TEST BANK
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
l2 l2
Sectionl2Onel2–l2Conceptsl2inl2Nursingl2Practice
1l2Introductionl2tol2Medical-Surgicall2Nursingl2Practicel2inl2Canada
2l2Culturall2Competencel2andl2Healthl2Equityl2inl2Care
3l2Healthl2Historyl2andl2Physicall2Examination
4l2Patientl2andl2Caregiverl2Teaching
5l2Chronicl2Illness
6l2Community-Basedl2Nursingl2andl2Homel2Care
7l2Olderl2Adults
8l2Stressl2andl2Stressl2Management
9l2Sleepl2andl2Sleepl2Disorders
10l2Pain
11l2Substancel2Use
12l2Complementaryl2andl2Alternativel2Therapies
13l2Palliativel2Carel2atl2thel2Endl2ofl2Life
Sectionl2Twol2–l2Pathophysiologicall2Mechanismsl2ofl2Disease
14l2Inflammationl2andl2Woundl2Healing
15l2Genetics
16l2Alteredl2Immunel2Responsel2andl2Transplantation
17l2Infectionl2andl2Humanl2Immunodeficiencyl2Virusl2Infection
18l2Cancer
19l2Fluid,l2Electrolyte,l2andl2Acid–Basel2Imbalances
Sectionl2Threel2–l2Perioperativel2Care
20l2Nursingl2Management:l2Preoperativel2Care
21l2Nursingl2Management:l2Intraoperativel2Care
22l2Nursingl2Management:l2Post-operativel2Care
Sectionl2Fourl2–l2Problemsl2Relatedl2tol2Alteredl2Sensoryl2Input
23l2Nursingl2Assessment:l2Visuall2andl2Auditoryl2Systems
24l2Nursingl2Management:l2Visuall2andl2Auditoryl2Problems
25l2Nursingl2Assessment:l2Integumentaryl2System
26l2Nursingl2Management:l2Integumentaryl2Problems
27l2Nursingl2Management:l2Burns
Sectionl2Fivel2–l2Problemsl2ofl2Oxygenation:l2Ventilation
28l2Nursingl2Assessment:l2Respiratoryl2System
29l2Nursingl2Management:l2Upperl2Respiratoryl2Problems
30l2Nursingl2Management:l2Lowerl2Respiratoryl2Problems
31l2Nursingl2Management:l2Obstructivel2Pulmonaryl2Diseases
Sectionl2Sixl2–l2Problemsl2ofl2Oxygenation:l2Transport
32l2Nursingl2Assessment:l2Hematologicall2System
33l2Nursingl2Management:l2Hematologicall2Problems
Sectionl2Sevenl2–l2Problemsl2ofl2Oxygenation:l2Perfusion
34l2Nursingl2Assessment:l2Cardiovascularl2System
35l2Nursingl2Management:l2Hypertension
36l2Nursingl2Management:l2Coronaryl2Arteryl2Diseasel2andl2Acutel2Coronaryl2Syndrome
37l2Nursingl2Management:l2Heartl2Failure
,38l2Nursingl2Management:l2Dysrhythmias
39l2Nursingl2Management:l2Inflammatoryl2andl2Structurall2Heartl2Diseases
40l2Nursingl2Management:l2Vascularl2Disorders
Sectionl2Eightl2–l2Problemsl2ofl2Ingestion,l2Digestion,l2Absorption,l2andl2Elimination
41l2Nursingl2Assessment:l2Gastrointestinall2System
42l2Nursingl2Management:l2Nutritionall2Problems
43l2Nursingl2Management:l2Obesity
44l2Nursingl2Management:l2Upperl2Gastrointestinall2Problems
45l2Nursingl2Management:l2Lowerl2Gastrointestinall2Problems
46l2Nursingl2Management:l2Liver,l2Pancreas,l2andl2Biliaryl2Tractl2Problems
Sectionl2Ninel2–l2Problemsl2ofl2Urinaryl2Function
47l2Nursingl2Assessment:l2Urinaryl2System
48l2Nursingl2Management:l2Renall2andl2Urologicall2Problems
49l2Nursingl2Management:l2Acutel2Kidneyl2Injuryl2andl2Chronicl2Kidneyl2Disease
Sectionl2Tenl2–l2Problemsl2Relatedl2tol2Regulatoryl2andl2Reproductivel2Mechanisms
