Test Bank for Medical-Surgical Nursing: Concepts and Practice, 5th Edition by Holly K. Stromberg

TEST BANK MEDICAL SURGICAL NURSING : CONCEPTS AND PRACTICE 5TH EDITION BY Holly K. Stromberg TABLE OF CONTENT Chapter 01: Caring for Medical -Surgical Patients ................................ ................................ ................................ ..... 3 Chapter 02: Critical Thinking, Clinical Judgment, and the Nursing Process ................................ .......................... 11 Chapter 03: Fluids, Electrolytes, Acid -Base Balance, and Intravenous Therapy ................................ .................... 20 Chapter 04: Care of Preoperative and Intraoperative Surgical Patients ................................ ................................ .. 28 Chapter 05: Care of Postoperative Surgical Patients ................................ ................................ ............................... 36 Chapter 06: Infection Prevention and Control ................................ ................................ ................................ ......... 44 Chapter 07: Care of Patients With Pain ................................ ................................ ................................ ................... 51 Chapter 08: Care of Patients With Cancer ................................ ................................ ................................ ............... 59 Chapter 09: Chronic Illness and Rehabilitation ................................ ................................ ................................ ....... 67 Chapter 10: The Immune and Lymphatic Systems ................................ ................................ ................................ .. 75 Chapter 11: Care of Patients With Immune and Lymphatic Disorders ................................ ................................ ... 83 Chapter 12: The Respiratory System ................................ ................................ ................................ ....................... 93 Chapter 13: Care of Patients With Disorders of the Upper Respiratory System ................................ ................... 103 Chapter 14: Care of Patients With Disorders of the Lower Respiratory System ................................ ................... 112 Chapter 15: The Hematologic System ................................ ................................ ................................ ................... 122 Chapter 16. Care of Patients With Hematologic Disorders ................................ ................................ ................... 130 Chapter 17: The Cardiovascular System ................................ ................................ ................................ ................ 138 Chapter 18: Care of Patients With Hypertension and Peripheral Vascular Disease ................................ .............. 145 Chapter 19: Care of Patients With Cardiac Disorders ................................ ................................ ........................... 154 Chapter 20: Care of Patients With Coronary Artery Disease and Cardiac Surgery ................................ .............. 162 Chapter 21: The Neurologic System ................................ ................................ ................................ ...................... 173 Chapter 22: Care of Patients With Head and Spinal Cord Injuries ................................ ................................ ........ 181 Chapter 23: Care of Patients With Brain Disorders ................................ ................................ ............................... 190 Chapter 24: Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders ............................ 199 Chapter 25: The Sensory System Eye ................................ ................................ ................................ .................... 207 Chapter 26: The Sensory System Ear ................................ ................................ ................................ .................... 216 Chapter 27: The Gastrointestinal System ................................ ................................ ................................ .............. 222 Chapter 28. Care of Patients With Disorders of the Upper Gastrointestinal System ................................ ............ 232 Chapter 29. Care of Patients With Disorders of the Lower Gastrointestinal System ................................ ............ 241 Chapter 30. Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas ................................ ......... 251 Chapter 31. The Musculoskeletal System ................................ ................................ ................................ .............. 261 Chapter 32: Care of Patients With Musculoskeletal and Connective Tissue Disorders ................................ ........ 270 Chapter 33: The Urinary System ................................ ................................ ................................ ........................... 282 Chapter 34. Care of Patients With Disorders of the Urinary System ................................ ................................ .... 292 Chapter 35: The Endocrine System ................................ ................................ ................................ ....................... 303 Chapter 36: Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders ................................ . 311 Chapter 37: Care of Patients With Diabetes and Hypoglycemia ................................ ................................ ........... 320 Chapter 38: The Reproductive System ................................ ................................ ................................ .................. 331 Chapter 39: Care of Women With Reproductive Disorders ................................ ................................ .................. 336 Chapter 40: Care of Men With Reproductive Disorders ................................ ................................ ....................... 346 Chapter 41: Care of Patients With Sexually Transmitted Infections ................................ ................................ ..... 357 Chapter 42: The Integumentary System ................................ ................................ ................................ ................ 366 Chapter 43: Care of Patients With Integumentary Disorders and Burns ................................ ............................... 377 Chapter 44: Care of Patients in Disasters or Bioterrorism Attacks ................................ ................................ ....... 390 Chapter 45: Care of Patients With Emergent Conditions, Trauma, and Shock ................................ ..................... 400 Chapter 46: Care of Patients With Cognitive Function Disorders ................................ ................................ ......... 410 Chapter 47: Care of Patients With Anxiety, Mood, and Eating Disorders ................................ ............................ 420 Chapter 48: Care of Patients With Substance -Related and Addictive Disorders ................................ .................. 429 Chapter 49: Care of Patients With Thought and Personality Disorders ................................ ................................ 439 Chapter 01: Caring for Medical -Surgical Patients Stromberg: Medical -Surgical Nursing: Concepts and Practice, 5th Edition MULTIPLE CHOICE 1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? a. To test and license LPN/LVNs b. To define the scope of LPN/LVN practice c. To improve the quality of care provided by the LPN/LVN d. To limit the LPN/LVN employment placement ANS: B While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of the NPA of each state defines the scope of nursing practice in that state. DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational nurse has not been taught during her educational program. How should the vocational nurse respond? a. Ask a more experienced nurse to demonstrate the procedure. b. Look up the procedure in the procedure manual. c. Attempt to perform the procedure with supervision. d. Inform the charge nurse of her lack of training in this procedure. ANS: D The charge nurse should be informed of the lack of training to perform the procedure, and the vocational nurse should seek further training to gain proficiency. Although the other options might be helpful, they are not safe. DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 3. Which patient statement indicates a need for further discharge teaching that the vocational nurse should address? a. "I have no idea of how this drug will affect me." b. "Do you know if my physician is coming back today?" c. "Will my insurance pay for my stay?" d. "Am I going to have to go to a nursing home?" ANS: A Lack of knowledge at discharge about medication effects and side effects is a concern that should be addressed by the vocational nurse. The other concerns in the options are the responsibility of other departments to which the nurse might refer the patient. DIF: Cognitive Level: Application REF: p. 2 OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care