Test Bank for Davis Advantage for Understanding Medical-Surgical Nursing, 7th Edition by Linda S. Williams-Test Bank for Davis Advantage for Understanding Medical-Surgical Nursing, 7th Edition by Linda S. Williams-

Test Bank for Davis Advantage for Understanding Medical-Surgical
Nursing, 7th Edition by Linda S. Williams-100% Top scores-2023- Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
2024 32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic
Measures
33. Nursing Care of Patients With Upper Gastrointestinal Disorders
34. Nursing Care of Patients With Lower Gastrointestinal Disorders
35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders

Unit 9 Understanding the Urinary System
TABLE OF CONTENTS 36. Urinary System Function, Assessment, and Therapeutic Measures
37. Nursing Care of Patients With Disorders of the Urinary System
Unit 1 Understanding Health Care Issues
1. Critical Thinking and the Nursing Process
Unit 10 Understanding the Endocrine System
2. Evidence-Based Practice
38. Endocrine System Function and Assessment
3. Issues in Nursing Practice
39. Nursing Care of Patients With Endocrine Disorders
4. Cultural Influences on Nursing Care
40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
5. Complementary and Alternative Modalities
Unit 11 Understanding the Genitourinary and Reproductive System
Unit 2 Understanding Health and Illness
41. Genitourinary and Reproductive System Function and Assessment
6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
42. Nursing Care of Women With Reproductive System Disorders
7. Nursing Care of Patients Receiving Intravenous Therapy
43. Nursing Care of Male Patients With Genitourinary Disorders
8. Nursing Care of Patients with Infections
44. Nursing Care of Patients With Sexually Transmitted Infections
9. Nursing Care of Patients in Shock
10. Nursing Care of Patients in Pain
Unit 12 Understanding the Musculoskeletal System
11. Nursing Care of Patients With Cancer
45. Musculoskeletal Function and Assessment
12. Nursing Care of Patients Having Surgery
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
Unit 13 Understanding the Neurologic System
Unit 3 Understanding Life Span Influences on Health and Illness
47. Neurologic System Function, Assessment, and Therapeutic Measures
14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
48. Nursing Care of Patients With Central Nervous System Disorders
15. Nursing Care of Older Adult Patients
49. Nursing Care of Patients With Cerebrovascular Disorders
16. Patient Care Settings
50. Nursing Care of Patients With Peripheral Nervous System Disorders
17. Nursing Care of Patients at the End of Life
Unit 14 Understanding the Sensory System
Unit 4 Understanding the Immune System
51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
18. Immune System Function, Assessment and Therapeutic Measures
52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
19. Nursing Care of Patients With Immune Disorders
20. Nursing Care of Patients With HIV Disease and AIDS
Unit 15 Understanding the Integumentary System
53. Integumentary System Function, Assessment and Therapeutic Measures
Unit 5 Understanding the Cardiovascular System
54. Nursing Care of Patients With Skin Disorders
21. Cardiovascular System Function, Assessment and Therapeutic Measures
55. Nursing Care of Patients With Burns
22. Nursing Care of Patients With Hypertension
23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
Unit 16 Understanding Mental Health Care
24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
56. Mental Health Function, Assessment, and Therapeutic Measures
25. Nursing Care of Patients With Cardiac Arrhythmias
57. Nursing Care of Patients With Mental Health Disorders
26. Nursing Care of Patients With Heart Failure

Unit 6 Understanding the Hematologic and Lymphatic Systems
27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
28. Nursing Care of Patients With Hematologic and Lymphatic Disorders

Unit 7 Understanding the Respiratory System
29. Respiratory System Function, Assessment, and Therapeutic Measures
30. Nursing Care of Patients With Upper Respiratory Tract Disorders
31. Nursing Care of Patients With Lower Respiratory Tract Disorders

