TEST BANK
Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
DONNA D. IGNATAVICIUS, M. LINDA WORKMAN, CHERIE R.
REBAR, NICOLE M. HEIMGARTNER
10th Edition
, Table of Contents
Table of Contents 1
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing 3
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing 8
Chapter 03: Common Health Problems of Older Adults Chapter 13
04: Assessment and Care of Patients with Pain Chapter 05: 20
Genetic Concepts for Medical-Surgical Nursing 32
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems 38
Chapter 07: End-of-Life Care 44
Chapter 08: Concepts of Emergency and Trauma Nursing 50
Chapter 09: Care of Patients with Common Environmental Emergencies 56
Chapter 10: Concepts of Emergency and Disaster Preparedness 62
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances 68
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances 76
Chapter 13: Infusion Therapy 83
Chapter 14: Care of Preoperative Patients 94
Chapter 15: Care of Intraoperative Patients 103
Chapter 16: Care of Postoperative Patients 109
Chapter 17: Inflammation and Immunity 116
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases 122
Chapter 19: Care of Patients with HIV Disease 138
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity 147
Chapter 21: Cancer Development 152
Chapter 22: Care of Patients with Cancer 157
Chapter 23: Care of Patients with Infection 167
Chapter 24: Assessment of the Skin, Hair, and Nails 174
Chapter 25: Care of Patients with Skin Problems 179
Chapter 26: Care of Patients with Burns 196
Chapter 27: Assessment of the Respiratory System 213
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy Chapter 220
29: Care of Patients with Noninfectious Upper Respiratory Problems Chapter 30: 226
Care of Patients with Noninfectious Lower Respiratory Problems Chapter 31: Care 233
of Patients with Infectious Respiratory Problems 245
Chapter 32: Care of Critically Ill Patients with Respiratory Problems 256
Chapter 33: Assessment of the Cardiovascular System 269
Chapter 34: Care of Patients with Dysrhythmias 278
Chapter 35: Care of Patients with Cardiac Problems 287
Chapter 36: Care of Patients with Vascular Problems 298
Chapter 37: Care of Patients with Shock 310
Chapter 38: Care of Patients with Acute Coronary Syndromes 317
Chapter 39: Assessment of the Hematologic System 327
Chapter 40: Care of Patients with Hematologic Problems 331
Chapter 41: Assessment of the Nervous System 343
Chapter 42: Care of Patients with Problems of the CNS: The Brain Chapter 353
43: Care of Patients with Problems of the CNS: The Spinal Cord 364
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System 374
Chapter 45: Care of Critically Ill Patients with Neurologic Problems 380
Chapter 46: Assessment of the Eye and Vision 394
Chapter 47: Care of Patients with Eye and Vision Problems 397
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems 403
Chapter 49: Assessment of the Musculoskeletal System 410
Chapter 50: Care of Patients with Musculoskeletal Problems 415
,Chapter 51: Care of Patients with Musculoskeletal Trauma 424
Chapter 52: Assessment of the Gastrointestinal System 435
Chapter 53: Care of Patients with Oral Cavity Problems 441
Chapter 54: Care of Patients with Esophageal Problems 445
Chapter 55: Care of Patients with Stomach Disorders 454
Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders 461
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders 471
Chapter 58: Care of Patients with Liver Problems 481
Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas 489
Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity 497
Chapter 61: Assessment of the Endocrine System 506
Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems 512
Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands 520
Chapter 64: Care of Patients with Diabetes Mellitus 527
Chapter 65: Assessment of the Renal/Urinary System 549
Chapter 66: Care of Patients with Urinary Problems 557
Chapter 67: Care of Patients with Kidney Disorders 568
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease 575
Chapter 69: Assessment of the Reproductive System 587
Chapter 70: Care of Patients with Breast Disorders 591
Chapter 71: Care of Patients with Gynecologic Problems 598
Chapter 72: Care of Patients with Male Reproductive Problems Chapter 605
73: Care of Transgender Patients 614
Chapter 74: Care of Patients with Sexually Transmitted Diseases 618
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
1. 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 clients 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
Competency in client-focused care is demonstrated when the nurse focuses on communication, culture,
respect compassion, client education, and empowerment. By assessing the effect of the clients 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/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process:
Caring NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement 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 should call the RRT. Changes in blood pressure, mental status, heart rate, and
pain are particularly significant.
Documentation is vital, but the nurse must do more than document. The primary care provider
should be notified, but this is not the priority over calling the RRT. The clients blood pressure
should be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and
Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse
provide to 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 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/Comprehension REF:
3 KEY: Patient safety
Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
DONNA D. IGNATAVICIUS, M. LINDA WORKMAN, CHERIE R.
