LEWIS' MEDICAL-SURGICAL NURSING, 11TH EDITION
BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER
CHAPTER 1-69
QUESTIONS AND CORRECT ANSWERS
,TABLE OF CONTENTS
SECTION ONE – CONCEPTS IN NURSING PRACTICE...............................................................................5
CHAPTER 01: PROFESSIONAL NURSING .................................................................................................. 5
CHAPTER 02: SOCIAL DETERMINANTS OF HEALTH ............................................................................... 15
CHAPTER 03: HEALTH HISTORY AND PHYSICAL EXAMINATION ............................................................ 24
CHAPTER 04: PATIENT AND CAREGIVER TEACHING .............................................................................. 32
CHAPTER 05: CHRONIC ILLNESS AND OLDER ADULTS ........................................................................... 43
SECTION TWO – PROBLEMS RELATED TO COMFORT AND COPING ..................................................... 56
CHAPTER 06: CARING FOR LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER OR QUESTIONING, AND
GENDER DIVERSE PATIENTS ................................................................................................................... 56
CHAPTER 07: STRESS MANAGEMENT .................................................................................................... 64
CHAPTER 08: SLEEP AND SLEEP DISORDERS ......................................................................................... 70
CHAPTER 09: PAIN .................................................................................................................................. 78
CHAPTER 10: PALLIATIVE AND END-OF-LIFE CARE ................................................................................ 93
SECTION THREE – PROBLEMS RELATED TO HOMEOSTASIS AND PROTECTION ................................... 102
CHAPTER 11: SUBSTANCE USE DISORDERS IN ACUTE CARE ............................................................... 102
CHAPTER 12: INFLAMMATION AND HEALING ..................................................................................... 115
CHAPTER 13: GENETICS ........................................................................................................................ 126
CHAPTER 14: IMMUNE RESPONSES AND TRANSPLANTATION HARDING: LEWIS’S MEDICAL-SURGICAL
NURSING, 12TH EDITION ..................................................................................................................... 131
CHAPTER 15: INFECTION ...................................................................................................................... 143
CHAPTER 16: CANCER .......................................................................................................................... 161
SECTION FOUR – PERIOPERATIVE CARE ........................................................................................... 184
CHAPTER 17: FLUID, ELECTROLYTE, AND ACID-BASE IMBALANCES HARDING: LEWIS’S MEDICAL-
SURGICAL NURSING, 12TH EDITION .................................................................................................... 184
CHAPTER 18: PREOPERATIVE CARE...................................................................................................... 205
CHAPTER 19: INTRAOPERATIVE CARE.................................................................................................. 216
SECTION FIVE – PROBLEMS RELATED TO ALTERED SENSORY INPUT .................................................. 226
CHAPTER 20: POSTOPERATIVE CARE ................................................................................................... 226
CHAPTER 21: EMERGENCY AND DISASTER NURSING ......................................................................... 240
CHAPTER 22: ASSESSMENT AND MANAGEMENT: VISUAL PROBLEMS HARDING: LEWIS’S MEDICAL-
SURGICAL NURSING, 12TH EDITION .................................................................................................... 253
, CHAPTER 23: ASSESSMENT AND MANAGEMENT: AUDITORY PROBLEMS HARDING: LEWIS’S
MEDICAL-SURGICAL NURSING, 12TH EDITION ................................................................................... 275
CHAPTER 24: ASSESSMENT: INTEGUMENTARY SYSTEM HARDING: LEWIS’S MEDICAL-SURGICAL
NURSING, 12TH EDITION ..................................................................................................................... 286
SECTION SIX – PROBLEMS OF OXYGENATION: VENTILATION ............................................................ 294
CHAPTER 25: INTEGUMENTARY PROBLEMS........................................................................................ 294
CHAPTER 26: BURNS ............................................................................................................................ 307
CHAPTER 27: ASSESSMENT: RESPIRATORY SYSTEM ............................................................................ 323
CHAPTER 28: SUPPORTING VENTILATION ........................................................................................... 336
SECTION SEVEN – PROBLEMS OF OXYGENATION: TRANSPORT ......................................................... 352
CHAPTER 29: UPPER RESPIRATORY PROBLEMS .................................................................................. 352
CHAPTER 30: LOWER RESPIRATORY PROBLEMS ................................................................................. 363
