TEST BANK
Lewis's Medical Surgical Nursing in Canada,
5th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS67 67
Section 67One 67– 67Concepts 67in 67Nursing 67Practice
1 67Introduction 67to 67Medical-Surgical 67Nursing 67Practice 67in 67Canada
2 67Cultural 67Competence 67and 67Health 67Equity 67in 67Care
3 67Health 67History 67and 67Physical 67Examination
4 67Patient 67and 67Caregiver 67Teaching
5 67Chronic 67Illness
6 67Community-Based 67Nursing 67and 67Home 67Care
7 67Older 67Adults
8 67Stress 67and 67Stress 67Management
9 67Sleep 67and 67Sleep 67Disorders
10 67Pain
11 67Substance 67Use
12 67Complementary 67and 67Alternative 67Therapies
13 67Palliative 67Care 67at 67the 67End 67of 67Life
Section 67Two 67– 67Pathophysiological 67Mechanisms 67of 67Disease
14 67Inflammation 67and 67Wound 67Healing
15 67Genetics
16 67Altered 67Immune 67Response 67and 67Transplantation
17 67Infection 67and 67Human 67Immunodeficiency 67Virus 67Infection
18 67Cancer
19 67Fluid, 67Electrolyte, 67and 67Acid–Base 67Imbalances
Section 67Three 67– 67Perioperative 67Care
20 67Nursing 67Management: 67Preoperative 67Care
21 67Nursing 67Management: 67Intraoperative 67Care
22 67Nursing 67Management: 67Post-operative 67Care
Section 67Four 67– 67Problems 67Related 67to 67Altered 67Sensory 67Input
23 67Nursing 67Assessment: 67Visual 67and 67Auditory 67Systems
24 67Nursing 67Management: 67Visual 67and 67Auditory 67Problems
25 67Nursing 67Assessment: 67Integumentary 67System
26 67Nursing 67Management: 67Integumentary 67Problems
27 67Nursing 67Management: 67Burns
Section 67Five 67– 67Problems 67of 67Oxygenation: 67Ventilation
28 67Nursing 67Assessment: 67Respiratory 67System
29 67Nursing 67Management: 67Upper 67Respiratory 67Problems
30 67Nursing 67Management: 67Lower 67Respiratory 67Problems
31 67Nursing 67Management: 67Obstructive 67Pulmonary 67Diseases
Section 67Six 67– 67Problems 67of 67Oxygenation: 67Transport
32 67Nursing 67Assessment: 67Hematological 67System
33 67Nursing 67Management: 67Hematological 67Problems
Section 67Seven 67– 67Problems 67of 67Oxygenation: 67Perfusion
34 67Nursing 67Assessment: 67Cardiovascular 67System
35 67Nursing 67Management: 67Hypertension
,36 67Nursing 67Management: 67Coronary 67Artery 67Disease 67and 67Acute 67Coronary
67Syndrome
37 67Nursing 67Management: 67Heart 67Failure
38 67Nursing 67Management: 67Dysrhythmias
39 67Nursing 67Management: 67Inflammatory 67and 67Structural 67Heart 67Diseases
40 67Nursing 67Management: 67Vascular 67Disorders
Section 67Eight 67– 67Problems 67of 67Ingestion, 67Digestion, 67Absorption, 67and 67Elimination
41 67Nursing 67Assessment: 67Gastrointestinal 67System
42 67Nursing 67Management: 67Nutritional 67Problems
43 67Nursing 67Management: 67Obesity
44 67Nursing 67Management: 67Upper 67Gastrointestinal 67Problems
45 67Nursing 67Management: 67Lower 67Gastrointestinal 67Problems
46 67Nursing 67Management: 67Liver, 67Pancreas, 67and 67Biliary 67Tract 67Problems
Section 67Nine 67– 67Problems 67of 67Urinary 67Function
47 67Nursing 67Assessment: 67Urinary 67System
48 67Nursing 67Management: 67Renal 67and 67Urological 67Problems
49 67Nursing 67Management: 67Acute 67Kidney 67Injury 67and 67Chronic 67Kidney 67Disease
