Dewit's Medical-Surgical Nursing Concepts And Practice, 4th Edition
By Stromberg| Comlete Test Bank Guide | Chapters 1 – 49 With
Verified Answers | Newest Version 2024/2025
,TABLE OF CONTENTS
UNIT I: MEDICAL- SURGICAL NURSING SETTINGS ......................................................................................... 4
CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS....................................................................... 4
CHAPTER 02: CRITICAL THINKING AND THE NURSING PROCESS ............................................................ 15
UNIT II: MEDICAL- SURGICAL PATIENT CARE PROBLEMS ........................................................................... 28
CHAPTER 03: FLUID, ELECTROLYTES, ACID-BASE BALANCE, AND INTRAVENOUS THERAPY .................. 28
CHAPTER 04: CARE OF PREOPERATIVE AND INTRAOPERATIVE SURGICAL PATIENTS ............................ 42
CHAPTER 05: CARE OF POSTOPERATIVE PATIENTS ................................................................................ 57
CHAPTER 06: INFECTION PREVENTION AND CONTROL .......................................................................... 70
CHAPTER 07: CARE OF PATIENTS WITH PAIN ......................................................................................... 84
CHAPTER 08: CARE OF PATIENTS WITH CANCER .................................................................................... 98
CHAPTER 09: CHRONIC ILLNESS AND REHABILITATION........................................................................ 112
UNIT III: IMMUNE SYSTEM ........................................................................................................................ 126
CHAPTER 10: THE IMMUNE AND LYMPHATIC SYSTEM ........................................................................ 126
CHAPTER 11: CARE OF PATIENTS WITH IMMUNE AND LYMPHATIC DISORDERS ................................. 141
UNIT IV: RESPIRATORY SYSTEM ................................................................................................................ 157
CHAPTER 12: THE RESPIRATORY SYSTEM ............................................................................................. 157
CHAPTER 13: CARE OF PATIENTS WITH DISORDERS OF THE UPPER RESPIRATORY SYSTEM ................ 172
CHAPTER 14: CARE OF PATIENTS WITH DISORDERS OF THE LOWER RESPIRATORY SYSTEM .............. 187
UNIT V: HEMATOLOGIC SYSTEM ............................................................................................................... 203
CHAPTER 15: THE HEMATOLOGIC SYSTEM ........................................................................................... 203
CHAPTER 16: CARE OF PATIENTS WITH HEMATOLOGIC DISORDERS ................................................... 217
UNIT VI: CARDIOVASCULAR SYSTEM......................................................................................................... 232
CHAPTER 17: THE CARDIOVASCULAR SYSTEM ..................................................................................... 232
CHAPTER 18: CARE OF PATIENTS WITH HYPERTENSION AND PERIPHERAL VASCULAR DISEASE ......... 246
CHAPTER 19: CARE OF PATIENTS WITH CARDIAC DISORDERS ............................................................. 260
CHAPTER 20: CARE OF PATIENTS WITH CORONARY ARTERY DISEASE AND CARDIAC SURGERY.......... 273
UNIT VII: NEUROLOGIC SYSTEM................................................................................................................ 289
CHAPTER 21: THE NEUROLOGIC SYSTEM.............................................................................................. 289
CHAPTER 22: CARE OF PATIENTS WITH HEAD AND SPINAL CORD INJURIES ........................................ 305
CHAPTER 23: CARE OF PATIENTS WITH BRAIN DISORDERS .................................................................. 319
CHAPTER 24: CARE OF PATIENTS WITH PERIPHERAL NERVE AND DEGENERATIVE NEUROLOGIC
DISORDERS ............................................................................................................................................ 333
,UNIT VIII: SENSORY SYSTEM...................................................................................................................... 346
CHAPTER 25: THE SENSORY SYSTEM: EYE ............................................................................................. 346
CHAPTER 26: THE SENSORY SYSTEM: EAR ............................................................................................ 361
UNIT IX: GASTROINTESTINAL SYSTEM ...................................................................................................... 388
CHAPTER 27: THE GASTROINTESTINAL SYSTEM ................................................................................... 388
CHAPTER 28: CARE OF PATIENTS WITH DISORDERS OF THE UPPER GASTROINTESTINAL SYSTEM ...... 402
CHAPTER 29: CARE OF PATIENTS WITH DISORDERS OF THE LOWER GASTROINTESTINAL SYSTEM .... 415
CHAPTER 30: CARE OF PATIENTS WITH DISORDERS OF THE, GALLBLADDER, LIVER AND PANCREAS.. 431
UNIT X: MUSCULOSKELETAL SYSTEM ....................................................................................................... 446
CHAPTER 31: THE MUSCULOSKELETAL SYSTEM ................................................................................... 446
CHAPTER 32: CARE OF PATIENTS WITH MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS . 460
UNIT XI: URINARY SYSTEM ........................................................................................................................ 476
CHAPTER 33: THE URINARY SYSTEM ..................................................................................................... 476
CHAPTER 34: CARE OF PATIENTS WITH DISORDERS OF THE URINARY SYSTEM ................................... 492
