Full Test Bank For
Medical-Surgical Nursing: Concepts For Clinical Judgment And Collaborative Care (Evolve) 11th
Edition
By Donna D. Ignatavicius Ms Rn Cne Cnecl Anef Faadn (Author), & 2 More
,TABLE OF CONTENTS
UNIT I: ESSENTIAL CONCEPTS OF MEDICAL-SURGICAL NURSING .................. 6
Chapter 01: Overview Of Professional Nursing Concepts For Medical-Surgical Nursing.6
Chapter 02: Clinical Judgment And Systems Thinking ............................................................................. 15
Chapter 03: Overview Of Health Concepts For Medical-Surgical ............................................................ 22
Chapter 04: Common Health Problems Of Older Adults ......................................................................... 31
Chapter 05: Assessment And Care Of Patients With Pain ....................................................................... 43
Chapter 06: Concepts Of Genetics And Genomics .................................................................................. 60
Chapter 07: Concepts Of Rehabilitation For Chronic And Disabling Health Problems ............................ 71
Chapter 08: Concepts Of Care For Patients At End Of Life ...................................................................... 82
Chapter 09: Concepts Of Care For Perioperative Patients....................................................................... 92
UNIT II: CONCEPTS OF EMERGENCY CARE AND DISASTER PREPAREDNESS
....................................................................................................................... 111
Chapter 10: Concepts Of Emergency And Trauma Nursing ................................................................... 111
Chapter 11: Concepts Of Care For Patients With Common Environmental Emergencies
.............................................................................................................................................................. 123
Chapter 12: Concepts Of Disaster Preparedness ................................................................................... 138
UNIT III: CONCEPTS OF FLUID, ELECTROLYTE, AND ACID-BASE BALANCE
AND IMBALANCE ........................................................................................... 150
Chapter 13: Concepts Of Fluid And Electrolyte Balance ........................................................................ 150
Chapter 14: Concepts Of Acid–Base Balance ........................................................................................ 165
Chapter 15: Concepts Of Infusion Therapy ........................................................................................... 177
UNIT IV: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
IMMUNITY CONDITIONS ................................................................................ 191
Chapter 16: Concepts Of Inflammation And Immunity ......................................................................... 191
Chapter 17: Concepts Of Care For Patients With Hiv Disease ............................................................... 203
Chapter 18: Concepts Of Care For Patients With Hypersensitivity (Allergy) Andautoimmunity .......... 219
Chapter 19: Concepts Of Cancer Development ..................................................................................... 225
,UNIT V: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
INTEGUMENTARY SYSTEM CONDITIONS ..................................................... 233
Chapter 20: Concepts Of Care For Patients With Cancer ...................................................................... 233
Chapter 21: Concepts Of Care For Patients With Infection ................................................................... 251
UNIT VI: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
RESPIRATORY SYSTEM CONDITIONS ........................................................... 264
Chapter 22: Assessment Of The Skin, Hair, And Nails ........................................................................... 264
Chapter 23: Concepts Of Care For Patients With Skin Problems........................................................... 273
Chapter 24: Assessment Of The Respiratory System ............................................................................ 289
Chapter 25: Concepts Of Care For Patients Requiring Oxygen Therapy Ortracheostomy
.............................................................................................................................................................. 301
Chapter 26: Concepts Of Care For Patients With Noninfectious Upper Respiratoryproblems............. 311
UNIT VII: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
CARDIOVASCULAR SYSTEM CONDITIONS .................................................... 323
Chapter 27: Concepts Of Care For Patients With Noninfectious Lower Respiratoryproblems ............. 323
Chapter 28: Concepts Of Care For Patients With Infectious Respiratory Problems .............................. 344
Chapter 29: Critical Care Of Patients With Respiratory Emergencies.................................................... 359
Chapter 30: Assessment Of The Cardiovascular System ....................................................................... 376
Chapter 31: Concepts Of Care For Patients With Dysrhythmias............................................................ 391
Chapter 32: Concepts Of Care For Patients With Cardiac Problems ..................................................... 406
UNIT VIII: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
HEMATOLOGIC SYSTEM CONDITIONS .......................................................... 425
Chapter 33: Concepts Of Care For Patients With Vascular Problems.................................................... 425
Chapter 34: Critical Care Of Patients With Shock .................................................................................. 447
UNIT IX: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
NERVOUS SYSTEM CONDITIONS .................................................................. 459
Chapter 35: Critical Care Of Patients With Acute Coronary Syndromes ............................................... 459
