TEST BANK x1 x1
Lewis's Medical Surgical Nursing in Canada,
x1 x1 x1 x1 x1 x1
4th Edition by Jane Tyerman, Shelley Cobbett
x1 x1 x1 x1 x1 x1 x1
Chapters 1 - 72 Complete
x1 x1 x1 x1 x1
,TABLE OF CONTENTS x1 x1
Section One – Concepts in Nursing Practice
x1 x1 x1 x1 x1 x1
1 Introduction to Medical-Surgical Nursing Practice in Canada
x1 x1 x1 x1 x1 x1 x1
2 Cultural Competence and Health Equity in Care
x1 x1 x1 x1 x1 x1 x1
3 Health History and Physical Examination
x1 x1 x1 x1 x1
4 Patient and Caregiver Teaching
x1 x1 x1 x1
5 Chronic Illness
x1 x1
6 Community-Based Nursing and Home Care
x1 x1 x1 x1 x1
7 Older Adults
x1 x1
8 Stress and Stress Management
x1 x1 x1 x1
9 Sleep and Sleep Disorders
x1 x1 x1 x1
10 Pain
x1
11 Substance Use
x1 x1
12 Complementary and Alternative Therapies
x1 x1 x1 x1
13 Palliative Care at the End of Life
x1 x1 x1 x1 x1 x1 x1
Section Two – Pathophysiological Mechanisms of Disease
x1 x1 x1 x1 x1 x1
14 Inflammation and Wound Healing
x1 x1 x1 x1
15 Genetics
x1
16 Altered Immune Response and Transplantation
x1 x1 x1 x1 x1
17 Infection and Human Immunodeficiency Virus Infection
x1 x1 x1 x1 x1 x1
18 Cancer
x1
19 Fluid, Electrolyte, and Acid–Base Imbalances
x1 x1 x1 x1 x1
Section Three – Perioperative Care
x1 x1 x1 x1
20 Nursing Management: Preoperative Care
x1 x1 x1 x1
21 Nursing Management: Intraoperative Care
x1 x1 x1 x1
22 Nursing Management: Post-operative Care
x1 x1 x1 x1
Section Four – Problems Related to Altered Sensory Input
x1 x1 x1 x1 x1 x1 x1 x1
23 Nursing Assessment: Visual and Auditory Systems
x1 x1 x1 x1 x1 x1
24 Nursing Management: Visual and Auditory Problems
x1 x1 x1 x1 x1 x1
25 Nursing Assessment: Integumentary System
x1 x1 x1 x1
26 Nursing Management: Integumentary Problems
x1 x1 x1 x1
27 Nursing Management: Burns
x1 x1 x1
Section Five – Problems of Oxygenation: Ventilation
x1 x1 x1 x1 x1 x1
28 Nursing Assessment: Respiratory System
x1 x1 x1 x1
29 Nursing Management: Upper Respiratory Problems
x1 x1 x1 x1 x1
30 Nursing Management: Lower Respiratory Problems
x1 x1 x1 x1 x1
31 Nursing Management: Obstructive Pulmonary Diseases
x1 x1 x1 x1 x1
Section Six – Problems of Oxygenation: Transport
x1 x1 x1 x1 x1 x1
32 Nursing Assessment: Hematological System
x1 x1 x1 x1
33 Nursing Management: Hematological Problems
x1 x1 x1 x1
Section Seven – Problems of Oxygenation: Perfusion
x1 x1 x1 x1 x1 x1
34 Nursing Assessment: Cardiovascular System
x1 x1 x1 x1
35 Nursing Management: Hypertension
x1 x1 x1
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
x1 x1 x1 x1 x1 x1 x1 x1 x1
,37 Nursing Management: Heart Failure
x1 x1 x1 x1
38 Nursing Management: Dysrhythmias
x1 x1 x1
39 Nursing Management: Inflammatory and Structural Heart Diseases
x1 x1 x1 x1 x1 x1 x1
40 Nursing Management: Vascular Disorders
x1 x1 x1 x1
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
x1 x1 x1 x1 x1 x1 x1 x1 x1
41 Nursing Assessment: Gastrointestinal System
x1 x1 x1 x1
42 Nursing Management: Nutritional Problems
x1 x1 x1 x1
43 Nursing Management: Obesity
x1 x1 x1
44 Nursing Management: Upper Gastrointestinal Problems
x1 x1 x1 x1 x1
45 Nursing Management: Lower Gastrointestinal Problems
x1 x1 x1 x1 x1
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
x1 x1 x1 x1 x1 x1 x1 x1
Section Nine – Problems of Urinary Function
x1 x1 x1 x1 x1 x1
47 Nursing Assessment: Urinary System
x1 x1 x1 x1
48 Nursing Management: Renal and Urological Problems
x1 x1 x1 x1 x1 x1
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
x1 x1 x1 x1 x1 x1 x1 x1 x1
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
x1 x1 x1 x1 x1 x1 x1 x1 x1
50 Nursing Assessment: Endocrine System
x1 x1 x1 x1
51 Nursing Management: Endocrine Problems
x1 x1 x1 x1
52 Nursing Management: Diabetes Mellitus
x1 x1 x1 x1
53 Nursing Assessment: Reproductive System
x1 x1 x1 x1
54 Nursing Management: Breast Disorders
x1 x1 x1 x1
55 Nursing Management: Sexually Transmitted Infections
x1 x1 x1 x1 x1
56 Nursing Management: Female Reproductive Problems
x1 x1 x1 x1 x1
57 Nursing Management: Male Reproductive Problems
x1 x1 x1 x1 x1
Section Eleven – Problems Related to Movement and Coordination