UNIT XII: ENDOCRINE SYSTEM .................................................................................................................. 509
CHAPTER 35: THE ENDOCRINE SYSTEM ................................................................................................ 509
CHAPTER 36: CARE OF PATIENTS WITH PITUITARY, THYROID, PARATHYROID, AND ADRENAL
DISORDERS ............................................................................................................................................ 523
CHAPTER 37: CARE OF PATIENTS WITH DIABETES AND HYPOGLYCEMIA............................................. 540
CHAPTER 38: THE REPRODUCTIVE SYSTEM .......................................................................................... 557
UNIT XIII: REPRODUCTIVE SYSTEM ........................................................................................................... 570
CHAPTER 39: CARE OF WOMEN WITH REPRODUCTIVE DISORDERS .................................................... 570
CHAPTER 40: CARE OF MEN WITH REPRODUCTIVE DISORDERS .......................................................... 586
CHAPTER 41: CARE OF PATIENTS WITH SEXUALLY TRANSMITTED INFECTIONS................................... 602
UNIT XIV: INTEGUMENTARY SYSTEM........................................................................................................ 617
CHAPTER 42: THE INTEGUMENTARY SYSTEM....................................................................................... 617
CHAPTER 43: CARE OF PATENTS WITH INTEGUMENTARY DISORDERS AND BURNS ............................ 632
UNIT XV: EMERGENCY AND DISASTER MANAGEMENT ............................................................................ 652
CHAPTER 44: CARE OF PATIENTS IN DISASTERS OR BIOTERRORISM ATTACK ...................................... 652
CHAPTER 45: CARE OF PATIENTS WITH EMERGENT CONDITIONS, TRAUMA, AND SHOCK ................. 667
CHAPTER 46: CARE OF PATIENTS WITH COGNITIVE FUNCTION DISORDERS ........................................ 684
UNIT XVI: MENTAL HEALTH NURSING OF THE ADULT .............................................................................. 700
CHAPTER 47: CARE OF PATIENTS WITH ANXIETY, MOOD, AND EATING DISORDERS ........................... 700
, CHAPTER 48: CARE OF PATIENTS WITH SUBSTANCE-RELATED AND ADDICTIVE DISORDERS .............. 715
CHAPTER 49: CARE OF PATIENTS WITH THOUGHT AND PERSONALITY DISORDERS ............................ 731
UNIT I: MEDICAL- SURGICAL NURSING SETTINGS
CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS
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.
CORRECT 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.
PTS: 1 DIF: COGNITIVE LEVEL: COMPREHENSION REF: 2
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.
CORRECT 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.
PTS: 1 DIF: COGNITIVE LEVEL: 3
By Stromberg| Comlete Test Bank Guide | Chapters 1 – 49 With
Verified Answers | Newest Version 2024/2025
,TABLE OF CONTENTS
UNIT I: MEDICAL- SURGICAL NURSING SETTINGS ......................................................................................... 4
CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS....................................................................... 4
CHAPTER 02: CRITICAL THINKING AND THE NURSING PROCESS ............................................................ 15
UNIT II: MEDICAL- SURGICAL PATIENT CARE PROBLEMS ........................................................................... 28
CHAPTER 03: FLUID, ELECTROLYTES, ACID-BASE BALANCE, AND INTRAVENOUS THERAPY .................. 28
CHAPTER 04: CARE OF PREOPERATIVE AND INTRAOPERATIVE SURGICAL PATIENTS ............................ 42
CHAPTER 05: CARE OF POSTOPERATIVE PATIENTS ................................................................................ 57
CHAPTER 06: INFECTION PREVENTION AND CONTROL .......................................................................... 70
CHAPTER 07: CARE OF PATIENTS WITH PAIN ......................................................................................... 84
CHAPTER 08: CARE OF PATIENTS WITH CANCER .................................................................................... 98
CHAPTER 09: CHRONIC ILLNESS AND REHABILITATION........................................................................ 112
UNIT III: IMMUNE SYSTEM ........................................................................................................................ 126
CHAPTER 10: THE IMMUNE AND LYMPHATIC SYSTEM ........................................................................ 126
CHAPTER 11: CARE OF PATIENTS WITH IMMUNE AND LYMPHATIC DISORDERS ................................. 141
UNIT IV: RESPIRATORY SYSTEM ................................................................................................................ 157
CHAPTER 12: THE RESPIRATORY SYSTEM ............................................................................................. 157
CHAPTER 13: CARE OF PATIENTS WITH DISORDERS OF THE UPPER RESPIRATORY SYSTEM ................ 172
CHAPTER 14: CARE OF PATIENTS WITH DISORDERS OF THE LOWER RESPIRATORY SYSTEM .............. 187
UNIT V: HEMATOLOGIC SYSTEM ............................................................................................................... 203
CHAPTER 15: THE HEMATOLOGIC SYSTEM ........................................................................................... 203
CHAPTER 16: CARE OF PATIENTS WITH HEMATOLOGIC DISORDERS ................................................... 217
UNIT VI: CARDIOVASCULAR SYSTEM......................................................................................................... 232
