MADICAL SURGICAL
full test bank for
medical surgical nursing 11th edition
ignatavicius workman| 100% verified answers|complete chapters
, MADICAL SURGICAL
table of contents
chapter 01: overview of professional nursing concepts for medical-
surgical nursing..................................................................................6
chapter 02: clinical judgment and systems thinking .......................... 17
chapter 03: overview of health concepts for medical-surgicalnursing 26
chapter 04: common health problems of older adults ....................... 36
chapter 05: assessment and care of patients with pain ..................... 52
chapter 06: concepts of genetics and genomics................................. 73
chapter 07: concepts of rehabilitation for chronic and disabling health
problems.......................................................................................... 86
chapter 08: concepts of care for patients at end of life ...................... 99
chapter 09: concepts of care for perioperative patients .................. 113
chapter 10: concepts of emergency and trauma nursing ................. 136
chapter 11: concepts of care for patients with common environmental
emergencies .................................................................................. 151
chapter 12: concepts of disaster preparedness ................................ 168
chapter 13: concepts of fluid and electrolyte balance ...................... 184
chapter 14: concepts of acid–base balance ..................................... 201
chapter 15: concepts of infusion therapy ........................................ 217
chapter 16: concepts of inflammation and immunity ...................... 233
chapter 17: concepts of care for patients with hiv disease ............... 248
chapter 18: concepts of care for patients with hypersensitivity
(allergy) and autoimmunity............................................................ 266
chapter 19: concepts of cancer development .................................. 274
chapter 20: concepts of care for patients with cancer ..................... 283
chapter 21: concepts of care for patients with infection .................. 306
, MADICAL SURGICAL
chapter 22: assessment of the skin, hair, and nails .......................... 321
chapter 23: concepts of care for patients with skin problems .......... 331
chapter 24: assessment of the respiratory system ........................... 352
chapter 25: concepts of care for patients requiring oxygen therapy or
tracheostomy ................................................................................. 365
chapter 26: concepts of care for patients with noninfectious upper
respiratory problems ...................................................................... 377
chapter 27: concepts of care for patients with noninfectious lower
respiratory problems ...................................................................... 392
chapter 28: concepts of care for patients with infectious respiratory
problems........................................................................................ 417
chapter 29: critical care of patients with respiratory emergencies ... 440
chapter 30: assessment of the cardiovascular system ..................... 461
chapter 31: concepts of care for patients with dysrhythmias ........... 479
chapter 32: concepts of care for patients with cardiac problems ..... 498
chapter 33: concepts of care for patients with vascular problems ... 521
chapter 34: critical care of patients with shock ............................... 547
chapter 35: critical care of patients with acute coronary syndromes 562
chapter 36: assessment of the hematologic system ........................ 583
chapter 37: concepts of care for patients with hematologic problems
...................................................................................................... 591
chapter 38: assessment of the nervous system ............................... 615
chapter 39: concepts of care for patients with problems of the central
nervous system: the brain .............................................................. 630
chapter 40: concepts of care for patients with problems of the central
nervous system: the spinal cord ...................................................... 654
, MADICAL SURGICAL
chapter 41: critical care of patients with neurologic emergencies ... 673
chapter 42: assessment and care of patients with eye and vision
problems........................................................................................ 695
chapter 43: assessment and care of patients with ear and hearing
problems........................................................................................ 709
chapter 44: assessment of the musculoskeletal system ................... 723
chapter 45: concepts of care for patients with musculoskeletal
problems........................................................................................ 733
chapter 46: concepts of care for patients with arthritis and total joint
arthroplasty ................................................................................... 746
chapter 47: concepts of care for patients with musculoskeletal trauma
...................................................................................................... 766
chapter 48: assessment of the gastrointestinal system ................... 787
chapter 49: concepts of care for patients with oral cavity and
esophageal problems ..................................................................... 797
chapter 50: concepts of care for of patients with stomach disorders 808
chapter 51: concepts of care for patients with noninflammatory
intestinal disorders ........................................................................ 820
chapter 52: concepts of care for patients with inflammatory intestinal
disorders ........................................................................................ 838
chapter 53: concepts of care for patients with liver problems .......... 856
chapter 54: concepts of care for patients with problems of the biliary
system and pancreas ...................................................................... 872
chapter 55: concepts of care for patients with malnutrition:
undernutrition and obesity ............................................................. 885
chapter 56: assessment of the endocrine system ............................ 897
, MADICAL SURGICAL
chapter 57: concepts of care for patients with pituitary and adrenal
gland problems .............................................................................. 906
chapter 58: concepts of care for patients with problems of the thyroid
and parathyroid glands .................................................................. 918
chapter 59: concepts of care for patients with diabetes mellitus ..... 927
chapter 60: assessment of the renal/urinary system ....................... 958
chapter 61: concepts of care for patients with urinary problems ..... 970
chapter 62: concepts of care for patients with kidney disorders ...... 988
chapter 63: concepts of care for patients with acute kidney injury and
chronic kidney disease.................................................................. 1000
chapter 64: assessment of the reproductive system ...................... 1019
chapter 65: concepts of care for patients with breast disorders ..... 1027
chapter 66: concepts of care for patients with gynecologic problems
.................................................................................................... 1040
chapter 67: concepts of care for clients with male reproductive
problems...................................................................................... 1053
chapter 68: concepts of care for transgender patients .................. 1065
chapter 69: concepts of care for patients with sexually transmitted
infections ..................................................................................... 1073
, MADICAL SURGICAL
chapter 01: overview of professional nursing concepts for medical-surgical nursing
ignatavicius: medical-surgical nursing, 11th edition
multiple choice
1. a new nurse is working with a preceptor on a medical-surgical unit. the
preceptor advises the new nurse that which is the priority when working as a
professional nurse?
