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