50l2Nursingl2Assessment:l2Endocrinel2System
51l2Nursingl2Management:l2Endocrinel2Problems
52l2Nursingl2Management:l2Diabetesl2Mellitus
53l2Nursingl2Assessment:l2Reproductivel2System
54l2Nursingl2Management:l2Breastl2Disorders
55l2Nursingl2Management:l2Sexuallyl2Transmittedl2Infections
56l2Nursingl2Management:l2Femalel2Reproductivel2Problems
57l2Nursingl2Management:l2Malel2Reproductivel2Problems
Sectionl2Elevenl2–l2Problemsl2Relatedl2tol2Movementl2andl2Coordination
58l2Nursingl2Assessment:l2Nervousl2System
59l2Nursingl2Management:l2Acutel2Intracraniall2Problems
60l2Nursingl2Management:l2Stroke
61l2Nursingl2Management:l2Chronicl2Neurologicall2Problems
62l2Nursingl2Management:l2Delirium,l2Alzheimer’sl2Disease,l2andl2Otherl2Dementias
63l2Nursingl2Management:l2Peripherall2Nervel2andl2Spinall2Cordl2Problems
64l2Nursingl2Assessment:l2Musculoskeletall2System
65l2Nursingl2Management:l2Musculoskeletall2Traumal2andl2Orthopedicl2Surgery
66l2Nursingl2Management:l2Musculoskeletall2Problems
67l2Nursingl2Management:l2Arthritisl2andl2Connectivel2Tissuel2Diseases
Sectionl2Twelvel2–l2Nursingl2Carel2inl2Specializedl2Settings
68l2Nursingl2Management:l2Criticall2Carel2Environment
69l2Nursingl2Management:l2Shock,l2Systemicl2Inflammatoryl2Responsel2Syndrome,l2andl2Multiple
-Organl2Dysfunctionl2Syndrome
70l2Nursingl2Management:l2Respiratoryl2Failurel2andl2Acutel2Respiratoryl2Distressl2Syndrome
71l2Nursingl2Management:l2Emergencyl2Carel2Situations
72l2Emergencyl2Managementl2andl2Disasterl2Planning
, Chapterl201:l2Introductionl2tol2Medical-
Surgicall2Nursingl2Practicel2inl2Canadal2Lewis:l2Medical-
Surgicall2Nursingl2inl2Canada,l24thl2Canadianl2Edition
MULTIPLEl2CHOICE
1. Whenl2caringl2forl2clientsl2usingl2evidence-
informedl2practice,l2whichl2ofl2thel2followingl2doesl2thel2nursel2use?
a. Clinicall2judgementl2basedl2onl2experience
b. Evidencel2froml2al2clinicall2researchl2study
c. Thel2bestl2availablel2evidencel2tol2guidel2clinicall2expertise
d. Evaluationl2ofl2datal2showingl2thatl2thel2clientl2outcomesl2arel2met
CORRECTl2ANSWER:l
2 C
Evidence-
informedl2nursingl2practicel2isl2al2continuousl2interactivel2processl2involvingl2thel2explicit,l2conscienti
ous,l2andl2judiciousl2considerationl2ofl2thel2bestl2availablel2evidencel2tol2providel2care.l2Fourl2primaryl
2elementsl2are:l2(a)l2clinicall2state,l2setting,l2andl2circumstances;l2(b)l2clientl2preferencesl2andl2actions;l
2(c)l2bestl2researchl2evidence;l2andl2(d)l2healthl2carel2resources.l2Clinicall2judgementl2basedl2onl2thel2n
urse’sl2clinicall2experiencel2isl2partl2ofl2EIP,l2butl2clinicall2decisionl2makingl2alsol2shouldl2incorporate
l2currentl2researchl2andl2research-
basedl2guidelines.l2Evidencel2froml2onel2clinicall2researchl2studyl2doesl2notl2providel2anl2adequatel2s
ubstantiationl2forl2interventions.l2Evaluationl2ofl2clientl2outcomesl2isl2important,l2butl2interventionsl2
shouldl2bel2basedl2onl2researchl2froml2randomizedl2controll2studiesl2withl2al2largel2numberl2ofl2subje
cts.
