,OpenStax Medical-Surgical Nursing Instructor Answer Guide
OpenStax Medical-Surgical Nursing
Instructor Answer Guide
Chapter 1: Professional Medical-Surgical Nursing.......................................................................... 3
Chapter 2: Culturally Competent Care............................................................................................ 9
Chapter 3: Health Promotion and Patient Education ................................................................... 12
Chapter 4: Clinical Judgment in the Nursing Process ................................................................... 19
Chapter 5: Ethical Decision Making .............................................................................................. 23
Chapter 6: Comprehensive Health Assessment and Physical Examination ................................. 26
Chapter 7: Pain Assessment and Management ............................................................................ 29
Chapter 8: Stress and Stress-Related Disorders ........................................................................... 32
Chapter 9: Management of Chronic Illness .................................................................................. 37
Chapter 10: Fluid, Electrolyte, and Acid-Base Imbalances ........................................................... 40
Chapter 11: Gas Exchange, Airway Management and Respiratory System Disorders ................. 43
Chapter 12: Cardiovascular System .............................................................................................. 49
Chapter 13: Musculoskeletal System............................................................................................ 53
Chapter 14: Integumentary System .............................................................................................. 57
Chapter 15: Cerebrovascular System............................................................................................ 61
Chapter 16: Hematopoietic Disorders and Regulation ................................................................. 63
Chapter 17: Nervous System and Chronic Diseases of the Nervous System ............................... 67
Chapter 18: Sensory Organs ......................................................................................................... 71
Chapter 19: Gastrointestinal System and Gastrointestinal Disorders .......................................... 73
Chapter 20: Genitourinary and Reproductive Systems ................................................................ 80
Chapter 21: Endocrine System and Endocrine System Disorders ................................................ 85
Chapter 22: Infection and Infectious Diseases ............................................................................. 87
Chapter 23: Shock and Sepsis ....................................................................................................... 91
Chapter 24: Management of Patients with Allergic Disorders ..................................................... 96
Chapter 25: Preoperative Care ................................................................................................... 100
Chapter 26: Intraoperative Care ................................................................................................. 102
Chapter 27: Postoperative Care .................................................................................................. 106
Chapter 28: Inflammation and Healing....................................................................................... 110
2
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,Chapter 29: Immune Response................................................................................................... 114
Chapter 30: Genetics .................................................................................................................. 118
Chapter 31: Cancer ..................................................................................................................... 121
Chapter 32: Palliative Care.......................................................................................................... 123
Chapter 33: Emergency Care ...................................................................................................... 127
Chapter 34: Disaster and Recovery............................................................................................. 131
Chapter 35: Critical Care ............................................................................................................. 134
Chapter 36: Home Health Nursing and Rehabilitation ............................................................... 138
Chapter 37: Trends in Healthcare Technology ........................................................................... 140
Chapter 38: Unfolding Case Study and NCLEX Prep ................................................................... 144
Chapter 1: Professional Medical-Surgical Nursing
Review Questions
1. Which action reflects The Joint Commission’s contribution to a health care organizations’
improvement initiatives?
a. setting standards for quality care, QI, and patient safety
b. excluding nurses from safety and improvement initiatives
c. focusing on emergency management and infection prevention
d. eluding the National Patient Safety Goals
[Answer: A]
3. Ms. Hutto is complaining of pain (8 out of 10) in her lower back and abdomen. As the
patient’s nurse, you determine her abdomen is soft but distended, with positive bowel
sounds in all four quadrants. Interventions such as ambulation, position changes, warm
compresses, and warm prune juice have provided no relief. This scenario highlights which
component of the ISBAR communication tool?
a. situation
b. background
c. assessment
d. recommendation or request
[Answer: C]
5. A nurse is caring for a 72-year-old woman with a diagnosis of atrial fibrillation. When
making his shift change report, the nurse realizes that 4 hours ago, he administered 0.5 mg
of the patient’s antiarrhythmic medication instead of 5.0 mg. When the nurse realizes the
error and calls the physician to report the incident, which ethical principal is described in
this situation?
