TEST BANK
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
12 12
Section12One12–12Concepts12in12Nursing12Practice
112Introduction12to12Medical-Surgical12Nursing12Practice12in12Canada
212Cultural12Competence12and12Health12Equity12in12Care
312Health12History12and12Physical12Examination
412Patient12and12Caregiver12Teaching
512Chronic12Illness
612Community-Based12Nursing12and12Home12Care
712Older12Adults
812Stress12and12Stress12Management
912Sleep12and12Sleep12Disorders
1012Pain
1112Substance12Use
1212Complementary12and12Alternative12Therapies
1312Palliative12Care12at12the12End12of12Life
Section12Two12–12Pathophysiological12Mechanisms12of12Disease
1412Inflammation12and12Wound12Healing
1512Genetics
1612Altered12Immune12Response12and12Transplantation
1712Infection12and12Human12Immunodeficiency12Virus12Infection
1812Cancer
1912Fluid,12Electrolyte,12and12Acid–Base12Imbalances
Section12Three12–12Perioperative12Care
2012Nursing12Management:12Preoperative12Care
2112Nursing12Management:12Intraoperative12Care
2212Nursing12Management:12Post-operative12Care
Section12Four12–12Problems12Related12to12Altered12Sensory12Input
2312Nursing12Assessment:12Visual12and12Auditory12Systems
2412Nursing12Management:12Visual12and12Auditory12Problems
2512Nursing12Assessment:12Integumentary12System
2612Nursing12Management:12Integumentary12Problems
2712Nursing12Management:12Burns
Section12Five12–12Problems12of12Oxygenation:12Ventilation
2812Nursing12Assessment:12Respiratory12System
2912Nursing12Management:12Upper12Respiratory12Problems
3012Nursing12Management:12Lower12Respiratory12Problems
3112Nursing12Management:12Obstructive12Pulmonary12Diseases
Section12Six12–12Problems12of12Oxygenation:12Transport
3212Nursing12Assessment:12Hematological12System
3312Nursing12Management:12Hematological12Problems
Section12Seven12–12Problems12of12Oxygenation:12Perfusion
3412Nursing12Assessment:12Cardiovascular12System
3512Nursing12Management:12Hypertension
3612Nursing12Management:12Coronary12Artery12Disease12and12Acute12Coronary12Syndrome
,3712Nursing12Management:12Heart12Failure
3812Nursing12Management:12Dysrhythmias
3912Nursing12Management:12Inflammatory12and12Structural12Heart12Diseases
4012Nursing12Management:12Vascular12Disorders
Section12Eight12–12Problems12of12Ingestion,12Digestion,12Absorption,12and12Elimination
4112Nursing12Assessment:12Gastrointestinal12System
4212Nursing12Management:12Nutritional12Problems
4312Nursing12Management:12Obesity
4412Nursing12Management:12Upper12Gastrointestinal12Problems
4512Nursing12Management:12Lower12Gastrointestinal12Problems
4612Nursing12Management:12Liver,12Pancreas,12and12Biliary12Tract12Problems
Section12Nine12–12Problems12of12Urinary12Function
4712Nursing12Assessment:12Urinary12System
4812Nursing12Management:12Renal12and12Urological12Problems
4912Nursing12Management:12Acute12Kidney12Injury12and12Chronic12Kidney12Disease
Section12Ten12–12Problems12Related12to12Regulatory12and12Reproductive12Mechanisms
5012Nursing12Assessment:12Endocrine12System
5112Nursing12Management:12Endocrine12Problems
5212Nursing12Management:12Diabetes12Mellitus
5312Nursing12Assessment:12Reproductive12System
5412Nursing12Management:12Breast12Disorders
5512Nursing12Management:12Sexually12Transmitted12Infections
5612Nursing12Management:12Female12Reproductive12Problems
5712Nursing12Management:12Male12Reproductive12Problems
Section12Eleven12–12Problems12Related12to12Movement12and12Coordination
5812Nursing12Assessment:12Nervous12System