,Chapter 1. Critical Thinking and the Nursing Process Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
MULTIPLE CHOICE
Feedback
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should 1 This statement does not consider an individual’s situation.
the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first? 2 This statement demonstrates intellectual empathy by considering this patient’s
1. A patient with a blood glucose of 42 mg/dL situation and will likely alleviate the patient’s anger.
2. A patient who reports a pain level of 2 3 This statement does not consider a patient’s situation and does not demonstrate
3. A patient who has just received a diagnosis of cancer intellectual empathy.
4. A patient who has a respiratory rate of 22 4 This statement addresses the patient’s statement of wanting to call the CEO, but
does not demonstrate intellectual empathy by considering the patient’s situation.
ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human PTS: 1 CON: Communication
needs.
Pages: 6–7 3. The nurse is collecting data on a patient. Which data are described as subjective?
Heading: Prioritize Care 1. Respiratory rate of 26 per minute
Integrated Process: Clinical Problem-Solving Process (Nursing Process) 2. Patient report of shortness of breath
Client Need: SECE—Coordinated Care 3. Coarse lung sounds bilaterally
Cognitive Level: Application [Applying] 4. Cough producing green sputum
Concept: Patient-Centered Care ANS: 2
Difficulty: Difficult Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 5. Differentiate between objective and subjective data.
Feedback Page: 4
1 This patient has a dangerously low blood glucose level and requires immediate Heading: Subjective Data
intervention. Integrated Process: Communication and Documentation
2 This patient will need to be assessed, but is not as high a priority. Client Need: Communication and Documentation
3 According to Maslow, psychosocial needs are not as high of a priority as Cognitive Level: Application (Applying)
physiological needs. Concept: Communication
4 A respiratory rate of 22 is within normal range. Difficulty: Moderate

PTS: 1 CON: Patient-Centered Care Feedback
1 Respiratory rate of 26 per minute is an example of objective data.
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes ago 2 A patient reporting symptoms to the nurse is an example of subjective data.
for my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me 3 Coarse lung sounds is an example of objective data.
now.‖ Which statement by the nurse demonstrates intellectual empathy? 4 A productive cough is an example of objective data.
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖ PTS: 1 CON: Communication
3. ―I had another patient who had severe pain, and I had to get to them first.‖
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖ 4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic medication
ANS: 2 is not due for another 50 minutes. Which action should the nurse take first?
Chapter: Chapter 1 Critical Thinking and the Nursing Process 1. Reposition the patient.
Objective: 2. Describe attitudes and skills that promote good critical thinking 2. Give the medication in 30 minutes.
Page: 2 3. Notify the registered nurse (RN) or physician.
Heading: Intellectual Empathy 4. Tell the patient it is too early for pain medication.
Integrated Process: Communication and Documentation ANS: 3
Client Need: Psychosocial Integrity Chapter: Chapter 1 Critical Thinking and the Nursing Process

, Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using PTS: 1 CON: Patient-Centered Care
the nursing process.
Page: 3 6. The nurse is planning care and setting goals for a newly admitted patient. Who should the
Heading: Clinical Judgement nurse include when conducting these nursing actions?
Integrated Process: Clinical Problem-solving Process (Nursing Process) 1. Patient
Client Need: SECE—Coordinated Care 2. Nurse manager
Cognitive Level: Application [Applying] 3. Hospital chaplain
Concept: Patient-Centered Care 4. Patient’s health care provider (HCP)
Difficulty: Moderate
ANS: 1
Feedback Chapter: Chapter 1 Critical Thinking and the Nursing Process
1 Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse is using
The patient who has a fractured femur is having acute pain. Repositioning a
the nursing process.
patient with a new fracture is not likely to relieve pain.
Page: 6
2 Giving the medication before the prescribed time is beyond the nurse’s scope of Heading: Prioritize Care
practice.
3
Integrated Process: Communication and Documentation
The patient should not have to wait for pain relief, so the LPN should inform the Client Need: SECE—Management of Care
RN or physician so new pain relief orders can be obtained. Cognitive Level: Application [Applying]
4 The nurse needs to do more than expect the patient to wait for pain relief. Concept: Communication
Difficulty: Moderate
PTS: 1 CON: Patient-Centered Care
Feedback
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the 1 Planning care and setting goals is an action performed with the patient. The
nurse identify as having the highest priority? patient must be in agreement with the plan for it to be successful in meeting the
1. Job-related stress desired outcomes.
2. Feeling of loneliness 2 The nurse manager may or may not be aware of the patient’s care needs.
3. Pain level of 9 on 0-to-10 scale 3 The hospital chaplain may not be aware of the patient’s needs.
4. Lack of confidence 4 The focus of nursing care is different from that of the HCP.
ANS: 3
Chapter: Chapter 1 Critical Thinking and the Nursing Process PTS: 1 CON: Communication
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
needs 7. While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes
Page: 7 serosanguineous drainage on the dressing. Which statement should the nurse use to
Heading: Prioritize Care document this finding?
Integrated Process: Caring 1. ―Normal drainage noted.‖
Client Need: SECE – Coordinated Care 2. ―Moderate drainage recently noted.‖
Cognitive Level: Application [Applying] 3. ―Scant serosanguineous drainage seen on dressing.‖
Concept: Patient-Centered Care 4. ―Pale pink drainage 2 cm by 1 cm noted on dressing.‖
Difficulty: Moderate
ANS: 4
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Feedback
1 Objective: 6. Document subjective and objective data.
Job-related stress falls under safety according to Maslow and is addressed after
Page: 5
physiological needs.
2
Heading: Documentation of Data
According to Maslow, loneliness is addressed under social needs following
Integrated Process: Communication and Documentation
physiological and safety.
3
Client Need: PHYS—Physiological Adaptation
Pain is a physiological need and is the highest priority. Cognitive Level: Application [Applying]
4 Lack of confidence falls under esteem according to Maslow and is addressed Concept: Communication
following physiological, safety, and social needs. Difficulty: Moderate