CHAPTER 17: THE CARDIOVASCULAR SYSTEM ..................................................................................... 232
CHAPTER 18: CARE OF PATIENTS WITH HYPERTENSION AND PERIPHERAL VASCULAR DISEASE ......... 246
CHAPTER 19: CARE OF PATIENTS WITH CARDIAC DISORDERS ............................................................. 260
CHAPTER 20: CARE OF PATIENTS WITH CORONARY ARTERY DISEASE AND CARDIAC SURGERY.......... 273
UNIT VII: NEUROLOGIC SYSTEM................................................................................................................ 289
CHAPTER 21: THE NEUROLOGIC SYSTEM.............................................................................................. 289
CHAPTER 22: CARE OF PATIENTS WITH HEAD AND SPINAL CORD INJURIES ........................................ 305
CHAPTER 23: CARE OF PATIENTS WITH BRAIN DISORDERS .................................................................. 319
CHAPTER 24: CARE OF PATIENTS WITH PERIPHERAL NERVE AND DEGENERATIVE NEUROLOGIC
DISORDERS ............................................................................................................................................ 333
,UNIT VIII: SENSORY SYSTEM...................................................................................................................... 346
CHAPTER 25: THE SENSORY SYSTEM: EYE ............................................................................................. 346
CHAPTER 26: THE SENSORY SYSTEM: EAR ............................................................................................ 361
UNIT IX: GASTROINTESTINAL SYSTEM ...................................................................................................... 388
CHAPTER 27: THE GASTROINTESTINAL SYSTEM ................................................................................... 388
CHAPTER 28: CARE OF PATIENTS WITH DISORDERS OF THE UPPER GASTROINTESTINAL SYSTEM ...... 402
CHAPTER 29: CARE OF PATIENTS WITH DISORDERS OF THE LOWER GASTROINTESTINAL SYSTEM .... 415
CHAPTER 30: CARE OF PATIENTS WITH DISORDERS OF THE, GALLBLADDER, LIVER AND PANCREAS.. 431
UNIT X: MUSCULOSKELETAL SYSTEM ....................................................................................................... 446
CHAPTER 31: THE MUSCULOSKELETAL SYSTEM ................................................................................... 446
CHAPTER 32: CARE OF PATIENTS WITH MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS . 460
UNIT XI: URINARY SYSTEM ........................................................................................................................ 476
CHAPTER 33: THE URINARY SYSTEM ..................................................................................................... 476
CHAPTER 34: CARE OF PATIENTS WITH DISORDERS OF THE URINARY SYSTEM ................................... 492
UNIT XII: ENDOCRINE SYSTEM .................................................................................................................. 509
CHAPTER 35: THE ENDOCRINE SYSTEM ................................................................................................ 509
CHAPTER 36: CARE OF PATIENTS WITH PITUITARY, THYROID, PARATHYROID, AND ADRENAL
DISORDERS ............................................................................................................................................ 523
CHAPTER 37: CARE OF PATIENTS WITH DIABETES AND HYPOGLYCEMIA............................................. 540
CHAPTER 38: THE REPRODUCTIVE SYSTEM .......................................................................................... 557
UNIT XIII: REPRODUCTIVE SYSTEM ........................................................................................................... 570
CHAPTER 39: CARE OF WOMEN WITH REPRODUCTIVE DISORDERS .................................................... 570
CHAPTER 40: CARE OF MEN WITH REPRODUCTIVE DISORDERS .......................................................... 586
CHAPTER 41: CARE OF PATIENTS WITH SEXUALLY TRANSMITTED INFECTIONS................................... 602
UNIT XIV: INTEGUMENTARY SYSTEM........................................................................................................ 617
CHAPTER 42: THE INTEGUMENTARY SYSTEM....................................................................................... 617
CHAPTER 43: CARE OF PATENTS WITH INTEGUMENTARY DISORDERS AND BURNS ............................ 632
UNIT XV: EMERGENCY AND DISASTER MANAGEMENT ............................................................................ 652
CHAPTER 44: CARE OF PATIENTS IN DISASTERS OR BIOTERRORISM ATTACK ...................................... 652
CHAPTER 45: CARE OF PATIENTS WITH EMERGENT CONDITIONS, TRAUMA, AND SHOCK ................. 667
CHAPTER 46: CARE OF PATIENTS WITH COGNITIVE FUNCTION DISORDERS ........................................ 684
UNIT XVI: MENTAL HEALTH NURSING OF THE ADULT .............................................................................. 700
CHAPTER 47: CARE OF PATIENTS WITH ANXIETY, MOOD, AND EATING DISORDERS ........................... 700
, CHAPTER 48: CARE OF PATIENTS WITH SUBSTANCE-RELATED AND ADDICTIVE DISORDERS .............. 715
CHAPTER 49: CARE OF PATIENTS WITH THOUGHT AND PERSONALITY DISORDERS ............................ 731
UNIT I: MEDICAL- SURGICAL NURSING SETTINGS
CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS
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.
CORRECT 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.
PTS: 1 DIF: COGNITIVE LEVEL: COMPREHENSION REF: 2
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.
CORRECT 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.
PTS: 1 DIF: COGNITIVE LEVEL: 3
