProfessional cNursing cPractice 2
Chapter c02 cMedical-Surgical cNursing 17
Chapter c03 cHealth cEducation cand cHealth cPromotion 30
Chapter c04 cAdult cHealth cand cPhysical, cNutritional, cand cCultural cAssessment 45
Chapter c05 cStress cand cInflammatory cResponses 60
Chapter c06 cGenetics cand cGenomics cin cNursing 76
Chapter c07 cDisability cand cChronic cIllness 92
Chapter c08 cManagement cof cthe cOlder cAdult cPatient 107
Chapter c09 cPain cManagement 121
Chapter c10 cFluid cand cElectrolytes 137
Chapter c11 cShock, cSepsis, cand cMultiple cOrgan cDysfunction cSyndrome 153
Chapter c12 cManagement cof cPatients cwith cOncologic cDisorders 169
Chapter c13 cPalliative cand cEnd-of-Life cCare 183
Chapter c14 cPreoperative cNursing cManagement 199
Chapter c15 cIntraoperative cNursing cManagement 214
Chapter c16 cPostoperative cNursing cManagement 228
Chapter c17 cAssessment cof cRespiratory cFunction 243
Chapter c18 cManagement cof cPatients cwith cUpper cRespiratory cTract cDisorders 258
Chapter c19 cManagement cof cPatients cwith cChest cand cLower cRespiratory cTract cDisorders 272
Chapter c20 cManagement cof cPatients cwith cChronic cPulmonary cDisease 288
Chapter c21 cAssessment cof cCardiovascular cFunction 304
Chapter c22 cManagement cof cPatients cwith cArrhythmias cand cConduction cProblems 318
Chapter c23 cManagement cof cPatients cwith cCoronary cVascular cDisorders 331
Chapter c24 cManagement cof cPatients cwith cStructural, cInfectious, cand cInflammatory cCardiac
Disorders 347
Chapter c25 cManagement cof cPatients cwith cComplications cfrom cHeart cDisease 361
Chapter c26 cAssessment cand cManagement cof cPatients cwith cVascular cDisorders cand cProblems
of cPeripheral cCirculation 375
Chapter c27 cAssessment cand cManagement cof cPatients cwith cHypertension 391
Chapter c28 cAssessment cof cHematologic cFunction cand cTreatment cModalities 405
Chapter c29 cManagement cof cPatients cwith cNonmalignant cHematologic cDisorders 420
Chapter c30 cManagement cof cPatients cwith cHematologic cNeoplasms 433
Chapter c31 cAssessment cof cImmune cFunction 448
Chapter c32 cManagement cof cPatients cwith cImmune cDeficiency cDisorders 462
Chapter c33 cAssessment cand cManagement cof cPatients cwith cAllergic cDisorders 477
Chapter c34 cAssessment cand cManagement cof cPatients cwith cInflammatory cRheumatic cDisorders 492
Chapter c35 cAssessment cof cMusculoskeletal cFunction 506
Chapter c36 cManagement cof cPatients cwith cMusculoskeletal cDisorders 520
,Chapter c37 cManagement cof cPatients cwith cMusculoskeletal cTrauma 535
Chapter c38 cAssessment cof cDigestive cand cGastrointestinal cFunction 550
Chapter c39 cManagement cof cPatients cwith cOral cand cEsophageal cDisorders 564
Chapter c40 cManagement cof cPatients cwith cGastric cand cDuodenal cDisorders 578
Chapter c41 cManagement cof cPatients cwith cIntestinal cand cRectal cDisorders 591
Chapter c42 cAssessment cand cManagement cof cPatients cwith cObesity 606
Chapter c43 cAssessment cand cManagement cof cPatients cwith cHepatic cDisorders 621
Chapter c44 cManagement cof cPatients cwith cBiliary cDisorders 635
Chapter c45 cAssessment cand cManagement cof cPatients cwith cEndocrine cDisorders 650
Chapter c46 cManagement cof cPatients cwith cDiabetes 665
Chapter c47 cAssessment cof cKidney cand cUrinary cFunction 680
Chapter c48 cManagement cof cPatients cwith cKidney cDisorders 695