Section 67Ten 67– 67Problems 67Related 67to 67Regulatory 67and 67Reproductive 67Mechanisms
50 67Nursing 67Assessment: 67Endocrine 67System
51 67Nursing 67Management: 67Endocrine 67Problems
52 67Nursing 67Management: 67Diabetes 67Mellitus
53 67Nursing 67Assessment: 67Reproductive 67System
54 67Nursing 67Management: 67Breast 67Disorders
55 67Nursing 67Management: 67Sexually 67Transmitted 67Infections
56 67Nursing 67Management: 67Female 67Reproductive 67Problems
57 67Nursing 67Management: 67Male 67Reproductive 67Problems
Section 67Eleven 67– 67Problems 67Related 67to 67Movement 67and 67Coordination
58 67Nursing 67Assessment: 67Nervous 67System
59 67Nursing 67Management: 67Acute 67Intracranial 67Problems
60 67Nursing 67Management: 67Stroke
61 67Nursing 67Management: 67Chronic 67Neurological 67Problems
62 67Nursing 67Management: 67Delirium, 67Alzheimer’s 67Disease, 67and 67Other 67Dementias
63 67Nursing 67Management: 67Peripheral 67Nerve 67and 67Spinal 67Cord 67Problems
64 67Nursing 67Assessment: 67Musculoskeletal 67System
65 67Nursing 67Management: 67Musculoskeletal 67Trauma 67and 67Orthopedic 67Surgery
66 67Nursing 67Management: 67Musculoskeletal 67Problems
67 67Nursing 67Management: 67Arthritis 67and 67Connective 67Tissue 67Diseases
Section 67Twelve 67– 67Nursing 67Care 67in 67Specialized 67Settings
68 67Nursing 67Management: 67Critical 67Care 67Environment
69 67Nursing 67Management: 67Shock, 67Systemic 67Inflammatory 67Response 67Syndrome, 67and
67Multiple-Organ 67Dysfunction 67Syndrome
70 67Nursing 67Management: 67Respiratory 67Failure 67and 67Acute 67Respiratory 67Distress
67Syndrome
71 67Nursing 67Management: 67Emergency 67Care 67Situations
72 67Emergency 67Management 67and 67Disaster 67Planning
, Chapter 6701: 67Introduction 67to 67Medical-Surgical 67Nursing 67Practice 67in
67Canada 67Lewis: 67Medical-Surgical 67Nursing 67in 67Canada, 675th 67Canadian
67Edition
MULTIPLE 67CHOICE
1. When 67caring 67for 67clients 67using 67evidence-informed 67practice, 67which 67of 67the
67following 67does 67the 67nurse 67use?
a. Clinical 67judgement 67based 67on 67experience
b. Evidence 67from 67a 67clinical 67research 67study
c. The 67best 67available 67evidence 67to 67guide 67clinical 67expertise
d. Evaluation 67of 67data 67showing 67that 67the 67client 67outcomes 67are 67met
CORRECT 67ANSWER:
6 7 C
Evidence-informed 67nursing 67practice 67is 67a 67continuous 67interactive 67process 67involving
67the 67explicit, 67conscientious, 67and 67judicious 67consideration 67of 67the 67best 67available
67evidence 67to 67provide 67care. 67Four 67primary 67elements 67are: 67(a) 67clinical 67state, 67setting,
67and 67circumstances; 67(b) 67client 67preferences 67and 67actions; 67(c) 67best 67research 67evidence;
67and 67(d) 67health 67care 67resources. 67Clinical 67judgement 67based 67on 67the 67nurse’s 67clinical
67experience 67is 67part 67of 67EIP, 67but 67clinical 67decision 67making 67also 67should 67incorporate
67current 67research 67and 67research-based 67guidelines. 67Evidence 67from 67one 67clinical
67research 67study 67does 67not 67provide 67an 67adequate 67substantiation 67for 67interventions.
