TEST BANK Lewis's Medical Surgical Nursing in Canada, 4th Edition by Jane Tyerman, Shelley Cobbett Chapters 1 - 72 with Correct Answers

TESTBANK For Lewis'sMedicalSurgical
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Nursing in Canada, 4th Edition
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by JaneTyerman, ShelleyCobbett, Chapters 1 - 72
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,TABLEOFCONTENTS b b




Section One – Concepts in Nursing Practice
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1 Introduction to Medical-Surgical Nursing Practice in Canada 2
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Cultural Competence and Health Equity in Care
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3 Health History and Physical Examination 4
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Patient and Caregiver Teaching
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5 Chronic Illness b




6 Community-Based Nursing and Home Care 7 b b b b b




Older Adults
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8 Stress and Stress Management 9
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Sleep and Sleep Disorders
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10 Pain
11 Substance Use b




12 Complementary and Alternative Therapies 13 b b b b



Palliative Care at the End of Life
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Section Two – Pathophysiological Mechanisms of Disease 14
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Inflammation and Wound Healing
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15 Genetics
16 Altered Immune Response and Transplantation b b b b




17 Infection and Human Immunodeficiency Virus Infection 18 b b b b b b



Cancer
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19 Fluid, Electrolyte, and Acid–Base Imbalances
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bSection Three – Perioperative Care
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20 Nursing Management: Preoperative Care 21 b b b b



Nursing Management: Intraoperative Care 22
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Nursing Management: Post-operative Care
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Section Four – Problems Related to Altered Sensory Input 23
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Nursing Assessment: Visual and Auditory Systems
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24 Nursing Management: Visual and Auditory Problems 25
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Nursing Assessment: Integumentary System
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26 Nursing Management: Integumentary Problems 27
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Nursing Management: Burns
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Section Five – Problems of Oxygenation: Ventilation 28
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Nursing Assessment: Respiratory System
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29 Nursing Management: Upper Respiratory Problems 30
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Nursing Management: Lower Respiratory Problems
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31 Nursing Management: Obstructive Pulmonary Diseases Section
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Six – Problems of Oxygenation: Transport
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32 Nursing Assessment: Hematological System 33 Nursing
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Management: Hematological Problems
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Section Seven – Problems of Oxygenation: Perfusion 34
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Nursing Assessment: Cardiovascular System
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35 Nursing Management: Hypertension b b




36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
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,37 Nursing Management: Heart Failure 38 b b b b



Nursing Management: Dysrhythmias
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39 Nursing Management: Inflammatory and Structural Heart Diseases 40
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Nursing Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination 41 Nursing
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Assessment: Gastrointestinal System
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42 Nursing Management: Nutritional Problems 43
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Nursing Management: Obesity
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44 Nursing Management: Upper Gastrointestinal Problems 45
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Nursing Management: Lower Gastrointestinal Problems
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46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems Section
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Nine – Problems of Urinary Function
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47 Nursing Assessment: Urinary System b b b




48 Nursing Management: Renal and Urological Problems
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49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Section Ten –
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Problems Related to Regulatory and Reproductive Mechanisms 50 Nursing Assessment:
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Endocrine System
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51 Nursing Management: Endocrine Problems 52
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Nursing Management: Diabetes Mellitus
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53 Nursing Assessment: Reproductive System 54
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Nursing Management: Breast Disorders
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55 Nursing Management: Sexually Transmitted Infections 56
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Nursing Management: Female Reproductive Problems 57 Nursing
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Management: Male Reproductive Problems
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Section Eleven – Problems Related to Movement and Coordination 58 Nursing
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Assessment: Nervous System
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59 Nursing Management: Acute Intracranial Problems 60
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Nursing Management: Stroke
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61 Nursing Management: Chronic Neurological Problems
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62 Nursing Management: Delirium, Alzheimer‘s Disease, and Other Dementias
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63 Nursing Management: Peripheral Nerve and Spinal Cord Problems 64
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Nursing Assessment: Musculoskeletal System
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65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery 66 Nursing
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Management: Musculoskeletal Problems
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67 Nursing Management: Arthritis and Connective Tissue Diseases Section
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Twelve – Nursing Care in Specialized Settings
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68 Nursing Management: Critical Care Environment
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69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
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OrganDysfunction Syndrome
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70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
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71 Nursing Management: Emergency Care Situations 72
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Emergency Management and Disaster Planning
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, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
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Medical-Surgical Nursing in Canada, 4th Canadian Edition
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MULTIPLE CHOICE b




1. When caring for clients using evidence-informed practice, which of the following does the
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b nurse use? b



a. Clinical judgement based on experience b b b b



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



c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met b b b b b b b b b




CORRECT ANSWER: Cb b b



Evidence-informed nursing practice is a continuous interactive process involving the explicit, b b b b b b b b b b



bconscientious, and judicious consideration of the best available evidence to provide care. Four
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bprimary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
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bactions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
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bthe nurse‘s clinical experience is part of EIP, but clinical decision making also should
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bincorporate current research and research-based guidelines. Evidence from one clinical
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bresearch study does not provide an adequate substantiation for interventions. Evaluation of
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bclient outcomes is important, but interventions should be based on research from randomized
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bcontrol studies with a large number of subjects.
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DIF: Cognitive Level: Comprehension b b TOP: Nursing Process: Planning
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2. Which of the following best N
b ex plRai nsIt heGnu B
b rs e. sC
‘ prM
imary use of the nursing process when
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b providing care to clients? US NT Ob b b
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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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CORRECT ANSWER: B b b b



The nursing process is an assertive problem-solving approach to the identification and treatment
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of clients‘ problems. Diagnosis is only one phase of the nursing process. The primary use of the
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nursing process is in client care, not to establish nursing theory or explain nursing interventions to
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other health care professionals.
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DIF: Cognitive Level: Comprehension b b TOP: 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 every 2-hour
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bturning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
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bwith this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: D b b b