Chapter c49 cManagement cof cPatients cwith cUrinary cDisorders 710
Chapter c50 cAssessment cand cManagement cof cPatients cwith cFemale cPhysiologic cProcesses 725
Chapter c51 cManagement cof cPatients cwith cFemale cReproductive cDisorders 741
Chapter c52 cAssessment cand cManagement cof cPatients cwith cBreast cDisorders 757
Chapter c53 cAssessment cand cManagement cof cPatients cwith cMale cReproductive cDisorders 771
Chapter c54 cAssessment cand cManagement cof cPatients cWho cAre cLGBTQ 786
Chapter c55 cAssessment cof cIntegumentary cFunction 794
Chapter c56 cManagement cof cPatients cwith cDermatologic cDisorders 808
Chapter c57 cManagement cof cPatients cwith cBurn cInjury 822
Chapter c58 cAssessment cand cManagement cof cPatients cwith cEye cand cVision cDisorders 837
Chapter c59 cAssessment cand cManagement cof cPatients cwith cHearing cand cBalance cDisorders 851
Chapter c60 cAssessment cof cNeurologic cFunction 866
Chapter c61 cManagement cof cPatients cWith cNeurologic cDysfunction 881
Chapter c62 cManagement cof cPatients cWith cCerebrovascular cDisorders 895
Chapter c63 cManagement cof cPatients cwith cNeurologic cTrauma 911
Chapter c64 cManagement cof cPatients cwith cNeurologic cInfections, cAutoimmune cDisorders, cand
Neuropathies 926
Chapter c65 cManagement cof cPatients cwith cOncologic cor cDegenerative cNeurologic cDisorders 940
Chapter c66 cManagement cof cPatients cwith cInfectious cDiseases 955
Chapter c67 cEmergency cNursing 968
Chapter c68 cDisaster cNursing 977
, Chapter c1: cProfessional cNursing cPractice
Hinkle: cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c15th cEdition
MULTIPLE cCHOICE
1. A cnurse chas cbeen coffered ca cposition con can cobstetric cunit cand chas clearned cthat cthe cunit coffers
ctherapeutic cabortions, ca cprocedure cthat ccontradicts cthe cnurse's cpersonal cbeliefs. cWhat cis cthe
cnurse's cethical cobligation cto cthese cclients?
A. The cnurse cshould cadhere cto cprofessional cstandards cof cpractice cand coffer cservice
cto cthese cclients.
B. The cnurse cshould cmake cthe cchoice cto cdecline cthis cposition cand cpursue ca cdifferent
cnursing crole.
C. The cnurse cshould cdecline cto ccare cfor cthe cclient’s cconsidering cabortion.
D. The cnurse cshould cexpress calternatives cto cwomen cconsidering cterminating ctheir cpregnancy.
ANS: c B
Rationale: cTo cavoid cfacing cthe cethical cdilemma cof cproviding ccare cthat ccontradicts cthe cnurse’s
cpersonal cbeliefs, cthe cnurse cshould cconsider cworking cin can carea cof cnursing cthat cwould cnot cpose
cthis cdilemma. cThe cnurse cshould cnot cprovide ccare cto cthe cclient cbecause cit cis ca cconflict cof
cpersonal cvalues. cThe cnurse cshould cnot cdeny ccare cto cthese cclients cas cthis cwould cbe ca cbreach
cin cthe cCode cof cEthics cfor cnurses. cIf cthe cclient cis cnot crequesting cinformation cfor calternatives cto
cabortions, cthen cthe cnurse cshould cnot cbe cproviding cthis cinformation.
PTS: c c 1 REF: c c p. c27
NAT: c Client cNeeds: cSafe, cEffective cCare cEnvironment: cManagement cof cCare
TOP: c Chapter c1: cProfessional cNursing cPractice KEY: c Integrated cProcess:
cCaring cBLM: c Cognitive cLevel: cApply
2. An c80-year-old cclient cis cadmitted cwith ca cdiagnosis cof ccommunity-acquired cpneumonia. cDuring
cadmission cthe cclient cstates, c"I chave ca cliving cwill." cWhat cimplication cof cthis cshould cthe cnurse
crecognize?
