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Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
aa aa
SectionaaOneaa–aaConceptsaainaaNursingaaPractice
1aaIntroductionaatoaaMedical-SurgicalaaNursingaaPracticeaainaaCanada
2aaCulturalaaCompetenceaaandaaHealthaaEquityaainaaCare
3aaHealthaaHistoryaaandaaPhysicalaaExamination
4aaPatientaaandaaCaregiveraaTeaching
5aaChronicaaIllness
6aaCommunity-BasedaaNursingaaandaaHomeaaCare
7aaOlderaaAdults
8aaStressaaandaaStressaaManagement
9aaSleepaaandaaSleepaaDisorders
10aaPain
11aaSubstanceaaUse
12aaComplementaryaaandaaAlternativeaaTherapies
13aaPalliativeaaCareaaataatheaaEndaaofaaLife
SectionaaTwoaa–aaPathophysiologicalaaMechanismsaaofaaDisease
14aaInflammationaaandaaWoundaaHealing
15aaGenetics
16aaAlteredaaImmuneaaResponseaaandaaTransplantation
17aaInfectionaaandaaHumanaaImmunodeficiencyaaVirusaaInfection
18aaCancer
19aaFluid,aaElectrolyte,aaandaaAcid–BaseaaImbalances
SectionaaThreeaa–aaPerioperativeaaCare
20aaNursingaaManagement:aaPreoperativeaaCare
21aaNursingaaManagement:aaIntraoperativeaaCare
22aaNursingaaManagement:aaPost-operativeaaCare
SectionaaFouraa–aaProblemsaaRelatedaatoaaAlteredaaSensoryaaInput
23aaNursingaaAssessment:aaVisualaaandaaAuditoryaaSystems
24aaNursingaaManagement:aaVisualaaandaaAuditoryaaProblems
25aaNursingaaAssessment:aaIntegumentaryaaSystem
26aaNursingaaManagement:aaIntegumentaryaaProblems
27aaNursingaaManagement:aaBurns
SectionaaFiveaa–aaProblemsaaofaaOxygenation:aaVentilation
28aaNursingaaAssessment:aaRespiratoryaaSystem
29aaNursingaaManagement:aaUpperaaRespiratoryaaProblems
30aaNursingaaManagement:aaLoweraaRespiratoryaaProblems
31aaNursingaaManagement:aaObstructiveaaPulmonaryaaDiseases
SectionaaSixaa–aaProblemsaaofaaOxygenation:aaTransport
32aaNursingaaAssessment:aaHematologicalaaSystem
33aaNursingaaManagement:aaHematologicalaaProblems
SectionaaSevenaa–aaProblemsaaofaaOxygenation:aaPerfusion
,34aaNursingaaAssessment:aaCardiovascularaaSystem
35aaNursingaaManagement:aaHypertension
36aaNursingaaManagement:aaCoronaryaaArteryaaDiseaseaaandaaAcuteaaCoronaryaaSyndrome
37aaNursingaaManagement:aaHeartaaFailure
38aaNursingaaManagement:aaDysrhythmias
39aaNursingaaManagement:aaInflammatoryaaandaaStructuralaaHeartaaDiseases
40aaNursingaaManagement:aaVascularaaDisorders
SectionaaEightaa–aaProblemsaaofaaIngestion,aaDigestion,aaAbsorption,aaandaaElimination
41aaNursingaaAssessment:aaGastrointestinalaaSystem
42aaNursingaaManagement:aaNutritionalaaProblems
43aaNursingaaManagement:aaObesity
44aaNursingaaManagement:aaUpperaaGastrointestinalaaProblems
45aaNursingaaManagement:aaLoweraaGastrointestinalaaProblems
46aaNursingaaManagement:aaLiver,aaPancreas,aaandaaBiliaryaaTractaaProblems
SectionaaNineaa–aaProblemsaaofaaUrinaryaaFunction
47aaNursingaaAssessment:aaUrinaryaaSystem
48aaNursingaaManagement:aaRenalaaandaaUrologicalaaProblems
49aaNursingaaManagement:aaAcuteaaKidneyaaInjuryaaandaaChronicaaKidneyaaDisease
SectionaaTenaa–aaProblemsaaRelatedaatoaaRegulatoryaaandaaReproductiveaaMechanisms