67Evaluation 67of 67client 67outcomes 67is 67important, 67but 67interventions 67should 67be 67based
67on 67research 67from 67randomized 67control 67studies 67with 67a 67large 67number 67of 67subjects.
DIF: Cognitive 67Level: 67Comprehension TOP: 6 7 Nursing 67Process: 67Planning
2. Which 67 of 67 the 67 following 67 best 67 e x p l a i n s t h e n u r s e s ’
67 process 67 when N R I G B . C67 prM
imary 67 use 67 of 67 the 67 nursing
providing 67care 67to U 67S 67N 67T O
67clients?
a. To 67explain 67nursing 67interventions 67to 67other 67health 67care 67professionals
b. As 67a 67problem-solving 67tool 67to 67identify 67and 67treat 67clients’ 67health 67care 67needs
c. As 67a 67scientific-based 67process 67of 67diagnosing 67the 67client’s 67health 67care 67problems
d. To 67establish 67nursing 67theory 67that 67incorporates 67the 67biopsychosocial 67nature 67of
67humans
CORRECT 67ANSWER: 6 7 B
The 67nursing 67process 67is 67an 67assertive 67problem-solving 67approach 67to 67the 67identification
67and 67treatment 67of 67clients’ 67problems. 67Diagnosis 67is 67only 67one 67phase 67of 67the 67nursing
67process. 67The
primary 67use 67of 67the 67nursing 67process 67is 67in 67client 67care, 67not 67to 67establish 67nursing
67theory 67or 67explain 67nursing 67interventions 67to 67other 67health 67care 67professionals.
DIF: Cognitive 67Level: 67Comprehension TOP: 6 7 Nursing 67Process: 67Implementation
3. The 67nurse 67is 67caring 67for 67a 67critically 67ill 67client 67in 67the 67intensive 67care 67unit 67and
67plans 67an 67every 672-hour 67turning 67schedule 67to 67prevent 67skin 67breakdown. 67Which
67type 67of 67nursing 67function 67is 67demonstrated 67with 67this 67turning 67schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
Lewis's Medical Surgical Nursing in Canada,
5th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS67 67
Section 67One 67– 67Concepts 67in 67Nursing 67Practice
1 67Introduction 67to 67Medical-Surgical 67Nursing 67Practice 67in 67Canada
2 67Cultural 67Competence 67and 67Health 67Equity 67in 67Care
3 67Health 67History 67and 67Physical 67Examination
4 67Patient 67and 67Caregiver 67Teaching
5 67Chronic 67Illness
6 67Community-Based 67Nursing 67and 67Home 67Care
7 67Older 67Adults
8 67Stress 67and 67Stress 67Management
9 67Sleep 67and 67Sleep 67Disorders
10 67Pain
11 67Substance 67Use
12 67Complementary 67and 67Alternative 67Therapies
13 67Palliative 67Care 67at 67the 67End 67of 67Life
Section 67Two 67– 67Pathophysiological 67Mechanisms 67of 67Disease
14 67Inflammation 67and 67Wound 67Healing
15 67Genetics
16 67Altered 67Immune 67Response 67and 67Transplantation
17 67Infection 67and 67Human 67Immunodeficiency 67Virus 67Infection
18 67Cancer
19 67Fluid, 67Electrolyte, 67and 67Acid–Base 67Imbalances
Section 67Three 67– 67Perioperative 67Care
20 67Nursing 67Management: 67Preoperative 67Care
21 67Nursing 67Management: 67Intraoperative 67Care
22 67Nursing 67Management: 67Post-operative 67Care
Section 67Four 67– 67Problems 67Related 67to 67Altered 67Sensory 67Input
23 67Nursing 67Assessment: 67Visual 67and 67Auditory 67Systems
24 67Nursing 67Management: 67Visual 67and 67Auditory 67Problems
25 67Nursing 67Assessment: 67Integumentary 67System
26 67Nursing 67Management: 67Integumentary 67Problems
27 67Nursing 67Management: 67Burns
Section 67Five 67– 67Problems 67of 67Oxygenation: 67Ventilation
28 67Nursing 67Assessment: 67Respiratory 67System
29 67Nursing 67Management: 67Upper 67Respiratory 67Problems