Chapter 36: Assessment Of The Hematologic System........................................................................... 476
Chapter 37: Concepts Of Care For Patients With Hematologic Problems ............................................. 483
, Chapter 38: Assessment Of The Nervous System ................................................................................. 503
UNIT X: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
SENSORY SYSTEM CONDITIONS................................................................... 516
Chapter 39: Concepts Of Care For Patients With Problems Of The Central .......................................... 516
Nervous System: The Brain ................................................................................................................... 516
Chapter 40: Concepts Of Care For Patients With Problems Of The Central .......................................... 534
Nervoussystem: The Spinal Cord ........................................................................................................... 534
UNIT XI: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
MUSCULOSKELETAL SYSTEM CONDITIONS ................................................. 550
Chapter 41: Critical Care Of Patients With Neurologic Emergencies..................................................... 550
Chapter 42: Assessment And Care Of Patients With Eye And Vision Problems .................................... 568
Chapter 43: Assessment And Care Of Patients With Ear And Hearing Problems .................................. 580
Chapter 44: Assessment Of The Musculoskeletal System ..................................................................... 591
UNIT XII: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
GASTROINTESTINAL SYSTEM CONDITIONS ................................................. 599
Chapter 45: Concepts Of Care For Patients With Musculoskeletal Problems ....................................... 599
Chapter 46: Concepts Of Care For Patients With Arthritis And Total Joint Arthroplasty
.............................................................................................................................................................. 610
Chapter 47: Concepts Of Care For Patients With Musculoskeletal Trauma .......................................... 626
Chapter 48: Assessment Of The Gastrointestinal System ..................................................................... 644
Chapter 49: Concepts Of Care For Patients With Oral Cavity And Esophageal Problems
.............................................................................................................................................................. 652
Chapter 50: Concepts Of Care For Of Patients With Stomach Disorders .............................................. 661
Chapter 51: Concepts Of Care For Patients With Noninflammatory Intestinal Disorders
.............................................................................................................................................................. 670
Chapter 52: Concepts Of Care For Patients With Inflammatory Intestinal Disorders ... 686
UNIT XIII: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
ENDOCRINE SYSTEM CONDITIONS ............................................................... 700
Chapter 53: Concepts Of Care For Patients With Liver Problems.......................................................... 700
Chapter 54: Concepts Of Care For Patients With Problems Of The Biliary System Andpancreas ........ 713
, Chapter 55: Concepts Of Care For Patients With Malnutrition: Undernutrition Andobesity ............... 724
Chapter 56: Assessment Of The Endocrine System............................................................................... 734
UNIT XIV: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
RENAL/URINARY SYSTEM CONDITIONS ....................................................... 742
Chapter 57: Concepts Of Care For Patients With Pituitary And Adrenal Gland Problems
.............................................................................................................................................................. 742
Chapter 58: Concepts Of Care For Patients With Problems Of The Thyroid Andparathyroid Glands .. 751
Chapter 59: Concepts Of Care For Patients With Diabetes Mellitus ..................................................... 760
Chapter 60: Assessment Of The Renal/Urinary System ........................................................................ 784
UNIT XV: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
REPRODUCTIVE SYSTEM CONDITIONS ........................................................ 794
Chapter 61: Concepts Of Care For Patients With Urinary Problems ..................................................... 794
Chapter 62: Concepts Of Care For Patients With Kidney Disorders ...................................................... 809
Chapter 63: Concepts Of Care For Patients With Acute Kidney Injury And Chronickidney Disease..... 818
Chapter 64: Assessment Of The Reproductive System ......................................................................... 834
Chapter 65: Concepts Of Care For Patients With Breast Disorders ....................................................... 840
Chapter 66: Concepts Of Care For Patients With Gynecologic Problems .............................................. 851
Chapter 67: Concepts Of Care For Clients With Male Reproductive Problems ..................................... 861
Chapter 68: Concepts Of Care For Transgender Patients ...................................................................... 871
Chapter 69: Concepts Of Care For Patients With Sexually Transmitted Infections ............................... 878
,Unit I: Essential Concepts Of Medical-Surgical Nursing Chapter 01:
Overview Of Professional Nursing Concepts For Medical- Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 11th Edition
Multiple Choice
1. A New Nurse Is Working With A Preceptor On A Medical-Surgical Unit. The Preceptor
Advises The New Nurse That Which Is The Priority When Working As A Professional Nurse?