x1 x1 x1 x1 x1 x1 x1 x1
58 Nursing Assessment: Nervous System
x1 x1 x1 x1
59 Nursing Management: Acute Intracranial Problems
x1 x1 x1 x1 x1
60 Nursing Management: Stroke
x1 x1 x1
61 Nursing Management: Chronic Neurological Problems
x1 x1 x1 x1 x1
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
x1 x1 x1 x1 x1 x1 x1 x1
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
x1 x1 x1 x1 x1 x1 x1 x1
64 Nursing Assessment: Musculoskeletal System
x1 x1 x1 x1
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
x1 x1 x1 x1 x1 x1 x1
66 Nursing Management: Musculoskeletal Problems
x1 x1 x1 x1
67 Nursing Management: Arthritis and Connective Tissue Diseases
x1 x1 x1 x1 x1 x1 x1
Section Twelve – Nursing Care in Specialized Settings
x1 x1 x1 x1 x1 x1 x1
68 Nursing Management: Critical Care Environment
x1 x1 x1 x1 x1
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
x1 x1 x1 x1 x1 x1 x1 x1 x1
Organ Dysfunction Syndrome
x1 x1
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
x1 x1 x1 x1 x1 x1 x1 x1 x1
71 Nursing Management: Emergency Care Situations
x1 x1 x1 x1 x1
72 Emergency Management and Disaster Planning
x1 x1 x1 x1 x1
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
x1 x1 x1 x1 x1 x1 x1 x1 x1
Medical-Surgical Nursing in Canada, 4th Canadian Edition
x1 x1 x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. When caring for clients using evidence-informed practice, which of the following does the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1 nurse use? x1
a. Clinical judgement based on experience x1 x1 x1 x1
b. Evidence from a clinical research study x1 x1 x1 x1 x1
c. The best available evidence to guide clinical expertise
x1 x1 x1 x1 x1 x1 x1
d. Evaluation of data showing that the client outcomes are met x1 x1 x1 x1 x1 x1 x1 x1 x1
CORRECT ANSWER: x1
C x 1
Evidence-informed nursing practice is a continuous interactive process involving the explicit, x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
conscientious, and judicious consideration of the best available evidence to provide care. Four
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nurse’s clinical experience is part of EIP, but clinical decision making also should incorporate
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
current research and research-based guidelines. Evidence from one clinical research study does
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
not provide an adequate substantiation for interventions. Evaluation of client outcomes is
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
important, but interventions should be based on research from randomized control studies with a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
large number of subjects.
x1 x1 x1 x1
DIF: Cognitive Level: Comprehension x1 x1 TOP: x 1 Nursing Process: Planning x1 x1
2. Which of the following best e x p l a i n s t h e n u r s e s ’ pr imary use of the nursing process when
N R I G B. C M
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
providing care to clients? USNT O x1 x1 x1
x1 x1 x1
a. To explain nursing interventions to other health care professionals
x1 x1 x1 x1 x1 x1 x1 x1
b. As a problem-solving tool to identify and treat clients’ health care needs
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. As a scientific-based process of diagnosing the client’s health care problems
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
CORRECT ANSWER: x1 x 1 B
The nursing process is an assertive problem-solving approach to the identification and treatment
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
of clients’ problems. Diagnosis is only one phase of the nursing process. The
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
primary use of the nursing process is in client care, not to establish nursing theory or explain
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nursing interventions to other health care professionals.
x1 x1 x1 x1 x1 x1 x1
DIF: Cognitive Level: Comprehension x1 x1 TOP: x 1 Nursing Process: Implementation x1 x1
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
with this turning schedule?