50aaNursingaaAssessment:aaEndocrineaaSystem
51aaNursingaaManagement:aaEndocrineaaProblems
52aaNursingaaManagement:aaDiabetesaaMellitus
53aaNursingaaAssessment:aaReproductiveaaSystem
54aaNursingaaManagement:aaBreastaaDisorders
55aaNursingaaManagement:aaSexuallyaaTransmittedaaInfections
56aaNursingaaManagement:aaFemaleaaReproductiveaaProblems
57aaNursingaaManagement:aaMaleaaReproductiveaaProblems
SectionaaElevenaa–aaProblemsaaRelatedaatoaaMovementaaandaaCoordination
58aaNursingaaAssessment:aaNervousaaSystem
59aaNursingaaManagement:aaAcuteaaIntracranialaaProblems
60aaNursingaaManagement:aaStroke
61aaNursingaaManagement:aaChronicaaNeurologicalaaProblems
62aaNursingaaManagement:aaDelirium,aaAlzheimer‘saaDisease,aaandaaOtheraaDementias
63aaNursingaaManagement:aaPeripheralaaNerveaaandaaSpinalaaCordaaProblems
64aaNursingaaAssessment:aaMusculoskeletalaaSystem
65aaNursingaaManagement:aaMusculoskeletalaaTraumaaaandaaOrthopedicaaSurgery
66aaNursingaaManagement:aaMusculoskeletalaaProblems
67aaNursingaaManagement:aaArthritisaaandaaConnectiveaaTissueaaDiseases
SectionaaTwelveaa–aaNursingaaCareaainaaSpecializedaaSettings
68aaNursingaaManagement:aaCriticalaaCareaaEnvironment
69aaNursingaaManagement:aaShock,aaSystemicaaInflammatoryaaResponseaaSyndrome,aaandaaMultip
le-OrganaaDysfunctionaaSyndrome
70aaNursingaaManagement:aaRespiratoryaaFailureaaandaaAcuteaaRespiratoryaaDistressaaSyndrome
71aaNursingaaManagement:aaEmergencyaaCareaaSituations
72aaEmergencyaaManagementaaandaaDisasteraaPlanning
, Chapteraa01:aaIntroductionaatoaaMedical-
SurgicalaaNursingaaPracticeaainaaCanadaaaLewis:aaMedical-
SurgicalaaNursingaainaaCanada,aa4thaaCanadianaaEdition
MULTIPLEaaCHOICE
1. Whenaacaringaaforaaclientsaausingaaevidence-
informedaapractice,aawhichaaofaatheaafollowingaadoesaatheaanurseaause?
a. Clinicalaajudgementaabasedaaonaaexperience
b. Evidenceaafromaaaaaclinicalaaresearchaastudy
c. Theaabestaaavailableaaevidenceaatoaaguideaaclinicalaaexpertise
d. Evaluationaaofaadataaashowingaathataatheaaclientaaoutcomesaaareaamet
CORRECTaaANSWER:a
a C
Evidence-
informedaanursingaapracticeaaisaaaaacontinuousaainteractiveaaprocessaainvolvingaatheaaexplicit,aaconscie
ntious,aaandaajudiciousaaconsiderationaaofaatheaabestaaavailableaaevidenceaatoaaprovideaacare.aaFouraapri
maryaaelementsaaare:aa(a)aaclinicalaastate,aasetting,aaandaacircumstances;aa(b)aaclientaapreferencesaaandaa
actions;aa(c)aabestaaresearchaaevidence;aaandaa(d)aahealthaacareaaresources.aaClinicalaajudgementaabasedaa
onaatheaanurse‘saaclinicalaaexperienceaaisaapartaaofaaEIP,aabutaaclinicalaadecisionaamakingaaalsoaashouldaa
incorporateaacurrentaaresearchaaandaaresearch-
basedaaguidelines.aaEvidenceaafromaaoneaaclinicalaaresearchaastudyaadoesaanotaaprovideaaanaaadequatea
asubstantiationaaforaainterventions.aaEvaluationaaofaaclientaaoutcomesaaisaaimportant,aabutaainterventio
nsaashouldaabeaabasedaaonaaresearchaafromaarandomizedaacontrolaastudiesaawithaaaaalargeaanumberaaofaa
subjects.