SECTION EIGHT – PROBLEMS OF OXYGENATION: PERFUSION........................................................... 388
CHAPTER 31: OBSTRUCTIVE PULMONARY DISEASES .......................................................................... 388
CHAPTER 32: ACUTE RESPIRATORY FAILURE AND ACUTE RESPIRATORY DISTRESS SYNDROME ....... 408
CHAPTER 33: ASSESSMENT: HEMATOLOGIC SYSTEM.......................................................................... 423
CHAPTER 34: HEMATOLOGIC PROBLEMS ............................................................................................ 431
CHAPTER 35: ASSESSMENT: CARDIOVASCULAR SYSTEM .................................................................... 456
CHAPTER 36: HYPERTENSION .............................................................................................................. 474
CHAPTER 37: CORONARY ARTERY DISEASE AND ACUTE CORONARY SYNDROME ............................ 486
SECTION NINE – PROBLEMS OF INGESTION, DIGESTION, ABSORPTION, AND ELIMINATION .............. 510
CHAPTER 38: HEART FAILURE .............................................................................................................. 510
CHAPTER 39: DYSRHYTHMIAS ............................................................................................................. 524
CHAPTER 40: INFLAMMATORY AND STRUCTURAL HEART DISORDERS.............................................. 540
CHAPTER 41: VASCULAR DISORDERS................................................................................................... 559
CHAPTER 42: SHOCK, SEPSIS, AND MULTIPLE ORGAN DYSFUNCTION SYNDROME ........................... 577
CHAPTER 43: ASSESSMENT: GASTROINTESTINAL SYSTEM ................................................................. 596
SECTION TEN – PROBLEMS OF URINARY FUNCTION......................................................................... 604
CHAPTER 44: NUTRITION PROBLEMS .................................................................................................. 604
CHAPTER 45: OBESITY .......................................................................................................................... 616
CHAPTER 46: UPPER GASTROINTESTINAL PROBLEMS ........................................................................ 627
SECTION ELEVEN – PROBLEMS RELATED TO REGULATORY AND REPRODUCTIVE MECHANISMS ......... 650
, CHAPTER 47: LOWER GASTROINTESTINAL PROBLEMS ....................................................................... 650
CHAPTER 48: LIVER, BILIARY TRACT, AND PANCREAS PROBLEMS ...................................................... 679
CHAPTER 49: ASSESSMENT: URINARY SYSTEM ................................................................................... 703
CHAPTER 50: RENAL AND UROLOGIC PROBLEMS ............................................................................... 715
CHAPTER 51: ACUTE KIDNEY INJURY AND CHRONIC KIDNEY DISEASE .............................................. 738
CHAPTER 52: ASSESSMENT: ENDOCRINE SYSTEM .............................................................................. 757
CHAPTER 53: DIABETES ........................................................................................................................ 767
CHAPTER 54: ENDOCRINE PROBLEMS ................................................................................................. 792
SECTION TWELVE – PROBLEMS RELATED TO MOVEMENT AND COORDINATION................................ 816
CHAPTER 55: ASSESSMENT: REPRODUCTIVE SYSTEM ........................................................................ 816
CHAPTER 56: BREAST PROBLEMS ........................................................................................................ 822
CHAPTER 57: SEXUALLY TRANSMITTED INFECTIONS .......................................................................... 836
CHAPTER 58: FEMALE REPRODUCTIVE PROBLEMS ............................................................................. 847
CHAPTER 59: MALE REPRODUCTIVE PROBLEMS ................................................................................ 868
CHAPTER 60: ASSESSMENT: NERVOUS SYSTEM .................................................................................. 887
CHAPTER 61: ACUTE INTRACRANIAL PROBLEMS ................................................................................ 897
CHAPTER 62: STROKE ........................................................................................................................... 918
CHAPTER 63: CHRONIC NEUROLOGIC PROBLEMS .............................................................................. 933
CHAPTER 64: DEMENTIA AND DELIRIUM ............................................................................................ 951
SECTION THIRTEEN – NURSING CARE IN SPECIALIZED SETTINGS....................................................... 963
CHAPTER 65: SPINAL CORD AND PERIPHERAL NERVE PROBLEMS ..................................................... 963
CHAPTER 66: ASSESSMENT: MUSCULOSKELETAL SYSTEM .................................................................. 979
CHAPTER 67: MUSCULOSKELETAL TRAUMA AND ORTHOPEDIC SURGERY ........................................ 987
CHAPTER 68: MUSCULOSKELETAL PROBLEMS .................................................................................. 1009
CHAPTER 69: ARTHRITIS AND CONNECTIVE TISSUE DISEASES ......................................................... 1020