TEST BANK LEWIS’ MEDICAL-SURGICAL NURSING 10TH EDITION (9780323328524) BY LEWIS, BUTCHER, HEITKEMPER, HARDING, KWONG & ROBERTS COMPLETE TEST BANK ALL CHAPTERS (CHAPTER 1-68) FULLY COVERED

Test bank for
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Medical-Surgical Nursing 10th Edition cd cd cd




Author: Sharon L. Lewis, Linda Bucher, Margaret M.
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cd Heitkemper, Mariann M. Harding, Jeffrey Kwong, Dottie Roberts
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Chapter 1: Professional Nursing Practice
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Chapter 2: Health Disparities and Culturally Competent Care
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Chapter 3: Health History and Physical Examination
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Chapter 4: Patient and Caregiver Teaching
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Chapter 5: Chronic Illness and Older Adults
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Chapter 6: Stress and Stress Management
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Chapter 7: Sleep and Sleep Disorders
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Chapter 8: Pain
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Chapter 9: Palliative Care at End of Life
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Chapter 10: Substance Use Disorders
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Chapter 11: Inflammation and Wound Healing
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Chapter 12: Genetics and Genomics
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Chapter 13: Altered Immune Responses and Transplantation
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Chapter 14: Infection and Human Immunodeficiency Virus
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Infection Chapter 15: Cancer
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Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances
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Chapter 17: Preoperative Care
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Chapter 18: Intraoperative Care
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Chapter 19: Postoperative Care
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Chapter 20: Assessment of Visual and Auditory Systems
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Chapter 21: Visual and Auditory Problems
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Chapter 22: Assessment of Integumentary System
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Chapter 23: Integumentary Problems
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Chapter 24: Burns
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Chapter 25: Assessment of Respiratory System
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Chapter 26: Upper Respiratory Problems
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Chapter 27: Lower Respiratory Problems
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Chapter 28: Obstructive Pulmonary Diseases
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Chapter 29: Assessment of Hematologic
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System Chapter 30: Hematologic Problems
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Chapter 31: Assessment of Cardiovascular System
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Chapter 32: Hypertension
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Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
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Chapter 34: Heart Failure
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Chapter 35: Dysrhythmias
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Chapter 36: Inflammatory and Structural Heart Disorders
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Chapter 37: Vascular Disorders
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Chapter 38: Assessment of Gastrointestinal System
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Chapter 39: Nutritional Problems
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Chapter 40: Obesity
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Chapter 41: Upper Gastrointestinal Problems
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Chapter 42: Lower Gastrointestinal Problems
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Chapter 43: Liver, Pancreas, and Biliary Tract Problems
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Chapter 44: Assessment of Urinary System
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Chapter 45: Renal and Urologic Problems
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Chapter 46: Acute Kidney Injury and Chronic Kidney
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Disease Chapter 47: Assessment of Endocrine System
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Chapter 48: Diabetes Mellitus
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Chapter 49: Endocrine Problems
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Chapter 50: Assessment of Reproductive System
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Chapter 51: Breast Disorders
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Chapter 52: Sexually Transmitted Infections
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Chapter 53: Female Reproductive and Genital Problems
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Chapter 54: Male Reproductive and Genital Problems
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Chapter 55: Assessment of Nervous System
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,Chapter 56: Acute Intracranial Problems
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Chapter 57: Stroke
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Chapter 58: Chronic Neurologic Problems
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Chapter 59: Dementia and Delirium
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Chapter 60: Spinal Cord and Peripheral Nerve Problems
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Chapter 61: Assessment of Musculoskeletal System
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Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
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Chapter 63: Musculoskeletal Problems
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Chapter 64: Arthritis and Connective Tissue Diseases
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Chapter 65: Critical Care
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Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome
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Chapter 68: Emergency and Disaster Nursing
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Chapter 01: Professional Nursing Practice
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Lewis: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE cd