a. nonmaleficence
b. justice
c. autonomy
d. beneficence
3
, OpenStax Medical-Surgical Nursing Instructor Answer Guide
[Answer: A]
7. Which option is a social determinant of health?
a. medical history
b. promotion of healthy choices
c. homelessness
d. life expectancy
[Answer: C]
9. Joann, a nurse in the medical-surgical unit, would like to implement a project to improve
the cleanliness of patient rooms. Aside from the nurses, which group of key stakeholders
should be included in the planning?
a. hospital maintenance staff
b. physical therapists and technicians
c. housekeeping staff and unlicensed assistive personnel
d. occupational therapy team
[Answer: C]
11. Ms. Blanchard is presently being treated for a new diagnosis of high blood pressure. Her
primary care physician has recommended that, in addition to her daily dose of medication,
Ms. Blanchard should also stop smoking. This recommendation demonstrates with which
level of prevention?
a. primary prevention
b. secondary prevention
c. tertiary prevention
d. intermediary prevention
[Answer: C]
13. Which description best defines systems-based practice in health care?
a. the focus on individual patient care, considering their immediate medical needs
b. the use of advanced medical technologies to enhance PCC and outcomes
c. recognizing the various layers of the health care system and understanding how they
impact patient care
d. implementing standardized procedures in health care settings to ensure consistency in
patient treatment
[Answer: C]
15. How has technology affected nursing education, particularly in sim labs?
a. by reducing the need for clinical experiences in real health care settings
b. by providing high-tech sim labs with realistic manikins for hands-on practice
c. by eliminating the importance of critical thinking skills in nursing education
d. by decreasing the need for online platforms in nursing courses
[Answer: B]
Check Your Understanding Questions
1. What are the six main competencies of Quality and Safety Education for Nurses?
4
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
9/30/2024
OpenStax Medical-Surgical Nursing
Instructor Answer Guide
Chapter 1: Professional Medical-Surgical Nursing.......................................................................... 3
Chapter 2: Culturally Competent Care............................................................................................ 9
Chapter 3: Health Promotion and Patient Education ................................................................... 12
Chapter 4: Clinical Judgment in the Nursing Process ................................................................... 19
Chapter 5: Ethical Decision Making .............................................................................................. 23
Chapter 6: Comprehensive Health Assessment and Physical Examination ................................. 26
Chapter 7: Pain Assessment and Management ............................................................................ 29
Chapter 8: Stress and Stress-Related Disorders ........................................................................... 32
Chapter 9: Management of Chronic Illness .................................................................................. 37
Chapter 10: Fluid, Electrolyte, and Acid-Base Imbalances ........................................................... 40
Chapter 11: Gas Exchange, Airway Management and Respiratory System Disorders ................. 43
Chapter 12: Cardiovascular System .............................................................................................. 49
Chapter 13: Musculoskeletal System............................................................................................ 53
Chapter 14: Integumentary System .............................................................................................. 57
Chapter 15: Cerebrovascular System............................................................................................ 61
Chapter 16: Hematopoietic Disorders and Regulation ................................................................. 63
Chapter 17: Nervous System and Chronic Diseases of the Nervous System ............................... 67
Chapter 18: Sensory Organs ......................................................................................................... 71
Chapter 19: Gastrointestinal System and Gastrointestinal Disorders .......................................... 73
Chapter 20: Genitourinary and Reproductive Systems ................................................................ 80
Chapter 21: Endocrine System and Endocrine System Disorders ................................................ 85
Chapter 22: Infection and Infectious Diseases ............................................................................. 87
Chapter 23: Shock and Sepsis ....................................................................................................... 91
Chapter 24: Management of Patients with Allergic Disorders ..................................................... 96
Chapter 25: Preoperative Care ................................................................................................... 100
Chapter 26: Intraoperative Care ................................................................................................. 102
Chapter 27: Postoperative Care .................................................................................................. 106
Chapter 28: Inflammation and Healing....................................................................................... 110
2
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
9/30/2024
,Chapter 29: Immune Response................................................................................................... 114
Chapter 30: Genetics .................................................................................................................. 118
Chapter 31: Cancer ..................................................................................................................... 121
Chapter 32: Palliative Care.......................................................................................................... 123
Chapter 33: Emergency Care ...................................................................................................... 127
Chapter 34: Disaster and Recovery............................................................................................. 131
Chapter 35: Critical Care ............................................................................................................. 134
Chapter 36: Home Health Nursing and Rehabilitation ............................................................... 138
Chapter 37: Trends in Healthcare Technology ........................................................................... 140
Chapter 38: Unfolding Case Study and NCLEX Prep ................................................................... 144
Chapter 1: Professional Medical-Surgical Nursing
Review Questions
1. Which action reflects The Joint Commission’s contribution to a health care organizations’
improvement initiatives?
