Test Bank for Lewis Medical Surgical Nursing in Canada 5th Edition 2025/26 with complete solution Newest Rated A+

TEST BANK FOR LEWIS MEDICAL- SURGICAL
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jNURSING IN CANADA 5TH
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EDITION

,CHAPTER01:Introduction MedicalSurgicalNursing
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MULTIPLE CHOICE : S S




1. The medical attendant is caring for a hospital client with a new diagnosis of
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pneumonia and explains to the hospital client that together they will plan the
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hospitalclient‘s careand setgoalsfordischarge.Thehospitalclientasks,―H owis
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that different from what the doctor does?‖ Which response by the m edical
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attendant is most appropriate?
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a. ―Theroleofthemedicalattendantis toadminister medicationsandothertreat j j j j j j S j j j j j




mentsprescribed
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byyourdoctor.‖ j j




b. ―Themedicalattendant‘sjobistohelpthedoctorbycollectingdataandcom j j j j j j j j j j j j j




municating when there are problems.‖
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c. ―Medicalattendantsperform manyoftheproceduresdonebyphysicians,but medi cal j j S j j j j j j j j j




attendants are herein
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thehealthcenter foralongertimethandoctors.‖
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d. ―Inadditionto caringfor you whileyou aresick,themedicalattendantswillassistyou to
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develop an individualized plan to maintain your health.‖
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PRECISE CHOICE:-D j




Reasoning :- S



>>>This response is consistent with the Canadiannurses Association (CNA) definition of nursing.Regis tered
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jmedical attendants are self- j j j




regulated health care professionals who work autonomously and in collaboration with others. RNs enable i
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ndividuals, families, groups, communities and populations to achieve their optimal level of health. RNs co
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ordinate health care, deliver direct services, and supporthospitalclients in their self-
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care decisionsand actions in situations of health, illness, injury, and disabilityinallstages of life. The other
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responses describe some of the dependent and collaborative functions of thenursing role but do not accura tely
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describe the medicalattendant‘s role in the health care system.
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DIF: CognitiveLevel:Comprehension TOPIC: NursingProcess: j j j j




ImplementationMSC: NCLEX:Safeand EffectiveCareEnvironment j j j S j j




2. Whencaring for hospitalclients using evidence-
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informedpractice, which ofthe following doesthemedicalattendantuse?
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a. Clinicaljudgement based on experience j j j Sj



b. Evidencefroma clinicalresearch study j j j j Sj



c. The bestavailable evidence toguideclinicalexpertise
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d. Evaluation ofdatashowing that thehospitalclient outcomes S j j S S j j S



aremet
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PRECISE CHOICE:-C j




Reasoning :->>>Evidence- S



informed nursing practice is a continuous interactive process involving the explicit,conscientious, and ju
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dicious consideration ofthe best available evidence to provide care. Four primaryelements are:(a) clinical state,
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setting, and circumstances; (b) hospitalclient preferences and actions; (c) bestresearch evidence, a nd (d)
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health care resources. Clinical judgement based on the medicalattendant‘sclinical experience is pa rt of EIP,
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but clinical decision making also should incorporate currentresearch and research-
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based guidelines. Evidence from one clinical research studydoes not provide an adequate substantiation f or
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interventions. Evaluation of hospitalclient outcomes is important, but interventions should be based on research
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from randomized control studies with a large number of
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, subjects.

DIF: CognitiveLevel:Comprehension TOPIC: NursingProcess: j j j j




Planning MSC: NCLEX:SafeandEffectiveCareEnvironment S j j j j j j




3. Whichofthefollowing best explains themedicalattendants‘ primaryuse ofthe nursing processwhen
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providingcare to hospital clients?
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a. To explainnursinginterventions toother healthcareprofessionals
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b. Asa problem-solving tooltoidentifyandtreat hospitalclients‘ health care needs
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c. Asascientific-based process ofdiagnosingthehospitalclient‘s health careproblems
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d. To establish nursing theorythat incorporates the biopsychosocial nature ofhumans
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PRECISE CHOICE:-B j




Reasoning :->>>The nursing process is an assertive problem- S j j j j j j




solving approach to the identification and treatment ofhospitalclients‘ problems. Diagnosis is only one ph aseof
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the nursing process. The primary use of the nursing process is in hospital client care, not to establish n ursing
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theoryor explain nursing interventions toother healthcareprofessionals.
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DIF: CognitiveLevel:Comprehension
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ImplementationMSC: NCLEX:Safeand EffectiveCareEnvironment j j j S j j




4. Themedicalattendant is caring fora criticallyillhospitalclient intheintensive careunitand plansan every
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hour turning schedule to prevent skin breakdown. Which type of nursing function is demonstratedwitht his
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turningschedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE CHOICE:-D j




