, Table of Contents
Y Y
ChapterY01YProfessionalYNursingYPractice 2
ChapterY02YMedical-SurgicalYNursing 17
ChapterY03YHealthYEducationYandYHealthYPromotion 30
ChapterY04YAdultYHealthYandYPhysical,YNutritional,YandYCulturalYAssessment 45
ChapterY05YStressYandYInflammatoryYResponses 60
ChapterY06YGeneticsYandYGenomicsYinYNursing 76
ChapterY07YDisabilityYandYChronicYIllness 92
ChapterY08YManagementYofYtheYOlderYAdultYPatient 107
ChapterY09YPainYManagement 121
ChapterY10YFluidYandYElectrolytes 137
ChapterY11YShock,YSepsis,YandYMultipleYOrganYDysfunctionYSyndrome 153
ChapterY12YManagementYofYPatientsYwithYOncologicYDisorders 169
ChapterY13YPalliativeYandYEnd-of-LifeYCare 183
ChapterY14YPreoperativeYNursingYManagement 199
ChapterY15YIntraoperativeYNursingYManagement 214
ChapterY16YPostoperativeYNursingYManagement 228
ChapterY17YAssessmentYofYRespiratoryYFunction 243
ChapterY18YManagementYofYPatientsYwithYUpperYRespiratoryYTractYDisorders 258
ChapterY19YManagementYofYPatientsYwithYChestYandYLowerYRespiratoryYTractYDisorders 272
ChapterY20YManagementYofYPatientsYwithYChronicYPulmonaryYDisease 288
ChapterY21YAssessmentYofYCardiovascularYFunction 304
ChapterY22YManagementYofYPatientsYwithYArrhythmiasYandYConductionYProblems 318
ChapterY23YManagementYofYPatientsYwithYCoronaryYVascularYDisorders 331
ChapterY24YManagementYofYPatientsYwithYStructural,YInfectious,YandYInflammatoryYCardiac
Disorders 347
ChapterY25YManagementYofYPatientsYwithYComplicationsYfromYHeartYDisease 361
ChapterY26YAssessmentYandYManagementYofYPatientsYwithYVascularYDisordersYandYProblems
ofYPeripheralYCirculation 375
ChapterY27YAssessmentYandYManagementYofYPatientsYwithYHypertension 391
ChapterY28YAssessmentYofYHematologicYFunctionYandYTreatmentYModalities 405
ChapterY29YManagementYofYPatientsYwithYNonmalignantYHematologicYDisorders 420
ChapterY30YManagementYofYPatientsYwithYHematologicYNeoplasms 433
ChapterY31YAssessmentYofYImmuneYFunction 448
ChapterY32YManagementYofYPatientsYwithYImmuneYDeficiencyYDisorders 462
ChapterY33YAssessmentYandYManagementYofYPatientsYwithYAllergicYDisorders 477
ChapterY34YAssessmentYandYManagementYofYPatientsYwithYInflammatoryYRheumaticYDisorders 492
ChapterY35YAssessmentYofYMusculoskeletalYFunction 506
ChapterY36YManagementYofYPatientsYwithYMusculoskeletalYDisorders 520
,ChapterY37YManagementYofYPatientsYwithYMusculoskeletalYTrauma 535
ChapterY38YAssessmentYofYDigestiveYandYGastrointestinalYFunction 550
ChapterY39YManagementYofYPatientsYwithYOralYandYEsophagealYDisorders 564
ChapterY40YManagementYofYPatientsYwithYGastricYandYDuodenalYDisorders 578
ChapterY41YManagementYofYPatientsYwithYIntestinalYandYRectalYDisorders 591
ChapterY42YAssessmentYandYManagementYofYPatientsYwithYObesity 606
ChapterY43YAssessmentYandYManagementYofYPatientsYwithYHepaticYDisorders 621
ChapterY44YManagementYofYPatientsYwithYBiliaryYDisorders 635
ChapterY45YAssessmentYandYManagementYofYPatientsYwithYEndocrineYDisorders 650
ChapterY46YManagementYofYPatientsYwithYDiabetes 665
ChapterY47YAssessmentYofYKidneyYandYUrinaryYFunction 680
ChapterY48YManagementYofYPatientsYwithYKidneyYDisorders 695
ChapterY49YManagementYofYPatientsYwithYUrinaryYDisorders 710
ChapterY50YAssessmentYandYManagementYofYPatientsYwithYFemaleYPhysiologicYProcesses 725
ChapterY51YManagementYofYPatientsYwithYFemaleYReproductiveYDisorders 741
ChapterY52YAssessmentYandYManagementYofYPatientsYwithYBreastYDisorders 757
ChapterY53YAssessmentYandYManagementYofYPatientsYwithYMaleYReproductiveYDisorders 771
ChapterY54YAssessmentYandYManagementYofYPatientsYWhoYAreYLGBTQ 786
ChapterY55YAssessmentYofYIntegumentaryYFunction 794
ChapterY56YManagementYofYPatientsYwithYDermatologicYDisorders 808
ChapterY57YManagementYofYPatientsYwithYBurnYInjury 822
ChapterY58YAssessmentYandYManagementYofYPatientsYwithYEyeYandYVisionYDisorders 837
ChapterY59YAssessmentYandYManagementYofYPatientsYwithYHearingYandYBalanceYDisorders 851
ChapterY60YAssessmentYofYNeurologicYFunction 866
ChapterY61YManagementYofYPatientsYWithYNeurologicYDysfunction 881
ChapterY62YManagementYofYPatientsYWithYCerebrovascularYDisorders 895
ChapterY63YManagementYofYPatientsYwithYNeurologicYTrauma 911
ChapterY64YManagementYofYPatientsYwithYNeurologicYInfections,YAutoimmuneYDisorders,Yand
Neuropathies 926
ChapterY65YManagementYofYPatientsYwithYOncologicYorYDegenerativeYNeurologicYDisorders 940
ChapterY66YManagementYofYPatientsYwithYInfectiousYDiseases 955
ChapterY67YEmergencyYNursing 968
ChapterY68YDisasterYNursing 977
, Chapter 1: Professional Nursing Practice
Y Y Y Y
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
Y Y Y Y Y Y Y Y Y
MULTIPLEYCHOICE
1. AYnurseYhasYbeenYofferedYaYpositionYonYanYobstetricYunitYandYhasYlearnedYthatYtheYunitYoffersYtherape
uticYabortions,YaYprocedureYthatYcontradictsYtheYnurse'sYpersonalYbeliefs.YWhatYisYtheYnurse'sYethicalYo
bligationYtoYtheseYclients?