REBAR, NICOLE M. HEIMGARTNER
10th Edition
, Table of Contents
Table of Contents 1
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing 3
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing 8
Chapter 03: Common Health Problems of Older Adults Chapter 13
04: Assessment and Care of Patients with Pain Chapter 05: 20
Genetic Concepts for Medical-Surgical Nursing 32
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems 38
Chapter 07: End-of-Life Care 44
Chapter 08: Concepts of Emergency and Trauma Nursing 50
Chapter 09: Care of Patients with Common Environmental Emergencies 56
Chapter 10: Concepts of Emergency and Disaster Preparedness 62
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances 68
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances 76
Chapter 13: Infusion Therapy 83
Chapter 14: Care of Preoperative Patients 94
Chapter 15: Care of Intraoperative Patients 103
Chapter 16: Care of Postoperative Patients 109
Chapter 17: Inflammation and Immunity 116
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases 122
Chapter 19: Care of Patients with HIV Disease 138
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity 147
Chapter 21: Cancer Development 152
Chapter 22: Care of Patients with Cancer 157
Chapter 23: Care of Patients with Infection 167
Chapter 24: Assessment of the Skin, Hair, and Nails 174
Chapter 25: Care of Patients with Skin Problems 179
Chapter 26: Care of Patients with Burns 196
Chapter 27: Assessment of the Respiratory System 213
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy Chapter 220
29: Care of Patients with Noninfectious Upper Respiratory Problems Chapter 30: 226
Care of Patients with Noninfectious Lower Respiratory Problems Chapter 31: Care 233
of Patients with Infectious Respiratory Problems 245
Chapter 32: Care of Critically Ill Patients with Respiratory Problems 256
Chapter 33: Assessment of the Cardiovascular System 269
Chapter 34: Care of Patients with Dysrhythmias 278
Chapter 35: Care of Patients with Cardiac Problems 287
Chapter 36: Care of Patients with Vascular Problems 298
Chapter 37: Care of Patients with Shock 310
Chapter 38: Care of Patients with Acute Coronary Syndromes 317
Chapter 39: Assessment of the Hematologic System 327
Chapter 40: Care of Patients with Hematologic Problems 331
Chapter 41: Assessment of the Nervous System 343
Chapter 42: Care of Patients with Problems of the CNS: The Brain Chapter 353
43: Care of Patients with Problems of the CNS: The Spinal Cord 364
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System 374
Chapter 45: Care of Critically Ill Patients with Neurologic Problems 380
Chapter 46: Assessment of the Eye and Vision 394
Chapter 47: Care of Patients with Eye and Vision Problems 397
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems 403
Chapter 49: Assessment of the Musculoskeletal System 410
Chapter 50: Care of Patients with Musculoskeletal Problems 415
,Chapter 51: Care of Patients with Musculoskeletal Trauma 424
Chapter 52: Assessment of the Gastrointestinal System 435
Chapter 53: Care of Patients with Oral Cavity Problems 441
Chapter 54: Care of Patients with Esophageal Problems 445
Chapter 55: Care of Patients with Stomach Disorders 454
Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders 461
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders 471
Chapter 58: Care of Patients with Liver Problems 481
Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas 489
Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity 497
Chapter 61: Assessment of the Endocrine System 506
Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems 512
Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands 520
Chapter 64: Care of Patients with Diabetes Mellitus 527
Chapter 65: Assessment of the Renal/Urinary System 549
Chapter 66: Care of Patients with Urinary Problems 557
Chapter 67: Care of Patients with Kidney Disorders 568
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease 575
Chapter 69: Assessment of the Reproductive System 587
Chapter 70: Care of Patients with Breast Disorders 591
Chapter 71: Care of Patients with Gynecologic Problems 598
Chapter 72: Care of Patients with Male Reproductive Problems Chapter 605
73: Care of Transgender Patients 614
Chapter 74: Care of Patients with Sexually Transmitted Diseases 618
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
1. 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 clients 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
Competency in client-focused care is demonstrated when the nurse focuses on communication, culture,
respect compassion, client education, and empowerment. By assessing the effect of the clients 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/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process:
Caring NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement 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 should call the RRT. Changes in blood pressure, mental status, heart rate, and
pain are particularly significant.
Documentation is vital, but the nurse must do more than document. The primary care provider
should be notified, but this is not the priority over calling the RRT. The clients blood pressure
should be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and
Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse
provide to 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 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/Comprehension REF:
3 KEY: Patient safety
