TEST BANK
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
6n 6n
Section 6nOne 6n– 6nConcepts 6nin 6nNursing 6nPractice
1 6nIntroduction 6nto 6nMedical-Surgical 6nNursing 6nPractice 6nin 6nCanada
2 6nCultural 6nCompetence 6nand 6nHealth 6nEquity 6nin 6nCare
3 6nHealth 6nHistory 6nand 6nPhysical 6nExamination
4 6nPatient 6nand 6nCaregiver 6nTeaching
5 6nChronic 6nIllness
6 6nCommunity-Based 6nNursing 6nand 6nHome 6nCare
7 6nOlder 6nAdults
8 6nStress 6nand 6nStress 6nManagement
9 6nSleep 6nand 6nSleep 6nDisorders
10 6nPain
11 6nSubstance 6nUse
12 6nComplementary 6nand 6nAlternative 6nTherapies
13 6nPalliative 6nCare 6nat 6nthe 6nEnd 6nof 6nLife
Section 6nTwo 6n– 6nPathophysiological 6nMechanisms 6nof 6nDisease
14 6nInflammation 6nand 6nWound 6nHealing
15 6nGenetics
16 6nAltered 6nImmune 6nResponse 6nand 6nTransplantation
17 6nInfection 6nand 6nHuman 6nImmunodeficiency 6nVirus 6nInfection
18 6nCancer
19 6nFluid, 6nElectrolyte, 6nand 6nAcid–Base 6nImbalances
Section 6nThree 6n– 6nPerioperative 6nCare
20 6nNursing 6nManagement: 6nPreoperative 6nCare
21 6nNursing 6nManagement: 6nIntraoperative 6nCare
22 6nNursing 6nManagement: 6nPost-operative 6nCare
Section 6nFour 6n– 6nProblems 6nRelated 6nto 6nAltered 6nSensory 6nInput
23 6nNursing 6nAssessment: 6nVisual 6nand 6nAuditory 6nSystems
24 6nNursing 6nManagement: 6nVisual 6nand 6nAuditory 6nProblems
25 6nNursing 6nAssessment: 6nIntegumentary 6nSystem
26 6nNursing 6nManagement: 6nIntegumentary 6nProblems
27 6nNursing 6nManagement: 6nBurns
Section 6nFive 6n– 6nProblems 6nof 6nOxygenation: 6nVentilation
28 6nNursing 6nAssessment: 6nRespiratory 6nSystem
29 6nNursing 6nManagement: 6nUpper 6nRespiratory 6nProblems
30 6nNursing 6nManagement: 6nLower 6nRespiratory 6nProblems
31 6nNursing 6nManagement: 6nObstructive 6nPulmonary 6nDiseases
Section 6nSix 6n– 6nProblems 6nof 6nOxygenation: 6nTransport
32 6nNursing 6nAssessment: 6nHematological 6nSystem
33 6nNursing 6nManagement: 6nHematological 6nProblems
Section 6nSeven 6n– 6nProblems 6nof 6nOxygenation: 6nPerfusion
34 6nNursing 6nAssessment: 6nCardiovascular 6nSystem
35 6nNursing 6nManagement: 6nHypertension
36 6nNursing 6nManagement: 6nCoronary 6nArtery 6nDisease 6nand 6nAcute 6nCoronary 6nSyndrome
,37 6nNursing 6nManagement: 6nHeart 6nFailure
38 6nNursing 6nManagement: 6nDysrhythmias
39 6nNursing 6nManagement: 6nInflammatory 6nand 6nStructural 6nHeart 6nDiseases
40 6nNursing 6nManagement: 6nVascular 6nDisorders
Section 6nEight 6n– 6nProblems 6nof 6nIngestion, 6nDigestion, 6nAbsorption, 6nand 6nElimination
41 6nNursing 6nAssessment: 6nGastrointestinal 6nSystem