A. This cdocument cis calways chonored, cregardless cof ccircumstances.
B. This cdocument cspecifies cthe cclient's cwishes cbefore chospitalization.
C. This cdocument cis cbinding cfor cthe cduration cof cthe cclient's clife.
D. This cdocument chas cbeen cdrawn cup cby cthe cclient's cfamily cto cdetermine cDNR cstatus.
ANS: c B
Rationale: cA cliving cwill cis cone ctype cof cadvance cdirective. cIn cmost csituations, cliving cwills care
climited cto csituations cin cwhich cthe cclient's cmedical ccondition cis cdeemed cterminal. cThe cother
canswers care cincorrect cbecause cliving cwills care cnot calways chonored cin cevery ccircumstance, cthey
care cnot cbinding cfor cthe cduration cof cthe cclient's clife, cand cthey care cnot cdrawn cup cby cthe
cclient's cfamily.
PTS: c c 1 REF: c c p. c29
NAT: c Client cNeeds: cSafe, cEffective cCare cEnvironment: cManagement cof
cCare cTOP: c Chapter c1: cProfessional cNursing cPractice
KEY: c Integrated cProcess: cCommunication cand cDocumentation BLM: c Cognitive cLevel:
cAnalyze cNOT: c Multiple cChoice
3. A cnurse chas cbeen cproviding cethical ccare cfor cmany cyears cand cis caware cof cthe cneed cto cmaintain
cthe cethical cprinciple cof cnonmaleficence. cWhich cof cthe cfollowing cactions cwould cbe cconsidered ca
cviolation cof cthis cprinciple?
A. Discussing ca cDNR corder cwith ca cterminally cill cclient
B. Assisting ca csemi-independent cclient cwith cADLs
C. Refusing cto cadminister cpain cmedication cas cprescribed
1 c| cP ca
cg ce
Chapter c01 cProfessional cNursing cPractice 2
Chapter c02 cMedical-Surgical cNursing 17
Chapter c03 cHealth cEducation cand cHealth cPromotion 30
Chapter c04 cAdult cHealth cand cPhysical, cNutritional, cand cCultural cAssessment 45
Chapter c05 cStress cand cInflammatory cResponses 60
Chapter c06 cGenetics cand cGenomics cin cNursing 76
Chapter c07 cDisability cand cChronic cIllness 92
Chapter c08 cManagement cof cthe cOlder cAdult cPatient 107
Chapter c09 cPain cManagement 121
Chapter c10 cFluid cand cElectrolytes 137
Chapter c11 cShock, cSepsis, cand cMultiple cOrgan cDysfunction cSyndrome 153
Chapter c12 cManagement cof cPatients cwith cOncologic cDisorders 169
Chapter c13 cPalliative cand cEnd-of-Life cCare 183
Chapter c14 cPreoperative cNursing cManagement 199
Chapter c15 cIntraoperative cNursing cManagement 214
Chapter c16 cPostoperative cNursing cManagement 228
Chapter c17 cAssessment cof cRespiratory cFunction 243
Chapter c18 cManagement cof cPatients cwith cUpper cRespiratory cTract cDisorders 258
Chapter c19 cManagement cof cPatients cwith cChest cand cLower cRespiratory cTract cDisorders 272
Chapter c20 cManagement cof cPatients cwith cChronic cPulmonary cDisease 288
Chapter c21 cAssessment cof cCardiovascular cFunction 304
Chapter c22 cManagement cof cPatients cwith cArrhythmias cand cConduction cProblems 318
Chapter c23 cManagement cof cPatients cwith cCoronary cVascular cDisorders 331
Chapter c24 cManagement cof cPatients cwith cStructural, cInfectious, cand cInflammatory cCardiac
Disorders 347
Chapter c25 cManagement cof cPatients cwith cComplications cfrom cHeart cDisease 361
Chapter c26 cAssessment cand cManagement cof cPatients cwith cVascular cDisorders cand cProblems
of cPeripheral cCirculation 375
Chapter c27 cAssessment cand cManagement cof cPatients cwith cHypertension 391
Chapter c28 cAssessment cof cHematologic cFunction cand cTreatment cModalities 405
