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




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, Medical-
Chapter 01: Introduction
Xt to Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
Xt Xt Xt


Surgical Nursing Practice in Canada Lewis: Medical-
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Surgical Nursing in Canada, 5th Canadian Edition
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MULTIPLE CHOICE Xt




1. When caring for clients using evidence-
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informed practice, which of the following does the nurse use?
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a. Clinical judgement based on experience Xt Xt Xt Xt


b. Evidence from a clinical research study Xt Xt Xt Xt Xt


c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met Xt Xt Xt Xt Xt Xt Xt Xt Xt




ANS: C X t


Evidence-
informed nursing practice is a continuous interactive process involving the explicit, conscie
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ntious, and judicious consideration of the best available evidence to provide care. Four prima
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ry elements are: (a) clinical state, setting, and circumstances; (b) client preferences and acti
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ons; (c) best research evidence; and (d) health care resources. Clinical judgement based on t
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he nurse‘s clinical experience is part of EIP, but clinical decision making also should incor
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porate current research and research-
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based guidelines. Evidence from one clinical research study does not provide an adequate s
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ubstantiation for interventions. Evaluation of client outcomes is important, but interventions
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should be based on research from randomized control studies with a large number of subj
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ects.

DIF: Cognitive Level: Comprehension Xt Xt TOP: X t Nursing Process: Planning Xt Xt




2. Which of the following best e xp l a i n s the nu r s e s ‘ primary use of the nursing process wh
Xt
N R I G B . C M
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en providing care to clients? U S N T
Xt
O Xt Xt Xt
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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 X t


The nursing process is an assertive problem-
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solving approach to the identification and treatment of clients‘ problems. Diagnosis is only
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one phase of the nursing process. The primary use of the nursing process is in client care, n
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ot to establish nursing theory or explain nursing interventions to other health care professio
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nals.

DIF: Cognitive Level: Comprehension Xt Xt TOP: X t Nursing Process: Implementation Xt Xt




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 demon
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strated with this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: D X t




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, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
When implementing collaborative nursing actions, the nurse is responsible primarily for mo
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nitoring for complications of acute illness or providing care to prevent or treat complicatio
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ns. Independent nursing actions are focused on health promotion, illness prevention, and cli
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ent advocacy. A dependent action would require a physician order to implement. Cooperati
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ve nursing functions are not described as one of the formal nursing functions.
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DIF: Cognitive Level: Application Xt Xt TOP: X t Nursing Process: Implementation Xt Xt




4. The nurse is caring for a client who has been admitted to the hospital for surgery and tells t
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he nurse, ―I do not feel right about leaving my children with my neighbour.‖ Which acti
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on should the nurse take next?
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a. Reassure the client that these feelings are common for parents.Xt Xt Xt Xt Xt Xt Xt Xt Xt


b. Have the client call the children to ensure that they are doing well.
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c. Call the neighbour to determine whether adequate childcare is being provided.
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d. Gather more data about the client‘s feelings about the childcare arrangements.
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ANS: D X t


Since a complete assessment is necessary in order to identify a problem and choose an app
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ropriate intervention, the nurse‘s first action should be to obtain more information. The oth
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er actions may be appropriate, but more assessment is needed before the best intervention ca
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n be chosen.
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DIF: Cognitive Level: Application Xt Xt TOP: X t Nursing Process: Assessment Xt Xt




5. The nurse is caring for a client who has left-
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sided paralysis as the result of a stroke and assesses a pressure injury on the clie nt‘s
N R I is theGmost
B.appropriate
C M nursing diagnosis f Uo r t Sh i s c
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left h i p . W hich of the following
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t Xt Xt Xt Xt Xt Xt
X t X t
Xt
X t
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X t t
X
Xt
t
X X t
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Nl i e nTt ?
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a. Impaired physical mobility related to decrease in muscle control (left-sided
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paralysis)
b. Risk for impaired tissue integrity as evidenced by insufficient knowledge abo
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ut protecting tissue integrity
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c. Impaired skin integrity related to pressure over bony prominence (impaire
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d circulation) Xt


d. Ineffective tissue perfusion related to sedentary lifestyle Xt Xt Xt Xt Xt Xt




ANS: C X t


The client‘s major problem is the impaired skin integrity as demonstrated by the presence of
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a pressure injury. The nurse is able to treat the cause of altered circulation and pressure by
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frequently repositioning the client. Although left-
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sided weakness is a problem for the client, the nurse cannot treat the weakness. The ―risk f
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or‖ diagnosis is not appropriate for this client, who already has impaired tissue integrity. The
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client does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indi
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cates more clearly what the health problem is.
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DIF: Cognitive Level: Application Xt Xt TOP: X t Nursing Process: Diagnosis Xt Xt




6. The nurse caring for a client with an infection has a nursing diagnosis of deficient fl
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uid volume related to excessive diaphoresis. Which of the following is an appropriate
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client outcome?
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a. Client has a balanced intake and output. Xt Xt Xt Xt Xt Xt


b. Client‘s bedding is changed when it becomes damp. Xt Xt Xt Xt Xt Xt Xt




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, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
c. Client understands the need for increased fluid intake.
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d. Client‘s skin remains cool and dry throughout hospitalization.
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ANS: A X t


This statement gives measurable data showing resolution of the problem of deficient fluid
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volume that was identified in the nursing diagnosis statement. The other statements would no
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t indicate that the problem of deficient fluid volume was resolved.
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DIF: Cognitive Level: Application Xt Xt TOP: X t Nursing Process: Planning Xt Xt




7. Which of the following represents a nursing activity that is carried out during the evaluati
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on phase of the nursing process?
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a. Determining if interventions have been effective in meeting client outcomes
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b. Documenting the nursing care plan in the progress notes in the medical record
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c. Deciding whether the client‘s health problems have been completely resolved
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d. Asking the client to evaluate whether the nursing care provided was satisfactory
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ANS: A X t


Evaluation consists of determining whether the desired client outcomes have been met and
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whether the nursing interventions were appropriate. The other responses do not describe the
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evaluation phase. Xt




DIF: Cognitive Level: Comprehension Xt Xt TOP: X t Nursing Process: Evaluation Xt Xt




8. Which of the following would the nurse perform during the assessment phase of the nursi
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ng process?
Xt


a. Obtains data with which to diagnose client problems
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b. Uses client data to develoNp p R
Xt ri o riIt y nGursB
in.
gCdiagMnoses
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Xt Xt Xt
c. Teaches interventions to relieve client health problems
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d. Assists the client to identify realistic outcomes to health problems
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ANS: A X t


During the assessment phase, the nurse gathers information about the client. The other resp
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onses are examples of the intervention, diagnosis, and planning phases of the nursing process
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.

DIF: Cognitive Level: Knowledge Xt Xt TOP: X t Nursing Process: Assessment Xt Xt




9. Which of the following is an example of a correctly written nursing diagnosis statement?
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a. Altered tissue perfusion related to heart failure
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b. Risk for impaired tissue integrity related to sacral redness
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c. Ineffective coping related to insufficient sense of control. Xt Xt Xt Xt Xt Xt Xt


d. Altered urinary elimination related to urinary tract infection
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ANS: C X t


This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describ
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es a client‘s response to a health problem that can be treated by nursing. The use of a me
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dical diagnosis (as in the responses beginning ―Altered tissue perfusion‖ and ―Altered uri
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nary elimination‖) is not appropriate. The response beginning ―Risk for impaired tissue in
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tegrity‖ uses the defining characteristics as the etiology.
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DIF: Cognitive Level: Comprehension Xt Xt TOP: X t Nursing Process: Diagnosis Xt Xt




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