TEST BANK FOR Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 11th edition Mariann M. Harding, Jeffrey Kwong, Dottie Roberts , Debra Hagler, Courtney Reinisch ISBN:% COMPLETE GUIDE FOR A+ GRADE A

TestBank For Lewis’s M edical SurgicalNursing 11th Edition Harding
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Table of Contents yt yt




Table of Contents yt yt 1
Chapter 01:P rofessional Nursing yt yt yt 3
Chapter 02:Health E quity a nd Culturally C ompetent CareChapter 03
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:HealthHistoryand PhysicalExaminationC hapter0 4:P atienta nd C aregiv
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erTeaching yt 28
Chapter05:C hronic I llnessandO lderA dults C h yt yt yt yt yt yt yt yt 38
apter 06: Stress Management yt yt yt 48
Chapter 07:Sleep and Sleep D isorders Chapter yt yt ll yt yt ll yt 54
08:P ain yt 59
Chapter 09: P alliative and E nd of Life Care Chapter 1
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0:S ubstance Use Disorders C hapter 11:I nflammat io
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n and Healing Chapter 12: Genetics
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Chapter 13: Immune Responses and TransplantationChapter1 4: Infe ction
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Chapter 15:Cancer yt yt 105
Chapter 16:Fluid,E lectrolyte, and Acid- yt yt yt yt ll 117
BaseImbalancesChapter1 7:P reoperative Care
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Chapter 18: Intraoperative Care C hapt yt yt yt yt 148
er 19: Postoperative Care
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Chapter 20: Assessment and Management: V isual P roblems Chapter 2 1: Asse s
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sment and Management: Auditory P roblemsChapter 22: Assessment: Integu m
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entarySystem yt 196
Chapter 23: Integumentary P roblems yt yt yt yt 216
Chapter 24:Burns yt yt 227
Chapter 2 5: Assessment: Respiratory System Chapte yt yt yt yt y t yt 233
r 2 6: Upper Respiratory P roblems C hapter 2 7: Lower R e
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spiratory P roblems C hapter 28: Obstructive P ulmonar y yt yt yt yt yt yt yt 259
Diseases Chapter 29: Assessment: yt yt yt 270
Hematologic SystemChapter30:Hematologic Problem yt ll y 282
s
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Chapter 31:Assessment: Cardiovascular S ystemChapter 32: Hypert ension
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Chapter33:C oronaryArteryD isease andAcuteC oronary Syndrome Chapter 34
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:Heart Failure
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Chapter 35: Dysrhythmias yt yt 364
Chapter 36: Inflammatory a nd Structural Heart D isordersChapter 37
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:Vascular Disorders
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394
Chapter38:Assessment: GastrointestinalSystemChapter3 9:Nutritional P
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406
roblems 420
Chapter 40: Obesity yt yt
435
Chapter41:Upper GastrointestinalP roblemsC hapt e yt yt yt yt yt yt
450
r 42: Lower Gastrointestinal Problems
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Chapter43:Liver,B iliaryT ract,a nd PancreasP roblemsChapter 44: A
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ssessment:Urinary S ystem yt yt
478
Chapter 45: Renal and Urologic Problems yt yt yt yt yt
499
Chapter46:Acute K idneyI njurya ndC hronic K idneyD iseaseChapter 47:Ass es
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523
sment:Endocrine S ystem yt yt 543
Chapter48:D iabetesMellitusC hapter yt yt yt yt yt 553
49:Endocrine P roblems
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573
Chapter 50: Assessment: Reproductive System yt yt yt yt
590
600
622
642

,TestBank For Lewis’s M edical SurgicalNursing 11th Edition Harding
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Chapter 51:Breast Disorders
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Chapter 52: Sexually Transmitted InfectionsChapter 5
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3:Female Reproductive P roblemsChapter 54:
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Male Reproductive P roblemsC hapter 5 5:
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Assessment:Nervous SystemChapter 56:AcuteIntrac ranial
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Problems Chapter 5 7: Stroke
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Chapter58:C hronic Neurologic P roblemsChapter 59:
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Dementia and Delirium ll ll 747
Chapter60:S pinalC orda nd PeripheralNerve P roblemsChapter 61:Asses s
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ment:Musculoskeletal System
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Chapter62:M usculoskeletalTraumaa nd Orthopedic SurgeryChapter 63:
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MusculoskeletalP roblems yt 794
Chapter64:ArthritisandC onnective TissueD iseasesChapter 65:Critical C
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are 825
Chapter 66: S hock, Sepsis, and Multiple Organ Dysfunction Syndrome
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Chapter67:Acute Respiratory Failureand Acute RespiratoryD istress SyndromeChapter 68: E
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mergency and Disaster N ursing
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889




