,Table of contents j|juju j|juju j|juju j|juju j|juju j|juju j|juju j|juju j|juju j|juju j|juju Chapter 01 Professional Nursing Practice j|jujukr j|jujukr j|jujukr j|jujukr 2
Chapter 02
j|jujukr Medical-Surgical Nursing
j|jujukr j|jujukr 17
Chapter 03
j|jujukr Health Education and Health Promotion
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 30
Chapter 04
j|jujukr Adult Health and Physical, Nutritional, and Cultural Assessment
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 45
Chapter 05
j|jujukr Stress and Inflammatory Responses
j|jujukr j|jujukr j|jujukr j|jujukr 60
Chapter 06
j|jujukr Genetics and Genomics in Nursing
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 76
Chapter 07
j|jujukr Disability and Chronic Illness
j|jujukr j|jujukr j|jujukr j|jujukr 92
Chapter 08
j|jujukr Management of the Older Adult Patient
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 107
Chapter 09
j|jujukr Pain Management
j|jujukr j|jujukr 121
Chapter 10
j|jujukr Fluid and Electrolytes
j|jujukr j|jujukr j|jujukr 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 153
Chapter 12 Management of Patients with Oncologic Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 169
Chapter 13
j|jujukr Palliative and End-of-Life Care
j|jujukr j|jujukr j|jujukr j|jujukr 183
Chapter 14
j|jujukr Preoperative Nursing Management
j|jujukr j|jujukr j|jujukr 199
Chapter 15
j|jujukr Intraoperative Nursing Management
j|jujukr j|jujukr j|jujukr 214
Chapter 16
j|jujukr Postoperative Nursing Management
j|jujukr j|jujukr j|jujukr 228
Chapter 17
j|jujukr Assessment of Respiratory Function
j|jujukr j|jujukr j|jujukr j|jujukr 243
Chapter 18
j|jujukr Management of Patients with Upper Respiratory Tract Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 258
Chapter 19
j|jujukr Management of Patients with Chest and Lower Respiratory Tract Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 272
Chapter 20
j|jujukr Management of Patients with Chronic Pulmonary Disease
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 288
Chapter 21 Assessment of Cardiovascular
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr Function 304
Chapter 22 Management of Patients with
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukrArrhythmias and Conduction Problems j|jujukr j|jujukr j|jujukr 318
Chapter 23 Management of Patients with
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr Coronary Vascular Disorders j|jujukr j|jujukr 331
Chapter 24 Management of Patients with
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr Structural, Infectious, and Inflammatory Cardiac j|jujukr j|jujukr j|jujukr j|jujukr
Disorders 347
Chapter 25 Management of Patients with
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr Complications from Heart Disease
j|jujukr j|jujukr j|jujukr j|jujukr 361
Chapter 26 Assessment and Management
j|jujukr j|jujukr j|jujukr j|jujukr of Patients with Vascular Disorders and Problems
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
of Peripheral Circulation
j|jujukr j|jujukr 375
Chapter 27 Assessment and Management
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr of Patients with Hypertension
j|jujukr j|jujukr j|jujukr 391
Chapter 28
j|jujukr j|jujukr Assessment of Hematologic Function and Treatment Modalitiesj|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 405
Chapter 29
j|jujukr j|jujukr Management of Patients with Nonmalignant Hematologic Disorders j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 420
Chapter 30
j|jujukr j|jujukr Management of Patients with Hematologic Neoplasms j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 433
Chapter 31
j|jujukr j|jujukr Assessment of Immune Function j|jujukr j|jujukr j|jujukr 448
Chapter 32
j|jujukr j|jujukr Management of Patients with Immune Deficiency Disorders j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 462
Chapter 33
j|jujukr j|jujukr Assessment and Management of Patients with Allergic Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 477
Chapter 34
j|jujukr j|jujukr Assessment and Management of Patients with Inflammatory Rheumatic Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 492
Chapter 35
j|jujukr j|jujukr Assessment of Musculoskeletal Function j|jujukr j|jujukr j|jujukr 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 564
Chapter j|jujukr 40 Management of Patients with Gastric and Duodenal Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 578
Chapter j|jujukr 41 Management of Patients with Intestinal and Rectal Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 591
Chapter j|jujukr 42 Assessment and Management of Patients with Obesity
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 606
Chapter j|jujukr 43
j|jujukr Assessment and Management of Patients with Hepatic Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 621
Chapter j|jujukr 44 Management of Patients with Biliary Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 635
Chapter j|jujukr 45
j|jujukr Assessment and Management of Patients with Endocrine Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 650
Chapter j|jujukr 46 Management of Patients with Diabetes
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 665
Chapter j|jujukr 47 Assessment of Kidney and Urinary Function
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 680
Chapter j|jujukr 48 Management of Patients with Kidney Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 695
Chapter 49 Management of Patients with Urinary Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 725
Chapter j|jujukr 51 Management of Patients with Female Reproductive Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 741
Chapter j|jujukr 52 Assessment and Management of Patients with Breast Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 757
Chapter j|jujukr 53
j|jujukr Assessment and Management of Patients with Male Reproductive Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 771
Chapter j|jujukr 54 Assessment and Management of Patients Who Are LGBTQ
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 786
Chapter j|jujukr 55 Assessment of Integumentary Function
j|jujukr j|jujukr j|jujukr j|jujukr 794
Chapter j|jujukr 56 Management of Patients with Dermatologic Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 808
