TEST BANK
Lewis's Medical-Surgical Nursing - 2-Volume Set: Assessment and Management of Clinical Problems
Mariann M. Harding
12th Edition
Chapters 1-69 (Questions with Rationalized Answers)
,Table of Content
Chapter 01: Professional Nursing.................................................................................................................................................. 4
Chapter 02: Social Determinants of Health ................................................................................................................................. 10
Chapter 03: Health History and Physical Examination ................................................................................................................ 15
Chapter 04: Patient and Caregiver Teaching ............................................................................................................................... 20
Chapter 05: Chronic Illness and Older Adults............................................................................................................................. 26
Chapter 06: Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning and Gender Diverse Patients ................. 34
Chapter 07: Stress Management .................................................................................................................................................. 38
Chapter 08: Sleep and Sleep Disorders ....................................................................................................................................... 42
Chapter 09: Pain .......................................................................................................................................................................... 47
Chapter 10: Palliative and End-of-Life Care ............................................................................................................................... 56
Chapter 11: Substance Use Disorders in Acute Care................................................................................................................... 61
Chapter 12: Inflammation and Healing ....................................................................................................................................... 69
Chapter 13: Genetics ................................................................................................................................................................... 76
Chapter 14: Immune Responses and Transplantation.................................................................................................................. 79
Chapter 15: Infection ................................................................................................................................................................... 87
Chapter 16: Cancer...................................................................................................................................................................... 97
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances ....................................................................................................... 111
Chapter 18: Preoperative Care ................................................................................................................................................. 124
Chapter 19: Intraoperative Care ............................................................................................................................................... 131
Chapter 20: Postoperative Care ................................................................................................................................................. 137
Chapter 21: Emergency and Disaster Nursing........................................................................................................................... 145
Chapter 22: Assessment and Management: Visual Problems.................................................................................................... 154
Chapter 23: Assessment and Management: Auditory Problems……………………………………………………………... 167
Chapter 24: Assessment: Integumentary System ...................................................................................................................... 174
Chapter 25: Integumentary Problems ........................................................................................................................................ 180
Chapter 26: Burns ..................................................................................................................................................................... 188
Chapter 27: Assessment: Respiratory System ........................................................................................................................... 198
Chapter 28: Supporting Ventilation ........................................................................................................................................... 206
Chapter 29: Upper Respiratory Problems .................................................................................................................................. 217
Chapter 30: Lower Respiratory Problems ................................................................................................................................. 223
Chapter 31: Obstructive Pulmonary Diseases ........................................................................................................................... 238
Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress Syndrome…………………………………………...256
Chapter 33: Assessment: Hematologic System ......................................................................................................................... 260
Chapter 34: Hematologic Problems........................................................................................................................................... 265
Chapter 35: Assessment: Cardiovascular System ..................................................................................................................... 280
Chapter 36: Hypertension .......................................................................................................................................................... 293
Chapter 38: Heart Failure .......................................................................................................................................................... 315
Chapter 39: Dysrhythmias ......................................................................................................................................................... 323
Chapter 40: Inflammatory and Structural Heart Disorders ........................................................................................................ 333
Chapter 41: Vascular Disorders................................................................................................................................................. 345
,Chapter 42: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome……………………………………………………..356
Chapter 43: Assessment: Gastrointestinal System .................................................................................................................... 368
Chapter 44: Nutrition Problems................................................................................................................................................. 373
Chapter 45: Obesity................................................................................................................................................................... 381
Chapter 46: Upper Gastrointestinal Problems ........................................................................................................................... 387
Chapter 47: Lower Gastrointestinal Problems........................................................................................................................... 401
Chapter 48: Liver, Biliary Tract, and Pancreas Problems .......................................................................................................... 418
Chapter 49: Assessment: Urinary System ................................................................................................................................. 433
Chapter 50: Renal and Urologic Problems ................................................................................................................................ 440
Chapter 51: Acute Kidney Injury and Chronic Kidney Disease ................................................................................................ 454
Chapter 52: Assessment: Endocrine System ............................................................................................................................. 466
Chapter 53: Diabetes ................................................................................................................................................................. 474
Chapter 54: Endocrine Problems............................................................................................................................................... 489
Chapter 55: Assessment: Reproductive System......................................................................................................................... 504
Chapter 56: Breast Problems ..................................................................................................................................................... 508
Chapter 57: Sexually Transmitted Infections ............................................................................................................................ 517
Chapter 58: Female Reproductive Problems ............................................................................................................................. 524
Chapter 59: Male Reproductive Problems................................................................................................................................. 538
Chapter 60: Assessment: Nervous System ................................................................................................................................ 549
Chapter 61: Acute Intracranial Problems .................................................................................................................................. 555
Chapter 62: Stroke..................................................................................................................................................................... 572
Chapter 63: Chronic Neurologic Problems ............................................................................................................................... 582
Chapter 64: Dementia and Delirium.......................................................................................................................................... 593
Chapter 65: Spinal Cord and Peripheral Nerve Problems ......................................................................................................... 601
Chapter 66: Assessment: Musculoskeletal System ................................................................................................................... 611
Chapter 68: Musculoskeletal Problems ..................................................................................................................................... 630
Chapter 69: Arthritis and Connective Tissue Diseases .............................................................................................................. 637
, Mariann M. Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient asks, “How is this different
from what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments
prescribed by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan
to maintain your health.”
c. “The nurse‘s job is to collect information and communicate anyproblems
that occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses
are with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses
in promoting health. The other responses describe dependent and collaborative functions of
the nursing role but do not accurately describe the nurse‘s unique role in the health care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and
patient preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the patient‘s health
care problems.”