DIF: CognitiveaaLevel:aaComprehension TOP:a a NursingaaProcess:aaPlanning
2. Whichaa ofaa theaa followingaa bestaa N
e x p lRa i n sIt h eGn u B
r s e. sC
‘ aa prM
imaryaa useaa ofaa theaa nursingaa processaa when
providingaacareaatoaaclients UaaSaaNaaT O
?
a. Toaaexplainaanursingaainterventionsaatoaaotheraahealthaacareaaprofessionals
b. Asaaaaaproblem-solvingaatoolaatoaaidentifyaaandaatreataaclients‘aahealthaacareaaneeds
c. Asaaaaascientific-basedaaprocessaaofaadiagnosingaatheaaclient‘saahealthaacareaaproblems
d. Toaaestablishaanursingaatheoryaathataaincorporatesaatheaabiopsychosocialaanatureaaofaahumans
CORRECTaaANSWER:a a B
Theaanursingaaprocessaaisaaanaaassertiveaaproblem-
solvingaaapproachaatoaatheaaidentificationaaandaatreatmentaaofaaclients‘aaproblems.aaDiagnosisaaisaaonlyaa
oneaaphaseaaofaatheaanursingaaprocess.aaThe
primaryaauseaaofaatheaanursingaaprocessaaisaainaaclientaacare,aanotaatoaaestablishaanursingaatheoryaaoraaexpl
ainaanursingaainterventionsaatoaaotheraahealthaacareaaprofessionals.
DIF: CognitiveaaLevel:aaComprehension TOP:a a NursingaaProcess:aaImplementation
3. Theaanurseaaisaacaringaaforaaaaacriticallyaaillaaclientaainaatheaaintensiveaacareaaunitaaandaaplansaaanaaeveryaa2-
houraaturningaascheduleaatoaapreventaaskinaabreakdown.aaWhichaatypeaaofaanursingaafunctionaaisaadem
onstratedaawithaathisaaturningaaschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
aa aa
SectionaaOneaa–aaConceptsaainaaNursingaaPractice
1aaIntroductionaatoaaMedical-SurgicalaaNursingaaPracticeaainaaCanada
2aaCulturalaaCompetenceaaandaaHealthaaEquityaainaaCare
3aaHealthaaHistoryaaandaaPhysicalaaExamination
4aaPatientaaandaaCaregiveraaTeaching
5aaChronicaaIllness
6aaCommunity-BasedaaNursingaaandaaHomeaaCare
7aaOlderaaAdults
8aaStressaaandaaStressaaManagement
9aaSleepaaandaaSleepaaDisorders
10aaPain
11aaSubstanceaaUse
12aaComplementaryaaandaaAlternativeaaTherapies
13aaPalliativeaaCareaaataatheaaEndaaofaaLife
SectionaaTwoaa–aaPathophysiologicalaaMechanismsaaofaaDisease
14aaInflammationaaandaaWoundaaHealing
15aaGenetics
16aaAlteredaaImmuneaaResponseaaandaaTransplantation
17aaInfectionaaandaaHumanaaImmunodeficiencyaaVirusaaInfection
18aaCancer
19aaFluid,aaElectrolyte,aaandaaAcid–BaseaaImbalances
SectionaaThreeaa–aaPerioperativeaaCare
20aaNursingaaManagement:aaPreoperativeaaCare
21aaNursingaaManagement:aaIntraoperativeaaCare
22aaNursingaaManagement:aaPost-operativeaaCare
SectionaaFouraa–aaProblemsaaRelatedaatoaaAlteredaaSensoryaaInput
23aaNursingaaAssessment:aaVisualaaandaaAuditoryaaSystems
24aaNursingaaManagement:aaVisualaaandaaAuditoryaaProblems
25aaNursingaaAssessment:aaIntegumentaryaaSystem
26aaNursingaaManagement:aaIntegumentaryaaProblems
27aaNursingaaManagement:aaBurns
SectionaaFiveaa–aaProblemsaaofaaOxygenation:aaVentilation
28aaNursingaaAssessment:aaRespiratoryaaSystem
29aaNursingaaManagement:aaUpperaaRespiratoryaaProblems
30aaNursingaaManagement:aaLoweraaRespiratoryaaProblems
31aaNursingaaManagement:aaObstructiveaaPulmonaryaaDiseases
SectionaaSixaa–aaProblemsaaofaaOxygenation:aaTransport
