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NursingInCanada,4thEdition
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By JaneTyerman,ShelleyCobbett, Chapters 1- 72
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,TABLEOFCONTENTS b b
Section One – Concepts in Nursing Practice
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1 Introduction to Medical-Surgical Nursing Practice in Canada 2 Cultural
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Competence and Health Equity in Care
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3 Health History and Physical Examination 4
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Patient and Caregiver Teaching
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5 ChronicIllness b
6 Community-Based NursingandHome Care 7 b b b b b
Older Adults
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8 Stress and Stress Management 9
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Sleep and Sleep Disorders
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10 Pain
11 SubstanceUse b
12 ComplementaryandAlternativeTherapies 13 b b b b
Palliative Care at the End of Life
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Section Two – PathophysiologicalMechanisms of Disease 14
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Inflammation andWound Healing
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15 Genetics
16 Altered Immune Response andTransplantation b b b b
17 Infection andHuman ImmunodeficiencyVirus Infection 18 b b b b b b
Cancer
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19 Fluid,Electrolyte, andAcid–Base Imbalances Section
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Three – Perioperative Care
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20 NursingManagement: PreoperativeCare 21 b b b b
NursingManagement: Intraoperative Care 22
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NursingManagement: Post-operative Care
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Section Four – Problems Related to Altered Sensory Input 23 Nursing
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Assessment: Visualand Auditory Systems
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24 Nursing Management: Visualand Auditory Problems 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 – Problems of Oxygenation: Ventilation 28
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NursingAssessment: RespiratorySystem
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29 NursingManagement: Upper RespiratoryProblems 30
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NursingManagement: Lower RespiratoryProblems
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31 NursingManagement:ObstructivePulmonaryDiseases Section b b b b b
Six – Problems of Oxygenation: Transport
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32 NursingAssessment: HematologicalSystem33 Nursing b b b b b
Management:HematologicalProblems
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Section Seven – Problems of Oxygenation: Perfusion 34
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NursingAssessment: Cardiovascular System
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35 NursingManagement:Hypertension b b
36 NursingManagement: CoronaryArteryDisease andAcute CoronarySyndrome
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,37 NursingManagement: HeartFailure 38 b b b b
NursingManagement: Dysrhythmias
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39 NursingManagement: Inflammatoryand StructuralHeart Diseases 40 Nursing
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Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination 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: UpperGastrointestinal Problems 45Nursing
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Management: Lower GastrointestinalProblems
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46 NursingManagement: Liver,Pancreas, andBiliaryTract Problems Section
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Nine – Problems of Urinary Function
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47 NursingAssessment: UrinarySystem b b b
48 NursingManagement: Renaland UrologicalProblems b b b b b
49 Nursing Management: Acute Kidney Injury and Chronic KidneyDisease Section Ten –
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Problems Related to Regulatory and Reproductive Mechanisms 50 NursingAssessment:
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Endocrine System
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51 NursingManagement: EndocrineProblems 52
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NursingManagement: Diabetes Mellitus
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53NursingAssessment: Reproductive System 54 Nursing
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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: Male Reproductive Problems
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Section Eleven – Problems Related to Movement and Coordination 58 Nursing
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Assessment: Nervous System
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59 NursingManagement: Acute IntracranialProblems 60
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NursingManagement: Stroke
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61 NursingManagement: Chronic NeurologicalProblems
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62 NursingManagement: Delirium, Alzheimer’s Disease, and Other Dementias
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63 Nursing Management: Peripheral Nerve and SpinalCord Problems 64Nursing
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Assessment: MusculoskeletalSystem
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65 NursingManagement: MusculoskeletalTrauma andOrthopedic Surgery 66Nursing
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Management: MusculoskeletalProblems
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67 NursingManagement: ArthritisandConnective Tissue Diseases Section
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Twelve – Nursing Care in Specialized Settings
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68 NursingManagement: CriticalCare Environment b b b b
69 NursingManagement: Shock, Systemic InflammatoryResponse Syndrome, and Multiple-
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OrganDysfunctionSyndrome
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70 NursingManagement: RespiratoryFailure and Acute RespiratoryDistress Syndrome
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71 NursingManagement: EmergencyCareSituations 72 b b b b b
EmergencyManagement andDisaster Planning
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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 b
1. When caring for clients using evidence-informed practice, which of the following does the nurse
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use?
b
a. Clinical judgement based on experience b b b b
b. Evidence from a clinical research study b b b b b
c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met b b b b b b b b b
CORRECT ANSWER: C
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Evidence-informed nursing practice is a continuous interactive process involving the explicit, b b b b b b b b b b
bconscientious, and judicious consideration of the best available evidence to provide care. Four b b b b b b b b b b b b
bprimary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
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bactions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
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bthe 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 b b TOP: Nursing Process: Planning b b b b
2. Which ofthe following best N
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imary use ofthe nursing process when providing
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care to clients?
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USNT b
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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 b b b
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 of the nursing process. The primary use of the nursing
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process is in client care, not to establish nursing theory or explain nursing interventions to other
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health care professionals.
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DIF: Cognitive Level: Comprehension b b TOP: Nursing Process: Implementation b b b b
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 b b b