TEST BANK
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
7b 7b
Section 7bOne 7b– 7bConcepts 7bin 7bNursing 7bPractice
1 7bIntroduction 7bto 7bMedical-Surgical 7bNursing 7bPractice 7bin 7bCanada
2 7bCultural 7bCompetence 7band 7bHealth 7bEquity 7bin 7bCare
3 7bHealth 7bHistory 7band 7bPhysical 7bExamination
4 7bPatient 7band 7bCaregiver 7bTeaching
5 7bChronic 7bIllness
6 7bCommunity-Based 7bNursing 7band 7bHome 7bCare
7 7bOlder 7bAdults
8 7bStress 7band 7bStress 7bManagement
9 7bSleep 7band 7bSleep 7bDisorders
10 7bPain
11 7bSubstance 7bUse
12 7bComplementary 7band 7bAlternative 7bTherapies
13 7bPalliative 7bCare 7bat 7bthe 7bEnd 7bof 7bLife
Section 7bTwo 7b– 7bPathophysiological 7bMechanisms 7bof 7bDisease
14 7bInflammation 7band 7bWound 7bHealing
15 7bGenetics
16 7bAltered 7bImmune 7bResponse 7band 7bTransplantation
17 7bInfection 7band 7bHuman 7bImmunodeficiency 7bVirus 7bInfection
18 7bCancer
19 7bFluid, 7bElectrolyte, 7band 7bAcid–Base 7bImbalances
Section 7bThree 7b– 7bPerioperative 7bCare
20 7bNursing 7bManagement: 7bPreoperative 7bCare
21 7bNursing 7bManagement: 7bIntraoperative 7bCare
22 7bNursing 7bManagement: 7bPost-operative 7bCare
Section 7bFour 7b– 7bProblems 7bRelated 7bto 7bAltered 7bSensory 7bInput
23 7bNursing 7bAssessment: 7bVisual 7band 7bAuditory 7bSystems
24 7bNursing 7bManagement: 7bVisual 7band 7bAuditory 7bProblems
25 7bNursing 7bAssessment: 7bIntegumentary 7bSystem
26 7bNursing 7bManagement: 7bIntegumentary 7bProblems
27 7bNursing 7bManagement: 7bBurns
Section 7bFive 7b– 7bProblems 7bof 7bOxygenation: 7bVentilation
28 7bNursing 7bAssessment: 7bRespiratory 7bSystem
29 7bNursing 7bManagement: 7bUpper 7bRespiratory 7bProblems
30 7bNursing 7bManagement: 7bLower 7bRespiratory 7bProblems
31 7bNursing 7bManagement: 7bObstructive 7bPulmonary 7bDiseases
Section 7bSix 7b– 7bProblems 7bof 7bOxygenation: 7bTransport
32 7bNursing 7bAssessment: 7bHematological 7bSystem
33 7bNursing 7bManagement: 7bHematological 7bProblems
Section 7bSeven 7b– 7bProblems 7bof 7bOxygenation: 7bPerfusion
34 7bNursing 7bAssessment: 7bCardiovascular 7bSystem
35 7bNursing 7bManagement: 7bHypertension
36 7bNursing 7bManagement: 7bCoronary 7bArtery 7bDisease 7band 7bAcute 7bCoronary 7bSyndrome
,37 7bNursing 7bManagement: 7bHeart 7bFailure
38 7bNursing 7bManagement: 7bDysrhythmias
39 7bNursing 7bManagement: 7bInflammatory 7band 7bStructural 7bHeart 7bDiseases
40 7bNursing 7bManagement: 7bVascular 7bDisorders
Section 7bEight 7b– 7bProblems 7bof 7bIngestion, 7bDigestion, 7bAbsorption, 7band 7bElimination
41 7bNursing 7bAssessment: 7bGastrointestinal 7bSystem
42 7bNursing 7bManagement: 7bNutritional 7bProblems
43 7bNursing 7bManagement: 7bObesity
44 7bNursing 7bManagement: 7bUpper 7bGastrointestinal 7bProblems
45 7bNursing 7bManagement: 7bLower 7bGastrointestinal 7bProblems
46 7bNursing 7bManagement: 7bLiver, 7bPancreas, 7band 7bBiliary 7bTract 7bProblems
Section 7bNine 7b– 7bProblems 7bof 7bUrinary 7bFunction
47 7bNursing 7bAssessment: 7bUrinary 7bSystem
48 7bNursing 7bManagement: 7bRenal 7band 7bUrological 7bProblems
49 7bNursing 7bManagement: 7bAcute 7bKidney 7bInjury 7band 7bChronic 7bKidney 7bDisease
Section 7bTen 7b– 7bProblems 7bRelated 7bto 7bRegulatory 7band 7bReproductive 7bMechanisms