b. “The nursing process is used primarily to explain nursing interventions to
other health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
Lewis's Medical-Surgical Nursing - 2-Volume Set: Assessment and Management of Clinical Problems
Mariann M. Harding
12th Edition
Chapters 1-69 (Questions with Rationalized Answers)
,Table of Content
Chapter 01: Professional Nursing.................................................................................................................................................. 4
Chapter 02: Social Determinants of Health ................................................................................................................................. 10
Chapter 03: Health History and Physical Examination ................................................................................................................ 15
Chapter 04: Patient and Caregiver Teaching ............................................................................................................................... 20
Chapter 05: Chronic Illness and Older Adults............................................................................................................................. 26
Chapter 06: Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning and Gender Diverse Patients ................. 34
Chapter 07: Stress Management .................................................................................................................................................. 38
Chapter 08: Sleep and Sleep Disorders ....................................................................................................................................... 42
Chapter 09: Pain .......................................................................................................................................................................... 47
Chapter 10: Palliative and End-of-Life Care ............................................................................................................................... 56
Chapter 11: Substance Use Disorders in Acute Care................................................................................................................... 61
Chapter 12: Inflammation and Healing ....................................................................................................................................... 69
Chapter 13: Genetics ................................................................................................................................................................... 76
Chapter 14: Immune Responses and Transplantation.................................................................................................................. 79
Chapter 15: Infection ................................................................................................................................................................... 87
Chapter 16: Cancer...................................................................................................................................................................... 97
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances ....................................................................................................... 111
Chapter 18: Preoperative Care ................................................................................................................................................. 124
Chapter 19: Intraoperative Care ............................................................................................................................................... 131
Chapter 20: Postoperative Care ................................................................................................................................................. 137
Chapter 21: Emergency and Disaster Nursing........................................................................................................................... 145
Chapter 22: Assessment and Management: Visual Problems.................................................................................................... 154
Chapter 23: Assessment and Management: Auditory Problems……………………………………………………………... 167
Chapter 24: Assessment: Integumentary System ...................................................................................................................... 174
Chapter 25: Integumentary Problems ........................................................................................................................................ 180
Chapter 26: Burns ..................................................................................................................................................................... 188
Chapter 27: Assessment: Respiratory System ........................................................................................................................... 198
Chapter 28: Supporting Ventilation ........................................................................................................................................... 206
Chapter 29: Upper Respiratory Problems .................................................................................................................................. 217
Chapter 30: Lower Respiratory Problems ................................................................................................................................. 223
Chapter 31: Obstructive Pulmonary Diseases ........................................................................................................................... 238
Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress Syndrome…………………………………………...256
Chapter 33: Assessment: Hematologic System ......................................................................................................................... 260
Chapter 34: Hematologic Problems........................................................................................................................................... 265
Chapter 35: Assessment: Cardiovascular System ..................................................................................................................... 280
Chapter 36: Hypertension .......................................................................................................................................................... 293
Chapter 38: Heart Failure .......................................................................................................................................................... 315
Chapter 39: Dysrhythmias ......................................................................................................................................................... 323
Chapter 40: Inflammatory and Structural Heart Disorders ........................................................................................................ 333
Chapter 41: Vascular Disorders................................................................................................................................................. 345
,Chapter 42: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome……………………………………………………..356
Chapter 43: Assessment: Gastrointestinal System .................................................................................................................... 368
Chapter 44: Nutrition Problems................................................................................................................................................. 373
Chapter 45: Obesity................................................................................................................................................................... 381
Chapter 46: Upper Gastrointestinal Problems ........................................................................................................................... 387
Chapter 47: Lower Gastrointestinal Problems........................................................................................................................... 401
Chapter 48: Liver, Biliary Tract, and Pancreas Problems .......................................................................................................... 418
Chapter 49: Assessment: Urinary System ................................................................................................................................. 433
Chapter 50: Renal and Urologic Problems ................................................................................................................................ 440
Chapter 51: Acute Kidney Injury and Chronic Kidney Disease ................................................................................................ 454
Chapter 52: Assessment: Endocrine System ............................................................................................................................. 466
Chapter 53: Diabetes ................................................................................................................................................................. 474
Chapter 54: Endocrine Problems............................................................................................................................................... 489
Chapter 55: Assessment: Reproductive System......................................................................................................................... 504
Chapter 56: Breast Problems ..................................................................................................................................................... 508
Chapter 57: Sexually Transmitted Infections ............................................................................................................................ 517
Chapter 58: Female Reproductive Problems ............................................................................................................................. 524
Chapter 59: Male Reproductive Problems................................................................................................................................. 538
Chapter 60: Assessment: Nervous System ................................................................................................................................ 549
Chapter 61: Acute Intracranial Problems .................................................................................................................................. 555
Chapter 62: Stroke..................................................................................................................................................................... 572
Chapter 63: Chronic Neurologic Problems ............................................................................................................................... 582
Chapter 64: Dementia and Delirium.......................................................................................................................................... 593
Chapter 65: Spinal Cord and Peripheral Nerve Problems ......................................................................................................... 601
Chapter 66: Assessment: Musculoskeletal System ................................................................................................................... 611
Chapter 68: Musculoskeletal Problems ..................................................................................................................................... 630
Chapter 69: Arthritis and Connective Tissue Diseases .............................................................................................................. 637
, Mariann M. Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient asks, “How is this different
from what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments
prescribed by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan
to maintain your health.”
c. “The nurse‘s job is to collect information and communicate anyproblems
that occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses
are with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses
in promoting health. The other responses describe dependent and collaborative functions of
the nursing role but do not accurately describe the nurse‘s unique role in the health care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and
patient preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the patient‘s health
care problems.”
b. “The nursing process is used primarily to explain nursing interventions to
other health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
