Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)

Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Hardi
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Table of Contents wl wl




Table of Contents wl wl 1
Chapter 01: Professional Nursin wl wl wl 3
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Chapter 02: Health Equity and Culturally Competent CareChapte
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r 03: Health History and Physical Examination Chapter 04: Patie
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nt and Caregiver Teaching
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Chapter 05: Chronic Illness and Older Adult
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s Chapter 06: Stress Management
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Chapter 07: Sleep and Sleep Disorders Chap
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ter 08: Pain
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Chapter 09: Palliative and End of Life Care Cha
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pter 10: Substance Use Disorders Chapter 11: Inf
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lammation and Healing Chapter 12: Genetics wl wl wl wl wl 91
Chapter 13: Immune Responses and TransplantationChapter 14:
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Infection 105
Chapter 15: Cancer wl wl 117
Chapter 16: Fluid, Electrolyte, and Acid-
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Base ImbalancesChapter 17: Preoperative Care
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Chapter 18: Intraoperative Care Cha wl wl wl wl 165
pter 19: Postoperative Care
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Chapter 20: Assessment and Management: Visual Problems Chapter 21:
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Assessment and Management: Auditory ProblemsChapter 22: Assessment:
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Integumentary System
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Chapter 23: Integumentary Problems wl wl wl 227
Chapter 24: Burns
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Chapter 25: Assessment: Respiratory System Chap
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ter 26: Upper Respiratory Problems Chapter 27: Lo
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wer Respiratory Problems Chapter 28: Obstructive
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Pulmonary Diseases Chapter 29: Assessment: wl wl wl wl 282
Hematologic SystemChapter 30: Hematologic Proble wl wl wl wl 305
ms 325
Chapter 31: Assessment: Cardiovascular SystemChapter 32: Hyp
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ertension 353
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome Cha
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pter 34: Heart Failure
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Chapter 35: Dysrhythmias wl wl 394
Chapter 36: Inflammatory and Structural Heart DisordersChapter
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37: Vascular Disorders
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Chapter 38: Assessment: Gastrointestinal SystemChapter 39: Nutritio
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nal Problems wl 450
Chapter 40: Obesity wl wl 458
Chapter 41: Upper Gastrointestinal Problems Cha
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pter 42: Lower Gastrointestinal Problems
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Chapter 43: Liver, Biliary Tract, and Pancreas ProblemsChapter
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44: Assessment: Urinary System
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Chapter 45: Renal and Urologic Problems
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Chapter 46: Acute Kidney Injury and Chronic Kidney DiseaseChapter 47:
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Assessment: Endocrine System
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Chapter 48: Diabetes Mellitus Chapt wl wl wl wl 590
er 49: Endocrine Problems
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Chapter 50: Assessment: Reproductive System
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642

,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Hardi
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Chapter 51: Breast Disorders
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Chapter 52: Sexually Transmitted InfectionsChapte
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r 53: Female Reproductive ProblemsChapter 54:
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Male Reproductive Problems Chapter 55:
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Assessment: Nervous System Chapter 56: Acute Int
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racranial Problems Chapter 57: Stroke
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Chapter 58: Chronic Neurologic ProblemsChapter
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59: Dementia and Delirium
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Chapter 60: Spinal Cord and Peripheral Nerve ProblemsChapter 61:
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Assessment: Musculoskeletal System
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Chapter 62: Musculoskeletal Trauma and Orthopedic SurgeryChapter
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63: Musculoskeletal Problems
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Chapter 64: Arthritis and Connective Tissue DiseasesChapter 65: Criti
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cal 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 SyndromeChapte
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r 68: Emergency and Disaster Nursing
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889




TEST BANK FOR wl wl




Lewis’s Medical Surgical wl wl wl




Nursing 11th Edition Hard wl wl wl




ing

,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Hardi
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Chapter 01: Professional Nursing wl wl wl




Test Bank MULTIP
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LE CHOICE
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1. The nurse teaches a student nurse about how to apply the nursing process when providing patient c
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are. Which statement, if made by the student nurse, indicates that teaching was successful?
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a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
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b. The nursing process is a problem-
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solving tool used to identify and treat patients health care needs.
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c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature
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of humans.wl




d. The nursing process is used primarily to explain nursing interventions to other health c
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are professionals.
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ANS: B wl




The nursing process is a problem-
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solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of
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the nursing process. The primary use of the nursing process is in patient care, not to establish nursing
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theory or explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension)
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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-
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based practice guidelines when caring for patients. Which statement, if made by the nurse, woul
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d be the most accurate?
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a. Inferences from clinical research studies are used as a guide.
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b. Patient care is based on clinical judgment, experience, and traditions.
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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 preferences.
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ANS: D wl




Evidence-based practice (EBP) is the use of the best research-
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based evidence combined with clinician expertise. Clinical judgment based on the nurses clinical
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experience is part of EBP, but clinical decision making should also incorporate current research and r
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esearch-
based guidelines. Evaluation of patient outcomes is important, but interventions should be based on
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wlresearch from randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Remember (knowledge)
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TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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, Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Hardi
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3. The nurse completes an admission database and explains that the plan of care and discharge goals will
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be developed with the patients input. The patient states, How is this different from what the doctor does?
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Which response would be most appropriate for the nurse to make?
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a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
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b. The nurses job is to help the doctor by collecting information and communicating any proble
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ms that occur.
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c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients f
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or 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 to develop
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an individualized plan to maintain your health.
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ANS: D wl




This response is consistent with the American Nurses Association (ANA) definition of nursing,
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lwhich describes the role of nurses in promoting health. The other responses describe some of the depend
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ent and collaborative functions of the nursing role but do not accurately describe the nurses role in the h
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ealth care system. wl wl




DIF: Cognitive Level: Understand (comprehension)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the lef
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t hip Which nursing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysis
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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
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d. Ineffective tissue perfusion related to inability to move independentl
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y ANS: C
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The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulc
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er. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the pa
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tient. Although left-wl wl


sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for diag
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nosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have in
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effective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the
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health problem is. wl wl




DIF: Cognitive Level: Apply (application)
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TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
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5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable lea
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ving my children with my parents. Which action should the nurse take next?
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