A. TheYnurseYshouldYadhereYtoYprofessionalYstandardsYofYpracticeYandYofferYserviceYtoYthe
seYclients.
B. TheYnurseYshouldYmakeYtheYchoiceYtoYdeclineYthisYpositionYandYpursueYaYdifferentYnursi
ngYrole.
C. TheYnurseYshouldYdeclineYtoYcareYforYtheYclient’sYconsideringYabortion.
D. TheYnurseYshouldYexpressYalternativesYtoYwomenYconsideringYterminatingYtheirYpregnancy.
ANS:Y B
Rationale:YToYavoidYfacingYtheYethicalYdilemmaYofYprovidingYcareYthatYcontradictsYtheYnurse’sYperson
alYbeliefs,YtheYnurseYshouldYconsiderYworkingYinYanYareaYofYnursingYthatYwouldYnotYposeYthisYdilemma
.YTheYnurseYshouldYnotYprovideYcareYtoYtheYclientYbecauseYitYisYaYconflictYofYpersonalYvalues.YTheYnurs
eYshouldYnotYdenyYcareYtoYtheseYclientsYasYthisYwouldYbeYaYbreachYinYtheYCodeYofYEthicsYforYnurses.YIf
YtheYclientYisYnotYrequestingYinformationYforYalternativesYtoYabortions,YthenYtheYnurseYshouldYnotYbeYpr
ovidingYthisYinformation.
PTS:Y Y 1 REF:Y Y p.Y27
NAT:Y ClientYNeeds:YSafe,YEffectiveYCareYEnvironment:YManagementYofYCare
TOP:Y ChapterY1:YProfessionalYNursingYPractice
KEY:Y IntegratedYProcess:YCarin
gYBLM:Y CognitiveYLevel:YApply
2. AnY80-year-oldYclientYisYadmittedYwithYaYdiagnosisYofYcommunity-
acquiredYpneumonia.YDuringYadmissionYtheYclientYstates,Y"IYhaveYaYlivingYwill."YWhatYimplicationYofY
thisYshouldYtheYnurseYrecognize?
A. ThisYdocumentYisYalwaysYhonored,YregardlessYofYcircumstances.
B. ThisYdocumentYspecifiesYtheYclient'sYwishesYbeforeYhospitalization.
C. ThisYdocumentYisYbindingYforYtheYdurationYofYtheYclient'sYlife.
D. ThisYdocumentYhasYbeenYdrawnYupYbyYtheYclient'sYfamilyYtoYdetermineYDNRYstatus.
ANS:Y B
Rationale:YAYlivingYwillYisYoneYtypeYofYadvanceYdirective.YInYmostYsituations,YlivingYwillsYareYlimited
YtoYsituationsYinYwhichYtheYclient'sYmedicalYconditionYisYdeemedYterminal.YTheYotherYanswersYareYinc
orrectYbecauseYlivingYwillsYareYnotYalwaysYhonoredYinYeveryYcircumstance,YtheyYareYnotYbindingYforYt
heYdurationYofYtheYclient'sYlife,YandYtheyYareYnotYdrawnYupYbyYtheYclient'sYfamily.
PTS:Y Y 1 REF:Y Y p.Y29
NAT:Y ClientYNeeds:YSafe,YEffectiveYCareYEnvironment:YManagementYofYCare
YTOP:Y ChapterY1:YProfessionalYNursingYPractice
KEY:Y IntegratedYProcess:YCommunicationYandYDocumentation
BLM:Y CognitiveYLevel:YAnalyz
eYNOT:Y MultipleYChoice
3. AYnurseYhasYbeenYprovidingYethicalYcareYforYmanyYyearsYandYisYawareYofYtheYneedYtoYmaintainYtheYeth
icalYprincipleYofYnonmaleficence.YWhichYofYtheYfollowingYactionsYwouldYbeYconsideredYaYviolationYofY
thisYprinciple?
A. DiscussingYaYDNRYorderYwithYaYterminallyYillYclient
B. AssistingYaYsemi-independentYclientYwithYADLs
C. RefusingYtoYadministerYpainYmedicationYasYprescribed
1Y|YPYaYgY
e