A. Attending To Holistic Client Needs
B. Ensuring Client Safety
C. Not Making Medication Errors
D. Providing Client-Focused Care
Ans: B
All Actions Are Appropriate For The Professional Nurse. However, Ensuring Client Safety Is The Priority.
Health Care Errors Have Been Widely Reported For 25 Years, Many Of Which Result In Client Injury,
Death, And Increased Health Care Costs. There Are Several National And International Organizations
That Have Either Recommended Or Mandated Safety Initiatives.
Every Nurse Has The Responsibility To Guard The Client‘S Safety. The Other Actions Are Important For
Quality Nursing, But They Are Not As Vital As Providing Safety. Not Making Medication Errors Does
Provide Safety, But Is Too Narrow In Scope To Be The Best Answer.
Dif: Understanding Top: Integrated Process: Nursing Process: Intervention Key: Client
Safety
Msc: Client Needs Category: Safe And Effective Care Environment: Safety And Infection Control
,2. A Nurse Is Orienting A New Client And Family To The Medical-Surgical Unit. What
Information Does The Nurse Provide To Best Help The Client Promote His Or Her Own Safety?
A. Encourage The Client And Family To Be Active Partners.
B. Have The Client Monitor Hand Hygiene In Caregivers.
C. Offer The Family The Opportunity To Stay With The Client.
D. Tell The Client To Always Wear His Or Her Armband.
Ans: A
Each Action Could Be Important For The Client Or Family To Perform. However, Encouraging The Client
To Be Active In His Or Her Health Care As A Safety Partner Is The Most Critical. The Other Actions Are
Very Limited In Scope And Do Not Provide The Broad Protection That Being Active And Involved Does.
Dif: Understanding Top: Integrated Process: Teaching/Learning Key: Client Safety
Msc: Client Needs Category: Safe And Effective Care Environment: Safety And Infection Control
3. A Nurse Is Caring For A Postoperative Client On The Surgical Unit. The Client‘S Blood Pressure
Was 142/76 Mm Hg 30 Minutes Ago, And Now Is 88/50 Mm Hg. What Action Would The Nurse Take
First?
A. Call The Rapid Response Team.
B. Document And Continue To Monitor.
C. Notify The Primary Health Care Provider.
D. Repeat The Blood Pressure In 15 Minutes.
Ans: A
The Purpose Of The Rapid Response Team (Rrt) Is To Intervene When Clients Are Deteriorating Before
They Suffer Either Respiratory Or Cardiac Arrest. Since The Client Has Manifested A Significant Change,
The Nurse Would Call The Rrt. Changes In Blood Pressure, Mental Status, Heart Rate, Temperature,
Oxygen Saturation, And Last 2 Hours‘ Urine Output Are Particularly Significant And Are Part Of The
Modified Early Warning System Guide. Documentation Is Vital, But The Nurse Must Do More Than
Document. The Primary Health Care Provider Would Be Notified, But This Is Not More Important Than
,Calling The Rrt. The Client‘S Blood Pressurewould Be Reassessed Frequently, But The
Priority Is Getting The Rapid Care To The
Client.
Dif: Applying Top: Integrated Process: Communication And Documentation Key: Rapid
Response Team (Rrt), Clinical Judgment
Msc: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A Nurse Wishes To Provide Client-Centered Care In All Interactions. Which Action By The
Nurse
Best Demonstrates This Concept?
A. Assesses For Cultural Influences Affecting Health Care.
B. Ensures That All The Client‘S Basic Needs Are Met.
C. Tells The Client And Family About All Upcoming Tests.
D. Thoroughly Orients The Client And Family To The Room.
Ans: A
Showing Respect For The Client And Family‘S Preferences And Needs Is Essential To Ensure A Holistic Or
―Whole-Person‖ Approach To Care. By Assessing The Effect Of The Client‘S Culture On Health Care,
This Nurse Is Practicing Client-Focused Care. Providing For Basic Needs Does Not Demonstrate This
Competence. Simply Telling The Client About All Upcoming Tests Is Not Providing Empowering
Education. Orienting The Client And Family To The Room Is An Important Safety Measure, But Not
Directly Related To Demonstrating Client-Centered Care.