5912Nursing12Management:12Acute12Intracranial12Problems
6012Nursing12Management:12Stroke
6112Nursing12Management:12Chronic12Neurological12Problems
6212Nursing12Management:12Delirium,12Alzheimer’s12Disease,12and12Other12Dementias
6312Nursing12Management:12Peripheral12Nerve12and12Spinal12Cord12Problems
6412Nursing12Assessment:12Musculoskeletal12System
6512Nursing12Management:12Musculoskeletal12Trauma12and12Orthopedic12Surgery
6612Nursing12Management:12Musculoskeletal12Problems
6712Nursing12Management:12Arthritis12and12Connective12Tissue12Diseases
Section12Twelve12–12Nursing12Care12in12Specialized12Settings
6812Nursing12Management:12Critical12Care12Environment
6912Nursing12Management:12Shock,12Systemic12Inflammatory12Response12Syndrome,12and12M
ultiple-Organ12Dysfunction12Syndrome
7012Nursing12Management:12Respiratory12Failure12and12Acute12Respiratory12Distress12Syndro
me
7112Nursing12Management:12Emergency12Care12Situations
7212Emergency12Management12and12Disaster12Planning
, Chapter1201:12Introduction12to12Medical-
Surgical12Nursing12Practice12in12Canada12Lewis:12Medical-
Surgical12Nursing12in12Canada,124th12Canadian12Edition
MULTIPLE12CHOICE
1. When12caring12for12clients12using12evidence-
informed12practice,12which12of12the12following12does12the12nurse12use?
a. Clinical12judgement12based12on12experience
b. Evidence12from12a12clinical12research12study
c. The12best12available12evidence12to12guide12clinical12expertise
d. Evaluation12of12data12showing12that12the12client12outcomes12are12met
CORRECT12ANSWER:
1 2 C
Evidence-
informed12nursing12practice12is12a12continuous12interactive12process12involving12the12explicit,12c
onscientious,12and12judicious12consideration12of12the12best12available12evidence12to12provide12car
e.12Four12primary12elements12are:12(a)12clinical12state,12setting,12and12circumstances;12(b)12client1
2preferences12and12actions;12(c)12best12research12evidence;12and12(d)12health12care12resources.12
Clinical12judgement12based12on12the12nurse’s12clinical12experience12is12part12of12EIP,12but12clini
cal12decision12making12also12should12incorporate12current12research12and12research-
based12guidelines.12Evidence12from12one12clinical12research12study12does12not12provide12an12ad
equate12substantiation12for12interventions.12Evaluation12of12client12outcomes12is12important,12bu
t12interventions12should12be12based12on12research12from12randomized12control12studies12with12a
12large12number12of12subjects.
DIF: Cognitive12Level:12Comprehension TOP:1 2 Nursing12Process:12Planning
2. Which12 of12 the12 following12 best12 N
e x p lRa i n sIt h eGn u B
r s e. sC
’ 12 prM
imary12 use12 of12 the12 nursing12 process
12 when
providing12care12to12clien U12S12N12T O
ts?
a. To12explain12nursing12interventions12to12other12health12care12professionals
b. As12a12problem-solving12tool12to12identify12and12treat12clients’12health12care12needs
c. As12a12scientific-based12process12of12diagnosing12the12client’s12health12care12problems
d. To12establish12nursing12theory12that12incorporates12the12biopsychosocial12nature12of12humans
CORRECT12ANSWER:1 2 B
The12nursing12process12is12an12assertive12problem-
solving12approach12to12the12identification12and12treatment12of12clients’12problems.12Diagnosis12is
12only12one12phase12of12the12nursing12process.12The
primary12use12of12the12nursing12process12is12in12client12care,12not12to12establish12nursing12theory1
2or12explain12nursing12interventions12to12other12health12care12professionals.
