TEST BANK
DEWITT’S MEDICAL-SURGICAL NURSING: CONCEPTS
AND PRACTICE, 4TH EDITION by Holly K. Stromberg.
,TABLE OF CONTENT
Chapter 01: Caring for Medical-Surgical Patients ............................................................................................ 4
Chapter 02: Critical Thinking and the Nursing Process ................................................................................ 14
Chapter 03: Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy ............................................ 24
Chapter 04: Care of Preoperative and Intraoperative Surgical Patients ......................................................... 34
Chapter 05: Care of Postoperative Patients.................................................................................................... 44
Chapter 06: Infection Prevention and Control ............................................................................................... 54
Chapter 07: Care of Patients with Pain .......................................................................................................... 64
Chapter 08: Care of Patients with Cancer ...................................................................................................... 74
Chapter 09: Chronic Illness and Rehabilitation ............................................................................................. 84
Chapter 10: The Immune and Lymphatic System ......................................................................................... 95
Chapter 11: Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS) .......................105
Chapter 12: The Respiratory System ............................................................................................................116
Chapter 13: Care of Patients with Disorders of the Upper Respiratory System ...........................................126
Chapter 14: Care of Patients with Disorders of the Lower Respiratory System ...........................................136
Chapter 15: The Hematologic System ..........................................................................................................147
Chapter 16: Care of Patients with Hematologic Disorders ...........................................................................157
Chapter 17: The Cardiovascular System .......................................................................................................167
Chapter 18: Care of Patients with Hypertension and Peripheral Vascular Disease ......................................177
Chapter 19: Care of Patients with Cardiac Disorders ...................................................................................187
Chapter 20: Care of Patients with Coronary Artery Disease and Cardiac Surgery .......................................197
Chapter 21: The Neurologic System .............................................................................................................208
Chapter 22: Care of Patients with Head and Spinal Cord Injuries................................................................218
Chapter 23: Care of Patients with Disorders of the Brain ............................................................................ 228
Chapter 24: Care of Patients with Peripheral Nerve and Degenerative Diseases .........................................238
Chapter 25: The Sensory System: Eye and Ear ............................................................................................248
Chapter 26: Care of Patients with Disorders of the Eyes and Ears ...............................................................258
Chapter 27: The Gastrointestinal System .....................................................................................................269
Chapter 28: Care of Patients with Disorders of the Upper Gastrointestinal System ....................................280
Chapter 29: Care of Patients with Disorders of the Lower Gastrointestinal System ....................................291
Chapter 30: Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas ...................................302
Chapter 31: The Musculoskeletal System.....................................................................................................313
Chapter 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders ................................323
Chapter 33: The Urinary System ..................................................................................................................334
Chapter 34: Care of Patients with Disorders of the Urinary System ............................................................346
Chapter 35: The Endocrine System ..............................................................................................................358
Chapter 36: Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders ...........................368
Chapter 37: Care of Patients with Diabetes and Hypoglycemia ...................................................................380
Chapter 38: Care of Women with Reproductive Disorders ..........................................................................392
Chapter 39: Care of Men with Reproductive Disorders................................................................................404
,Chapter 40: Care of Patients with Sexually Transmitted Infections .............................................................416
Chapter 41: The Integumentary System........................................................................................................ 426
Chapter 42: Care of Patents with Integumentary Disorders and Burns ........................................................436
Chapter 43: Care of Patients in Disasters or Bioterrorism Attack ................................................................447
Chapter 44: Care of Patients with Emergencies, Trauma, and Shock ..........................................................457
Chapter 45: Care of Patients with Anxiety, Mood, and Eating Disorders ....................................................469
Chapter 46: Care of Patients with Substance Abuse Disorders ....................................................................479
Chapter 47: Care of Patients with Cognitive Disorders ................................................................................490
Chapter 48: Care of Patients with Thought and Personality Disorders ........................................................500
, Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose of the state nurse practice act
(NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of LPN/LVN practice.
c. To improve the quality of care provided by the LPN/LVN.
d. To limit the LPN/LVN employment placement.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
vocational nurse has not been taught during her educational program. How should the
vocational nurse respond?
a. Ask a more experienced nurse to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this procedure.
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the
vocational nurse should seek further training to gain proficiency. Although the other options
might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocational
nurse should address?
a. “I have no idea of how this drug will affect me.”
b. “Do you know if my physician is coming back today?”
c. “Will my insurance pay for mystay?”
d. “Am I going to have to go to a nursing home?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that
should be addressed by the vocational nurse. The other concerns in the options are the
responsibility of other departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
DEWITT’S MEDICAL-SURGICAL NURSING: CONCEPTS
AND PRACTICE, 4TH EDITION by Holly K. Stromberg.