Dif: Understanding Top: Integrated Process: Culture And Spirituality Key: Client- Centered
Care, Culture Msc: Client Needs Category: Psychosocial Integrity
5. A Client Is Going To Be Admitted For A Scheduled Surgical Procedure. Which Action Does The
Nurse Explain Is The Most Important Thing The Client Can Do To Protect Against Errors?
A. Bring A List Of All Medications And What They Are For.
B. Keep The Provider‘S Phone Number By The Telephone.
C. Make Sure That All Providers Wash Hands Before Entering The Room.
,D. Write Down The Name Of Each Caregiver Who Comes In The Room.
Ans: A
Medication Reconciliation Is A Formal Process In Which The Client‘S Actual Current Medications Are
Compared To The Prescribed Medications At The Time Of Admission, Transfer, Or Discharge. This
National Client Safety Goal Is Important To Reduce Medication Errors. The Client Would Not Have To Be
Responsible For Providers Washing Their Hands, And Even If The Client Does So, This Is Too Narrow To
Be The Most Important Action To Prevent Errors. Keeping The Provider‘S Phone Number Nearby And
Documenting Everyone Who Enters The Room Also Do Not Guarantee Safety.
Dif: Applying Top: Integrated Process: Teaching/Learning Key: Client Safety,
Informatics
Msc: Client Needs Category: Safe And Effective Care Environment: Safety And Infection Control
6. Which Action By The Nurse Working With A Client Best Demonstrates Respect For Autonomy?
A. Asks If The Client Has Questions Before Signing A Consent.
B. Gives The Client Accurate Information When Questioned.
C. Keeps The Promises Made To The Client And Family.
D. Treats The Client Fairly Compared To Other Clients.
Ans: A
Autonomy Is Self-Determination. The Client Would Make Decisions Regarding Care. When The Nurse
Obtains A Signature On The Consent Form, Assessing If The Client Still Has Questions Is Vital, Because
Without Full Information The Client Cannot Practice Autonomy. Giving Accurate Information Is
Practicing With Veracity. Keeping Promises Is Upholding Fidelity. Treating The Client Fairly Is Providing
Social Justice.
Dif: Applying Top: Integrated Process: Caring Key: Ethics, Autonomy Msc: Client
Needs Category: Safe And Effective Care Environment: Management Of Care
, 7. A Nurse Asks A More Seasoned Colleague To Explain Best Practices When Communicating
With A Person From The Lesbian, Gay, Bisexual, Transgender, And Questioning/Queer (Lgbtq)
Community. What Answer By The Faculty Is Most Accurate?
A. Avoid Embarrassing The Client By Asking Questions.
B. Don‘T Make Assumptions About His Or Her Health Needs.
C. Most Lgbtq People Do Not Want To Share Information.
D. No Differences Exist In Communicating With This Population.
Ans: B
Many Members Of The Lgbtq Community Have Faced Discrimination From Health Care Providers And
May Be Reluctant To Seek Health Care. The Nurse Would Never Make Assumptions About The Needs Of
Members Of This Population. Rather, Respectful Questions Are Appropriate. If Approached With
Sensitivity, The Client With Any Health Care Need Is More Likely To Answer Honestly.
Dif: Understanding Top: Integrated Process: Teaching/Learning
Key: Health Care Disparities, Lgbtq Msc: Client Needs Category: Psychosocial Integrity
8. A Nurse Is Calling The On-Call Health Care Provider About A Client Who Had A Hysterectomy 2
Days Ago And Has Pain That Is Unrelieved By The Prescribed Opioid Pain Medication. Which Statement
Comprises The Background Portion Of The Sbar Format For Communication?