x1 x1 x1 x1
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: x1 x 1 D
Lewis's Medical Surgical Nursing in Canada,
x1 x1 x1 x1 x1 x1
4th Edition by Jane Tyerman, Shelley Cobbett
x1 x1 x1 x1 x1 x1 x1
Chapters 1 - 72 Complete
x1 x1 x1 x1 x1
,TABLE OF CONTENTS x1 x1
Section One – Concepts in Nursing Practice
x1 x1 x1 x1 x1 x1
1 Introduction to Medical-Surgical Nursing Practice in Canada
x1 x1 x1 x1 x1 x1 x1
2 Cultural Competence and Health Equity in Care
x1 x1 x1 x1 x1 x1 x1
3 Health History and Physical Examination
x1 x1 x1 x1 x1
4 Patient and Caregiver Teaching
x1 x1 x1 x1
5 Chronic Illness
x1 x1
6 Community-Based Nursing and Home Care
x1 x1 x1 x1 x1
7 Older Adults
x1 x1
8 Stress and Stress Management
x1 x1 x1 x1
9 Sleep and Sleep Disorders
x1 x1 x1 x1
10 Pain
x1
11 Substance Use
x1 x1
12 Complementary and Alternative Therapies
x1 x1 x1 x1
13 Palliative Care at the End of Life
x1 x1 x1 x1 x1 x1 x1
Section Two – Pathophysiological Mechanisms of Disease
x1 x1 x1 x1 x1 x1
14 Inflammation and Wound Healing
x1 x1 x1 x1
15 Genetics
x1
16 Altered Immune Response and Transplantation
x1 x1 x1 x1 x1
17 Infection and Human Immunodeficiency Virus Infection
x1 x1 x1 x1 x1 x1
18 Cancer
x1
19 Fluid, Electrolyte, and Acid–Base Imbalances
x1 x1 x1 x1 x1
Section Three – Perioperative Care
x1 x1 x1 x1
20 Nursing Management: Preoperative Care
x1 x1 x1 x1
21 Nursing Management: Intraoperative Care
x1 x1 x1 x1
22 Nursing Management: Post-operative Care
x1 x1 x1 x1
Section Four – Problems Related to Altered Sensory Input
x1 x1 x1 x1 x1 x1 x1 x1
23 Nursing Assessment: Visual and Auditory Systems
x1 x1 x1 x1 x1 x1
24 Nursing Management: Visual and Auditory Problems
x1 x1 x1 x1 x1 x1
25 Nursing Assessment: Integumentary System
x1 x1 x1 x1
26 Nursing Management: Integumentary Problems
x1 x1 x1 x1
27 Nursing Management: Burns
x1 x1 x1
Section Five – Problems of Oxygenation: Ventilation
x1 x1 x1 x1 x1 x1
28 Nursing Assessment: Respiratory System
x1 x1 x1 x1
29 Nursing Management: Upper Respiratory Problems
x1 x1 x1 x1 x1
30 Nursing Management: Lower Respiratory Problems
x1 x1 x1 x1 x1
31 Nursing Management: Obstructive Pulmonary Diseases
x1 x1 x1 x1 x1
Section Six – Problems of Oxygenation: Transport
x1 x1 x1 x1 x1 x1
32 Nursing Assessment: Hematological System
x1 x1 x1 x1
33 Nursing Management: Hematological Problems
x1 x1 x1 x1
Section Seven – Problems of Oxygenation: Perfusion
x1 x1 x1 x1 x1 x1
34 Nursing Assessment: Cardiovascular System
x1 x1 x1 x1
35 Nursing Management: Hypertension
x1 x1 x1
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
x1 x1 x1 x1 x1 x1 x1 x1 x1
,37 Nursing Management: Heart Failure
x1 x1 x1 x1
38 Nursing Management: Dysrhythmias
x1 x1 x1
39 Nursing Management: Inflammatory and Structural Heart Diseases
x1 x1 x1 x1 x1 x1 x1
40 Nursing Management: Vascular Disorders
x1 x1 x1 x1
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
x1 x1 x1 x1 x1 x1 x1 x1 x1
41 Nursing Assessment: Gastrointestinal System
x1 x1 x1 x1
42 Nursing Management: Nutritional Problems
x1 x1 x1 x1
43 Nursing Management: Obesity
x1 x1 x1
44 Nursing Management: Upper Gastrointestinal Problems
x1 x1 x1 x1 x1
45 Nursing Management: Lower Gastrointestinal Problems
x1 x1 x1 x1 x1
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
x1 x1 x1 x1 x1 x1 x1 x1
Section Nine – Problems of Urinary Function
x1 x1 x1 x1 x1 x1
47 Nursing Assessment: Urinary System
x1 x1 x1 x1
48 Nursing Management: Renal and Urological Problems
x1 x1 x1 x1 x1 x1
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
x1 x1 x1 x1 x1 x1 x1 x1 x1
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
x1 x1 x1 x1 x1 x1 x1 x1 x1
50 Nursing Assessment: Endocrine System
x1 x1 x1 x1
51 Nursing Management: Endocrine Problems
x1 x1 x1 x1
52 Nursing Management: Diabetes Mellitus
x1 x1 x1 x1
53 Nursing Assessment: Reproductive System
x1 x1 x1 x1
54 Nursing Management: Breast Disorders
x1 x1 x1 x1
55 Nursing Management: Sexually Transmitted Infections
x1 x1 x1 x1 x1
56 Nursing Management: Female Reproductive Problems
x1 x1 x1 x1 x1
57 Nursing Management: Male Reproductive Problems
x1 x1 x1 x1 x1
Section Eleven – Problems Related to Movement and Coordination
x1 x1 x1 x1 x1 x1 x1 x1
