test bank for lewiss medical surgical nursing 12th edition by mariann m. harding jeff.

1

,Table of Content
w w

Chapterw01:wProfessionalwNursing ...........................................................................................................................................4
Chapterw02:wSocialwDeterminantswofwHealth ..........................................................................................................................10
Chapterw03:wHealthwHistorywandwPhysicalwExaminationwHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition ............15
Chapterw04:wPatientwandwCaregiverwTeaching ........................................................................................................................20
Chapterw05:wChronicwIllnesswandwOlderwAdults .....................................................................................................................26
Harding:wLewis’swMedical-SurgicalwNursing,w12thw Edition .................................................................................................34
Chapterw07:wStresswManagement ............................................................................................................................................38
Chapterw08:wSleepwandwSleepwDisorders.................................................................................................................................42
Chapterw09:wPain ....................................................................................................................................................................47
Chapterw10:wPalliativewandwEnd-of-LifewCare ........................................................................................................................56
Chapterw11:wSubstancewUsewDisorderswinwAcutewCare ...........................................................................................................61
Chapterw12:wInflammationwandwHealing .................................................................................................................................69
Chapterw13:wGenetics .............................................................................................................................................................76
Chapterw14:wImmunewResponseswandwTransplantationwHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition ...............79
Chapterw15:wInfection .............................................................................................................................................................87
Chapterw16:wCancer ................................................................................................................................................................97
Chapterw17:wFluid,wElectrolyte,wandwAcid-BasewImbalanceswHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition .111
Chapterw18:wPreoperativewCare ............................................................................................................................................124
Chapterw19:wIntraoperativewCare ..........................................................................................................................................131
Chapterw20:wPostoperativewCare ...........................................................................................................................................137
Chapterw21:wEmergencywandwDisasterwNursing ....................................................................................................................145
Chapterw22:wAssessmentwandwManagement:wVisualwProblemswHarding:wLewis’swMedical-
SurgicalwNursing,w12thwEditionw153wChapterw23:wAssessmentwandwManagement:wAuditorywProblemswHarding:wLewis’swMe
dical-SurgicalwNursing,w12thwEdition
.............................................................................................................................................................................................166
Chapterw24:wAssessment:wIntegumentarywSystemwHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition ....................173
Chapterw25:wIntegumentarywProblems ..................................................................................................................................178
Chapterw26:wBurns ................................................................................................................................................................186
Chapterw27:wAssessment:wRespiratorywSystem.....................................................................................................................195
Chapterw28:wSupportingwVentilation.....................................................................................................................................203
Chapterw29:wUpperwRespiratorywProblems ...........................................................................................................................214
Chapterw30:wLowerwRespiratorywProblems ...........................................................................................................................220
Chapterw31:wObstructivewPulmonarywDiseases .....................................................................................................................235
Chapterw32:wAcutewRespiratorywFailurewandwAcutewRespiratorywDistresswSyndromewHarding:wLewis’swMedical-
SurgicalwNursing,w12thwEdition ............................................................................................................................................248
first? .................................................................................................................................................................................253
Chapterw33:wAssessment:wHematologicwSystem...................................................................................................................257
Chapterw34:wHematologicwProblems ....................................................................................................................................262
Chapterw35:wAssessment:wCardiovascularwSystemwHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition ...................277
Chapterw36:wHypertension ....................................................................................................................................................289
Chapterw38:wHeartwFailure ....................................................................................................................................................311
Chapterw39:wDysrhythmias ...................................................................................................................................................319
2

,Chapterw40:wInflammatorywandwStructuralwHeartwDisorderswHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition ..329
first? ................................................................................................................................................................................. 339
Chapterw41:wVascularwDisorders .......................................................................................................................................... 341
Chapterw43:wAssessment:wGastrointestinalwSystemwHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition .................. 364
Chapterw44:wNutritionwProblems .......................................................................................................................................... 369
Chapterw45:wObesity ............................................................................................................................................................. 377
Chapterw46:wUpperwGastrointestinalwProblems ..................................................................................................................... 383
Chapterw47:wLowerwGastrointestinalwProblems .................................................................................................................... 397
first? ................................................................................................................................................................................. 408
Chapterw48:wLiver,wBiliarywTract,wandwPancreaswProblemswHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition.... 414
Chapterw49:wAssessment:wUrinarywSystem ........................................................................................................................... 429
Chapterw50:wRenalwandwUrologicwProblems ......................................................................................................................... 436
Chapterw51:wAcutewKidneywInjurywandwChronicwKidneywDiseasewHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition
............................................................................................................................................................................................. 450
Chapterw52:wAssessment:wEndocrinewSystem ....................................................................................................................... 462
Chapterw53:wDiabetes ........................................................................................................................................................... 469
Chapterw54:wEndocrinewProblems......................................................................................................................................... 484
first? ................................................................................................................................................................................. 494
Chapterw55:wAssessment:wReproductivewSystem .................................................................................................................. 499
first? ................................................................................................................................................................................. 502
Chapterw56:wBreastwProblems ............................................................................................................................................... 503
Chapterw57:wSexuallywTransmittedwInfections ...................................................................................................................... 512
Chapterw58:wFemalewReproductivewProblems ....................................................................................................................... 519
Chapterw59:wMalewReproductivewProblems .......................................................................................................................... 533
Chapterw60:wAssessment:wNervouswSystem.......................................................................................................................... 544
Chapterw61:wAcutewIntracranialwProblems ............................................................................................................................ 550
Chapterw62:wStroke ............................................................................................................................................................... 565
Chapterw63:wChronicwNeurologicwProblems ......................................................................................................................... 574
Chapterw64:wDementiawandwDelirium ................................................................................................................................... 585
Chapterw65:wSpinalwCordwandwPeripheralwNervewProblemswHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition.... 593
Chapterw66:wAssessment:wMusculoskeletalwSystemwHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition ................. 603
Chapterw67:wMusculoskeletalwTraumawandwOrthopedicwSurgerywHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition
............................................................................................................................................................................................. 608
Chapterw68:MusculoskeletalwProblems ................................................................................................................................ 622
Chapterw69:wArthritiswandwConnectivewTissuewDiseaseswHarding:wLewis’swMedical-SurgicalwNursing,w12thwEdition ........... 629