Chapter c29 cManagement cof cPatients cwith cNonmalignant cHematologic cDisorders 420
Chapter c30 cManagement cof cPatients cwith cHematologic cNeoplasms 433
Chapter c31 cAssessment cof cImmune cFunction 448
Chapter c32 cManagement cof cPatients cwith cImmune cDeficiency cDisorders 462
Chapter c33 cAssessment cand cManagement cof cPatients cwith cAllergic cDisorders 477
Chapter c34 cAssessment cand cManagement cof cPatients cwith cInflammatory cRheumatic cDisorders 492
Chapter c35 cAssessment cof cMusculoskeletal cFunction 506
Chapter c36 cManagement cof cPatients cwith cMusculoskeletal cDisorders 520
,Chapter c37 cManagement cof cPatients cwith cMusculoskeletal cTrauma 535
Chapter c38 cAssessment cof cDigestive cand cGastrointestinal cFunction 550
Chapter c39 cManagement cof cPatients cwith cOral cand cEsophageal cDisorders 564
Chapter c40 cManagement cof cPatients cwith cGastric cand cDuodenal cDisorders 578
Chapter c41 cManagement cof cPatients cwith cIntestinal cand cRectal cDisorders 591
Chapter c42 cAssessment cand cManagement cof cPatients cwith cObesity 606
Chapter c43 cAssessment cand cManagement cof cPatients cwith cHepatic cDisorders 621
Chapter c44 cManagement cof cPatients cwith cBiliary cDisorders 635
Chapter c45 cAssessment cand cManagement cof cPatients cwith cEndocrine cDisorders 650
Chapter c46 cManagement cof cPatients cwith cDiabetes 665
Chapter c47 cAssessment cof cKidney cand cUrinary cFunction 680
Chapter c48 cManagement cof cPatients cwith cKidney cDisorders 695
Chapter c49 cManagement cof cPatients cwith cUrinary cDisorders 710
Chapter c50 cAssessment cand cManagement cof cPatients cwith cFemale cPhysiologic cProcesses 725
Chapter c51 cManagement cof cPatients cwith cFemale cReproductive cDisorders 741
Chapter c52 cAssessment cand cManagement cof cPatients cwith cBreast cDisorders 757
Chapter c53 cAssessment cand cManagement cof cPatients cwith cMale cReproductive cDisorders 771
Chapter c54 cAssessment cand cManagement cof cPatients cWho cAre cLGBTQ 786
Chapter c55 cAssessment cof cIntegumentary cFunction 794
Chapter c56 cManagement cof cPatients cwith cDermatologic cDisorders 808
Chapter c57 cManagement cof cPatients cwith cBurn cInjury 822
Chapter c58 cAssessment cand cManagement cof cPatients cwith cEye cand cVision cDisorders 837
Chapter c59 cAssessment cand cManagement cof cPatients cwith cHearing cand cBalance cDisorders 851
Chapter c60 cAssessment cof cNeurologic cFunction 866
Chapter c61 cManagement cof cPatients cWith cNeurologic cDysfunction 881
Chapter c62 cManagement cof cPatients cWith cCerebrovascular cDisorders 895
Chapter c63 cManagement cof cPatients cwith cNeurologic cTrauma 911
Chapter c64 cManagement cof cPatients cwith cNeurologic cInfections, cAutoimmune cDisorders, cand
Neuropathies 926
Chapter c65 cManagement cof cPatients cwith cOncologic cor cDegenerative cNeurologic cDisorders 940
Chapter c66 cManagement cof cPatients cwith cInfectious cDiseases 955
Chapter c67 cEmergency cNursing 968
Chapter c68 cDisaster cNursing 977
, Chapter c1: cProfessional cNursing cPractice
Hinkle: cBrunner c& cSuddarth's cTextbook cof cMedical-Surgical cNursing, c15th cEdition
MULTIPLE cCHOICE
1. A cnurse chas cbeen coffered ca cposition con can cobstetric cunit cand chas clearned cthat cthe cunit coffers
ctherapeutic cabortions, ca cprocedure cthat ccontradicts cthe cnurse's cpersonal cbeliefs. cWhat cis cthe
cnurse's cethical cobligation cto cthese cclients?