DIF: Cognitivel2Level:l2Comprehension TOP:l 2 Nursingl2Process:l2Planning
2. Whichl2 ofl2 thel2 followingl2 bestl2 N
e x p lRa i n sIt h eGn u B
r s e. sC
’ l2 prM
imaryl2 usel2 ofl2 thel2 nursingl2 processl2 when
providingl2carel2tol2clients? Ul2Sl2Nl2T O
a. Tol2explainl2nursingl2interventionsl2tol2otherl2healthl2carel2professionals
b. Asl2al2problem-solvingl2tooll2tol2identifyl2andl2treatl2clients’l2healthl2carel2needs
c. Asl2al2scientific-basedl2processl2ofl2diagnosingl2thel2client’sl2healthl2carel2problems
d. Tol2establishl2nursingl2theoryl2thatl2incorporatesl2thel2biopsychosociall2naturel2ofl2humans
CORRECTl2ANSWER:l 2 B
Thel2nursingl2processl2isl2anl2assertivel2problem-
solvingl2approachl2tol2thel2identificationl2andl2treatmentl2ofl2clients’l2problems.l2Diagnosisl2isl2onlyl2o
nel2phasel2ofl2thel2nursingl2process.l2The
primaryl2usel2ofl2thel2nursingl2processl2isl2inl2clientl2care,l2notl2tol2establishl2nursingl2theoryl2orl2explainl
2nursingl2interventionsl2tol2otherl2healthl2carel2professionals.
DIF: Cognitivel2Level:l2Comprehension TOP:l 2 Nursingl2Process:l2Implementation
3. Thel2nursel2isl2caringl2forl2al2criticallyl2illl2clientl2inl2thel2intensivel2carel2unitl2andl2plansl2anl2everyl22-
hourl2turningl2schedulel2tol2preventl2skinl2breakdown.l2Whichl2typel2ofl2nursingl2functionl2isl2demon
stratedl2withl2thisl2turningl2schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECTl2ANSWER:l 2 D
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
l2 l2
Sectionl2Onel2–l2Conceptsl2inl2Nursingl2Practice
1l2Introductionl2tol2Medical-Surgicall2Nursingl2Practicel2inl2Canada
2l2Culturall2Competencel2andl2Healthl2Equityl2inl2Care
3l2Healthl2Historyl2andl2Physicall2Examination
4l2Patientl2andl2Caregiverl2Teaching
5l2Chronicl2Illness
6l2Community-Basedl2Nursingl2andl2Homel2Care
7l2Olderl2Adults
8l2Stressl2andl2Stressl2Management
9l2Sleepl2andl2Sleepl2Disorders
10l2Pain
11l2Substancel2Use
12l2Complementaryl2andl2Alternativel2Therapies
13l2Palliativel2Carel2atl2thel2Endl2ofl2Life
Sectionl2Twol2–l2Pathophysiologicall2Mechanismsl2ofl2Disease
14l2Inflammationl2andl2Woundl2Healing
15l2Genetics
16l2Alteredl2Immunel2Responsel2andl2Transplantation
17l2Infectionl2andl2Humanl2Immunodeficiencyl2Virusl2Infection
18l2Cancer
19l2Fluid,l2Electrolyte,l2andl2Acid–Basel2Imbalances
Sectionl2Threel2–l2Perioperativel2Care
20l2Nursingl2Management:l2Preoperativel2Care
21l2Nursingl2Management:l2Intraoperativel2Care
22l2Nursingl2Management:l2Post-operativel2Care
Sectionl2Fourl2–l2Problemsl2Relatedl2tol2Alteredl2Sensoryl2Input
23l2Nursingl2Assessment:l2Visuall2andl2Auditoryl2Systems
24l2Nursingl2Management:l2Visuall2andl2Auditoryl2Problems
25l2Nursingl2Assessment:l2Integumentaryl2System
26l2Nursingl2Management:l2Integumentaryl2Problems
27l2Nursingl2Management:l2Burns
Sectionl2Fivel2–l2Problemsl2ofl2Oxygenation:l2Ventilation
28l2Nursingl2Assessment:l2Respiratoryl2System
29l2Nursingl2Management:l2Upperl2Respiratoryl2Problems
30l2Nursingl2Management:l2Lowerl2Respiratoryl2Problems
31l2Nursingl2Management:l2Obstructivel2Pulmonaryl2Diseases