|

, 2. Nursing diagnosis
Feedback 3. Implementation
1 These statements are interpretations of the data and use words that have vague 4. Evaluation
meanings, which should be avoided when documenting.
2
ANS: 3
These statements are interpretations of the data and use words that have vague Chapter: Chapter 1 Critical Thinking and the Nursing Process
meanings, which should be avoided when documenting.
3
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using
These statements are interpretations of the data and use words that have vague the nursing process.
meanings, which should be avoided when documenting. Page: 8
4 Objective data are pieces of factual information obtained through physical Heading: Identify Interventions
assessment and diagnostic tests that are observable or knowable through the five Integrated Process: Clinical Problem-Solving Process (Nursing Process)
senses. The nurse should document exactly what is seen. Client Need: SECE – Coordination of Care
Cognitive Level: Application [Applying]
PTS: 1 CON: Communication Concept: Patient-Centered Care
Difficulty: Moderate
8. The nurse is caring for a patient using the nursing process. Which step should the nurse take
first? Feedback
1. Implementation 1 Administering medication does not describe assessment.
2. Planning 2 Administering medication does not describe nursing diagnosis.
3. Nursing diagnosis 3 Administering medication describes the implementation process, since an action
4. Assessment is being taken to help the patient meet a desired outcome.
4 Administering medication does not describe the evaluation phase of the nursing
ANS: 4
Chapter: Chapter 1 Critical Thinking and the Nursing Process process.
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using
the nursing process. PTS: 1 CON: Patient-Centered Care
Page: 4
Heading: Data Collection 10. The nurse is developing an outcome for a patient with exacerbation of asthma. Which is the
Integrated Process: Clinical Problem-Solving Process (Nursing Process) most appropriate outcome for this patient?
Client Need: SECE: Coordinated Care 1. The patient will not experience shortness of breath.
Cognitive Level: Application [Applying] 2. The patient will have a respiratory rate of 16 to 20 per minute.
Concept: Patient-Centered Care 3. The patient will ambulate without reporting shortness of breath.
Difficulty: Moderate 4. The patient will not require use of an inhaler.

Feedback ANS: 2
1 Chapter: Chapter 1 Critical Thinking and the Nursing Process
The steps of the nursing process are data collection/assessment, nursing
Objective: 3. Describe the thinking that occurs in each step of the nursing process.
diagnosis, planning, implementation, and evaluation.
2
Page: 8
The steps of the nursing process are data collection/assessment, nursing Heading: Establish Outcomes
diagnosis, planning, implementation, and evaluation.
3
Integrated Process: Clinical Problem-solving (Nursing Process)
The steps of the nursing process are data collection/assessment, nursing Client Need: SECE: Coordinated Care
diagnosis, planning, implementation, and evaluation. Cognitive Level: Application [Applying]
4 Assessment, or data collection, is the first step in the nursing process and is used Concept: Patient-Centered Care
to evaluate a patient’s condition before providing care. The other steps, in order, Difficulty: Moderate
are nursing diagnosis, planning, implementation, and evaluation.
Feedback
PTS: 1 CON: Patient-Centered Care 1 This is a vague outcome and is not measurable.
2 This is a measurable outcome and is not vague.
9. The nurse is administering morphine to a patient reporting a pain level of 8 on a 0-to-10 3 This is a vague outcome and is not measurable.
scale. This describes which step of the nursing process? 4 This is a vague outcome and is not measurable.
1. Assessment




|