A. ―I Would Like You To Order A Different Pain Medication.‖
B. ―This Client Has Allergies To Morphine And Codeine.‖
C. ―Dr. Smith Doesn‘T Like Nonsteroidal Anti-Inflammatory Meds.‖
D. ―This Client Had A Vaginal Hysterectomy 2 Days Ago.‖
Ans: B
Sbar Is A Recommended Form Of Communication, And The Acronym Stands For Situation, Background,
Assessment, And Recommendation. Appropriate Background Information Includes Allergies To
Medications The On-Call Health Care Provider Might Order. Situation
Medical-Surgical Nursing: Concepts For Clinical Judgment And Collaborative Care (Evolve) 11th
Edition
By Donna D. Ignatavicius Ms Rn Cne Cnecl Anef Faadn (Author), & 2 More
,TABLE OF CONTENTS
UNIT I: ESSENTIAL CONCEPTS OF MEDICAL-SURGICAL NURSING .................. 6
Chapter 01: Overview Of Professional Nursing Concepts For Medical-Surgical Nursing.6
Chapter 02: Clinical Judgment And Systems Thinking ............................................................................. 15
Chapter 03: Overview Of Health Concepts For Medical-Surgical ............................................................ 22
Chapter 04: Common Health Problems Of Older Adults ......................................................................... 31
Chapter 05: Assessment And Care Of Patients With Pain ....................................................................... 43
Chapter 06: Concepts Of Genetics And Genomics .................................................................................. 60
Chapter 07: Concepts Of Rehabilitation For Chronic And Disabling Health Problems ............................ 71
Chapter 08: Concepts Of Care For Patients At End Of Life ...................................................................... 82
Chapter 09: Concepts Of Care For Perioperative Patients....................................................................... 92
UNIT II: CONCEPTS OF EMERGENCY CARE AND DISASTER PREPAREDNESS
....................................................................................................................... 111
Chapter 10: Concepts Of Emergency And Trauma Nursing ................................................................... 111
Chapter 11: Concepts Of Care For Patients With Common Environmental Emergencies
.............................................................................................................................................................. 123
Chapter 12: Concepts Of Disaster Preparedness ................................................................................... 138
UNIT III: CONCEPTS OF FLUID, ELECTROLYTE, AND ACID-BASE BALANCE
AND IMBALANCE ........................................................................................... 150
Chapter 13: Concepts Of Fluid And Electrolyte Balance ........................................................................ 150
Chapter 14: Concepts Of Acid–Base Balance ........................................................................................ 165
Chapter 15: Concepts Of Infusion Therapy ........................................................................................... 177
UNIT IV: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
IMMUNITY CONDITIONS ................................................................................ 191
Chapter 16: Concepts Of Inflammation And Immunity ......................................................................... 191
Chapter 17: Concepts Of Care For Patients With Hiv Disease ............................................................... 203
Chapter 18: Concepts Of Care For Patients With Hypersensitivity (Allergy) Andautoimmunity .......... 219
Chapter 19: Concepts Of Cancer Development ..................................................................................... 225
,UNIT V: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
INTEGUMENTARY SYSTEM CONDITIONS ..................................................... 233
Chapter 20: Concepts Of Care For Patients With Cancer ...................................................................... 233
Chapter 21: Concepts Of Care For Patients With Infection ................................................................... 251
UNIT VI: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
RESPIRATORY SYSTEM CONDITIONS ........................................................... 264
Chapter 22: Assessment Of The Skin, Hair, And Nails ........................................................................... 264
Chapter 23: Concepts Of Care For Patients With Skin Problems........................................................... 273
Chapter 24: Assessment Of The Respiratory System ............................................................................ 289
Chapter 25: Concepts Of Care For Patients Requiring Oxygen Therapy Ortracheostomy
.............................................................................................................................................................. 301
Chapter 26: Concepts Of Care For Patients With Noninfectious Upper Respiratoryproblems............. 311
UNIT VII: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
CARDIOVASCULAR SYSTEM CONDITIONS .................................................... 323
Chapter 27: Concepts Of Care For Patients With Noninfectious Lower Respiratoryproblems ............. 323
Chapter 28: Concepts Of Care For Patients With Infectious Respiratory Problems .............................. 344
Chapter 29: Critical Care Of Patients With Respiratory Emergencies.................................................... 359
Chapter 30: Assessment Of The Cardiovascular System ....................................................................... 376
Chapter 31: Concepts Of Care For Patients With Dysrhythmias............................................................ 391
Chapter 32: Concepts Of Care For Patients With Cardiac Problems ..................................................... 406
UNIT VIII: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
HEMATOLOGIC SYSTEM CONDITIONS .......................................................... 425
Chapter 33: Concepts Of Care For Patients With Vascular Problems.................................................... 425
Chapter 34: Critical Care Of Patients With Shock .................................................................................. 447