3

, Chapter 01: Professional Nursing
w w w

Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
w w w w w




MULTIPLEwCHOICE

1. Thewnursewcompleteswanwadmissionwdatabasewandwexplainswthatwthewplanwofwcarewandwdischarg
ewgoalswwillwbewdevelopedwwithwthewpatient‘swinput.wThewpatientwasks,w“Howwiswthiswdifferentwf
romwwhatwthewphysicianwdoes?”wWhichwresponsewwouldwthewnursewprovide?
a. “Thewrolewofwthewnursewiswtowadministerwmedicationswandwotherwtreatmentswprescribe
dwbywyourwphysician.”
b. “Inwadditionwtowcaringwforwyouwwhilewyouwarewsick,wthewnurseswwillwhelpwyouwplanw
towmaintainwyourwhealth.”
c. “Thewnurse‘swjobwiswtowcollectwinformationwandwcommunicatewanywproblemswth
atwoccurwtowthewphysician.”
d. “Nurseswperformwmanywofwthewsamewprocedureswaswthewphysician,wbutwnurseswa
rewwithwthewpatientswforwawlongerwtimewthanwthewphysician.”
ANS:wB
ThewAmericanwNurseswAssociationw(ANA)wdefinitionwofwnursingwdescribeswthewrolewofwnurseswi
nwpromotingwhealth.wThewotherwresponseswdescribewdependentwandwcollaborativewfunctionswofwt
hewnursingwrolewbutwdownotwaccuratelywdescribewthewnurse‘swuniquewrolewinwthehealthwcarewsyst
em.

DIF:wCognitivewLevel:wAnalyzew(Analysis)
TOP:wNursingwProcess:wImplementationwMSC:wNCLEX:wSafewandwEffectivewCarewEnvironment

2. Whichwstatementwbywthewnursewaccuratelywdescribeswthewusewofwevidence-basedwpracticew(EBP)?
a. “Patientwcarewiswbasedwonwclinicalwjudgment,wexperience,wandwtraditions.”
b. “Datawarewanalyzedwlaterwtowshowwthatwthewpatientwoutcomeswarewconsistentlywmet.”
c. “Researchwfromwallwpublishedwarticleswarewusedwaswawguidewforwplanningwpatientwcare.”
d. “Recommendationswarewbasedwonwresearch,wclinicalwexpertise,wandwpatien
twpreferences.”
ANS:wD
Evidence-basedwpracticew(EBP)wiswthewusewofwthewbestwresearch-
basedwevidencewcombinedwwithwclinicianwexpertisewandwconsiderationwofwpatientwpreferences.w
Clinicalwjudgmentwbasedwonwthewnurse‘swclinicalwexperiencewiswpartwofwEBP,wbutwclinicalwdecisi
onwmakingwshouldwalsowincorporatewcurrentwresearchwandwresearch-
basedwguidelines.wEvaluationwofwpatientwoutcomeswiswimportant,wbutwdatawanalysiswiswnotwrequir
edwtowusewEBP.wAllwpublishedwarticleswdownotwprovidewresearchwevidence;winterventionswshould
wbewbasedwonwcrediblewresearch,wpreferablywrandomizedwcontrolled wstudieswwithwawlargewnumbe

rwofwsubjects.

DIF: CognitivewLevel:wUnderstandw(Comprehension)
TOP:wNursingwProcess:wPlanningwMSC:wNCLEX:wSafewandwEffectivewCarewEnvironment

3. Whichwstatementwbywthewnursewprovideswawclearwexplanationwofwthewnursingwprocess?
a. “Thewnursingwprocesswiswawresearchwmethodwofwdiagnosingwthewpatient‘swhealthwcar
ewproblems.”
b. “Thewnursingwprocesswiswusedwprimarilywtowexplainwnursingwinterventionswtowoth
erwhealthwcarewprofessionals.”
c. “Thewnursingwprocesswiswawproblem-solvingwtoolwusedwtowidentifywandwmanagewthe




4