42 6nNursing 6nManagement: 6nNutritional 6nProblems
43 6nNursing 6nManagement: 6nObesity
44 6nNursing 6nManagement: 6nUpper 6nGastrointestinal 6nProblems
45 6nNursing 6nManagement: 6nLower 6nGastrointestinal 6nProblems
46 6nNursing 6nManagement: 6nLiver, 6nPancreas, 6nand 6nBiliary 6nTract 6nProblems
Section 6nNine 6n– 6nProblems 6nof 6nUrinary 6nFunction
47 6nNursing 6nAssessment: 6nUrinary 6nSystem
48 6nNursing 6nManagement: 6nRenal 6nand 6nUrological 6nProblems
49 6nNursing 6nManagement: 6nAcute 6nKidney 6nInjury 6nand 6nChronic 6nKidney 6nDisease
Section 6nTen 6n– 6nProblems 6nRelated 6nto 6nRegulatory 6nand 6nReproductive 6nMechanisms
50 6nNursing 6nAssessment: 6nEndocrine 6nSystem
51 6nNursing 6nManagement: 6nEndocrine 6nProblems
52 6nNursing 6nManagement: 6nDiabetes 6nMellitus
53 6nNursing 6nAssessment: 6nReproductive 6nSystem
54 6nNursing 6nManagement: 6nBreast 6nDisorders
55 6nNursing 6nManagement: 6nSexually 6nTransmitted 6nInfections
56 6nNursing 6nManagement: 6nFemale 6nReproductive 6nProblems
57 6nNursing 6nManagement: 6nMale 6nReproductive 6nProblems
Section 6nEleven 6n– 6nProblems 6nRelated 6nto 6nMovement 6nand 6nCoordination
58 6nNursing 6nAssessment: 6nNervous 6nSystem
59 6nNursing 6nManagement: 6nAcute 6nIntracranial 6nProblems
60 6nNursing 6nManagement: 6nStroke
61 6nNursing 6nManagement: 6nChronic 6nNeurological 6nProblems
62 6nNursing 6nManagement: 6nDelirium, 6nAlzheimer’s 6nDisease, 6nand 6nOther 6nDementias
63 6nNursing 6nManagement: 6nPeripheral 6nNerve 6nand 6nSpinal 6nCord 6nProblems
64 6nNursing 6nAssessment: 6nMusculoskeletal 6nSystem
65 6nNursing 6nManagement: 6nMusculoskeletal 6nTrauma 6nand 6nOrthopedic 6nSurgery
66 6nNursing 6nManagement: 6nMusculoskeletal 6nProblems
67 6nNursing 6nManagement: 6nArthritis 6nand 6nConnective 6nTissue 6nDiseases
Section 6nTwelve 6n– 6nNursing 6nCare 6nin 6nSpecialized 6nSettings
68 6nNursing 6nManagement: 6nCritical 6nCare 6nEnvironment
69 6nNursing 6nManagement: 6nShock, 6nSystemic 6nInflammatory 6nResponse 6nSyndrome, 6nand
6nMultiple-Organ 6nDysfunction 6nSyndrome
70 6nNursing 6nManagement: 6nRespiratory 6nFailure 6nand 6nAcute 6nRespiratory 6nDistress
6nSyndrome
71 6nNursing 6nManagement: 6nEmergency 6nCare 6nSituations
72 6nEmergency 6nManagement 6nand 6nDisaster 6nPlanning
, Chapter 6n01: 6nIntroduction 6nto 6nMedical-Surgical 6nNursing 6nPractice 6nin 6nCanada
6nLewis: 6nMedical-Surgical 6nNursing 6nin 6nCanada, 6n4th 6nCanadian 6nEdition
MULTIPLE 6nCHOICE
1. When 6ncaring 6nfor 6nclients 6nusing 6nevidence-informed 6npractice, 6nwhich 6nof 6nthe 6nfollowing
6ndoes 6nthe 6nnurse 6nuse?