Reasoning :- S



>>>When implementing collaborative nursing actions, the medical attendant is responsible primarily for mo
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nitoring for complications of acute illness or providing care to prevent or treat complications.
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Independent nursing actions are focused on health promotion, illness prevention, and hospital client advo S j S j j j j j j S j j j j




cacy. A dependent action would require a physician order to implement. Cooperative nursing functions are
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not described as one of the formal nursing functions.
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DIF: CognitiveLevel:Application
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ImplementationMSC: NCLEX:Safeand EffectiveCareEnvironment j j j S j j




5. The medicalattendant is caring for a hospital client who has been admitted to the health center for surgery a nd tells
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the medical attendant, ―I do not feel right about leaving my children with my neighbour.‖ Which act ion should
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the medicalattendant take next?
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a. Reassurethe hospitalclientthat these feelingsarecommon for parents. j Sj j j j j j j Sj j




b. Havethehospitalclient callthechildren toensurethattheyare doing well. j j j j j j S j j j j j j




c. Calltheneighbour todetermine whetheradequate childcareisbeing provided.
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d. Gathermoredataaboutthehospitalclient‘s feelingsabout the childcare arrangements. j j j j j j S j j j j j




PRECISE CHOICE:-D j




Reasoning :- S



>>>Since a complete assessment is necessary in order to identify a problem and choose an appropriate inter
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vention, the medical attendant‘s first action should be to obtain more information. The other actions may be ap
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propriate, but more assessment is needed before the best intervention can be chosen.
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, DIF: CognitiveLevel:Application TOPIC: NursingProcess: j j j j




Assessment MSC: NCLEX:PsychosocialIntegrity
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6. Themedicalattendantiscaring fora hospitalclient whohas left-
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sidedparalysisastheresult ofa strokeandassessesa pressure injury onthe hospitalclient‘s left hip. Which of
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the following is the most appropriatenursing diagnosis forthishospitalclient?
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a. Impairedphysicalmobilityrelatedto decreasein musclecontrol(left- j j j j S j S j j




sided paralysis)
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b. Riskforimpaired tissueintegrityasevidencedbyinsufficientknowledgeabout prot
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ectingtissueintegrity
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c. Impairedskinintegrityrelatedto pressureoverbonyprominence(impairedcirc j j j j S j j j j j




ulation)
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d. Ineffective peripheraltissue perfusionrelated to sedentarylifestyle j j j j j j j




PRECISE CHOICE:-C j




Reasoning :- S



>>>The hospitalclient‘s major problem is the impaired skin integrity as demonstrated bythe presence ofa
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pressure injury. The medicalattendant is able to treat the cause of impaired circulation and pressureover bony
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prominence by frequently repositioning the hospitalclient. Although left-
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sided weakness is aproblem for the hospitalclient, the medicalattendant cannot treat the weakness. The ― risk
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for‖ diagnosis isnot appropriate for thishospitalclient, whoalready has impaired tissue integrity. The hospital
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client does haveineffective peripheral tissue perfusion, but the impaired skin integrity diagnosis indicates
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jmore clearlywhat the health problemis.
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DIF: CognitiveLevel:Application TOPIC: NursingProcess: j j j j




Diagnosis MSC: NCLEX:PhysiologicalIntegrity S j j j




7. Themedicalattendantcaring fora hospitalclient withan infection hasa nursingdiagnosisofdeficient fluidv olume
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related to excessive fluid loss through normal route (diaphoresis). Which of the following is an ap propriate
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hospitalclient outcome?
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a. Hospitalclienthasa balanced intake and output. j j j Sj Sj Sj Sj



b. Hospitalclient‘sbeddingischanged when it becomes damp. j j j j j S j j




c. Hospitalclientunderstandstheneed for increased fluidintake. j j j j j j Sj j




d. Hospitalclient‘sskinremains cooland drythroughout hospitalization. j j j j j Sj j j




PRECISE CHOICE:-A j




Reasoning :- S



>>>This statement gives measurable data showing resolution of the problem of deficient fluid volume that w as
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identified in the nursing diagnosis statement. The other statements would not indicate that the problem of
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deficient fluid volume was resolved.
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DIF: CognitiveLevel:Application
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Planning MSC: NCLEX:PhysiologicalIntegrity
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8. Which ofthe following represents anursingactivitythat iscarried out duringthe evaluationphase ofthen ursing
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process?
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a. Determiningifinterventions have beeneffectiveinmeeting hospitalclient outcomes. j j j j j j j j j S j




b. Documenting the nursing careplanintheprogress notesinthe medicalrecord. Sj j Sj j j j j j j j j j




c. Decidingwhetherthehospitalclient‘shealthproblems have been completelyresolved. j j j j j j j j Sj j




d. Askingthehospitalclienttoevaluatewhetherthenursing careprovidedw as j j j j j j j j S j j j




satisfactory.
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