TEST BANK FOR Lewis's Medical-Surgical Nursing in Canada, 5th Edition by Jane Tyerman ISBN: 9780323791564 COMPLETE GUIDE 100 % VERIFIED A+ GRADE ASSURED !!! LATEST UPDATE !!!!

Medical-
Surgical Nursing in Canada 4th Edition Lewi Test Bank




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, Medical-
Chapter 01: Introduction
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Surgical Nursing Medical-
Canada 4th Edition Lewi Test Bank
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Surgical Nursing Practice in Canada Lewis: Medical-
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Surgical Nursing in Canada, 5th Canadian Edition
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MULTIPLE CHOICE BV




1. When caring for clients using evidence-
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informed practice, which of the following does the nurse use?
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a. Clinical judgement based on experienceBV BV BV BV


b. Evidence from a clinical research study BV BV BV BV BV


c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met
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ANS: B V C
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, cons
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cientious, and judicious consideration of the best available evidence to provide care. Fou
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r primary elements are: (a) clinical state, setting, and circumstances; (b) client preferenc
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es and actions; (c) best research evidence; and (d) health care resources. Clinical judge
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ment based on the nurse‘s clinical experience is part of EIP, but clinical decision maki
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ng also should incorporate current research and research-
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based guidelines. Evidence from one clinical research study does not provide an adequa
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te substantiation for interventions. Evaluation of client outcomes is important, but interv
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entions should be based on research from randomized control studies with a large num
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ber of subjects.
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DIF: Cognitive Level: Comprehension BV BV TOP: B V Nursing Process: Planning BV BV




2. Which of the following best N
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e sC imary use of the nursing process whe
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n
providing care to client USNTBV O BV BV BV BV BV


s?
a. To explain nursing interventions to other health care professionals
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b. As a problem-solving tool to identify and treat clients‘ health care needs
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c. As a scientific-based process of diagnosing the client‘s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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ANS: B V B
The nursing process is an assertive problem-
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solving approach to the identification and treatment of clients‘ problems. Diagnosis is o
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nly one phase of the nursing process. The
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primary use of the nursing process is in client care, not to establish nursing theory or e
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xplain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Comprehension BV BV TOP: B V Nursing Process: Implementation
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3. The nurse is caring for a critically ill client in the intensive care unit and plans an ever
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y 2-
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hour turning schedule to prevent skin breakdown. Which type of nursing function is de
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monstrated with this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: B V D
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, Medical-
Surgical Nursing in Canada 4th Edition Lewi Test Bank
When implementing collaborative nursing actions, the nurse is responsible primarily for
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Vmonitoring for complications of acute illness or providing care to prevent or treat com
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plications. Independent nursing actions are focused on health promotion, illness preventi
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on, and client advocacy. A dependent action would require a physician order to imple
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ment. Cooperative nursing functions are not described as one of the formal nursing func
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tions.

DIF: Cognitive Level: Application BV BV TOP: B V Nursing Process: Implementation
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4. The nurse is caring for a client who has been admitted to the hospital for surgery and
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Vtells the nurse, ―I do not feel right about leaving my children with my neighbour.‖
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Which action should the nurse take next?
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a. Reassure the client that these feelings are common for parents.
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b. Have the client call the children to ensure that they are doing well.
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c. Call the neighbour to determine whether adequate childcare is being provided.
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d. Gather more data about the client‘s feelings about the childcare arrangements.
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ANS: B V D
Since a complete assessment is necessary in order to identify a problem and choose an
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Vappropriate intervention, the nurse‘s first action should be to obtain more information.
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The other actions may be appropriate, but more assessment is needed before the best int
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ervention can be chosen. BV BV BV




DIF: Cognitive Level: Application BV BV TOP: B V Nursing Process: AssessmentBV BV