Sectionl2Sixl2–l2Problemsl2ofl2Oxygenation:l2Transport
32l2Nursingl2Assessment:l2Hematologicall2System
33l2Nursingl2Management:l2Hematologicall2Problems
Sectionl2Sevenl2–l2Problemsl2ofl2Oxygenation:l2Perfusion
34l2Nursingl2Assessment:l2Cardiovascularl2System
35l2Nursingl2Management:l2Hypertension
36l2Nursingl2Management:l2Coronaryl2Arteryl2Diseasel2andl2Acutel2Coronaryl2Syndrome
37l2Nursingl2Management:l2Heartl2Failure
,38l2Nursingl2Management:l2Dysrhythmias
39l2Nursingl2Management:l2Inflammatoryl2andl2Structurall2Heartl2Diseases
40l2Nursingl2Management:l2Vascularl2Disorders
Sectionl2Eightl2–l2Problemsl2ofl2Ingestion,l2Digestion,l2Absorption,l2andl2Elimination
41l2Nursingl2Assessment:l2Gastrointestinall2System
42l2Nursingl2Management:l2Nutritionall2Problems
43l2Nursingl2Management:l2Obesity
44l2Nursingl2Management:l2Upperl2Gastrointestinall2Problems
45l2Nursingl2Management:l2Lowerl2Gastrointestinall2Problems
46l2Nursingl2Management:l2Liver,l2Pancreas,l2andl2Biliaryl2Tractl2Problems
Sectionl2Ninel2–l2Problemsl2ofl2Urinaryl2Function
47l2Nursingl2Assessment:l2Urinaryl2System
48l2Nursingl2Management:l2Renall2andl2Urologicall2Problems
49l2Nursingl2Management:l2Acutel2Kidneyl2Injuryl2andl2Chronicl2Kidneyl2Disease
Sectionl2Tenl2–l2Problemsl2Relatedl2tol2Regulatoryl2andl2Reproductivel2Mechanisms
50l2Nursingl2Assessment:l2Endocrinel2System
51l2Nursingl2Management:l2Endocrinel2Problems
52l2Nursingl2Management:l2Diabetesl2Mellitus
53l2Nursingl2Assessment:l2Reproductivel2System
54l2Nursingl2Management:l2Breastl2Disorders
55l2Nursingl2Management:l2Sexuallyl2Transmittedl2Infections
56l2Nursingl2Management:l2Femalel2Reproductivel2Problems
57l2Nursingl2Management:l2Malel2Reproductivel2Problems
Sectionl2Elevenl2–l2Problemsl2Relatedl2tol2Movementl2andl2Coordination
58l2Nursingl2Assessment:l2Nervousl2System
59l2Nursingl2Management:l2Acutel2Intracraniall2Problems
60l2Nursingl2Management:l2Stroke
61l2Nursingl2Management:l2Chronicl2Neurologicall2Problems
62l2Nursingl2Management:l2Delirium,l2Alzheimer’sl2Disease,l2andl2Otherl2Dementias
63l2Nursingl2Management:l2Peripherall2Nervel2andl2Spinall2Cordl2Problems
64l2Nursingl2Assessment:l2Musculoskeletall2System
65l2Nursingl2Management:l2Musculoskeletall2Traumal2andl2Orthopedicl2Surgery
66l2Nursingl2Management:l2Musculoskeletall2Problems
67l2Nursingl2Management:l2Arthritisl2andl2Connectivel2Tissuel2Diseases
Sectionl2Twelvel2–l2Nursingl2Carel2inl2Specializedl2Settings
68l2Nursingl2Management:l2Criticall2Carel2Environment
69l2Nursingl2Management:l2Shock,l2Systemicl2Inflammatoryl2Responsel2Syndrome,l2andl2Multiple
-Organl2Dysfunctionl2Syndrome
70l2Nursingl2Management:l2Respiratoryl2Failurel2andl2Acutel2Respiratoryl2Distressl2Syndrome
71l2Nursingl2Management:l2Emergencyl2Carel2Situations
72l2Emergencyl2Managementl2andl2Disasterl2Planning
, Chapterl201:l2Introductionl2tol2Medical-
Surgicall2Nursingl2Practicel2inl2Canadal2Lewis:l2Medical-
Surgicall2Nursingl2inl2Canada,l24thl2Canadianl2Edition
MULTIPLEl2CHOICE
1. Whenl2caringl2forl2clientsl2usingl2evidence-
informedl2practice,l2whichl2ofl2thel2followingl2doesl2thel2nursel2use?
