Study Guide for Medical-Surgical Nursing: Concepts and Practice 5th Edition
by Holly K. Stromberg RN BSN MSN PHN Alumnus CCRN ||GRANTEE A+
5th Edition
,table of contents
chapter 01: caring for medical-surgical patients ........................................................................ 4
chapter 02: critical thinking, clinical judgment, and the nursing process ................................ 16
chapter 03: fluids, electrolytes, acid-base balance, and intravenous therapy ......................... 30
chapter 04: care of preoperative and intraoperative surgical patients .................................... 44
chapter 05: care of postoperative surgical patients ................................................................. 58
chapter 06: infection prevention and control ........................................................................... 70
chapter 07: care of patients with pain ...................................................................................... 82
chapter 08: care of patients with cancer .................................................................................. 95
chapter 09: chronic illness and rehabilitation......................................................................... 108
chapter 10: the immune and lymphatic systems .................................................................... 121
chapter 11: care of patients with immune and lymphatic disorders ...................................... 135
chapter 12: the respiratory system ......................................................................................... 150
chapter 13: care of patients with disorders of the upper respiratory system ........................ 166
chapter 14: care of patients with disorders of the lower respiratory system ........................ 180
chapter 15: the hematologic system....................................................................................... 196
chapter 16. care of patients with hematologic disorders ....................................................... 209
chapter 17: the cardiovascular system ................................................................................... 222
chapter 18: care of patients with hypertension and peripheral vascular disease .................. 234
chapter 19: care of patients with cardiac disorders ............................................................... 249
chapter 20: care of patients with coronary artery disease and cardiac surgery .................... 262
chapter 21: the neurologic system ......................................................................................... 279
chapter 22: care of patients with head and spinal cord injuries ............................................ 291
chapter 23: care of patients with brain disorders ................................................................... 306
chapter 24: care of patients with peripheral nerve and degenerative neurologic disorders . 321
chapter 25: the sensory system eye ....................................................................................... 333
chapter 26: the sensory system ear ........................................................................................ 347
chapter 27: the gastrointestinal system .................................................................................. 356
chapter 28. care of patients with disorders of the upper gastrointestinal system ................. 373
,chapter 29. care of patients with disorders of the lower gastrointestinal system ................. 388
chapter 30. care of patients with disorders of the gallbladder, liver, and pancreas ............... 405
chapter 31. the musculoskeletal system ................................................................................. 422
chapter 32: care of patients with musculoskeletal and connective tissue disorders ............. 437
chapter 33: the urinary system ............................................................................................... 457
chapter 34. care of patients with disorders of the urinary system ......................................... 474
chapter 35: the endocrine system .......................................................................................... 493
chapter 36: care of patients with pituitary, thyroid, parathyroid, and adrenal disorders ...... 507
chapter 37: care of patients with diabetes and hypoglycemia ............................................... 526
chapter 38: the reproductive system ...................................................................................... 545
chapter 39: care of women with reproductive disorders ....................................................... 553
chapter 40: care of men with reproductive disorders ............................................................ 570
chapter 41: care of patients with sexually transmitted infections ......................................... 588
chapter 42: the integumentary system ................................................................................... 603
chapter 43: care of patients with integumentary disorders and burns .................................. 621
chapter 44: care of patients in disasters or bioterrorism attacks ........................................... 642
chapter 45: care of patients with emergent conditions, trauma, and shock ......................... 659
chapter 46: care of patients with cognitive function disorders .............................................. 676
chapter 47: care of patients with anxiety, mood, and eating disorders ................................. 693
chapter 48: care of patients with substance-related and addictive disorders ....................... 708
chapter 49: care of patients with thought and personality disorders .................................... 725
, chapter 01: caring for medical-surgical patients
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.
dif: cognitive level: comprehension ref: p. 3 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.
by Holly K. Stromberg RN BSN MSN PHN Alumnus CCRN ||GRANTEE A+
5th Edition
,table of contents
chapter 01: caring for medical-surgical patients ........................................................................ 4
chapter 02: critical thinking, clinical judgment, and the nursing process ................................ 16
chapter 03: fluids, electrolytes, acid-base balance, and intravenous therapy ......................... 30
chapter 04: care of preoperative and intraoperative surgical patients .................................... 44
chapter 05: care of postoperative surgical patients ................................................................. 58
chapter 06: infection prevention and control ........................................................................... 70
chapter 07: care of patients with pain ...................................................................................... 82
chapter 08: care of patients with cancer .................................................................................. 95
chapter 09: chronic illness and rehabilitation......................................................................... 108
chapter 10: the immune and lymphatic systems .................................................................... 121
chapter 11: care of patients with immune and lymphatic disorders ...................................... 135
chapter 12: the respiratory system ......................................................................................... 150
chapter 13: care of patients with disorders of the upper respiratory system ........................ 166
chapter 14: care of patients with disorders of the lower respiratory system ........................ 180
chapter 15: the hematologic system....................................................................................... 196
chapter 16. care of patients with hematologic disorders ....................................................... 209
chapter 17: the cardiovascular system ................................................................................... 222
chapter 18: care of patients with hypertension and peripheral vascular disease .................. 234
chapter 19: care of patients with cardiac disorders ............................................................... 249
chapter 20: care of patients with coronary artery disease and cardiac surgery .................... 262
chapter 21: the neurologic system ......................................................................................... 279
chapter 22: care of patients with head and spinal cord injuries ............................................ 291
chapter 23: care of patients with brain disorders ................................................................... 306
chapter 24: care of patients with peripheral nerve and degenerative neurologic disorders . 321
chapter 25: the sensory system eye ....................................................................................... 333
chapter 26: the sensory system ear ........................................................................................ 347
chapter 27: the gastrointestinal system .................................................................................. 356
chapter 28. care of patients with disorders of the upper gastrointestinal system ................. 373
,chapter 29. care of patients with disorders of the lower gastrointestinal system ................. 388
chapter 30. care of patients with disorders of the gallbladder, liver, and pancreas ............... 405
chapter 31. the musculoskeletal system ................................................................................. 422
chapter 32: care of patients with musculoskeletal and connective tissue disorders ............. 437
chapter 33: the urinary system ............................................................................................... 457
chapter 34. care of patients with disorders of the urinary system ......................................... 474
chapter 35: the endocrine system .......................................................................................... 493
chapter 36: care of patients with pituitary, thyroid, parathyroid, and adrenal disorders ...... 507
chapter 37: care of patients with diabetes and hypoglycemia ............................................... 526
chapter 38: the reproductive system ...................................................................................... 545
chapter 39: care of women with reproductive disorders ....................................................... 553
chapter 40: care of men with reproductive disorders ............................................................ 570
chapter 41: care of patients with sexually transmitted infections ......................................... 588
chapter 42: the integumentary system ................................................................................... 603
chapter 43: care of patients with integumentary disorders and burns .................................. 621
chapter 44: care of patients in disasters or bioterrorism attacks ........................................... 642
chapter 45: care of patients with emergent conditions, trauma, and shock ......................... 659
chapter 46: care of patients with cognitive function disorders .............................................. 676
chapter 47: care of patients with anxiety, mood, and eating disorders ................................. 693
chapter 48: care of patients with substance-related and addictive disorders ....................... 708
chapter 49: care of patients with thought and personality disorders .................................... 725
, chapter 01: caring for medical-surgical patients
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.
dif: cognitive level: comprehension ref: p. 3 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.