5. The nurse is caring for a client who has left-
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sided paralysis as the result of a stroke and assesses a pressure injury o n t h e cl i e
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nt ‘s l eft h i p . W hich of the following is the most
G B. C M
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appropriate nursing diagnosis fUo r t S
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a. Impaired physical mobility related to decrease in muscle control (left-
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sided paralysis) BV


b. Risk for impaired tissue integrity as evidenced by insufficient knowledge
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about protecting tissue integrity
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c. Impaired skin integrity related to pressure over bony prominence (impa
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ired circulation) BV


d. Ineffective tissue perfusion related to sedentary lifestyle
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ANS: B V C
The client‘s major problem is the impaired skin integrity as demonstrated by the presen
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ce of a pressure injury. The nurse is able to treat the cause of altered circulation and
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pressure by frequently repositioning the client. Although left-
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sided weakness is a problem for the client,
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the nurse cannot treat the weakness. The ―risk for‖ diagnosis is not appropriate for this
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client, who already has impaired tissue integrity. The client does have ineffective tissue
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perfusion, but the impaired skin integrity diagnosis indicates more clearly what the he
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alth problem is.
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DIF: Cognitive Level: Application BV BV TOP: B V Nursing Process: Diagnosis BV BV




6. The nurse caring for a client with an infection has a nursing diagnosis of deficie
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nt fluid volume related to excessive diaphoresis. Which of the following is an app
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ropriate client outcome? BV BV


a. Client has a balanced intake and output.
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b. Client‘s bedding is changed when it becomes damp.
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, Medical-
Surgical Nursing in Canada 4th Edition Lewi Test Bank
c. Client understands the need for increased fluid intake.
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d. Client‘s skin remains cool and dry throughout hospitalization.
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ANS: B V A
This statement gives measurable data showing resolution of the problem of deficient flu
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id volume that was identified in the nursing diagnosis statement. The other statements w
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ould not indicate that the problem of deficient fluid volume was resolved.
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DIF: Cognitive Level: Application BV BV TOP: B V Nursing Process: Planning BV BV




7. Which of the following represents a nursing activity that is carried out during the eva
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luation phase of the nursing process?
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a. Determining if interventions have been effective in meeting client outcomes
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b. Documenting the nursing care plan in the progress notes in the medical record
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c. Deciding whether the client‘s health problems have been completely resolved
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d. Asking the client to evaluate whether the nursing care provided was satisfactory
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ANS: B V A
Evaluation consists of determining whether the desired client outcomes have been met
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and whether the nursing interventions were appropriate. The other responses do not desc
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ribe the evaluation phase.
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DIF: Cognitive Level: Comprehension BV BV TOP: B V Nursing Process: Evaluation BV BV




8. Which of the following would the nurse perform during the assessment phase of the
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nursing process? BV


a. Obtains data with which to diagnose client problems
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b. Uses client data to develoNp pR I
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c. Teaches interventions to relieve client health problems
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d. Assists the client to identify realistic outcomes to health problems
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ANS: B V A
During the assessment phase, the nurse gathers information about the client. The other
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responses are examples of the intervention, diagnosis, and planning phases of the nursin
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g process.
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DIF: Cognitive Level: Knowledge BV BV TOP: B V Nursing Process: Assessment BV BV




9. Which of the following is an example of a correctly written nursing diagnosis statement?
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a. Altered tissue perfusion related to heart failure
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b. Risk for impaired tissue integrity related to sacral redness
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c. Ineffective coping related to insufficient sense of control.
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d. Altered urinary elimination related to urinary tract infection
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ANS: B V C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that des
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cribes a client‘s response to a health problem that can be treated by nursing. The use
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of a medical diagnosis (as in the responses beginning ―Altered tissue perfusion‖ and ―
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Altered urinary BV


elimination‖) is not appropriate. The response beginning ―Risk for impaired tissue integri
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ty‖ uses the defining characteristics as the etiology.
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DIF: Cognitive Level: Comprehension BV BV TOP: B V Nursing Process: Diagnosis BV BV




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