a. Clinicall2judgementl2basedl2onl2experience
b. Evidencel2froml2al2clinicall2researchl2study
c. Thel2bestl2availablel2evidencel2tol2guidel2clinicall2expertise
d. Evaluationl2ofl2datal2showingl2thatl2thel2clientl2outcomesl2arel2met
CORRECTl2ANSWER:l
2 C
Evidence-
informedl2nursingl2practicel2isl2al2continuousl2interactivel2processl2involvingl2thel2explicit,l2conscienti
ous,l2andl2judiciousl2considerationl2ofl2thel2bestl2availablel2evidencel2tol2providel2care.l2Fourl2primaryl
2elementsl2are:l2(a)l2clinicall2state,l2setting,l2andl2circumstances;l2(b)l2clientl2preferencesl2andl2actions;l
2(c)l2bestl2researchl2evidence;l2andl2(d)l2healthl2carel2resources.l2Clinicall2judgementl2basedl2onl2thel2n
urse’sl2clinicall2experiencel2isl2partl2ofl2EIP,l2butl2clinicall2decisionl2makingl2alsol2shouldl2incorporate
l2currentl2researchl2andl2research-
basedl2guidelines.l2Evidencel2froml2onel2clinicall2researchl2studyl2doesl2notl2providel2anl2adequatel2s
ubstantiationl2forl2interventions.l2Evaluationl2ofl2clientl2outcomesl2isl2important,l2butl2interventionsl2
shouldl2bel2basedl2onl2researchl2froml2randomizedl2controll2studiesl2withl2al2largel2numberl2ofl2subje
cts.
DIF: Cognitivel2Level:l2Comprehension TOP:l 2 Nursingl2Process:l2Planning
2. Whichl2 ofl2 thel2 followingl2 bestl2 N
e x p lRa i n sIt h eGn u B
r s e. sC
’ l2 prM
imaryl2 usel2 ofl2 thel2 nursingl2 processl2 when
providingl2carel2tol2clients? Ul2Sl2Nl2T O
a. Tol2explainl2nursingl2interventionsl2tol2otherl2healthl2carel2professionals
b. Asl2al2problem-solvingl2tooll2tol2identifyl2andl2treatl2clients’l2healthl2carel2needs
c. Asl2al2scientific-basedl2processl2ofl2diagnosingl2thel2client’sl2healthl2carel2problems
d. Tol2establishl2nursingl2theoryl2thatl2incorporatesl2thel2biopsychosociall2naturel2ofl2humans
CORRECTl2ANSWER:l 2 B
Thel2nursingl2processl2isl2anl2assertivel2problem-
solvingl2approachl2tol2thel2identificationl2andl2treatmentl2ofl2clients’l2problems.l2Diagnosisl2isl2onlyl2o
nel2phasel2ofl2thel2nursingl2process.l2The
primaryl2usel2ofl2thel2nursingl2processl2isl2inl2clientl2care,l2notl2tol2establishl2nursingl2theoryl2orl2explainl
2nursingl2interventionsl2tol2otherl2healthl2carel2professionals.
DIF: Cognitivel2Level:l2Comprehension TOP:l 2 Nursingl2Process:l2Implementation
3. Thel2nursel2isl2caringl2forl2al2criticallyl2illl2clientl2inl2thel2intensivel2carel2unitl2andl2plansl2anl2everyl22-
hourl2turningl2schedulel2tol2preventl2skinl2breakdown.l2Whichl2typel2ofl2nursingl2functionl2isl2demon
stratedl2withl2thisl2turningl2schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECTl2ANSWER:l 2 D
