Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
c c
SectioncOnec–cConceptscincNursingcPractice
1cIntroductionctocMedical-SurgicalcNursingcPracticecincCanada
2cCulturalcCompetencecandcHealthcEquitycincCare
3cHealthcHistorycandcPhysicalcExamination
4cPatientcandcCaregivercTeaching
5cChroniccIllness
6cCommunity-BasedcNursingcandcHomecCare
7cOldercAdults
8cStresscandcStresscManagement
9cSleepcandcSleepcDisorders
10cPain
11cSubstancecUse
12cComplementarycandcAlternativecTherapies
13cPalliativecCarecatcthecEndcofcLife
SectioncTwoc–cPathophysiologicalcMechanismscofcDisease
14cInflammationcandcWoundcHealing
15cGenetics
16cAlteredcImmunecResponsecandcTransplantation
17cInfectioncandcHumancImmunodeficiencycViruscInfection
18cCancer
19cFluid,cElectrolyte,candcAcid–BasecImbalances
SectioncThreec–cPerioperativecCare
20cNursingcManagement:cPreoperativecCare
21cNursingcManagement:cIntraoperativecCare
22cNursingcManagement:cPost-operativecCare
SectioncFourc–cProblemscRelatedctocAlteredcSensorycInput
23cNursingcAssessment:cVisualcandcAuditorycSystems
24cNursingcManagement:cVisualcandcAuditorycProblems
25cNursingcAssessment:cIntegumentarycSystem
26cNursingcManagement:cIntegumentarycProblems
27cNursingcManagement:cBurns
SectioncFivec–cProblemscofcOxygenation:cVentilation
28cNursingcAssessment:cRespiratorycSystem
29cNursingcManagement:cUppercRespiratorycProblems
30cNursingcManagement:cLowercRespiratorycProblems
31cNursingcManagement:cObstructivecPulmonarycDiseases
SectioncSixc–cProblemscofcOxygenation:cTransport
32cNursingcAssessment:cHematologicalcSystem
33cNursingcManagement:cHematologicalcProblems
SectioncSevenc–cProblemscofcOxygenation:cPerfusion
34cNursingcAssessment:cCardiovascularcSystem
35cNursingcManagement:cHypertension
36cNursingcManagement:cCoronarycArterycDiseasecandcAcutecCoronarycSyndrome
,37cNursingcManagement:cHeartcFailure
38cNursingcManagement:cDysrhythmias
39cNursingcManagement:cInflammatorycandcStructuralcHeartcDiseases
40cNursingcManagement:cVascularcDisorders
SectioncEightc–cProblemscofcIngestion,cDigestion,cAbsorption,candcElimination
41cNursingcAssessment:cGastrointestinalcSystem
42cNursingcManagement:cNutritionalcProblems
43cNursingcManagement:cObesity
44cNursingcManagement:cUppercGastrointestinalcProblems
45cNursingcManagement:cLowercGastrointestinalcProblems
46cNursingcManagement:cLiver,cPancreas,candcBiliarycTractcProblems
SectioncNinec–cProblemscofcUrinarycFunction
47cNursingcAssessment:cUrinarycSystem
48cNursingcManagement:cRenalcandcUrologicalcProblems
49cNursingcManagement:cAcutecKidneycInjurycandcChroniccKidneycDisease
SectioncTenc–cProblemscRelatedctocRegulatorycandcReproductivecMechanisms
50cNursingcAssessment:cEndocrinecSystem
51cNursingcManagement:cEndocrinecProblems
52cNursingcManagement:cDiabetescMellitus
53cNursingcAssessment:cReproductivecSystem
54cNursingcManagement:cBreastcDisorders
55cNursingcManagement:cSexuallycTransmittedcInfections
56cNursingcManagement:cFemalecReproductivecProblems
57cNursingcManagement:cMalecReproductivecProblems
SectioncElevenc–cProblemscRelatedctocMovementcandcCoordination
58cNursingcAssessment:cNervouscSystem
59cNursingcManagement:cAcutecIntracranialcProblems
60cNursingcManagement:cStroke
61cNursingcManagement:cChroniccNeurologicalcProblems