DIF: Cognitive12Level:12Comprehension TOP:1 2 Nursing12Process:12Implementation
3. The12nurse12is12caring12for12a12critically12ill12client12in12the12intensive12care12unit12and12plans12an
12every122-
hour12turning12schedule12to12prevent12skin12breakdown.12Which12type12of12nursing12function12i
s12demonstrated12with12this12turning12schedule?
a. Dependent
b. Cooperative
c. Independent
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
12 12
Section12One12–12Concepts12in12Nursing12Practice
112Introduction12to12Medical-Surgical12Nursing12Practice12in12Canada
212Cultural12Competence12and12Health12Equity12in12Care
312Health12History12and12Physical12Examination
412Patient12and12Caregiver12Teaching
512Chronic12Illness
612Community-Based12Nursing12and12Home12Care
712Older12Adults
812Stress12and12Stress12Management
912Sleep12and12Sleep12Disorders
1012Pain
1112Substance12Use
1212Complementary12and12Alternative12Therapies
1312Palliative12Care12at12the12End12of12Life
Section12Two12–12Pathophysiological12Mechanisms12of12Disease
1412Inflammation12and12Wound12Healing
1512Genetics
1612Altered12Immune12Response12and12Transplantation
1712Infection12and12Human12Immunodeficiency12Virus12Infection
1812Cancer
1912Fluid,12Electrolyte,12and12Acid–Base12Imbalances
Section12Three12–12Perioperative12Care
2012Nursing12Management:12Preoperative12Care
2112Nursing12Management:12Intraoperative12Care
2212Nursing12Management:12Post-operative12Care
Section12Four12–12Problems12Related12to12Altered12Sensory12Input
2312Nursing12Assessment:12Visual12and12Auditory12Systems
2412Nursing12Management:12Visual12and12Auditory12Problems
2512Nursing12Assessment:12Integumentary12System
2612Nursing12Management:12Integumentary12Problems
2712Nursing12Management:12Burns
Section12Five12–12Problems12of12Oxygenation:12Ventilation
2812Nursing12Assessment:12Respiratory12System
2912Nursing12Management:12Upper12Respiratory12Problems
3012Nursing12Management:12Lower12Respiratory12Problems
3112Nursing12Management:12Obstructive12Pulmonary12Diseases
Section12Six12–12Problems12of12Oxygenation:12Transport
3212Nursing12Assessment:12Hematological12System
3312Nursing12Management:12Hematological12Problems
Section12Seven12–12Problems12of12Oxygenation:12Perfusion
3412Nursing12Assessment:12Cardiovascular12System
3512Nursing12Management:12Hypertension
3612Nursing12Management:12Coronary12Artery12Disease12and12Acute12Coronary12Syndrome
,3712Nursing12Management:12Heart12Failure
3812Nursing12Management:12Dysrhythmias
3912Nursing12Management:12Inflammatory12and12Structural12Heart12Diseases
4012Nursing12Management:12Vascular12Disorders
Section12Eight12–12Problems12of12Ingestion,12Digestion,12Absorption,12and12Elimination
4112Nursing12Assessment:12Gastrointestinal12System
4212Nursing12Management:12Nutritional12Problems
4312Nursing12Management:12Obesity
4412Nursing12Management:12Upper12Gastrointestinal12Problems
4512Nursing12Management:12Lower12Gastrointestinal12Problems
4612Nursing12Management:12Liver,12Pancreas,12and12Biliary12Tract12Problems
Section12Nine12–12Problems12of12Urinary12Function
4712Nursing12Assessment:12Urinary12System
4812Nursing12Management:12Renal12and12Urological12Problems
4912Nursing12Management:12Acute12Kidney12Injury12and12Chronic12Kidney12Disease
Section12Ten12–12Problems12Related12to12Regulatory12and12Reproductive12Mechanisms
5012Nursing12Assessment:12Endocrine12System
5112Nursing12Management:12Endocrine12Problems
5212Nursing12Management:12Diabetes12Mellitus
5312Nursing12Assessment:12Reproductive12System
5412Nursing12Management:12Breast12Disorders
5512Nursing12Management:12Sexually12Transmitted12Infections
5612Nursing12Management:12Female12Reproductive12Problems
5712Nursing12Management:12Male12Reproductive12Problems
Section12Eleven12–12Problems12Related12to12Movement12and12Coordination
5812Nursing12Assessment:12Nervous12System