UNIT IX: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
NERVOUS SYSTEM CONDITIONS .................................................................. 459
Chapter 35: Critical Care Of Patients With Acute Coronary Syndromes ............................................... 459
Chapter 36: Assessment Of The Hematologic System........................................................................... 476
Chapter 37: Concepts Of Care For Patients With Hematologic Problems ............................................. 483
, Chapter 38: Assessment Of The Nervous System ................................................................................. 503
UNIT X: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
SENSORY SYSTEM CONDITIONS................................................................... 516
Chapter 39: Concepts Of Care For Patients With Problems Of The Central .......................................... 516
Nervous System: The Brain ................................................................................................................... 516
Chapter 40: Concepts Of Care For Patients With Problems Of The Central .......................................... 534
Nervoussystem: The Spinal Cord ........................................................................................................... 534
UNIT XI: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
MUSCULOSKELETAL SYSTEM CONDITIONS ................................................. 550
Chapter 41: Critical Care Of Patients With Neurologic Emergencies..................................................... 550
Chapter 42: Assessment And Care Of Patients With Eye And Vision Problems .................................... 568
Chapter 43: Assessment And Care Of Patients With Ear And Hearing Problems .................................. 580
Chapter 44: Assessment Of The Musculoskeletal System ..................................................................... 591
UNIT XII: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
GASTROINTESTINAL SYSTEM CONDITIONS ................................................. 599
Chapter 45: Concepts Of Care For Patients With Musculoskeletal Problems ....................................... 599
Chapter 46: Concepts Of Care For Patients With Arthritis And Total Joint Arthroplasty
.............................................................................................................................................................. 610
Chapter 47: Concepts Of Care For Patients With Musculoskeletal Trauma .......................................... 626
Chapter 48: Assessment Of The Gastrointestinal System ..................................................................... 644
Chapter 49: Concepts Of Care For Patients With Oral Cavity And Esophageal Problems
.............................................................................................................................................................. 652
Chapter 50: Concepts Of Care For Of Patients With Stomach Disorders .............................................. 661
Chapter 51: Concepts Of Care For Patients With Noninflammatory Intestinal Disorders
.............................................................................................................................................................. 670
Chapter 52: Concepts Of Care For Patients With Inflammatory Intestinal Disorders ... 686
UNIT XIII: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
ENDOCRINE SYSTEM CONDITIONS ............................................................... 700
Chapter 53: Concepts Of Care For Patients With Liver Problems.......................................................... 700
Chapter 54: Concepts Of Care For Patients With Problems Of The Biliary System Andpancreas ........ 713
, Chapter 55: Concepts Of Care For Patients With Malnutrition: Undernutrition Andobesity ............... 724
Chapter 56: Assessment Of The Endocrine System............................................................................... 734
UNIT XIV: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
RENAL/URINARY SYSTEM CONDITIONS ....................................................... 742
Chapter 57: Concepts Of Care For Patients With Pituitary And Adrenal Gland Problems
.............................................................................................................................................................. 742
Chapter 58: Concepts Of Care For Patients With Problems Of The Thyroid Andparathyroid Glands .. 751
Chapter 59: Concepts Of Care For Patients With Diabetes Mellitus ..................................................... 760
Chapter 60: Assessment Of The Renal/Urinary System ........................................................................ 784
UNIT XV: INTERPROFESSIONAL COLLABORATION FOR PATIENTS WITH
REPRODUCTIVE SYSTEM CONDITIONS ........................................................ 794
Chapter 61: Concepts Of Care For Patients With Urinary Problems ..................................................... 794
Chapter 62: Concepts Of Care For Patients With Kidney Disorders ...................................................... 809
Chapter 63: Concepts Of Care For Patients With Acute Kidney Injury And Chronickidney Disease..... 818
Chapter 64: Assessment Of The Reproductive System ......................................................................... 834
Chapter 65: Concepts Of Care For Patients With Breast Disorders ....................................................... 840
Chapter 66: Concepts Of Care For Patients With Gynecologic Problems .............................................. 851
Chapter 67: Concepts Of Care For Clients With Male Reproductive Problems ..................................... 861
Chapter 68: Concepts Of Care For Transgender Patients ...................................................................... 871
Chapter 69: Concepts Of Care For Patients With Sexually Transmitted Infections ............................... 878
,Unit I: Essential Concepts Of Medical-Surgical Nursing Chapter 01:
Overview Of Professional Nursing Concepts For Medical- Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 11th Edition
Multiple Choice
1. A New Nurse Is Working With A Preceptor On A Medical-Surgical Unit. The Preceptor
Advises The New Nurse That Which Is The Priority When Working As A Professional Nurse?