32aaNursingaaAssessment:aaHematologicalaaSystem
33aaNursingaaManagement:aaHematologicalaaProblems
SectionaaSevenaa–aaProblemsaaofaaOxygenation:aaPerfusion
,34aaNursingaaAssessment:aaCardiovascularaaSystem
35aaNursingaaManagement:aaHypertension
36aaNursingaaManagement:aaCoronaryaaArteryaaDiseaseaaandaaAcuteaaCoronaryaaSyndrome
37aaNursingaaManagement:aaHeartaaFailure
38aaNursingaaManagement:aaDysrhythmias
39aaNursingaaManagement:aaInflammatoryaaandaaStructuralaaHeartaaDiseases
40aaNursingaaManagement:aaVascularaaDisorders
SectionaaEightaa–aaProblemsaaofaaIngestion,aaDigestion,aaAbsorption,aaandaaElimination
41aaNursingaaAssessment:aaGastrointestinalaaSystem
42aaNursingaaManagement:aaNutritionalaaProblems
43aaNursingaaManagement:aaObesity
44aaNursingaaManagement:aaUpperaaGastrointestinalaaProblems
45aaNursingaaManagement:aaLoweraaGastrointestinalaaProblems
46aaNursingaaManagement:aaLiver,aaPancreas,aaandaaBiliaryaaTractaaProblems
SectionaaNineaa–aaProblemsaaofaaUrinaryaaFunction
47aaNursingaaAssessment:aaUrinaryaaSystem
48aaNursingaaManagement:aaRenalaaandaaUrologicalaaProblems
49aaNursingaaManagement:aaAcuteaaKidneyaaInjuryaaandaaChronicaaKidneyaaDisease
SectionaaTenaa–aaProblemsaaRelatedaatoaaRegulatoryaaandaaReproductiveaaMechanisms
50aaNursingaaAssessment:aaEndocrineaaSystem
51aaNursingaaManagement:aaEndocrineaaProblems
52aaNursingaaManagement:aaDiabetesaaMellitus
53aaNursingaaAssessment:aaReproductiveaaSystem
54aaNursingaaManagement:aaBreastaaDisorders
55aaNursingaaManagement:aaSexuallyaaTransmittedaaInfections
56aaNursingaaManagement:aaFemaleaaReproductiveaaProblems
57aaNursingaaManagement:aaMaleaaReproductiveaaProblems
SectionaaElevenaa–aaProblemsaaRelatedaatoaaMovementaaandaaCoordination
58aaNursingaaAssessment:aaNervousaaSystem
59aaNursingaaManagement:aaAcuteaaIntracranialaaProblems
60aaNursingaaManagement:aaStroke
61aaNursingaaManagement:aaChronicaaNeurologicalaaProblems
62aaNursingaaManagement:aaDelirium,aaAlzheimer‘saaDisease,aaandaaOtheraaDementias
63aaNursingaaManagement:aaPeripheralaaNerveaaandaaSpinalaaCordaaProblems
64aaNursingaaAssessment:aaMusculoskeletalaaSystem
65aaNursingaaManagement:aaMusculoskeletalaaTraumaaaandaaOrthopedicaaSurgery
66aaNursingaaManagement:aaMusculoskeletalaaProblems
67aaNursingaaManagement:aaArthritisaaandaaConnectiveaaTissueaaDiseases
SectionaaTwelveaa–aaNursingaaCareaainaaSpecializedaaSettings
68aaNursingaaManagement:aaCriticalaaCareaaEnvironment
69aaNursingaaManagement:aaShock,aaSystemicaaInflammatoryaaResponseaaSyndrome,aaandaaMultip
le-OrganaaDysfunctionaaSyndrome
70aaNursingaaManagement:aaRespiratoryaaFailureaaandaaAcuteaaRespiratoryaaDistressaaSyndrome
71aaNursingaaManagement:aaEmergencyaaCareaaSituations
72aaEmergencyaaManagementaaandaaDisasteraaPlanning
, Chapteraa01:aaIntroductionaatoaaMedical-
SurgicalaaNursingaaPracticeaainaaCanadaaaLewis:aaMedical-
SurgicalaaNursingaainaaCanada,aa4thaaCanadianaaEdition
MULTIPLEaaCHOICE
1. Whenaacaringaaforaaclientsaausingaaevidence-
informedaapractice,aawhichaaofaatheaafollowingaadoesaatheaanurseaause?