5912Nursing12Management:12Acute12Intracranial12Problems
6012Nursing12Management:12Stroke
6112Nursing12Management:12Chronic12Neurological12Problems
6212Nursing12Management:12Delirium,12Alzheimer’s12Disease,12and12Other12Dementias
6312Nursing12Management:12Peripheral12Nerve12and12Spinal12Cord12Problems
6412Nursing12Assessment:12Musculoskeletal12System
6512Nursing12Management:12Musculoskeletal12Trauma12and12Orthopedic12Surgery
6612Nursing12Management:12Musculoskeletal12Problems
6712Nursing12Management:12Arthritis12and12Connective12Tissue12Diseases
Section12Twelve12–12Nursing12Care12in12Specialized12Settings
6812Nursing12Management:12Critical12Care12Environment
6912Nursing12Management:12Shock,12Systemic12Inflammatory12Response12Syndrome,12and12M
ultiple-Organ12Dysfunction12Syndrome
7012Nursing12Management:12Respiratory12Failure12and12Acute12Respiratory12Distress12Syndro
me
7112Nursing12Management:12Emergency12Care12Situations
7212Emergency12Management12and12Disaster12Planning
, Chapter1201:12Introduction12to12Medical-
Surgical12Nursing12Practice12in12Canada12Lewis:12Medical-
Surgical12Nursing12in12Canada,124th12Canadian12Edition
MULTIPLE12CHOICE
1. When12caring12for12clients12using12evidence-
informed12practice,12which12of12the12following12does12the12nurse12use?
a. Clinical12judgement12based12on12experience
b. Evidence12from12a12clinical12research12study
c. The12best12available12evidence12to12guide12clinical12expertise
d. Evaluation12of12data12showing12that12the12client12outcomes12are12met
CORRECT12ANSWER:
1 2 C
Evidence-
informed12nursing12practice12is12a12continuous12interactive12process12involving12the12explicit,12c
onscientious,12and12judicious12consideration12of12the12best12available12evidence12to12provide12car
e.12Four12primary12elements12are:12(a)12clinical12state,12setting,12and12circumstances;12(b)12client1
2preferences12and12actions;12(c)12best12research12evidence;12and12(d)12health12care12resources.12
Clinical12judgement12based12on12the12nurse’s12clinical12experience12is12part12of12EIP,12but12clini
cal12decision12making12also12should12incorporate12current12research12and12research-
based12guidelines.12Evidence12from12one12clinical12research12study12does12not12provide12an12ad
equate12substantiation12for12interventions.12Evaluation12of12client12outcomes12is12important,12bu
t12interventions12should12be12based12on12research12from12randomized12control12studies12with12a
12large12number12of12subjects.
DIF: Cognitive12Level:12Comprehension TOP:1 2 Nursing12Process:12Planning
2. Which12 of12 the12 following12 best12 N
e x p lRa i n sIt h eGn u B
r s e. sC
’ 12 prM
imary12 use12 of12 the12 nursing12 process
12 when
providing12care12to12clien U12S12N12T O
ts?
a. To12explain12nursing12interventions12to12other12health12care12professionals
b. As12a12problem-solving12tool12to12identify12and12treat12clients’12health12care12needs
c. As12a12scientific-based12process12of12diagnosing12the12client’s12health12care12problems
d. To12establish12nursing12theory12that12incorporates12the12biopsychosocial12nature12of12humans
CORRECT12ANSWER:1 2 B
The12nursing12process12is12an12assertive12problem-
solving12approach12to12the12identification12and12treatment12of12clients’12problems.12Diagnosis12is
12only12one12phase12of12the12nursing12process.12The
primary12use12of12the12nursing12process12is12in12client12care,12not12to12establish12nursing12theory1
2or12explain12nursing12interventions12to12other12health12care12professionals.
DIF: Cognitive12Level:12Comprehension TOP:1 2 Nursing12Process:12Implementation
3. The12nurse12is12caring12for12a12critically12ill12client12in12the12intensive12care12unit12and12plans12an
12every122-
hour12turning12schedule12to12prevent12skin12breakdown.12Which12type12of12nursing12function12i
s12demonstrated12with12this12turning12schedule?
a. Dependent
b. Cooperative
c. Independent