58 Nursing Assessment: Nervous System
x1 x1 x1 x1
59 Nursing Management: Acute Intracranial Problems
x1 x1 x1 x1 x1
60 Nursing Management: Stroke
x1 x1 x1
61 Nursing Management: Chronic Neurological Problems
x1 x1 x1 x1 x1
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
x1 x1 x1 x1 x1 x1 x1 x1
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
x1 x1 x1 x1 x1 x1 x1 x1
64 Nursing Assessment: Musculoskeletal System
x1 x1 x1 x1
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
x1 x1 x1 x1 x1 x1 x1
66 Nursing Management: Musculoskeletal Problems
x1 x1 x1 x1
67 Nursing Management: Arthritis and Connective Tissue Diseases
x1 x1 x1 x1 x1 x1 x1
Section Twelve – Nursing Care in Specialized Settings
x1 x1 x1 x1 x1 x1 x1
68 Nursing Management: Critical Care Environment
x1 x1 x1 x1 x1
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
x1 x1 x1 x1 x1 x1 x1 x1 x1
Organ Dysfunction Syndrome
x1 x1
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
x1 x1 x1 x1 x1 x1 x1 x1 x1
71 Nursing Management: Emergency Care Situations
x1 x1 x1 x1 x1
72 Emergency Management and Disaster Planning
x1 x1 x1 x1 x1
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
x1 x1 x1 x1 x1 x1 x1 x1 x1
Medical-Surgical Nursing in Canada, 4th Canadian Edition
x1 x1 x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. When caring for clients using evidence-informed practice, which of the following does the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
x1 nurse use? x1
a. Clinical judgement based on experience x1 x1 x1 x1
b. Evidence from a clinical research study x1 x1 x1 x1 x1
c. The best available evidence to guide clinical expertise
x1 x1 x1 x1 x1 x1 x1
d. Evaluation of data showing that the client outcomes are met x1 x1 x1 x1 x1 x1 x1 x1 x1
CORRECT ANSWER: x1
C x 1
Evidence-informed nursing practice is a continuous interactive process involving the explicit, x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
conscientious, and judicious consideration of the best available evidence to provide care. Four
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nurse’s clinical experience is part of EIP, but clinical decision making also should incorporate
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
current research and research-based guidelines. Evidence from one clinical research study does
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
not provide an adequate substantiation for interventions. Evaluation of client outcomes is
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
important, but interventions should be based on research from randomized control studies with a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
large number of subjects.
x1 x1 x1 x1
DIF: Cognitive Level: Comprehension x1 x1 TOP: x 1 Nursing Process: Planning x1 x1
2. Which of the following best e x p l a i n s t h e n u r s e s ’ pr imary use of the nursing process when
N R I G B. C M
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
providing care to clients? USNT O x1 x1 x1
x1 x1 x1
a. To explain nursing interventions to other health care professionals
x1 x1 x1 x1 x1 x1 x1 x1
b. As a problem-solving tool to identify and treat clients’ health care needs
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. As a scientific-based process of diagnosing the client’s health care problems
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
CORRECT ANSWER: x1 x 1 B
The nursing process is an assertive problem-solving approach to the identification and treatment
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
of clients’ problems. Diagnosis is only one phase of the nursing process. The
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
primary use of the nursing process is in client care, not to establish nursing theory or explain
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nursing interventions to other health care professionals.
x1 x1 x1 x1 x1 x1 x1
DIF: Cognitive Level: Comprehension x1 x1 TOP: x 1 Nursing Process: Implementation x1 x1
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
with this turning schedule?
x1 x1 x1 x1
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: x1 x 1 D