a. Clinicalaajudgementaabasedaaonaaexperience
b. Evidenceaafromaaaaaclinicalaaresearchaastudy
c. Theaabestaaavailableaaevidenceaatoaaguideaaclinicalaaexpertise
d. Evaluationaaofaadataaashowingaathataatheaaclientaaoutcomesaaareaamet
CORRECTaaANSWER:a
a C
Evidence-
informedaanursingaapracticeaaisaaaaacontinuousaainteractiveaaprocessaainvolvingaatheaaexplicit,aaconscie
ntious,aaandaajudiciousaaconsiderationaaofaatheaabestaaavailableaaevidenceaatoaaprovideaacare.aaFouraapri
maryaaelementsaaare:aa(a)aaclinicalaastate,aasetting,aaandaacircumstances;aa(b)aaclientaapreferencesaaandaa
actions;aa(c)aabestaaresearchaaevidence;aaandaa(d)aahealthaacareaaresources.aaClinicalaajudgementaabasedaa
onaatheaanurse‘saaclinicalaaexperienceaaisaapartaaofaaEIP,aabutaaclinicalaadecisionaamakingaaalsoaashouldaa
incorporateaacurrentaaresearchaaandaaresearch-
basedaaguidelines.aaEvidenceaafromaaoneaaclinicalaaresearchaastudyaadoesaanotaaprovideaaanaaadequatea
asubstantiationaaforaainterventions.aaEvaluationaaofaaclientaaoutcomesaaisaaimportant,aabutaainterventio
nsaashouldaabeaabasedaaonaaresearchaafromaarandomizedaacontrolaastudiesaawithaaaaalargeaanumberaaofaa
subjects.
DIF: CognitiveaaLevel:aaComprehension TOP:a a NursingaaProcess:aaPlanning
2. Whichaa ofaa theaa followingaa bestaa N
e x p lRa i n sIt h eGn u B
r s e. sC
‘ aa prM
imaryaa useaa ofaa theaa nursingaa processaa when
providingaacareaatoaaclients UaaSaaNaaT O
?
a. Toaaexplainaanursingaainterventionsaatoaaotheraahealthaacareaaprofessionals
b. Asaaaaaproblem-solvingaatoolaatoaaidentifyaaandaatreataaclients‘aahealthaacareaaneeds
c. Asaaaaascientific-basedaaprocessaaofaadiagnosingaatheaaclient‘saahealthaacareaaproblems
d. Toaaestablishaanursingaatheoryaathataaincorporatesaatheaabiopsychosocialaanatureaaofaahumans
CORRECTaaANSWER:a a B
Theaanursingaaprocessaaisaaanaaassertiveaaproblem-
solvingaaapproachaatoaatheaaidentificationaaandaatreatmentaaofaaclients‘aaproblems.aaDiagnosisaaisaaonlyaa
oneaaphaseaaofaatheaanursingaaprocess.aaThe
primaryaauseaaofaatheaanursingaaprocessaaisaainaaclientaacare,aanotaatoaaestablishaanursingaatheoryaaoraaexpl
ainaanursingaainterventionsaatoaaotheraahealthaacareaaprofessionals.
DIF: CognitiveaaLevel:aaComprehension TOP:a a NursingaaProcess:aaImplementation
3. Theaanurseaaisaacaringaaforaaaaacriticallyaaillaaclientaainaatheaaintensiveaacareaaunitaaandaaplansaaanaaeveryaa2-
houraaturningaascheduleaatoaapreventaaskinaabreakdown.aaWhichaatypeaaofaanursingaafunctionaaisaadem
onstratedaawithaathisaaturningaaschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
