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,Table of Contents
Volume I and II


Part I: Biophysical Modules 1
Module 1 Acid-Base Balance 2
Module 2 Cellular Regulation 77
Module 3 Comfort 193
Module 4 Digestion 268
Module 5 Elimination 323
Module 6 Fluids and Electrolytes 398
Module 7 Health, Wellness, Illness, and Injury 469
Module 8 Immunity 502
Module 9 Infection 570
Module 10 Inflammation 663
Module 11 Intracranial Regulation 729
Module 12 Metabolism 774
Module 13 Mobility 841
Module 14 Nutrition 948
Module 15 Oxygenation 968
Module 16 Perfusion 1062
Module 17 Perioperative Care 1229
Module 18 Sensory Perception 1242
Module 19 Sexuality 1329
Module 20 Thermoregulation 1399
Module 21 Tissue Integrity 1433
VOLUME II
Part II: Psychosocial Modules
Module 22 Addiction 1484
Module 23 Cognition 1541
Module 24 Culture and Diversity 1595
Module 25 Development 1614
Module 26 Family 1672
Module 27 Grief and Loss 1696
Module 28 Mood and Affect 1723
Module 29 Self 1778
Module 30 Spirituality 1817
Module 31 Stress and Coping 1844
Module 32 Trauma
Part III: Reproduction Module 1898
Module 33 The Concept of Reproduction
Part IV: Nursing Domain 1951
Module 34 Assessment 2021
Module 35 Caring Interventions 2039

, Module 36 Clinical Decision Making 2050
Module 37 Collaboration 2090
Module 38 Communication 2112
Module 39 Managing Care 2163
Module 40 Professional Behaviors 2195
Module 41 Teaching and Learning
Part V: Healthcare Domain 2230
Module 42 Accountability 2254
Module 43 Advocacy 2271
Module 44 Ethics 2288
Module 45 Evidence Based Practice 2323
Module 46 Healthcare Systems 2342
Module 47 Health Policy 2373
Module 48 Informatics 2383
Module 49 Legal Issues 2407
Module 50 Quality Improvement 2443
Module 51 Safety 2457
VOLUME III 2491
Chapter 1 Assessment 2492
Chapter 2 Caring Interventions 2504
Chapter 3 Comfort 2519
Chapter 4 Elimination 2534
Chapter 5 Fluids and Electrolytes 2550
Chapter 6 Infection 2566
Chapter 7 Intracranial Regulation 2579
Chapter 8 Metabolism 2590
Chapter 9 Mobility 2602
Chapter 10 Nutrition 2614
Chapter 11 Oxygenation 2625
Chapter 12 Perfusion 2637
Chapter 13 Perioperative Care 2648
Chapter 14 Reproduction 2660
Chapter 15 Safety 2672
Chapter 16 Tissue Integrity 2683

, VOLUME I and II

Nursing: A Concept-Based Approach to Learning Vol. 1, 2 & 3, 4e (Pearson) Test Bank

VOLUME I
Part I: Biophysical Modules

Module 1-Acid-Base Balance

1. A client who has been fasting and has ketones in the urine is brought to the emergency
department (ED) unconscious. Which acid-base imbalance would the nurse expect to assess in
this client?
Metabolic acidosis
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Answer: A
Explanation: A)
A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones,which are
metabolic acids.
A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory alkalosis.
A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in metabolic alkalosis.
A client who is fasting is at risk for development of metabolic acidosis. The body recognizes
fasting as starvation and begins to metabolize its own fatty acids into ketones, which are
metabolic acids. Starvation would not result in respiratory acidosis.
Page Ref: 5
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Domains and Competencies: 2.4 Diagnose actual or potential health
problems and needs. | NLN Competencies: Knowledge and Science: Relationships between
knowledge/science and quality and safe patient care. | Nursing Process: Assessment
Learning Outcome: 1.2. Differentiate alterations in acid-base balance.
MNL LO: Analyze the concept of acid-base balance and its application to nursing care.




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