TEST BANK FOR yt yt




Lewis’sMedicalSurgicalN yt




ursing11thEditionHardin yt




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,TestBank For Lewis’s M edical SurgicalNursing 11th Edition Harding
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Chapter01: Professional Nursing yt yt yt




Test Bank MULTIPL yt y t yt




E CHOICE
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1. Thenurse teaches a s tudent nurse about how toapplythe nursing processw hen providing patient c are. Whic h s
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tatement, if made by the student nurse, indicates that teaching was successful?
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a. The nursing process is a scientific-based method ofdiagnosing the patients health care problems.
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b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.


c. Thenursing process is based onnursing theory that incorporates the biopsychosocialnature of hum an
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s.


d. Thenursing process is used primarily to explain nursing interventions to other health c are prof ess
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ionals.


ANS: B yt




The nursing process is a problem-
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solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of the nursi n
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g process. T he primary use of the nursing process is in patient care, not to establish nursing theory or explain nu
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rsing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension)
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TOP:Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. The nurse describes to a s tudentnurse how touse evidence-
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based practice guidelines w hen caring for patients. Which statement, if made by the nurse, would be
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th e most accurate?
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a. Inferences from clinicalresearch s tudies are used as a guide. yt ll yt yt yt yt ll yt yt




b. Patient c are is based on c linicaljudgment, experience, and traditions.
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c. Data are evaluated to s how that the patient outcomes are c onsistently met.
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d. Recommendations are based on research, clinical expertise, and patient preferences. l




ANS: D yt




Evidence-based practice (EBP) is the use of the best research- y t y t y t y t y t y t y t y t y t



based evidence combined with clinician expertise. Clinical judgment based on the nurses clinical expe
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rie nce is part of EBP, but clinical decision making s hould also incorporate c urrent research and research-
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based guidelines. Evaluation of patient outcomes is important, but interventions should be based on res
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ear ch from randomized control studies with a large number of s ubjects.
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DIF: Cognitive Level: Remember (knowledge)
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TOP:Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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, TestBank For Lewis’s M edical SurgicalNursing 11th Edition Harding
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3. The nurse c ompletes an admission database and explains that the plan of c are and discharge goals w ill be develo pe
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d w ith the patients input. T he patient s tates, How is this different from w hat the doctor does? Which response w ould
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be most appropriate for the nurse to make?
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a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
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b. Thenurses job is to help the doctor byc ollecting information and c ommunicating anyproblems that oc
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cur.


c. Nurses perform manyof the s ame procedures as the doctor, but nursesare w ith the patients for a longe r ti
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me than the doctor. yt yt yt




In addition to caring for you while you are sick, the nurses will assist you to develop an indiv
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Idualized plan to maintain your
health.
ANS: D yt




This response is consistent with the American Nurses Association (ANA) definition of nursing, which describe
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s therole of nurses in promoting health. T he other responses describe s ome of the dependent and c ollabor ative funct
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ions of the nursing role but do not accurately describe the nurses role in the health c are s ystem.
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DIF: Cognitive Level: Understand (comprehension)
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TOP:Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. Apatient who is paralyzed on the left side of the bodyafter a s troke develops a pressure ulceron the left hip Which nurs
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ing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysis yt yt yt yt yt ll




b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and
pressure

d. Ineffective tissue perfusion related to inability to move independently A yt yt yt yt yt yt ll yt yt




NS:C yt




The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The nu rs
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e is able to treat the c ause of altered c irculation and pressure by frequently repositioning the patient. Although left-
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sided weakness is a problem for the patient, the nurse cannot treat the weakness. T he risk for diagnosis is no t appr
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opriate for this patient, w ho already h as impaired tissue integrity. T he patient does have ineffective tissue per fusion,
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tbut the impaired skin integrity diagnosis indicates more clearly what the health problem is.
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DIF:Cognitive Level: Apply (application)
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TOP:Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
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5. Apatient has been admitted to the hospitalfors urgery and tells the nurse, Ido not feelc omfortable leaving my c hil
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dren with my parents. Which action s hould the nurse take next?
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