A. Attending To Holistic Client Needs
B. Ensuring Client Safety
C. Not Making Medication Errors
D. Providing Client-Focused Care
Ans: B
All Actions Are Appropriate For The Professional Nurse. However, Ensuring Client Safety Is The Priority.
Health Care Errors Have Been Widely Reported For 25 Years, Many Of Which Result In Client Injury,
Death, And Increased Health Care Costs. There Are Several National And International Organizations
That Have Either Recommended Or Mandated Safety Initiatives.
Every Nurse Has The Responsibility To Guard The Client‘S Safety. The Other Actions Are Important For
Quality Nursing, But They Are Not As Vital As Providing Safety. Not Making Medication Errors Does
Provide Safety, But Is Too Narrow In Scope To Be The Best Answer.
Dif: Understanding Top: Integrated Process: Nursing Process: Intervention Key: Client
Safety
Msc: Client Needs Category: Safe And Effective Care Environment: Safety And Infection Control
,2. A Nurse Is Orienting A New Client And Family To The Medical-Surgical Unit. What
Information Does The Nurse Provide To Best Help The Client Promote His Or Her Own Safety?
A. Encourage The Client And Family To Be Active Partners.
B. Have The Client Monitor Hand Hygiene In Caregivers.
C. Offer The Family The Opportunity To Stay With The Client.
D. Tell The Client To Always Wear His Or Her Armband.
Ans: A
Each Action Could Be Important For The Client Or Family To Perform. However, Encouraging The Client
To Be Active In His Or Her Health Care As A Safety Partner Is The Most Critical. The Other Actions Are
Very Limited In Scope And Do Not Provide The Broad Protection That Being Active And Involved Does.
Dif: Understanding Top: Integrated Process: Teaching/Learning Key: Client Safety
Msc: Client Needs Category: Safe And Effective Care Environment: Safety And Infection Control
3. A Nurse Is Caring For A Postoperative Client On The Surgical Unit. The Client‘S Blood Pressure
Was 142/76 Mm Hg 30 Minutes Ago, And Now Is 88/50 Mm Hg. What Action Would The Nurse Take
First?
A. Call The Rapid Response Team.
B. Document And Continue To Monitor.
C. Notify The Primary Health Care Provider.
D. Repeat The Blood Pressure In 15 Minutes.
Ans: A
The Purpose Of The Rapid Response Team (Rrt) Is To Intervene When Clients Are Deteriorating Before
They Suffer Either Respiratory Or Cardiac Arrest. Since The Client Has Manifested A Significant Change,
The Nurse Would Call The Rrt. Changes In Blood Pressure, Mental Status, Heart Rate, Temperature,
Oxygen Saturation, And Last 2 Hours‘ Urine Output Are Particularly Significant And Are Part Of The
Modified Early Warning System Guide. Documentation Is Vital, But The Nurse Must Do More Than
Document. The Primary Health Care Provider Would Be Notified, But This Is Not More Important Than
,Calling The Rrt. The Client‘S Blood Pressurewould Be Reassessed Frequently, But The
Priority Is Getting The Rapid Care To The
Client.
Dif: Applying Top: Integrated Process: Communication And Documentation Key: Rapid
Response Team (Rrt), Clinical Judgment
Msc: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A Nurse Wishes To Provide Client-Centered Care In All Interactions. Which Action By The
Nurse
Best Demonstrates This Concept?
A. Assesses For Cultural Influences Affecting Health Care.
B. Ensures That All The Client‘S Basic Needs Are Met.
C. Tells The Client And Family About All Upcoming Tests.
D. Thoroughly Orients The Client And Family To The Room.
Ans: A
Showing Respect For The Client And Family‘S Preferences And Needs Is Essential To Ensure A Holistic Or
―Whole-Person‖ Approach To Care. By Assessing The Effect Of The Client‘S Culture On Health Care,
This Nurse Is Practicing Client-Focused Care. Providing For Basic Needs Does Not Demonstrate This
Competence. Simply Telling The Client About All Upcoming Tests Is Not Providing Empowering
Education. Orienting The Client And Family To The Room Is An Important Safety Measure, But Not
Directly Related To Demonstrating Client-Centered Care.
