Updated/Latest Lewis’s Medical-Surgical Nursing 11th Edition Mariann M. Harding Test Bank Comprehensive Examination Questions and Answers Study Guide for Adult Health Nursing Medical Surgical Care Pathophysiology Clinical Reasoning Patient Assessment Nurs

Tes Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding
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Table of Contents

Table of Contents 1
Chapter 01: Professional Nursing 3


Chapter 02: Health Equity and Culturally Competen CareChapter
J 13
03: Health History and Physical Examination Chapter 04: Patien J 21
and Caregiver Teaching 28
Chapter 05: Chronic Illness and Older Adults 38
Chapter 06: Stress Management 48
Chapter 07: Sleep and Sleep Disorders 54
Chapter 08: Pain 59
Chapter 09: Palliative and End of Life Care 71
Chapter 10: Substance Use Disorders Chapter 11: 79
Inflammation and Healing Chapter 12: Genetics 91
Chapter 13: Immune Responses and TransplantationChapter 14: 101
Infection 105
Chapter 15: Cancer 117
Chapter 16: Fluid, Electrolyte, and Acid-Base ImbalancesChapter 129
17: Preoperative Care 148
Chapter 18: Intraoperative Care 165
Chapter 19: Postoperative Care 175
Chapter 20: Assessmen and Management: Visual Problems Chapter 21:
J 184
Assessmen and Management: Auditory ProblemsChapter 22: Assessment:
J 196
Integumentary System 216
Chapter 23: Integumentary Problems 227
Chapter 24: Burns 233
Chapter 25: Assessment: Respiratory System 245
Chapter 26: Upper Respiratory Problems Chapter 27: 259
Lower Respiratory Problems Chapter 28: Obstructive 270
Pulmonary Diseases Chapter 29: Assessment: 282
Hematologic SystemChapter 30: Hematologic 305
Problems 325
Chapter 31: Assessment: Cardiovascular SystemChapter 32: 332
Hypertension 353
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome 364
Chapter 34: Hear Failure
J 375
Chapter 35: Dysrhythmias 394
Chapter 36: Inflammatory and Structural Hear DisordersChapter
J 406
37: Vascular Disorders 420
Chapter 38: Assessment: Gastrointestinal SystemChapter 39: 435
Nutritional Problems 450
Chapter 40: Obesity 458
Chapter 41: Upper Gastrointestinal Problems 469
Chapter 42: Lower Gastrointestinal Problems 478
Chapter 43: Liver, Biliary Tract, and Pancreas ProblemsChapter 499
44: Assessment: Urinary System 523
Chapter 45: Renal and Urologic Problems 543
Chapter 46: Acute Kidney Injury and Chronic Kidney DiseaseChapter 47: 553
Assessment: Endocrine System 573
Chapter 48: Diabetes Mellitus 590
Chapter 49: Endocrine Problems 600
Chapter 50: Assessment: Reproductive System 622
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Chapter 51: Breas Disorders
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650
Chapter 52: Sexually Transmitted InfectionsChapter 662
53: Female Reproductive ProblemsChapter 54: 671
Male Reproductive Problems Chapter 55: 693
Assessment: Nervous System Chapter 56: Acute 708
Intracranial Problems Chapter 57: Stroke 717
Chapter 58: Chronic Neurologic ProblemsChapter 734
59: Dementia and Delirium 747
Chapter 60: Spinal Cord and Peripheral Nerve ProblemsChapter 61: 763
Assessment: Musculoskeletal System 772
Chapter 62: Musculoskeletal Trauma and Orthopedic SurgeryChapter 787
63: Musculoskeletal Problems 794
Chapter 64: Arthritis and Connective Tissue DiseasesChapter 65: 814
Critical Care 825
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 845
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress SyndromeChapter 864
68: Emergency and Disaster Nursing 877
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TES BANK FOR
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Lewis’s Medical Surgical
Nursing 11th Edition
Harding

,Tes Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding
J 3



Chapter 01: Professional Nursing
Tes Bank MULTIPLE
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CHOICE

1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.
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Which statement, if made by the student nurse, indicates that teaching was successful?
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a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
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b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
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c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
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humans.


d. The nursing process is used primarily to explain nursing interventions to other health care
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professionals.


ANS: B J




The nursing process is a problem-solving approach to the identification and treatment of patients problems.
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Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care, not to
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establish nursing theory or explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
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patients. Which statement, if made by the nurse, would be the most accurate?
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a. Inferences from clinical research studies are used as a guide. J J J J J J J J J




b. Patient care is based on clinical judgment, experience, and traditions.
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c. Data are evaluated to show that the patient outcomes are consistently met.
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d. Recommendations are based on research, clinical expertise, and patient preferences. J J J J J J J J J




ANS: D J




Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
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expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
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making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes is
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important, but interventions should be based on research from randomized control studies with a large
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number of subjects. J J




DIF: Cognitive Level: Remember (knowledge)
J J J J




TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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, Tes Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding
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3. The nurse completes an admission database and explains that the plan of care and discharge goals will be
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developed with the patients input. The patient states, How is this different from what the doctor does? Which
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response would be most appropriate for the nurse to make?
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a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
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b. The nurses job is to help the doctor by collecting information and communicating any problems that
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occur.


c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer
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time than the doctor. J J J




d. In addition to caring for you while you are sick, the nurses will assist you to develop an
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individualized plan to maintain your health. J J J J J




ANS: D J




This response is consistent with the American Nurses Association (ANA) definition of nursing, which
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describes the role of nurses in promoting health. The other responses describe some of the dependent and
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collaborative functions of the nursing role but do not accurately describe the nurses role in the health care system.
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DIF: Cognitive Level: Understand (comprehension)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip Which
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nursing diagnosis is most appropriate?J J J J




a. Impaired physical mobility related to left-sided paralysis J J J J J J




b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and pressure J J J J J J J J




d. Ineffective tissue perfusion related to inability to move independently J J J J J J J J




ANS: C J




The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The
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nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although
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left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for diagnosis
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is not appropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tissue
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perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is.
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DIF: Cognitive Level: Apply (application)
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TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
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5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving my
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children with my parents. Which action should the nurse take next?
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