30 67Nursing 67Management: 67Lower 67Respiratory 67Problems
31 67Nursing 67Management: 67Obstructive 67Pulmonary 67Diseases
Section 67Six 67– 67Problems 67of 67Oxygenation: 67Transport
32 67Nursing 67Assessment: 67Hematological 67System
33 67Nursing 67Management: 67Hematological 67Problems
Section 67Seven 67– 67Problems 67of 67Oxygenation: 67Perfusion
34 67Nursing 67Assessment: 67Cardiovascular 67System
35 67Nursing 67Management: 67Hypertension
,36 67Nursing 67Management: 67Coronary 67Artery 67Disease 67and 67Acute 67Coronary
67Syndrome
37 67Nursing 67Management: 67Heart 67Failure
38 67Nursing 67Management: 67Dysrhythmias
39 67Nursing 67Management: 67Inflammatory 67and 67Structural 67Heart 67Diseases
40 67Nursing 67Management: 67Vascular 67Disorders
Section 67Eight 67– 67Problems 67of 67Ingestion, 67Digestion, 67Absorption, 67and 67Elimination
41 67Nursing 67Assessment: 67Gastrointestinal 67System
42 67Nursing 67Management: 67Nutritional 67Problems
43 67Nursing 67Management: 67Obesity
44 67Nursing 67Management: 67Upper 67Gastrointestinal 67Problems
45 67Nursing 67Management: 67Lower 67Gastrointestinal 67Problems
46 67Nursing 67Management: 67Liver, 67Pancreas, 67and 67Biliary 67Tract 67Problems
Section 67Nine 67– 67Problems 67of 67Urinary 67Function
47 67Nursing 67Assessment: 67Urinary 67System
48 67Nursing 67Management: 67Renal 67and 67Urological 67Problems
49 67Nursing 67Management: 67Acute 67Kidney 67Injury 67and 67Chronic 67Kidney 67Disease
Section 67Ten 67– 67Problems 67Related 67to 67Regulatory 67and 67Reproductive 67Mechanisms
50 67Nursing 67Assessment: 67Endocrine 67System
51 67Nursing 67Management: 67Endocrine 67Problems
52 67Nursing 67Management: 67Diabetes 67Mellitus
53 67Nursing 67Assessment: 67Reproductive 67System
54 67Nursing 67Management: 67Breast 67Disorders
55 67Nursing 67Management: 67Sexually 67Transmitted 67Infections
56 67Nursing 67Management: 67Female 67Reproductive 67Problems
57 67Nursing 67Management: 67Male 67Reproductive 67Problems
Section 67Eleven 67– 67Problems 67Related 67to 67Movement 67and 67Coordination
58 67Nursing 67Assessment: 67Nervous 67System
59 67Nursing 67Management: 67Acute 67Intracranial 67Problems
60 67Nursing 67Management: 67Stroke
61 67Nursing 67Management: 67Chronic 67Neurological 67Problems
62 67Nursing 67Management: 67Delirium, 67Alzheimer’s 67Disease, 67and 67Other 67Dementias
63 67Nursing 67Management: 67Peripheral 67Nerve 67and 67Spinal 67Cord 67Problems
64 67Nursing 67Assessment: 67Musculoskeletal 67System
65 67Nursing 67Management: 67Musculoskeletal 67Trauma 67and 67Orthopedic 67Surgery
66 67Nursing 67Management: 67Musculoskeletal 67Problems
67 67Nursing 67Management: 67Arthritis 67and 67Connective 67Tissue 67Diseases
Section 67Twelve 67– 67Nursing 67Care 67in 67Specialized 67Settings
68 67Nursing 67Management: 67Critical 67Care 67Environment
69 67Nursing 67Management: 67Shock, 67Systemic 67Inflammatory 67Response 67Syndrome, 67and
67Multiple-Organ 67Dysfunction 67Syndrome
70 67Nursing 67Management: 67Respiratory 67Failure 67and 67Acute 67Respiratory 67Distress
67Syndrome
71 67Nursing 67Management: 67Emergency 67Care 67Situations
72 67Emergency 67Management 67and 67Disaster 67Planning
, Chapter 6701: 67Introduction 67to 67Medical-Surgical 67Nursing 67Practice 67in
67Canada 67Lewis: 67Medical-Surgical 67Nursing 67in 67Canada, 675th 67Canadian
67Edition
MULTIPLE 67CHOICE
1. When 67caring 67for 67clients 67using 67evidence-informed 67practice, 67which 67of 67the
67following 67does 67the 67nurse 67use?