a. attending to holistic client needs
b. ensuring client safety
c. not making medication errors
d. providing client-focused care
CORRECT ANSWER>>b
all actions are appropriate for the professional nurse. however, ensuring client
safety is the priority. health care errors have been widely reported for 25 years,
many of which result in client injury, death, and increased health care costs.
there are several national and international organizations that have either
recommended or mandated safety initiatives.
every nurse has the responsibility to guard the client’s safety. the other actions
are important
for quality nursing, but they are not as vital as providing safety. not making
medication errors does provide safety, but is too narrow in scope to be the best
answer.
dif: understanding top: integrated process: nursing process: intervention
key: client safety
, MADICAL SURGICAL
msc: client needs category: safe and effective care environment: safety and
infection control
2. a nurse is orienting a new client and family to the medical-surgical unit.
what information does the nurse provide to best help the client promote his or
her own safety?
a. encourage the client and family to be active partners.
b. have the client monitor hand hygiene in caregivers.
c. offer the family the opportunity to stay with the client.
d. tell the client to always wear his or her armband.
CORRECT ANSWER>>a
each action could be important for the client or family to perform. however,
encouraging the client to be active in his or her health care as a safety partner is
the most critical. the other actions are very limited in scope and do not provide
the broad protection that being active and involved does.
dif: understanding top: integrated process: teaching/learning key: client
safety
msc: client needs category: safe and effective care environment: safety and
infection control
3. a nurse is caring for a postoperative client on the surgical unit. the client’s
blood pressure was 142/76 mm hg 30 minutes ago, and now is 88/50 mm hg.
what action would the nurse take first?
a. call the rapid response team.
b. document and continue to monitor.
c. notify the primary health care provider.
full test bank for
medical surgical nursing 11th edition
ignatavicius workman| 100% verified answers|complete chapters
, MADICAL SURGICAL
table of contents
chapter 01: overview of professional nursing concepts for medical-
surgical nursing..................................................................................6
chapter 02: clinical judgment and systems thinking .......................... 17
chapter 03: overview of health concepts for medical-surgicalnursing 26
chapter 04: common health problems of older adults ....................... 36
chapter 05: assessment and care of patients with pain ..................... 52
chapter 06: concepts of genetics and genomics................................. 73
chapter 07: concepts of rehabilitation for chronic and disabling health
problems.......................................................................................... 86
chapter 08: concepts of care for patients at end of life ...................... 99
chapter 09: concepts of care for perioperative patients .................. 113
chapter 10: concepts of emergency and trauma nursing ................. 136
chapter 11: concepts of care for patients with common environmental
emergencies .................................................................................. 151
chapter 12: concepts of disaster preparedness ................................ 168
chapter 13: concepts of fluid and electrolyte balance ...................... 184
chapter 14: concepts of acid–base balance ..................................... 201
chapter 15: concepts of infusion therapy ........................................ 217
chapter 16: concepts of inflammation and immunity ...................... 233
chapter 17: concepts of care for patients with hiv disease ............... 248
chapter 18: concepts of care for patients with hypersensitivity
(allergy) and autoimmunity............................................................ 266
chapter 19: concepts of cancer development .................................. 274
chapter 20: concepts of care for patients with cancer ..................... 283
chapter 21: concepts of care for patients with infection .................. 306
, MADICAL SURGICAL
chapter 22: assessment of the skin, hair, and nails .......................... 321
chapter 23: concepts of care for patients with skin problems .......... 331
chapter 24: assessment of the respiratory system ........................... 352
chapter 25: concepts of care for patients requiring oxygen therapy or
tracheostomy ................................................................................. 365
chapter 26: concepts of care for patients with noninfectious upper
respiratory problems ...................................................................... 377
chapter 27: concepts of care for patients with noninfectious lower
respiratory problems ...................................................................... 392
chapter 28: concepts of care for patients with infectious respiratory
problems........................................................................................ 417
chapter 29: critical care of patients with respiratory emergencies ... 440
chapter 30: assessment of the cardiovascular system ..................... 461
chapter 31: concepts of care for patients with dysrhythmias ........... 479
chapter 32: concepts of care for patients with cardiac problems ..... 498
chapter 33: concepts of care for patients with vascular problems ... 521
chapter 34: critical care of patients with shock ............................... 547
chapter 35: critical care of patients with acute coronary syndromes 562
chapter 36: assessment of the hematologic system ........................ 583
chapter 37: concepts of care for patients with hematologic problems
...................................................................................................... 591
chapter 38: assessment of the nervous system ............................... 615
chapter 39: concepts of care for patients with problems of the central
nervous system: the brain .............................................................. 630
