TEST BANK FOR Lewis's Medical-Surgical Nursing in Canada, 5th Edition by Jane Tyerman ISBN: 9780323791564 COMPLETE GUIDE 100 % VERIFIED A+ GRADE ASSURED !!! LATEST UPDATE !!!!

Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank

, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
DIF: Cognitive Level: Application x@ x@ TOP:
Nursing Process: Planning MSC: x@ x@ x@ x @ NCLEX: Physiological I x@ x@


ntegrity

25. The nurse is caring for a client who is hospitalized with cystic fibrosis (CF) and is coughin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


g up largequantities of thick green mucus. Which of the following treatments should the nur
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


se include in the teaching plan?
x@ x@ x@ x@ x@


a. Antibiotic resistance x@


b. Inhaled bronchodilators x@


c. Oral corticosteroid therapy x@ x@


d. Aerosolized amoxicillin x@




CORRECT ANSWER D i x@



:The colour of the mucus and the client‘s history of CF suggest Pseudomonas infection; an
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x


@antibiotic is required. Oral corticosteroids and inhaled bronchodilators will not be effective
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


in treating the respiratory infection; the effectiveness of bronchodilators has not been establis
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


hed for CF. Pseudomonas infections are usually responsive (not resistant) to TOBI.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@




DIF: Cognitive Level: Application x@ x@ TOP:
Nursing Process: Planning MSC: x@ x@ x@ x @ NCLEX: Physiological I x@ x@


ntegrity

26. A young adult client with cystic fibrosis (CF) tells the nurse that she is considering having a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ ix@ x@ x@ x@ x@ x


@child. Which of the following responses is best for the nurse to respond initially?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


a. ―Are you aware of the normal lifespan for clients with CF?‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


b. ―Do you need any information to help you with the decision?‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


c. ―You will need to have genetic counselling before making a decision.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


d. ―Many women with CF do not have difficulty in conceiving children.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@

x@

CORRE
CT AN ix @


SWE R: x@


B
The nurse‘s initial response should be to assess the client‘s knowledge level and need for i
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


nformation. Although the lifespan for clients with CF is likely to be shorter than normal, it wo
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ ix@



uld not be appropriate for the nurse to address this as the initial response to the client‘s co
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


mments. The other responses are accurate, but the nurse should first assess the client‘s un
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


derstanding about the issues surrounding pregnancy.
x@ x@ x@ x@ x@




DIF: Cognitive Level: Application TOP: x@ x@


Nursing Process: Implementation MSC: NCLEX: Health x@ x@ x@ x @ x@ x@


Promotion and Maintenance x@ x@




27. Thenurseis caring for a client with chronic obstructive pulmonary disease (COPD) who ha
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


s rhonchi throughout the lung fields and a chronic, nonproductive cough. Which of the fo
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


llowing nursing actions is best?
x@ x@ x@ x@


a. Change the oxygen flow rate to the highest prescribed rate.
x@ x@ x@ x@ x@ x@ x@ x@ x@


b. Reinforce the ongoing use of pursed lip breathing techniques.
x@ x@ x@ x@ x@ x@ x@ x@


c. Educate the client to use the Flutter airway clearance device.
x@ x@ x@ x@ x@ x@ x@ x@ x@


d. Teach the client about consistent use of inhaled corticosteroids.
x@ x@ x@ x@ x@ x@ x@ x@




CORRECT ANSWER C i x@



:Airway clearance devices assist with moving mucus into larger airways where it can more
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


easily be expectorated. The other actions may be appropriate for someclients with COPD,
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


but they are not indicated for this client‘s problem of thick mucous secretions.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@




DIF: Cognitive Level: Application TOP:x@ x@


Nursing Process: Implementation MSC: NCLEX: Physiolo
x@ x@ x@ x @ x@

, Medical-
gical Integrity
x@ Surgical Nursing in Canada 5th Edition Lewi Test Bank

, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank

28. Afterthe nurse has completed diet teaching for a client with chronic obstructive pul
x@ x@ x@ x@ ix@ x@ x@ x@ x@ x@ x@ x@


monary disease (COPD) who has a body mass index (BMI) of 20, which of the foll
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


owing client statements indicate that the teaching has been effective?
x@ x@ x@ x@ x@ x@ x@ x@ x@


a. ―I will drink lots of fluids with my meals.‖
x@ x@ x@ x@ x@ x@ x@ x@


b. ―I will have ice cream as a snack every day.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@


c. ―I will exercise for 15 minutes before meals.‖
x@ x@ x@ x@ x@ x@ x@


d. ―I will decrease my intake of meat or poultry.‖
x@ x@ x@ x@ x@ x@ x@ x@




CORRECT ANSWER i x@ B
:High-
calorie foods like ice cream are an appropriate snack for clients with COPD. Fluid intake of
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x


@3 L/day is recommended, but fluids should be taken between meals ratherthan with meals t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


o improve oral intake of solid foods. The client should avoid exercise for an hour before
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


meals to prevent fatigue while eating. Meat and dairy products are high in protein and are
x@ x@ ix@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x


@good choices for the client with COPD.
x@ x@ x@ x@ x@ x@




DIF: Cognitive Level: Application TOP: NursingProcess: x@ x@


Evaluation MSC: NCLEX: Physiological Integrity
x@ x @ x@ x@




29. Thenurseis teaching a client with chronic obstructive pulmonary disease (COPD) ab
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


out exercise. Which of the following information should the nurse include?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


a. ―Stop exercising if you start to feel short of breath.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@


b. ―Use the bronchodilator before you start to exercise.‖
x@ x@ x@ x@ x@ ix@ x@


c. ―Breathe in and out through the mouth while you exercise.‖
x@ x@ x@ x@ x@ x@ x@ x@ x@


d. ―Upper body exercise should be avoided to prevent dyspnea.‖
x@ x@ x@ x@ x@ x@ x@ x@




CORRECT ANSWER B i x@



:Useofa bronchodilatorb ef o N R r c Ii sN
eG
i re eU
x eS TpBrov. eCs a M
im i r fl o w forsomeclients andis recommended. x@ x@ x@ x@ x@ x@ ix @ x@ i i x@


Shortness of breath is normal with exercise and not a reason to stop. Clients should be taught t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ ix@

o
breathe in through the nose and out through the mouth (using a pursed lip
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


technique). Upper-body exercise canimprove the mechanics of breathing in clients with COPD.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@




DIF: Cognitive Level: Application TOP: x@ x@


Nursing Process: Implementation MSC: NCLEX: Physiolo
x@ x@ x@ x @ x@


gical Integrity x@




30. Which of the following information given by a client with asthma while the nurse is doi
x@ x@ x@ x@ x@ x@ x@ i x@ x@ ix@ x@ x@ x@ x@


ng the admission assessment is most indicative of a need for a change in therapy?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


a. Theclient uses terbutaline before any aerobic exercise.
x@ x@ x@ x@ x@ x@


b. Theclient says that the asthma symptoms are worse every spring.
x@ x@ x@ x@ x@ x@ x@ x@ x@


c. Theclient‘s heart rate increases after using the salbutamol inhaler.
x@ x@ x@ x@ x@ x@ x@ x@


d. The client‘s only medications are formoterol and salmeterol.
x@ x@ x@ x@ x@ x@ x@




CORRECT ANSWER i x@ D
:Long-acting 2- x @


agonists should be used only in clients who also are using an inhaled corticosteroid forlong
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


-
termcontrol. The otherinformation given by theclient requires further assessment by the nu
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@


rse but is not unusual for a client with asthma.
x@ x@ x@ x@ x@ x@ ix@ x@ x@




DIF: Cognitive Level: Application TOP: x@ x@


Nursing Process: Assessment MSC: NCLEX: Physiologica
x@ x@ x@ x @ x@


l Integrity
x@