1. The nurse completes an admission database and explains that the plan of care and discharge
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goals will be developed with the patient‘s input. The patient states, ―How is this different
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from what the doctor does?‖ Which response would be most appropriate for the nurse to
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make?
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a. ―The role of the nurse is to administer medications and other treatments prescribed
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by your doctor.‖
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b. ―The nurse‘s job is to help the doctor by collecting information and
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communicating any problems that occur.‖
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c. ―Nurses perform many of the same procedures as the doctor, but nurses are with
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the patients for a longer time than the doctor.‖
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d. ―In addition to caring for you while you are sick, the nurses will assist you
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to develop an individualized plan to maintain your health.‖
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ANS: c d D
This response is consistent with the American Nurses Association (ANA) definition of
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nursing, which describes the role of nurses in promoting health. The other responses describe
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some of the dependent and collaborative functions of the nursing role but do not accurately
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describe the nurse‘s role in the health care system.
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DIF: Cognitive Level: Understand (comprehension) REF: 3 cd cd cd cd



TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. The nurse describes to a student nurse how to use evidence-based practice guidelines
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when caring for patients. Which statement, if made by the nurse, would be the most
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accurate?
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a. ―Inferences from clinical research studies are used as a guide.‖ cd cd cd cd cd cd cd cd cd



b. ―Patient care is based on clinical judgment, experience, and traditions.‖cd cd cd cd cd cd cd cd cd



c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
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d. ―Recommendations are based on research, clinical expertise, and patient cd cd cd cd cd cd cd cd



preferences.‖
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ANS: c d D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with cd cd cd cd cd cd cd cd cd cd cd cd



clinician expertise. Clinical judgment based on the nurse‘s clinical experience is part of EBP,
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but clinical decision making should also incorporate current research and research-based
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guidelines. Evaluation of patient outcomes is important, but interventions should be based on
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,cd research from randomized control studies with a large number of subjects.
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, DIF: Cognitive Level: Remember (knowledge) REF: 15 cd cd cd cd



TOP: Nursing Process: Planning
c MSC: NCLEX: Safe and Effective Care Environment
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3. The nurse teaches a student nurse about how to apply the nursing process when
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providing patient care. Which statement, if made by the student nurse, indicates that
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teaching was successful?
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a. ―The nursing process is a scientific-based method of diagnosing the patient‘s
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health care problems.‖
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b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
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health care needs.‖ cd cd



c. ―The nursing process is used primarily to explain nursing interventions to
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other health care professionals.‖
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d. ―The nursing process is based on nursing theory that incorporates the
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biopsychosocial nature of humans.‖
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ANS: B cd



The nursing process is a problem-solving approach to the identification and treatment of
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patients‘ problems. Diagnosis is only one phase of the nursing process. The primary use of
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the nursing process is in patient care, not to establish nursing theory or explain nursing
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interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension) REF: 5 cd cd cd cd



TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel
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comfortable leaving my children with my parents.‖ Which action should the nurse take
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next?
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a. Reassure the patient that these feelings are common for parents. cd cd cd cd cd cd cd cd cd



b. Have the patient call the children to ensure that they are doing well.
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c. Gather more data about the patient‘s feelings about the child-care arrangements.
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d. Call the patient‘s parents to determine whether adequate child care is being
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provided. cd




ANS: C cd



Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‘s first action should be to obtain more information. The
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other actions may be appropriate, but more assessment is needed before the best intervention
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can be chosen.
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DIF: Cognitive Level: Apply (application) REF: 6 cd cd cd



OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
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MSC: NCLEX: Psychosocial Integrity
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5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure
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ulcer on the left hip. Which nursing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysis cd cd cd cd cd cd



b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and pressure cd cd cd cd cd cd cd cd



d. Ineffective tissue perfusion related to inability to move independently cd cd cd cd cd cd cd cd




ANS: C cd



The patient‘s major problem is the impaired skin integrity as demonstrated by the presence
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of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by
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frequently repositioning the patient. Although left-sided weakness is a problem for the
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patient, the nurse cannot treat the weakness. The ―risk for‖ diagnosis is not appropriate for
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this patient, who already has impaired tissue integrity. The patient does have ineffective
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tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the
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