chapter 40: concepts of care for patients with problems of the central
nervous system: the spinal cord ...................................................... 654
, MADICAL SURGICAL
chapter 41: critical care of patients with neurologic emergencies ... 673
chapter 42: assessment and care of patients with eye and vision
problems........................................................................................ 695
chapter 43: assessment and care of patients with ear and hearing
problems........................................................................................ 709
chapter 44: assessment of the musculoskeletal system ................... 723
chapter 45: concepts of care for patients with musculoskeletal
problems........................................................................................ 733
chapter 46: concepts of care for patients with arthritis and total joint
arthroplasty ................................................................................... 746
chapter 47: concepts of care for patients with musculoskeletal trauma
...................................................................................................... 766
chapter 48: assessment of the gastrointestinal system ................... 787
chapter 49: concepts of care for patients with oral cavity and
esophageal problems ..................................................................... 797
chapter 50: concepts of care for of patients with stomach disorders 808
chapter 51: concepts of care for patients with noninflammatory
intestinal disorders ........................................................................ 820
chapter 52: concepts of care for patients with inflammatory intestinal
disorders ........................................................................................ 838
chapter 53: concepts of care for patients with liver problems .......... 856
chapter 54: concepts of care for patients with problems of the biliary
system and pancreas ...................................................................... 872
chapter 55: concepts of care for patients with malnutrition:
undernutrition and obesity ............................................................. 885
chapter 56: assessment of the endocrine system ............................ 897
, MADICAL SURGICAL
chapter 57: concepts of care for patients with pituitary and adrenal
gland problems .............................................................................. 906
chapter 58: concepts of care for patients with problems of the thyroid
and parathyroid glands .................................................................. 918
chapter 59: concepts of care for patients with diabetes mellitus ..... 927
chapter 60: assessment of the renal/urinary system ....................... 958
chapter 61: concepts of care for patients with urinary problems ..... 970
chapter 62: concepts of care for patients with kidney disorders ...... 988
chapter 63: concepts of care for patients with acute kidney injury and
chronic kidney disease.................................................................. 1000
chapter 64: assessment of the reproductive system ...................... 1019
chapter 65: concepts of care for patients with breast disorders ..... 1027
chapter 66: concepts of care for patients with gynecologic problems
.................................................................................................... 1040
chapter 67: concepts of care for clients with male reproductive
problems...................................................................................... 1053
chapter 68: concepts of care for transgender patients .................. 1065
chapter 69: concepts of care for patients with sexually transmitted
infections ..................................................................................... 1073
, MADICAL SURGICAL
chapter 01: overview of professional nursing concepts for medical-surgical nursing
ignatavicius: medical-surgical nursing, 11th edition
multiple choice
1. a new nurse is working with a preceptor on a medical-surgical unit. the
preceptor advises the new nurse that which is the priority when working as a
professional nurse?
a. attending to holistic client needs
b. ensuring client safety
c. not making medication errors
d. providing client-focused care
CORRECT ANSWER>>b
all actions are appropriate for the professional nurse. however, ensuring client
safety is the priority. health care errors have been widely reported for 25 years,
many of which result in client injury, death, and increased health care costs.
there are several national and international organizations that have either
recommended or mandated safety initiatives.
every nurse has the responsibility to guard the client’s safety. the other actions
are important
for quality nursing, but they are not as vital as providing safety. not making
medication errors does provide safety, but is too narrow in scope to be the best
answer.
dif: understanding top: integrated process: nursing process: intervention
key: client safety
, MADICAL SURGICAL
msc: client needs category: safe and effective care environment: safety and
infection control
2. a nurse is orienting a new client and family to the medical-surgical unit.
what information does the nurse provide to best help the client promote his or
her own safety?
a. encourage the client and family to be active partners.
b. have the client monitor hand hygiene in caregivers.
c. offer the family the opportunity to stay with the client.
d. tell the client to always wear his or her armband.
CORRECT ANSWER>>a
each action could be important for the client or family to perform. however,
encouraging the client to be active in his or her health care as a safety partner is
the most critical. the other actions are very limited in scope and do not provide
the broad protection that being active and involved does.
dif: understanding top: integrated process: teaching/learning key: client
safety
msc: client needs category: safe and effective care environment: safety and
infection control
3. a nurse is caring for a postoperative client on the surgical unit. the client’s
blood pressure was 142/76 mm hg 30 minutes ago, and now is 88/50 mm hg.
what action would the nurse take first?
a. call the rapid response team.
b. document and continue to monitor.
c. notify the primary health care provider.