a. Clinical 67judgement 67based 67on 67experience
b. Evidence 67from 67a 67clinical 67research 67study
c. The 67best 67available 67evidence 67to 67guide 67clinical 67expertise
d. Evaluation 67of 67data 67showing 67that 67the 67client 67outcomes 67are 67met
CORRECT 67ANSWER:
6 7 C
Evidence-informed 67nursing 67practice 67is 67a 67continuous 67interactive 67process 67involving
67the 67explicit, 67conscientious, 67and 67judicious 67consideration 67of 67the 67best 67available
67evidence 67to 67provide 67care. 67Four 67primary 67elements 67are: 67(a) 67clinical 67state, 67setting,
67and 67circumstances; 67(b) 67client 67preferences 67and 67actions; 67(c) 67best 67research 67evidence;
67and 67(d) 67health 67care 67resources. 67Clinical 67judgement 67based 67on 67the 67nurse’s 67clinical
67experience 67is 67part 67of 67EIP, 67but 67clinical 67decision 67making 67also 67should 67incorporate
67current 67research 67and 67research-based 67guidelines. 67Evidence 67from 67one 67clinical
67research 67study 67does 67not 67provide 67an 67adequate 67substantiation 67for 67interventions.
67Evaluation 67of 67client 67outcomes 67is 67important, 67but 67interventions 67should 67be 67based
67on 67research 67from 67randomized 67control 67studies 67with 67a 67large 67number 67of 67subjects.
DIF: Cognitive 67Level: 67Comprehension TOP: 6 7 Nursing 67Process: 67Planning
2. Which 67 of 67 the 67 following 67 best 67 e x p l a i n s t h e n u r s e s ’
67 process 67 when N R I G B . C67 prM
imary 67 use 67 of 67 the 67 nursing
providing 67care 67to U 67S 67N 67T O
67clients?
a. To 67explain 67nursing 67interventions 67to 67other 67health 67care 67professionals
b. As 67a 67problem-solving 67tool 67to 67identify 67and 67treat 67clients’ 67health 67care 67needs
c. As 67a 67scientific-based 67process 67of 67diagnosing 67the 67client’s 67health 67care 67problems
d. To 67establish 67nursing 67theory 67that 67incorporates 67the 67biopsychosocial 67nature 67of
67humans
CORRECT 67ANSWER: 6 7 B
The 67nursing 67process 67is 67an 67assertive 67problem-solving 67approach 67to 67the 67identification
67and 67treatment 67of 67clients’ 67problems. 67Diagnosis 67is 67only 67one 67phase 67of 67the 67nursing
67process. 67The
primary 67use 67of 67the 67nursing 67process 67is 67in 67client 67care, 67not 67to 67establish 67nursing
67theory 67or 67explain 67nursing 67interventions 67to 67other 67health 67care 67professionals.
DIF: Cognitive 67Level: 67Comprehension TOP: 6 7 Nursing 67Process: 67Implementation
3. The 67nurse 67is 67caring 67for 67a 67critically 67ill 67client 67in 67the 67intensive 67care 67unit 67and
67plans 67an 67every 672-hour 67turning 67schedule 67to 67prevent 67skin 67breakdown. 67Which
67type 67of 67nursing 67function 67is 67demonstrated 67with 67this 67turning 67schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