62cNursingcManagement:cDelirium,cAlzheimer’scDisease,candcOthercDementias
63cNursingcManagement:cPeripheralcNervecandcSpinalcCordcProblems
64cNursingcAssessment:cMusculoskeletalcSystem
65cNursingcManagement:cMusculoskeletalcTraumacandcOrthopediccSurgery
66cNursingcManagement:cMusculoskeletalcProblems
67cNursingcManagement:cArthritiscandcConnectivecTissuecDiseases
SectioncTwelvec–cNursingcCarecincSpecializedcSettings
68cNursingcManagement:cCriticalcCarecEnvironment
69cNursingcManagement:cShock,cSystemiccInflammatorycResponsecSyndrome,candcMultiple-
OrgancDysfunctioncSyndrome
70cNursingcManagement:cRespiratorycFailurecandcAcutecRespiratorycDistresscSyndrome
71cNursingcManagement:cEmergencycCarecSituations
72cEmergencycManagementcandcDisastercPlanning
, Chapterc01:cIntroductionctocMedical-
SurgicalcNursingcPracticecincCanadacLewis:cMedical-
SurgicalcNursingcincCanada,c4thcCanadiancEdition
MULTIPLEcCHOICE
1. Whenccaringcforcclientscusingcevidence-
informedcpractice,cwhichcofcthecfollowingcdoescthecnursecuse?
a. Clinicalcjudgementcbasedconcexperience
b. Evidencecfromcacclinicalcresearchcstudy
c. Thecbestcavailablecevidencectocguidecclinicalcexpertise
d. Evaluationcofcdatacshowingcthatcthecclientcoutcomescarecmet
CORRECTcANSWER:c
C
Evidence-
informedcnursingcpracticeciscaccontinuouscinteractivecprocesscinvolvingcthecexplicit,cconscientious,
candcjudiciouscconsiderationcofcthecbestcavailablecevidencectocprovideccare.cFourcprimarycelements
care:c(a)cclinicalcstate,csetting,candccircumstances;c(b)cclientcpreferencescandcactions;c(c)cbestcresear
chcevidence;candc(d)chealthccarecresources.cClinicalcjudgementcbasedconcthecnurse’scclinicalcexperi
enceciscpartcofcEIP,cbutcclinicalcdecisioncmakingcalsocshouldcincorporateccurrentcresearchcandcres
earch-
basedcguidelines.cEvidencecfromconecclinicalcresearchcstudycdoescnotcprovidecancadequatecsubsta
ntiationcforcinterventions.cEvaluationcofcclientcoutcomesciscimportant,cbutcinterventionscshouldcbe
cbasedconcresearchcfromcrandomizedccontrolcstudiescwithcaclargecnumbercofcsubjects.
DIF: CognitivecLevel:cComprehension TOP:c NursingcProcess:cPlanning
2. Whichc ofc thec followingc bestc e x p l a i n s t h e n u r s e s ’ c pr imaryc usec ofc thec nursingc processc when
N R I G B. C M
providingccarectocclients? UcScNcT O
a. Tocexplaincnursingcinterventionsctocotherchealthccarecprofessionals
b. Ascacproblem-solvingctoolctocidentifycandctreatcclients’chealthccarecneeds
c. Ascacscientific-basedcprocesscofcdiagnosingcthecclient’schealthccarecproblems
d. Tocestablishcnursingctheorycthatcincorporatescthecbiopsychosocialcnaturecofchumans
CORRECTcANSWER:c B
Thecnursingcprocessciscancassertivecproblem-
solvingcapproachctocthecidentificationcandctreatmentcofcclients’cproblems.cDiagnosiscisconlyconecph
asecofcthecnursingcprocess.cThe
primarycusecofcthecnursingcprocessciscincclientccare,cnotctocestablishcnursingctheorycorcexplaincnursi
ngcinterventionsctocotherchealthccarecprofessionals.
DIF: CognitivecLevel:cComprehension TOP:c NursingcProcess:cImplementation
3. Thecnursecisccaringcforcaccriticallycillcclientcincthecintensiveccarecunitcandcplanscanceveryc2-
hourcturningcschedulectocpreventcskincbreakdown.cWhichctypecofcnursingcfunctionciscdemonstrate
dcwithcthiscturningcschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECTcANSWER:c D