Chapter j|jujukr 57 Management of Patients with Burn Injury
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 822
Chapter 58
j|jujukr Assessment and Management of Patients with Eye and Vision Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 837
Chapter 59
j|jujukr Assessment and Management of Patients with Hearing and Balance Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 851
Chapter 60
j|jujukr Assessment of Neurologic Function
j|jujukr j|jujukr j|jujukr j|jujukr 866
Chapter 61
j|jujukr j|jujukr Management of Patients With Neurologic Dysfunction
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 881
Chapter 62
j|jujukr j|jujukr Management of Patients With Cerebrovascular Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 895
Chapter 63
j|jujukr Management of Patients with Neurologic Trauma
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 911
Chapter 64
j|jujukr j|jujukr Management of Patients with Neurologic Infections, Autoimmune Disorders, and
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 940
Chapter 66 Management of Patients with Infectious Diseases
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr 955
Chapter 67 Emergency Nursing
j|jujukr j|jujukr j|jujukr 968
Chapter 68 Disaster Nursing
j|jujukr j|jujukr j|jujukr 977
, Chapter 1: Professional Nursing Practice
j|jujukr j|jujukr j|jujukr j|jujukr
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
MULTIPLE CHOICE j|jujukr
1. A nurse has been offered a position on an obstetric unit and has learned that the
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unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
beliefs. What is the nurse's ethical obligation to these clients?
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
A. The nurse should adhere to professional standards of practice and offer
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
service to these clients.
j|jujukr j|jujukr j|jujukr j|jujukr
B. The nurse should make the choice to decline this position and pursue a
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different nursing role.j|jujukr j|jujukr j|jujukr
C. The nurse should decline to care for the client’s considering abortion.
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
D. The nurse should express alternatives to women considering terminating their pregnancy.
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
ANS: B j | j u j u k r
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
nurse’s personal beliefs, the nurse should consider working in an area of nursing
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
that would not pose this dilemma. The nurse should not provide care to the
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
client because it is a conflict of personal values. The nurse should not deny care
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to these clients as this would be a breach in the Code of Ethics for nurses. If
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
the client is not requesting information for alternatives to abortions, then the nurse
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
should not be providing this information.
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
PTS: 1 REF: p. 27j | j u j u k r j | j u j u k r j | j u j u k r j | j u j u k r j|jujukr
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
j | j u j u k r j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
TOP: Chapter 1: Professional Nursing Practice
j KEY:
| Integrated Process:
j u j u k r j|jujukr j|jujukr j|jujukr j|jujukr j | j u j u k r j|jujukr
Caring BLM:
j|jujukr Cognitive Level: Apply j|jujukr j | j u j u k r j|jujukr j|jujukr
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia.
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
During admission the client states, "I have a living will." What implication of this
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
should the nurse recognize?
j|jujukr j|jujukr j|jujukr j|jujukr
A. This document is always honored, regardless of circumstances. j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
B. This document specifies the client's wishes before hospitalization.
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
C. This document is binding for the duration of the client's life. j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
D. This document has been drawn up by the client's family to determine DNR status.
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
ANS: B j | j u j u k r
Rationale: A living will is one type of advance directive. In most situations, living
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
wills are limited to situations in which the client's medical condition is deemed
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terminal. The other answers are incorrect because living wills are not always
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honored in every circumstance, they are not binding for the duration of the
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client's life, and they are not drawn up by the client's family.
j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
PTS: 1 REF: p. 29
j | j u j u k r j | j u j u k r j | j u j u k r j | j u j u k r j|jujukr
NAT: Client Needs: Safe, Effective Care Environment:
j | j u j u k r j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
Management of Care TOP:
j|jujukr Chapter 1: Professional j|jujukr j|jujukr j|jujukr j | j u j u k r j|jujukr j|jujukr
Nursing Practice
j|jujukr j|jujukr
KEY: Integrated Process: Communication and Documentation
j | j u j u k r j|jujukr j|jujukr j|jujukr j|jujukr BLM:
Cognitive Level: Analyze NOT:
j | j u j u k r Multiple Choice j|jujukr j|jujukr j|jujukr j | j u j u k r j|jujukr
3. A nurse has been providing ethical care for many years and is aware of the need
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to maintain the ethical principle of nonmaleficence. Which of the following actions
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would be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
B. Assisting a semi-independent client with ADLs j|jujukr j|jujukr j|jujukr j|jujukr j|jujukr
1 | P j|jujukr j|jujukr
a g e