a. Clinical 6njudgement 6nbased 6non 6nexperience
b. Evidence 6nfrom 6na 6nclinical 6nresearch 6nstudy
c. The 6nbest 6navailable 6nevidence 6nto 6nguide 6nclinical 6nexpertise
d. Evaluation 6nof 6ndata 6nshowing 6nthat 6nthe 6nclient 6noutcomes 6nare 6nmet
CORRECT 6nANSWER:
6 n C
Evidence-informed 6nnursing 6npractice 6nis 6na 6ncontinuous 6ninteractive 6nprocess 6ninvolving 6nthe
6nexplicit, 6nconscientious, 6nand 6njudicious 6nconsideration 6nof 6nthe 6nbest 6navailable 6nevidence 6nto
6nprovide 6ncare. 6nFour 6nprimary 6nelements 6nare: 6n(a) 6nclinical 6nstate, 6nsetting, 6nand
6ncircumstances; 6n(b) 6nclient 6npreferences 6nand 6nactions; 6n(c) 6nbest 6nresearch 6nevidence; 6nand 6n(d)
6nhealth 6ncare 6nresources. 6nClinical 6njudgement 6nbased 6non 6nthe 6nnurse’s 6nclinical 6nexperience 6nis
6npart 6nof 6nEIP, 6nbut 6nclinical 6ndecision 6nmaking 6nalso 6nshould 6nincorporate 6ncurrent 6nresearch
6nand 6nresearch-based 6nguidelines. 6nEvidence 6nfrom 6none 6nclinical 6nresearch 6nstudy 6ndoes 6nnot
6nprovide 6nan 6nadequate 6nsubstantiation 6nfor 6ninterventions. 6nEvaluation 6nof 6nclient 6noutcomes 6nis
6nimportant, 6nbut 6ninterventions 6nshould 6nbe 6nbased 6non 6nresearch 6nfrom 6nrandomized 6ncontrol
6nstudies 6nwith 6na 6nlarge 6nnumber 6nof 6nsubjects.
DIF: Cognitive 6nLevel: 6nComprehension TOP: 6 n Nursing 6nProcess: 6nPlanning
2. Which 6n of 6n the 6n following 6 n best 6n N
e x p lRa i n sIt h eGn u B
r s e. sC
’ 6 n prM
imary 6 n use 6nof 6 n the 6nnursing 6 n process
6nwhen
providing 6ncare 6nto U6nS6nN6nT O
6nclients?
a. To 6nexplain 6nnursing 6ninterventions 6nto 6nother 6nhealth 6ncare 6nprofessionals
b. As 6na 6nproblem-solving 6ntool 6nto 6nidentify 6nand 6ntreat 6nclients’ 6nhealth 6ncare 6nneeds
c. As 6na 6nscientific-based 6nprocess 6nof 6ndiagnosing 6nthe 6nclient’s 6nhealth 6ncare 6nproblems
d. To 6nestablish 6nnursing 6ntheory 6nthat 6nincorporates 6nthe 6nbiopsychosocial 6nnature 6nof 6nhumans
CORRECT 6nANSWER: 6 n B
The 6nnursing 6nprocess 6nis 6nan 6nassertive 6nproblem-solving 6napproach 6nto 6nthe 6nidentification
6nand 6ntreatment 6nof 6nclients’ 6nproblems. 6nDiagnosis 6nis 6nonly 6none 6nphase 6nof 6nthe 6nnursing
6nprocess. 6nThe
primary 6nuse 6nof 6nthe 6nnursing 6nprocess 6nis 6nin 6nclient 6ncare, 6nnot 6nto 6nestablish 6nnursing 6ntheory
6nor 6nexplain 6nnursing 6ninterventions 6nto 6nother 6nhealth 6ncare 6nprofessionals.