,TABLE OF CONTENT
Chapter 01: Caring for Medical-Surgical Patients ............................................................................................ 4
Chapter 02: Critical Thinking and the Nursing Process ................................................................................ 14
Chapter 03: Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy ............................................ 24
Chapter 04: Care of Preoperative and Intraoperative Surgical Patients ......................................................... 34
Chapter 05: Care of Postoperative Patients.................................................................................................... 44
Chapter 06: Infection Prevention and Control ............................................................................................... 54
Chapter 07: Care of Patients with Pain .......................................................................................................... 64
Chapter 08: Care of Patients with Cancer ...................................................................................................... 74
Chapter 09: Chronic Illness and Rehabilitation ............................................................................................. 84
Chapter 10: The Immune and Lymphatic System ......................................................................................... 95
Chapter 11: Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS) .......................105
Chapter 12: The Respiratory System ............................................................................................................116
Chapter 13: Care of Patients with Disorders of the Upper Respiratory System ...........................................126
Chapter 14: Care of Patients with Disorders of the Lower Respiratory System ...........................................136
Chapter 15: The Hematologic System ..........................................................................................................147
Chapter 16: Care of Patients with Hematologic Disorders ...........................................................................157
Chapter 17: The Cardiovascular System .......................................................................................................167
Chapter 18: Care of Patients with Hypertension and Peripheral Vascular Disease ......................................177
Chapter 19: Care of Patients with Cardiac Disorders ...................................................................................187
Chapter 20: Care of Patients with Coronary Artery Disease and Cardiac Surgery .......................................197
Chapter 21: The Neurologic System .............................................................................................................208
Chapter 22: Care of Patients with Head and Spinal Cord Injuries................................................................218
Chapter 23: Care of Patients with Disorders of the Brain ............................................................................ 228
Chapter 24: Care of Patients with Peripheral Nerve and Degenerative Diseases .........................................238
Chapter 25: The Sensory System: Eye and Ear ............................................................................................248
Chapter 26: Care of Patients with Disorders of the Eyes and Ears ...............................................................258
Chapter 27: The Gastrointestinal System .....................................................................................................269
Chapter 28: Care of Patients with Disorders of the Upper Gastrointestinal System ....................................280
Chapter 29: Care of Patients with Disorders of the Lower Gastrointestinal System ....................................291
Chapter 30: Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas ...................................302
Chapter 31: The Musculoskeletal System.....................................................................................................313
Chapter 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders ................................323
Chapter 33: The Urinary System ..................................................................................................................334
Chapter 34: Care of Patients with Disorders of the Urinary System ............................................................346
Chapter 35: The Endocrine System ..............................................................................................................358
Chapter 36: Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders ...........................368
Chapter 37: Care of Patients with Diabetes and Hypoglycemia ...................................................................380
Chapter 38: Care of Women with Reproductive Disorders ..........................................................................392
Chapter 39: Care of Men with Reproductive Disorders................................................................................404
,Chapter 40: Care of Patients with Sexually Transmitted Infections .............................................................416
Chapter 41: The Integumentary System........................................................................................................ 426
Chapter 42: Care of Patents with Integumentary Disorders and Burns ........................................................436
Chapter 43: Care of Patients in Disasters or Bioterrorism Attack ................................................................447
Chapter 44: Care of Patients with Emergencies, Trauma, and Shock ..........................................................457
Chapter 45: Care of Patients with Anxiety, Mood, and Eating Disorders ....................................................469
Chapter 46: Care of Patients with Substance Abuse Disorders ....................................................................479
Chapter 47: Care of Patients with Cognitive Disorders ................................................................................490
Chapter 48: Care of Patients with Thought and Personality Disorders ........................................................500
, Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose of the state nurse practice act
(NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of LPN/LVN practice.
c. To improve the quality of care provided by the LPN/LVN.
d. To limit the LPN/LVN employment placement.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
vocational nurse has not been taught during her educational program. How should the
vocational nurse respond?
a. Ask a more experienced nurse to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this procedure.
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the
vocational nurse should seek further training to gain proficiency. Although the other options
might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocational
nurse should address?
a. “I have no idea of how this drug will affect me.”
b. “Do you know if my physician is coming back today?”
c. “Will my insurance pay for mystay?”
d. “Am I going to have to go to a nursing home?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that
should be addressed by the vocational nurse. The other concerns in the options are the
responsibility of other departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