50 7bNursing 7bAssessment: 7bEndocrine 7bSystem
51 7bNursing 7bManagement: 7bEndocrine 7bProblems
52 7bNursing 7bManagement: 7bDiabetes 7bMellitus
53 7bNursing 7bAssessment: 7bReproductive 7bSystem
54 7bNursing 7bManagement: 7bBreast 7bDisorders
55 7bNursing 7bManagement: 7bSexually 7bTransmitted 7bInfections
56 7bNursing 7bManagement: 7bFemale 7bReproductive 7bProblems
57 7bNursing 7bManagement: 7bMale 7bReproductive 7bProblems
Section 7bEleven 7b– 7bProblems 7bRelated 7bto 7bMovement 7band 7bCoordination
58 7bNursing 7bAssessment: 7bNervous 7bSystem
59 7bNursing 7bManagement: 7bAcute 7bIntracranial 7bProblems
60 7bNursing 7bManagement: 7bStroke
61 7bNursing 7bManagement: 7bChronic 7bNeurological 7bProblems
62 7bNursing 7bManagement: 7bDelirium, 7bAlzheimer’s 7bDisease, 7band 7bOther 7bDementias
63 7bNursing 7bManagement: 7bPeripheral 7bNerve 7band 7bSpinal 7bCord 7bProblems
64 7bNursing 7bAssessment: 7bMusculoskeletal 7bSystem
65 7bNursing 7bManagement: 7bMusculoskeletal 7bTrauma 7band 7bOrthopedic 7bSurgery
66 7bNursing 7bManagement: 7bMusculoskeletal 7bProblems
67 7bNursing 7bManagement: 7bArthritis 7band 7bConnective 7bTissue 7bDiseases
Section 7bTwelve 7b– 7bNursing 7bCare 7bin 7bSpecialized 7bSettings
68 7bNursing 7bManagement: 7bCritical 7bCare 7bEnvironment
69 7bNursing 7bManagement: 7bShock, 7bSystemic 7bInflammatory 7bResponse 7bSyndrome, 7band
7bMultiple-Organ 7bDysfunction 7bSyndrome
70 7bNursing 7bManagement: 7bRespiratory 7bFailure 7band 7bAcute 7bRespiratory 7bDistress
7bSyndrome
71 7bNursing 7bManagement: 7bEmergency 7bCare 7bSituations
72 7bEmergency 7bManagement 7band 7bDisaster 7bPlanning
, Chapter 7b01: 7bIntroduction 7bto 7bMedical-Surgical 7bNursing 7bPractice 7bin 7bCanada
7bLewis: 7bMedical-Surgical 7bNursing 7bin 7bCanada, 7b4th 7bCanadian 7bEdition
MULTIPLE 7bCHOICE
1. When 7bcaring 7bfor 7bclients 7busing 7bevidence-informed 7bpractice, 7bwhich 7bof 7bthe 7bfollowing
7bdoes 7bthe 7bnurse 7buse?
a. Clinical 7bjudgement 7bbased 7bon 7bexperience
b. Evidence 7bfrom 7ba 7bclinical 7bresearch 7bstudy
c. The 7bbest 7bavailable 7bevidence 7bto 7bguide 7bclinical 7bexpertise
d. Evaluation 7bof 7bdata 7bshowing 7bthat 7bthe 7bclient 7boutcomes 7bare 7bmet
CORRECT 7bANSWER:
7 b C
Evidence-informed 7bnursing 7bpractice 7bis 7ba 7bcontinuous 7binteractive 7bprocess 7binvolving 7bthe
7bexplicit, 7bconscientious, 7band 7bjudicious 7bconsideration 7bof 7bthe 7bbest 7bavailable 7bevidence 7bto
7bprovide 7bcare. 7bFour 7bprimary 7belements 7bare: 7b(a) 7bclinical 7bstate, 7bsetting, 7band
7bcircumstances; 7b(b) 7bclient 7bpreferences 7band 7bactions; 7b(c) 7bbest 7bresearch 7bevidence; 7band 7b(d)
7bhealth 7bcare 7bresources. 7bClinical 7bjudgement 7bbased 7bon 7bthe 7bnurse’s 7bclinical 7bexperience 7bis
7bpart 7bof 7bEIP, 7bbut 7bclinical 7bdecision 7bmaking 7balso 7bshould 7bincorporate 7bcurrent 7bresearch
7band 7bresearch-based 7bguidelines. 7bEvidence 7bfrom 7bone 7bclinical 7bresearch 7bstudy 7bdoes 7bnot
7bprovide 7ban 7badequate 7bsubstantiation 7bfor 7binterventions. 7bEvaluation 7bof 7bclient 7boutcomes 7bis
7bimportant, 7bbut 7binterventions 7bshould 7bbe 7bbased 7bon 7bresearch 7bfrom 7brandomized 7bcontrol
7bstudies 7bwith 7ba 7blarge 7bnumber 7bof 7bsubjects.