DIF: Cognitive 6nLevel: 6nComprehension TOP: 6 n Nursing 6nProcess: 6nImplementation
3. The 6nnurse 6nis 6ncaring 6nfor 6na 6ncritically 6nill 6nclient 6nin 6nthe 6nintensive 6ncare 6nunit 6nand 6nplans 6nan
6nevery 6n2-hour 6nturning 6nschedule 6nto 6nprevent 6nskin 6nbreakdown. 6nWhich 6ntype 6nof 6nnursing
6nfunction 6nis 6ndemonstrated 6nwith 6nthis 6nturning 6nschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT 6nANSWER: 6 n D
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
6n 6n
Section 6nOne 6n– 6nConcepts 6nin 6nNursing 6nPractice
1 6nIntroduction 6nto 6nMedical-Surgical 6nNursing 6nPractice 6nin 6nCanada
2 6nCultural 6nCompetence 6nand 6nHealth 6nEquity 6nin 6nCare
3 6nHealth 6nHistory 6nand 6nPhysical 6nExamination
4 6nPatient 6nand 6nCaregiver 6nTeaching
5 6nChronic 6nIllness
6 6nCommunity-Based 6nNursing 6nand 6nHome 6nCare
7 6nOlder 6nAdults
8 6nStress 6nand 6nStress 6nManagement
9 6nSleep 6nand 6nSleep 6nDisorders
10 6nPain
11 6nSubstance 6nUse
12 6nComplementary 6nand 6nAlternative 6nTherapies
13 6nPalliative 6nCare 6nat 6nthe 6nEnd 6nof 6nLife
Section 6nTwo 6n– 6nPathophysiological 6nMechanisms 6nof 6nDisease
14 6nInflammation 6nand 6nWound 6nHealing
15 6nGenetics
16 6nAltered 6nImmune 6nResponse 6nand 6nTransplantation
17 6nInfection 6nand 6nHuman 6nImmunodeficiency 6nVirus 6nInfection
18 6nCancer
19 6nFluid, 6nElectrolyte, 6nand 6nAcid–Base 6nImbalances
Section 6nThree 6n– 6nPerioperative 6nCare
20 6nNursing 6nManagement: 6nPreoperative 6nCare
21 6nNursing 6nManagement: 6nIntraoperative 6nCare
22 6nNursing 6nManagement: 6nPost-operative 6nCare
Section 6nFour 6n– 6nProblems 6nRelated 6nto 6nAltered 6nSensory 6nInput
23 6nNursing 6nAssessment: 6nVisual 6nand 6nAuditory 6nSystems
24 6nNursing 6nManagement: 6nVisual 6nand 6nAuditory 6nProblems
25 6nNursing 6nAssessment: 6nIntegumentary 6nSystem
26 6nNursing 6nManagement: 6nIntegumentary 6nProblems
27 6nNursing 6nManagement: 6nBurns
Section 6nFive 6n– 6nProblems 6nof 6nOxygenation: 6nVentilation
28 6nNursing 6nAssessment: 6nRespiratory 6nSystem
29 6nNursing 6nManagement: 6nUpper 6nRespiratory 6nProblems
30 6nNursing 6nManagement: 6nLower 6nRespiratory 6nProblems
31 6nNursing 6nManagement: 6nObstructive 6nPulmonary 6nDiseases
Section 6nSix 6n– 6nProblems 6nof 6nOxygenation: 6nTransport
32 6nNursing 6nAssessment: 6nHematological 6nSystem
33 6nNursing 6nManagement: 6nHematological 6nProblems
Section 6nSeven 6n– 6nProblems 6nof 6nOxygenation: 6nPerfusion
34 6nNursing 6nAssessment: 6nCardiovascular 6nSystem
35 6nNursing 6nManagement: 6nHypertension
36 6nNursing 6nManagement: 6nCoronary 6nArtery 6nDisease 6nand 6nAcute 6nCoronary 6nSyndrome
,37 6nNursing 6nManagement: 6nHeart 6nFailure
38 6nNursing 6nManagement: 6nDysrhythmias
39 6nNursing 6nManagement: 6nInflammatory 6nand 6nStructural 6nHeart 6nDiseases
