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TESTBANKForLewis'sMedicalSurgical
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NursinginCanada,4thEdition
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by JaneTyerman,ShelleyCobbett, Chapters 1- 72
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TABLEOFCONTENTS v v
Section One – Concepts in Nursing Practice
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1 Introduction to Medical-SurgicalNursing Practice in Canada 2 Cultural
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Competence and Health Equityin Care
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3 Health Historyand PhysicalExamination 4
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Patient and Caregiver Teaching
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5 ChronicIllness v
6 Community-Based NursingandHome Care 7 v v v v v
Older Adults
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8 Stress andStress Management 9 Sleep
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and Sleep Disorders
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10 Pain
11 SubstanceUse v
12 ComplementaryandAlternativeTherapies 13 v v v v
Palliative Care at the End of Life
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SectionTwo– PathophysiologicalMechanisms of Disease 14
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Inflammation andWound Healing
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15 Genetics
16 AlteredImmuneResponseandTransplantation v v v v
17 InfectionandHumanImmunodeficiencyVirusInfection 18Cancer v v v v v v v
19 Fluid,Electrolyte,andAcid–Base Imbalances Section
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Three – Perioperative Care
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20 NursingManagement:PreoperativeCare 21 v v v v
NursingManagement: IntraoperativeCare 22
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NursingManagement:Post-operativeCare
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Section Four – Problems Related to Altered Sensory Input 23Nursing
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Assessment: Visualand AuditorySystems
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24Nursing Management: VisualandAuditoryProblems 25
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NursingAssessment:IntegumentarySystem
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26NursingManagement:IntegumentaryProblems 27
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NursingManagement: Burns
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Section Five – Problemsof Oxygenation: Ventilation 28Nursing
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Assessment: RespiratorySystem
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29NursingManagement: UpperRespiratoryProblems 30Nursing
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Management:LowerRespiratoryProblems
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31 NursingManagement:ObstructivePulmonaryDiseases Section v v v v v
Six – Problems of Oxygenation: Transport
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32 NursingAssessment:HematologicalSystem33 Nursing v v v v v
Management:HematologicalProblems
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Section Seven – Problems of Oxygenation: Perfusion 34Nursing
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Assessment:Cardiovascular System
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35 NursingManagement:Hypertension v v
36 NursingManagement: CoronaryArteryDiseaseandAcuteCoronarySyndrome
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37 NursingManagement: HeartFailure 38 v v v v
NursingManagement:Dysrhythmias
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39NursingManagement: InflammatoryandStructuralHeart Diseases 40Nursing
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Management:Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, andElimination 41Nursing
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Assessment:GastrointestinalSystem
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42NursingManagement:NutritionalProblems 43
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NursingManagement:Obesity
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44NursingManagement: UpperGastrointestinalProblems 45Nursing
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Management: LowerGastrointestinalProblems
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46 NursingManagement: Liver,Pancreas, andBiliaryTract Problems Section Nine
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– Problems of UrinaryFunction
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47 NursingAssessment:UrinarySystem v v v
48 NursingManagement: Renaland UrologicalProblems v v v v v
49 Nursing Management: Acute Kidney Injuryand Chronic KidneyDisease Section Ten –
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Problems Related to RegulatoryandReproductive Mechanisms 50NursingAssessment:
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EndocrineSystem
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51NursingManagement:EndocrineProblems 52
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NursingManagement: DiabetesMellitus
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53NursingAssessment:ReproductiveSystem 54Nursing
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Management: Breast Disorders
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55 Nursing Management: Sexually Transmitted Infections 56
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Nursing Management: Female Reproductive Problems 57 Nursing
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Management:MaleReproductiveProblems
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Section Eleven – ProblemsRelated to Movement andCoordination 58Nursing
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Assessment: NervousSystem
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59NursingManagement: Acute IntracranialProblems 60
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NursingManagement: Stroke
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61NursingManagement:ChronicNeurologicalProblems
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62NursingManagement: Delirium, Alzheimer’sDisease, andOther Dementias
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63 NursingManagement: PeripheralNerve andSpinalCordProblems 64Nursing
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Assessment:MusculoskeletalSystem
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65NursingManagement: MusculoskeletalTraumaandOrthopedicSurgery 66Nursing
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Management:MusculoskeletalProblems
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67 NursingManagement: ArthritisandConnectiveTissueDiseases Section
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Twelve – Nursing Care in Specialized Settings
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68 NursingManagement:CriticalCareEnvironment v v v v
69 NursingManagement:Shock,SystemicInflammatoryResponseSyndrome,and Multiple-
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OrganDysfunctionSyndrome
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70 NursingManagement: RespiratoryFailureandAcuteRespiratoryDistress Syndrome
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71 NursingManagement:EmergencyCareSituations 72 v v v v v
EmergencyManagement andDisasterPlanning
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Chapter01: IntroductiontoMedical-Surgical NursingPractice inCanada Lewis:
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Medical-Surgical Nursing in Canada, 4th Canadian Edition
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MULTIPLE CHOICE v
1. When caring for clients using evidence-informed practice, which of the following does the nurse
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use?
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a. Clinical judgement based on experience v v v v
b. Evidence from a clinical research study v v v v v
c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met v v v v v v v v v
CORRECT ANSWER: C
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Evidence-informed nursing practice is a continuous interactive process involving the explicit, v v v v v v v v v v
vconscientious, and judicious consideration ofthe best available evidence to provide care. Four v v v v v v v v v v v v
vprimary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
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vactions; (c) best research evidence; and (d) health care resources. Clinical judgement based on the
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nurse’s clinical experience is part of EIP, but clinical decision making also should incorporate
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current research and research-based guidelines. Evidence from one clinical research study does
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not provide an adequate substantiation for interventions. Evaluation of client outcomes is
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important, but interventions should be based on research from randomized control studies with a
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large number of subjects.
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DIF: Cognitive Level: Comprehension v v TOP: Nursing Process: Planning v v v v
2. Whichofthe following best N
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vrs e. sC
’ prM
imary use ofthe nursing process when providing
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care to clients?
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USNT v
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a. To explain nursing interventions to other health care professionals
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b. As a problem-solving tool to identify and treat clients’ health care needs
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c. As a scientific-based process of diagnosing the client’s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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CORRECT ANSWER: B v v v
The nursing process is an assertive problem-solving approach to the identification and treatment of
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clients’ problems. Diagnosis is only one phase ofthe nursing process. The primaryuse ofthe nursing
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process is in client care, not to establish nursing theory or explain nursing interventions to other health
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care professionals.
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DIF: Cognitive Level: Comprehension v v TOP: Nursing Process: Implementation v v v v
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour turning
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schedule to prevent skin breakdown. Which type of nursing function is demonstrated with this
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turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: D v v v