A. The cnurse cshould cadhere cto cprofessional cstandards cof cpractice cand coffer cservice
cto cthese cclients.
B. The cnurse cshould cmake cthe cchoice cto cdecline cthis cposition cand cpursue ca cdifferent
cnursing crole.
C. The cnurse cshould cdecline cto ccare cfor cthe cclient’s cconsidering cabortion.
D. The cnurse cshould cexpress calternatives cto cwomen cconsidering cterminating ctheir cpregnancy.
ANS: c B
Rationale: cTo cavoid cfacing cthe cethical cdilemma cof cproviding ccare cthat ccontradicts cthe cnurse’s
cpersonal cbeliefs, cthe cnurse cshould cconsider cworking cin can carea cof cnursing cthat cwould cnot cpose
cthis cdilemma. cThe cnurse cshould cnot cprovide ccare cto cthe cclient cbecause cit cis ca cconflict cof
cpersonal cvalues. cThe cnurse cshould cnot cdeny ccare cto cthese cclients cas cthis cwould cbe ca cbreach
cin cthe cCode cof cEthics cfor cnurses. cIf cthe cclient cis cnot crequesting cinformation cfor calternatives cto
cabortions, cthen cthe cnurse cshould cnot cbe cproviding cthis cinformation.
PTS: c c 1 REF: c c p. c27
NAT: c Client cNeeds: cSafe, cEffective cCare cEnvironment: cManagement cof cCare
TOP: c Chapter c1: cProfessional cNursing cPractice KEY: c Integrated cProcess:
cCaring cBLM: c Cognitive cLevel: cApply
2. An c80-year-old cclient cis cadmitted cwith ca cdiagnosis cof ccommunity-acquired cpneumonia. cDuring
cadmission cthe cclient cstates, c"I chave ca cliving cwill." cWhat cimplication cof cthis cshould cthe cnurse
crecognize?
A. This cdocument cis calways chonored, cregardless cof ccircumstances.
B. This cdocument cspecifies cthe cclient's cwishes cbefore chospitalization.
C. This cdocument cis cbinding cfor cthe cduration cof cthe cclient's clife.
D. This cdocument chas cbeen cdrawn cup cby cthe cclient's cfamily cto cdetermine cDNR cstatus.
ANS: c B
Rationale: cA cliving cwill cis cone ctype cof cadvance cdirective. cIn cmost csituations, cliving cwills care
climited cto csituations cin cwhich cthe cclient's cmedical ccondition cis cdeemed cterminal. cThe cother
canswers care cincorrect cbecause cliving cwills care cnot calways chonored cin cevery ccircumstance, cthey
care cnot cbinding cfor cthe cduration cof cthe cclient's clife, cand cthey care cnot cdrawn cup cby cthe
cclient's cfamily.
PTS: c c 1 REF: c c p. c29
NAT: c Client cNeeds: cSafe, cEffective cCare cEnvironment: cManagement cof
cCare cTOP: c Chapter c1: cProfessional cNursing cPractice
KEY: c Integrated cProcess: cCommunication cand cDocumentation BLM: c Cognitive cLevel:
cAnalyze cNOT: c Multiple cChoice
3. A cnurse chas cbeen cproviding cethical ccare cfor cmany cyears cand cis caware cof cthe cneed cto cmaintain
cthe cethical cprinciple cof cnonmaleficence. cWhich cof cthe cfollowing cactions cwould cbe cconsidered ca
cviolation cof cthis cprinciple?
A. Discussing ca cDNR corder cwith ca cterminally cill cclient
B. Assisting ca csemi-independent cclient cwith cADLs
C. Refusing cto cadminister cpain cmedication cas cprescribed
1 c| cP ca
cg ce
