TEST BANK FOR Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 12th edition by Mariann M. Harding ISBN:978-0323789615 COMPLETE GUIDE WITH RATIONALES 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!

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,Table of Content ap ap



Chapter 01: Professional Nursing.............................................................................................................................................4
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Chapter 02: Social Determinants of Health ............................................................................................................................10
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Chapter 03: Health History and Physical Examination Harding: Lewis’sMedical-Surgical Nursing,12thEdition ...................15
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Chapter 04: Patient and Caregiver Teaching ..........................................................................................................................20
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Chapter 05: Chronic Illness and Older Adults .......................................................................................................................26
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ..................................................................................................34
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Chapter 07: Stress Management .............................................................................................................................................38
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Chapter 08: Sleep and Sleep Disorders ..................................................................................................................................42
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Chapter 09: Pain .....................................................................................................................................................................47
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Chapter 10: Palliative and End-of-Life Care ..........................................................................................................................56
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Chapter 11: Substance Use Disorders in Acute Care..............................................................................................................61
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Chapter 12: Inflammation and Healing ..................................................................................................................................69
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Chapter 13: Genetics ..............................................................................................................................................................76
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Chapter 14: Immune Responses and Transplantation Harding: Lewis’sMedical-Surgical Nursing,12thEdition .....................79
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Chapter 15: Infection..............................................................................................................................................................87
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Chapter 16: Cancer.................................................................................................................................................................97
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Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ......111
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Chapter 18: Preoperative Care..............................................................................................................................................124
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Chapter 19: Intraoperative Care ...........................................................................................................................................131
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Chapter 20: Postoperative Care ............................................................................................................................................137
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Chapter 21: Emergency and Disaster Nursing .....................................................................................................................145
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Chapter 22: Assessment and Management: Visual Problems Harding: Lewis’s Medical-
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Surgical Nursing, 12th Edition 153 Chapter 23: Assessment and Management: Auditory Problems Harding: Lewis’s Medi
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cal-Surgical Nursing, 12th Edition
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.............................................................................................................................................................................................166
Chapter 24: Assessment: Integumentary System Harding: Lewis’sMedical-Surgical Nursing,12thEdition ..........................173
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Chapter 25: Integumentary Problems ...................................................................................................................................178
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Chapter 26: Burns.................................................................................................................................................................186
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Chapter 27: Assessment: Respiratory System ......................................................................................................................195
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Chapter 28: Supporting Ventilation......................................................................................................................................203
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Chapter 29: Upper Respiratory Problems .............................................................................................................................214
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Chapter 30: Lower Respiratory Problems ............................................................................................................................220
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Chapter 31: Obstructive Pulmonary Diseases ......................................................................................................................235
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Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress Syndrome Harding: Lewis’s Medical-
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Surgical Nursing, 12th Edition .............................................................................................................................................248
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first? .................................................................................................................................................................................253
Chapter 33: Assessment: Hematologic System ....................................................................................................................257
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Chapter 34: Hematologic Problems......................................................................................................................................262
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Chapter 35: Assessment: Cardiovascular System Harding: Lewis’sMedical-Surgical Nursing,12thEdition .........................277
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Chapter 36: Hypertension.....................................................................................................................................................289
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Chapter 38: Heart Failure .....................................................................................................................................................311
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Chapter 39: Dysrhythmias ....................................................................................................................................................319
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,Chapter 40: Inflammatory and Structural Heart Disorders Harding: Lewis’s Medical-Surgical Nursing, 12th Edition.......329
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first? ................................................................................................................................................................................. 339
Chapter 41: Vascular Disorders ........................................................................................................................................... 341
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Chapter 43: Assessment: Gastrointestinal System Harding: Lewis’sMedical-Surgical Nursing,12thEdition ........................ 364
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Chapter 44: Nutrition Problems ........................................................................................................................................... 369
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Chapter 45: Obesity ............................................................................................................................................................. 377
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Chapter 46: Upper Gastrointestinal Problems ...................................................................................................................... 383
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Chapter 47: Lower Gastrointestinal Problems ...................................................................................................................... 397
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first? ................................................................................................................................................................................. 408
Chapter 48: Liver, Biliary Tract, and Pancreas Problems Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ........ 414
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Chapter 49: Assessment: Urinary System ............................................................................................................................ 429
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Chapter 50: Renal and Urologic Problems ........................................................................................................................... 436
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Chapter 51: Acute Kidney Injury and Chronic Kidney Disease Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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............................................................................................................................................................................................. 450
Chapter 52: Assessment: Endocrine System ........................................................................................................................ 462
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Chapter 53: Diabetes ............................................................................................................................................................ 469
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Chapter 54: Endocrine Problems.......................................................................................................................................... 484
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first? ................................................................................................................................................................................. 494
Chapter 55: Assessment: Reproductive System ................................................................................................................... 499
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first? ................................................................................................................................................................................. 502
Chapter 56: Breast Problems ................................................................................................................................................ 503
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Chapter 57: Sexually Transmitted Infections ....................................................................................................................... 512
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Chapter 58: Female Reproductive Problems ........................................................................................................................ 519
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Chapter 59: Male Reproductive Problems............................................................................................................................ 533
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Chapter 60: Assessment: Nervous System ........................................................................................................................... 544
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Chapter 61: Acute Intracranial Problems ............................................................................................................................. 550
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Chapter 62: Stroke ............................................................................................................................................................... 565
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Chapter 63: Chronic Neurologic Problems .......................................................................................................................... 574
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Chapter 64: Dementia and Delirium..................................................................................................................................... 585
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Chapter 65: Spinal Cord and Peripheral Nerve Problems Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ........ 593
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Chapter 66: Assessment: Musculoskeletal System Harding: Lewis’sMedical-Surgical Nursing,12thEdition ....................... 603
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Chapter 67: Musculoskeletal Trauma and Orthopedic Surgery Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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............................................................................................................................................................................................. 608
Chapter 68:Musculoskeletal Problems ................................................................................................................................. 622
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Chapter 69: Arthritis and Connective Tissue Diseases Harding: Lewis’sMedical-Surgical Nursing,12thEdition.................. 629
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3

, Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE ap




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 asks, “How is this different from
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what the physician does?” Which response would the nurse provide?
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a. “The role of the nurse is to administer medications and other treatments prescribed b
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y your physician.”
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b. “In addition to caring for you while you are sick, the nurses will help you plan to m
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aintain your health.” ap ap



c. “The nurse‘s job is to collect information and communicate anyproblems that o
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ccur to the physician.” ap ap ap



d. “Nurses perform manyof the same procedures as the physician, but nurses are w
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ith the patients for a longer time than the physician.”
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ANS: B ap



The American Nurses Association (ANA) definition of nursing describes the role of nurses in
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promoting health. The other responses describe dependent and collaborative functions of the
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nursing role but do not accurately describe the nurse‘s unique role in thehealth care system.
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DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. “Patient care is based on clinical judgment, experience, and traditions.”
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b. “Data are analyzed later to show that the patient outcomes are consistentlymet.”
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c. “Research from all published articles are used as a guide for planning patient care.”
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d. “Recommendations are based on research, clinical expertise, and patient ap ap ap ap ap ap ap ap ap



preferences.”
ANS: D ap



Evidence-based practice (EBP) is the use of the best research- ap ap ap ap ap ap ap ap ap



based evidence combined with clinician expertise and consideration of patient preferences. Cl
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inical judgment based on the nurse‘s clinical experience is part of EBP, but clinical decision
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making should also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but data analysis is not require
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d to use EBP. All published articles do not provide research evidence; interventions should be
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based on credible research, preferably randomized controlled studies with a large number of s
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ubjects.

DIF: Cognitive Level: Understand (Comprehension) ap ap ap



TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. “The nursing process is a research method of diagnosing the patient‘s health care pr
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oblems.”
b. “The nursing process is used primarilyto explain nursing interventions to other h
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ealth care professionals.” ap ap



c. “The nursing process is a problem-solving tool used to identify and manage the
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