a. setting standards for quality care, QI, and patient safety
b. excluding nurses from safety and improvement initiatives
c. focusing on emergency management and infection prevention
d. eluding the National Patient Safety Goals
[Answer: A]
3. Ms. Hutto is complaining of pain (8 out of 10) in her lower back and abdomen. As the
patient’s nurse, you determine her abdomen is soft but distended, with positive bowel
sounds in all four quadrants. Interventions such as ambulation, position changes, warm
compresses, and warm prune juice have provided no relief. This scenario highlights which
component of the ISBAR communication tool?
a. situation
b. background
c. assessment
d. recommendation or request
[Answer: C]
5. A nurse is caring for a 72-year-old woman with a diagnosis of atrial fibrillation. When
making his shift change report, the nurse realizes that 4 hours ago, he administered 0.5 mg
of the patient’s antiarrhythmic medication instead of 5.0 mg. When the nurse realizes the
error and calls the physician to report the incident, which ethical principal is described in
this situation?
a. nonmaleficence
b. justice
c. autonomy
d. beneficence
3
, OpenStax Medical-Surgical Nursing Instructor Answer Guide
[Answer: A]
7. Which option is a social determinant of health?
a. medical history
b. promotion of healthy choices
c. homelessness
d. life expectancy
[Answer: C]
9. Joann, a nurse in the medical-surgical unit, would like to implement a project to improve
the cleanliness of patient rooms. Aside from the nurses, which group of key stakeholders
should be included in the planning?
a. hospital maintenance staff
b. physical therapists and technicians
c. housekeeping staff and unlicensed assistive personnel
d. occupational therapy team
[Answer: C]
11. Ms. Blanchard is presently being treated for a new diagnosis of high blood pressure. Her
primary care physician has recommended that, in addition to her daily dose of medication,
Ms. Blanchard should also stop smoking. This recommendation demonstrates with which
level of prevention?
a. primary prevention
b. secondary prevention
c. tertiary prevention
d. intermediary prevention
[Answer: C]
13. Which description best defines systems-based practice in health care?
a. the focus on individual patient care, considering their immediate medical needs
b. the use of advanced medical technologies to enhance PCC and outcomes
c. recognizing the various layers of the health care system and understanding how they
impact patient care
d. implementing standardized procedures in health care settings to ensure consistency in
patient treatment
[Answer: C]
15. How has technology affected nursing education, particularly in sim labs?
a. by reducing the need for clinical experiences in real health care settings
b. by providing high-tech sim labs with realistic manikins for hands-on practice
c. by eliminating the importance of critical thinking skills in nursing education
d. by decreasing the need for online platforms in nursing courses
[Answer: B]
Check Your Understanding Questions
1. What are the six main competencies of Quality and Safety Education for Nurses?
4
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
9/30/2024
