TEST BANK - Lewis Medical Surgical Nursing, 12th Edition (Harding), Chapters 1 - 69 | All Chapters Verified

TABLE OF CONTENTS Chapter 41 Vascular Disorders 378 Chapter 42 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 391 Chapter 43 Assessment Gastrointestinal System 403 Chapter 44 Nutrition Problems 409 Chapter 45 Obesity 417 Chapter 46 Upper Gastrointestinal Problems 424 Chapter 47 Lower Gastrointestinal Problems 438 Chapter 48 Liver, Biliary Tract, and Pancreas Problems 456 Chapter 49 Assessment Urinary System 471 Chapter 50 Renal and Urologic Problems 479 Chapter 51 Acute Kidney Injury and Chronic Kidney Disease 494 Chapter 52 Assessment Endocrine System 507 Chapter 53 Diabetes 515 Chapter 54 Endocrine Problems 532 Chapter 55 Assessment Reproductive System 548 Chapter 56 Breast Problems 553 Chapter 57 Sexually Transmitted Infections 563 Chapter 58 Female Reproductive Problems 571 Chapter Chapter 59 Male Reproductive Problems Chapter 60 Assessment Nervous System Chapter 61 Acute Intracranial Problems 62 Stroke 585 598 605 620 Chapter 63 Chronic Neurologic Problems 630 Chapter 64 Dementia and Delirium 642 Chapter 65 Spinal Cord and Peripheral Nerve Problems 650 Chapter 66 Assessment Musculoskeletal System 661 Chapter 67 Musculoskeletal Trauma and Orthopedic Surgery 667 Chapter 68 Musculoskeletal Problems 682 Chapter 69 Arthritis and Connective Tissue Diseases 690 Chapter 01: Professional Nursing Harding: Lewis’s Medical-Surgical Nursing, 12th Edition 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‘sjob is to collect information and communicate any problems 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.” ANSWER: 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.” ANSWER: 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 patients‘ health care needs.” d. “The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans.” ANSWER: C The nursing process is a problem-solving approach to the identification and treatment of patients‘ problems. Nursing process does not require research methods for diagnosis. The primary use of the nursing process is in patient care, not to establish nursing theory or explain nursing interventions to other health care professionals. DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment 4. A patient admitted to the hospital forsurgery tells the nurse, “I do not feel comfortable leaving my children with my parents.” Which action would the nurse take next? a. Reassure the patient that these feelings are common for parents. b. Have the patient call the children to ensure that they are doing well. c. Gather information on the patient‘s concerns about the child care arrangements. d. Call the patient‘s parents to determine whether adequate child care is being provided. ANSWER: C Because a complete assessment is necessary in order to identify a problem and choose an appropriate intervention, the nurse‘s first action should be to obtain more information. The other actions may be appropriate, but more assessment is needed before the best intervention can be chosen. DIF: Cognitive Level: Analyze (Analysis) TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis. Which expected outcome would the nurse select for this patient? a. Patient has a balanced intake and output. b. Patient‘s bedding is kept clean and free of moisture. c. Patient understands the need for increased fluid intake. d. Patient‘s skin remains cool and dry throughout hospitalization. ANSWER: A Balanced intake and output gives measurable data showing resolution of the problem of deficient fluid volume. The other statements would not indicate that the problem of hypovolemia was resolved.