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Medical-Surgical Nursing in Canada
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Sharon Lewis Margaret McLean Heitkemper Linda Bucher
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4th Edition
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TESTBANK n
,Tableofcontent n n
l Introduction to Medical-Surgical Nursing Practice in Canada
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2 Cultural Competence and Health Equity in Nursing Care n n n n n n n
3 Health History and Physical Examination n n n n
4 Patient and Caregiver Teaching n n n
5 Chronic Illness n
6 Community-Based Nursing and Home Care n n n n
7 Older Adults n
8 Stress and Stress Management n n n
9 Sleep and Sleep Disorders n n n n
I0 Pain n
11 Substance Use n
12 Complementary and Alternative Therapies n n n
13 Palliative Care at the End of Life n n n n n n
14 Inflammation and Wound Healing n n n
15 Genetics
16 Altered Immune Response and Transplantation n n n n
17 Infection and Human Immunodeficiency Virus Infection n n n n n
18 Cancer
19 Fluid, Electrolyte, and Acid-Base Imbalances n n n n
20: Nursing Management: Preoperative Care 21:
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nNursing Management: Intraoperative Care 22:n n n n n
Nursing Management: Postoperative Care n n n
23: Nursing Assessment: Visual and Auditory Systems 24: N
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ursing Management: Visual and Auditory Problems 25: Nursi
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ng Assessment: Integumentary System
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26: Nursing Management: Integumentary Problems
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27: Nursing Management: Burns
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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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32: Nursing Assessment: Hematological System
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33: Nursing Management: Hematological Problems 3
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4: Nursing Assessment: Cardiovascular System 35: N
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ursing Management: Hypertension
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36: Nursing Management: Coronary Artery Disease and Acute Coronary Synd
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rome
37: Nursing Management: Heart Failure
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38: Nursing Management: Dysrhythmias
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39: Nursing Management: Inflammatory and Structural Heart Disorders
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40: Nursing Management: Vascular Disorders
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41: Nursing Assessment: Gastro-
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intestinal System 42: Nursing Management: Nutritio n n n n n
nal Problems 43: Nursing Management: Obesity
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44: Nursing Management: Upper Gastro-intestinal Problems
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45: Nursing Management: Lower Gastro-intestinal Problems
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46: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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47: Nursing Management: 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 Dis
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ease
50: Nursing Assessment: Endocrine System
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51: Nursing Management: Endocrine Problems 52:
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nNursing Management: Diabetes Mellitus 53: Nur
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sing Assessment: Reproductive System 54: Nursin
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g Management: Breast Disorders
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55: Nursing Management: Sexually Transmitted Infections 56
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: Nursing Management: Female Reproductive Problems 57: N
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ursing Management: Male Reproductive Problems 58: Nursi
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ng Assessment: Nervous System
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59: Nursing Management: Acute Intracranial Problems 60:
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Nursing Management: Stroke n n
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: Musculo-skeletal System
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65: Nursing Management: Musculo-
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skeletal Trauma and Orthopedic Surgery
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66: Nursing Management: Musculo-Skeletal Problems
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67: Nursing Management: Arthritis and Connective Tissue Diseases 68:
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Nursing Management: Critical Care Environment
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69: Nursing Management: Shock, Systemic Inflammatory Response Syndrome,
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and Multiple-Organ Dysfunction Syndrome
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70: Nursing Management: Respiratory Failure and Acute Respiratory
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Distress Syndrome n
71: Nursing Management: Emergency Care Situations 72:
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Emergency Management and Disaster Planning n n n n
, Chapter 01: Introduction to Medical-
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Surgical Nursing Practice in Canada Lewis: Medical-
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Surgical Nursing in Canada, 4th Canadian Edition
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MULTIPLE CHOICE n
1. When caring for clients using evidence- n n n n n
informed practice, which of the following does the nurse use? n n n n n n n n n
a. Clinical judgement based on experience n n n n
b. Evidence from a clinical research study n n n n n
c. The best available evidence to guide clinical expertise n n n n n n n
d. Evaluation of data showing that the client outcomes are met n n n n n n n n n
ANS: C n
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, conscientious,
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and judicious consideration of the best available evidence to provide care. Four primary elements ar
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e: (a) clinical state, setting, and circumstances; (b) client preferences and actions; (c) best research e
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vidence; and (d) health care resources. Clinical judgement based on the nurse’s clinical experience i
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s part of EIP, but clinical decision making also should incorporate current research and research-
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based guidelines. Evidence from one clinical research study does not provide an adequate substanti
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ation for interventions. Evaluation of client outcomes is important, but interventions should be base
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d on research from randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Comprehension n n TOP: Nursing Process: Planning n n n
2. Whichofthefollowingbeste xpl ai ns th e nu rs e s ’ p ri mary useofthenursingprocesswhen
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providing care to clients? USNT O n n n
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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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ANS: B n
The nursing process is an assertive problem-
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solving approach to the identification and treatment of clients’ problems. Diagnosis is only one pha
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se of the nursing process. The primary use of the nursing process is in client care, not to establish nurs
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ing theory or explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Comprehension n n TOP: Nursing Process: Implementationn n n
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-
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hour turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
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with this turning schedule? n n n
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: D n