Dif: Understanding Top: Integrated Process: Culture And Spirituality Key: Client- Centered
Care, Culture Msc: Client Needs Category: Psychosocial Integrity
5. A Client Is Going To Be Admitted For A Scheduled Surgical Procedure. Which Action Does The
Nurse Explain Is The Most Important Thing The Client Can Do To Protect Against Errors?
A. Bring A List Of All Medications And What They Are For.
B. Keep The Provider‘S Phone Number By The Telephone.
C. Make Sure That All Providers Wash Hands Before Entering The Room.
,D. Write Down The Name Of Each Caregiver Who Comes In The Room.
Ans: A
Medication Reconciliation Is A Formal Process In Which The Client‘S Actual Current Medications Are
Compared To The Prescribed Medications At The Time Of Admission, Transfer, Or Discharge. This
National Client Safety Goal Is Important To Reduce Medication Errors. The Client Would Not Have To Be
Responsible For Providers Washing Their Hands, And Even If The Client Does So, This Is Too Narrow To
Be The Most Important Action To Prevent Errors. Keeping The Provider‘S Phone Number Nearby And
Documenting Everyone Who Enters The Room Also Do Not Guarantee Safety.
Dif: Applying Top: Integrated Process: Teaching/Learning Key: Client Safety,
Informatics
Msc: Client Needs Category: Safe And Effective Care Environment: Safety And Infection Control
6. Which Action By The Nurse Working With A Client Best Demonstrates Respect For Autonomy?
A. Asks If The Client Has Questions Before Signing A Consent.
B. Gives The Client Accurate Information When Questioned.
C. Keeps The Promises Made To The Client And Family.
D. Treats The Client Fairly Compared To Other Clients.
Ans: A
Autonomy Is Self-Determination. The Client Would Make Decisions Regarding Care. When The Nurse
Obtains A Signature On The Consent Form, Assessing If The Client Still Has Questions Is Vital, Because
Without Full Information The Client Cannot Practice Autonomy. Giving Accurate Information Is
Practicing With Veracity. Keeping Promises Is Upholding Fidelity. Treating The Client Fairly Is Providing
Social Justice.
Dif: Applying Top: Integrated Process: Caring Key: Ethics, Autonomy Msc: Client
Needs Category: Safe And Effective Care Environment: Management Of Care
, 7. A Nurse Asks A More Seasoned Colleague To Explain Best Practices When Communicating
With A Person From The Lesbian, Gay, Bisexual, Transgender, And Questioning/Queer (Lgbtq)
Community. What Answer By The Faculty Is Most Accurate?
A. Avoid Embarrassing The Client By Asking Questions.
B. Don‘T Make Assumptions About His Or Her Health Needs.
C. Most Lgbtq People Do Not Want To Share Information.
D. No Differences Exist In Communicating With This Population.
Ans: B
Many Members Of The Lgbtq Community Have Faced Discrimination From Health Care Providers And
May Be Reluctant To Seek Health Care. The Nurse Would Never Make Assumptions About The Needs Of
Members Of This Population. Rather, Respectful Questions Are Appropriate. If Approached With
Sensitivity, The Client With Any Health Care Need Is More Likely To Answer Honestly.
Dif: Understanding Top: Integrated Process: Teaching/Learning
Key: Health Care Disparities, Lgbtq Msc: Client Needs Category: Psychosocial Integrity
8. A Nurse Is Calling The On-Call Health Care Provider About A Client Who Had A Hysterectomy 2
Days Ago And Has Pain That Is Unrelieved By The Prescribed Opioid Pain Medication. Which Statement
Comprises The Background Portion Of The Sbar Format For Communication?
A. ―I Would Like You To Order A Different Pain Medication.‖
B. ―This Client Has Allergies To Morphine And Codeine.‖
C. ―Dr. Smith Doesn‘T Like Nonsteroidal Anti-Inflammatory Meds.‖
D. ―This Client Had A Vaginal Hysterectomy 2 Days Ago.‖
Ans: B
Sbar Is A Recommended Form Of Communication, And The Acronym Stands For Situation, Background,
Assessment, And Recommendation. Appropriate Background Information Includes Allergies To
Medications The On-Call Health Care Provider Might Order. Situation