40 6nNursing 6nManagement: 6nVascular 6nDisorders
Section 6nEight 6n– 6nProblems 6nof 6nIngestion, 6nDigestion, 6nAbsorption, 6nand 6nElimination
41 6nNursing 6nAssessment: 6nGastrointestinal 6nSystem
42 6nNursing 6nManagement: 6nNutritional 6nProblems
43 6nNursing 6nManagement: 6nObesity
44 6nNursing 6nManagement: 6nUpper 6nGastrointestinal 6nProblems
45 6nNursing 6nManagement: 6nLower 6nGastrointestinal 6nProblems
46 6nNursing 6nManagement: 6nLiver, 6nPancreas, 6nand 6nBiliary 6nTract 6nProblems
Section 6nNine 6n– 6nProblems 6nof 6nUrinary 6nFunction
47 6nNursing 6nAssessment: 6nUrinary 6nSystem
48 6nNursing 6nManagement: 6nRenal 6nand 6nUrological 6nProblems
49 6nNursing 6nManagement: 6nAcute 6nKidney 6nInjury 6nand 6nChronic 6nKidney 6nDisease
Section 6nTen 6n– 6nProblems 6nRelated 6nto 6nRegulatory 6nand 6nReproductive 6nMechanisms
50 6nNursing 6nAssessment: 6nEndocrine 6nSystem
51 6nNursing 6nManagement: 6nEndocrine 6nProblems
52 6nNursing 6nManagement: 6nDiabetes 6nMellitus
53 6nNursing 6nAssessment: 6nReproductive 6nSystem
54 6nNursing 6nManagement: 6nBreast 6nDisorders
55 6nNursing 6nManagement: 6nSexually 6nTransmitted 6nInfections
56 6nNursing 6nManagement: 6nFemale 6nReproductive 6nProblems
57 6nNursing 6nManagement: 6nMale 6nReproductive 6nProblems
Section 6nEleven 6n– 6nProblems 6nRelated 6nto 6nMovement 6nand 6nCoordination
58 6nNursing 6nAssessment: 6nNervous 6nSystem
59 6nNursing 6nManagement: 6nAcute 6nIntracranial 6nProblems
60 6nNursing 6nManagement: 6nStroke
61 6nNursing 6nManagement: 6nChronic 6nNeurological 6nProblems
62 6nNursing 6nManagement: 6nDelirium, 6nAlzheimer’s 6nDisease, 6nand 6nOther 6nDementias
63 6nNursing 6nManagement: 6nPeripheral 6nNerve 6nand 6nSpinal 6nCord 6nProblems
64 6nNursing 6nAssessment: 6nMusculoskeletal 6nSystem
65 6nNursing 6nManagement: 6nMusculoskeletal 6nTrauma 6nand 6nOrthopedic 6nSurgery
66 6nNursing 6nManagement: 6nMusculoskeletal 6nProblems
67 6nNursing 6nManagement: 6nArthritis 6nand 6nConnective 6nTissue 6nDiseases
Section 6nTwelve 6n– 6nNursing 6nCare 6nin 6nSpecialized 6nSettings
68 6nNursing 6nManagement: 6nCritical 6nCare 6nEnvironment
69 6nNursing 6nManagement: 6nShock, 6nSystemic 6nInflammatory 6nResponse 6nSyndrome, 6nand
6nMultiple-Organ 6nDysfunction 6nSyndrome
70 6nNursing 6nManagement: 6nRespiratory 6nFailure 6nand 6nAcute 6nRespiratory 6nDistress
6nSyndrome
71 6nNursing 6nManagement: 6nEmergency 6nCare 6nSituations
72 6nEmergency 6nManagement 6nand 6nDisaster 6nPlanning
, Chapter 6n01: 6nIntroduction 6nto 6nMedical-Surgical 6nNursing 6nPractice 6nin 6nCanada
6nLewis: 6nMedical-Surgical 6nNursing 6nin 6nCanada, 6n4th 6nCanadian 6nEdition
MULTIPLE 6nCHOICE
1. When 6ncaring 6nfor 6nclients 6nusing 6nevidence-informed 6npractice, 6nwhich 6nof 6nthe 6nfollowing
6ndoes 6nthe 6nnurse 6nuse?
a. Clinical 6njudgement 6nbased 6non 6nexperience
b. Evidence 6nfrom 6na 6nclinical 6nresearch 6nstudy
c. The 6nbest 6navailable 6nevidence 6nto 6nguide 6nclinical 6nexpertise
d. Evaluation 6nof 6ndata 6nshowing 6nthat 6nthe 6nclient 6noutcomes 6nare 6nmet
CORRECT 6nANSWER:
6 n C
Evidence-informed 6nnursing 6npractice 6nis 6na 6ncontinuous 6ninteractive 6nprocess 6ninvolving 6nthe
6nexplicit, 6nconscientious, 6nand 6njudicious 6nconsideration 6nof 6nthe 6nbest 6navailable 6nevidence 6nto
6nprovide 6ncare. 6nFour 6nprimary 6nelements 6nare: 6n(a) 6nclinical 6nstate, 6nsetting, 6nand
6ncircumstances; 6n(b) 6nclient 6npreferences 6nand 6nactions; 6n(c) 6nbest 6nresearch 6nevidence; 6nand 6n(d)
6nhealth 6ncare 6nresources. 6nClinical 6njudgement 6nbased 6non 6nthe 6nnurse’s 6nclinical 6nexperience 6nis
6npart 6nof 6nEIP, 6nbut 6nclinical 6ndecision 6nmaking 6nalso 6nshould 6nincorporate 6ncurrent 6nresearch
6nand 6nresearch-based 6nguidelines. 6nEvidence 6nfrom 6none 6nclinical 6nresearch 6nstudy 6ndoes 6nnot
6nprovide 6nan 6nadequate 6nsubstantiation 6nfor 6ninterventions. 6nEvaluation 6nof 6nclient 6noutcomes 6nis
6nimportant, 6nbut 6ninterventions 6nshould 6nbe 6nbased 6non 6nresearch 6nfrom 6nrandomized 6ncontrol
6nstudies 6nwith 6na 6nlarge 6nnumber 6nof 6nsubjects.
DIF: Cognitive 6nLevel: 6nComprehension TOP: 6 n Nursing 6nProcess: 6nPlanning
2. Which 6n of 6n the 6n following 6 n best 6n N
e x p lRa i n sIt h eGn u B
r s e. sC
’ 6 n prM
imary 6 n use 6nof 6 n the 6nnursing 6 n process
6nwhen
providing 6ncare 6nto U6nS6nN6nT O
6nclients?
a. To 6nexplain 6nnursing 6ninterventions 6nto 6nother 6nhealth 6ncare 6nprofessionals
b. As 6na 6nproblem-solving 6ntool 6nto 6nidentify 6nand 6ntreat 6nclients’ 6nhealth 6ncare 6nneeds
c. As 6na 6nscientific-based 6nprocess 6nof 6ndiagnosing 6nthe 6nclient’s 6nhealth 6ncare 6nproblems
d. To 6nestablish 6nnursing 6ntheory 6nthat 6nincorporates 6nthe 6nbiopsychosocial 6nnature 6nof 6nhumans
CORRECT 6nANSWER: 6 n B
The 6nnursing 6nprocess 6nis 6nan 6nassertive 6nproblem-solving 6napproach 6nto 6nthe 6nidentification
6nand 6ntreatment 6nof 6nclients’ 6nproblems. 6nDiagnosis 6nis 6nonly 6none 6nphase 6nof 6nthe 6nnursing
6nprocess. 6nThe
primary 6nuse 6nof 6nthe 6nnursing 6nprocess 6nis 6nin 6nclient 6ncare, 6nnot 6nto 6nestablish 6nnursing 6ntheory
6nor 6nexplain 6nnursing 6ninterventions 6nto 6nother 6nhealth 6ncare 6nprofessionals.
DIF: Cognitive 6nLevel: 6nComprehension TOP: 6 n Nursing 6nProcess: 6nImplementation
3. The 6nnurse 6nis 6ncaring 6nfor 6na 6ncritically 6nill 6nclient 6nin 6nthe 6nintensive 6ncare 6nunit 6nand 6nplans 6nan
6nevery 6n2-hour 6nturning 6nschedule 6nto 6nprevent 6nskin 6nbreakdown. 6nWhich 6ntype 6nof 6nnursing
6nfunction 6nis 6ndemonstrated 6nwith 6nthis 6nturning 6nschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT 6nANSWER: 6 n D