DIF: Cognitive 7bLevel: 7bComprehension TOP: 7 b Nursing 7bProcess: 7bPlanning
2. Which 7b of 7b the 7b following 7 b best 7b N
e x p lRa i n sIt h eGn u B
r s e. sC
’ 7 b prM
imary 7 b use 7b of 7b the 7b nursing 7 b process
7bwhen
providing 7bcare 7bto U7bS7bN7bT O
7bclients?
a. To 7bexplain 7bnursing 7binterventions 7bto 7bother 7bhealth 7bcare 7bprofessionals
b. As 7ba 7bproblem-solving 7btool 7bto 7bidentify 7band 7btreat 7bclients’ 7bhealth 7bcare 7bneeds
c. As 7ba 7bscientific-based 7bprocess 7bof 7bdiagnosing 7bthe 7bclient’s 7bhealth 7bcare 7bproblems
d. To 7bestablish 7bnursing 7btheory 7bthat 7bincorporates 7bthe 7bbiopsychosocial 7bnature 7bof 7bhumans
CORRECT 7bANSWER: 7 b B
The 7bnursing 7bprocess 7bis 7ban 7bassertive 7bproblem-solving 7bapproach 7bto 7bthe 7bidentification
7band 7btreatment 7bof 7bclients’ 7bproblems. 7bDiagnosis 7bis 7bonly 7bone 7bphase 7bof 7bthe 7bnursing
7bprocess. 7bThe
primary 7buse 7bof 7bthe 7bnursing 7bprocess 7bis 7bin 7bclient 7bcare, 7bnot 7bto 7bestablish 7bnursing 7btheory
7bor 7bexplain 7bnursing 7binterventions 7bto 7bother 7bhealth 7bcare 7bprofessionals.
DIF: Cognitive 7bLevel: 7bComprehension TOP: 7 b Nursing 7bProcess: 7bImplementation
3. The 7bnurse 7bis 7bcaring 7bfor 7ba 7bcritically 7bill 7bclient 7bin 7bthe 7bintensive 7bcare 7bunit 7band 7bplans 7ban
7bevery 7b2-hour 7bturning 7bschedule 7bto 7bprevent 7bskin 7bbreakdown. 7bWhich 7btype 7bof 7bnursing
7bfunction 7bis 7bdemonstrated 7bwith 7bthis 7bturning 7bschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT 7bANSWER: 7 b D
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
,TABLE OF CONTENTS
7b 7b
Section 7bOne 7b– 7bConcepts 7bin 7bNursing 7bPractice
1 7bIntroduction 7bto 7bMedical-Surgical 7bNursing 7bPractice 7bin 7bCanada
2 7bCultural 7bCompetence 7band 7bHealth 7bEquity 7bin 7bCare
3 7bHealth 7bHistory 7band 7bPhysical 7bExamination
4 7bPatient 7band 7bCaregiver 7bTeaching
5 7bChronic 7bIllness
6 7bCommunity-Based 7bNursing 7band 7bHome 7bCare
7 7bOlder 7bAdults
8 7bStress 7band 7bStress 7bManagement
9 7bSleep 7band 7bSleep 7bDisorders
10 7bPain
11 7bSubstance 7bUse
12 7bComplementary 7band 7bAlternative 7bTherapies
13 7bPalliative 7bCare 7bat 7bthe 7bEnd 7bof 7bLife
Section 7bTwo 7b– 7bPathophysiological 7bMechanisms 7bof 7bDisease
14 7bInflammation 7band 7bWound 7bHealing
15 7bGenetics
16 7bAltered 7bImmune 7bResponse 7band 7bTransplantation
17 7bInfection 7band 7bHuman 7bImmunodeficiency 7bVirus 7bInfection
18 7bCancer
19 7bFluid, 7bElectrolyte, 7band 7bAcid–Base 7bImbalances
Section 7bThree 7b– 7bPerioperative 7bCare
20 7bNursing 7bManagement: 7bPreoperative 7bCare
21 7bNursing 7bManagement: 7bIntraoperative 7bCare
22 7bNursing 7bManagement: 7bPost-operative 7bCare
Section 7bFour 7b– 7bProblems 7bRelated 7bto 7bAltered 7bSensory 7bInput
23 7bNursing 7bAssessment: 7bVisual 7band 7bAuditory 7bSystems
24 7bNursing 7bManagement: 7bVisual 7band 7bAuditory 7bProblems
25 7bNursing 7bAssessment: 7bIntegumentary 7bSystem
26 7bNursing 7bManagement: 7bIntegumentary 7bProblems
27 7bNursing 7bManagement: 7bBurns
Section 7bFive 7b– 7bProblems 7bof 7bOxygenation: 7bVentilation
28 7bNursing 7bAssessment: 7bRespiratory 7bSystem
29 7bNursing 7bManagement: 7bUpper 7bRespiratory 7bProblems
30 7bNursing 7bManagement: 7bLower 7bRespiratory 7bProblems
31 7bNursing 7bManagement: 7bObstructive 7bPulmonary 7bDiseases
Section 7bSix 7b– 7bProblems 7bof 7bOxygenation: 7bTransport
32 7bNursing 7bAssessment: 7bHematological 7bSystem
33 7bNursing 7bManagement: 7bHematological 7bProblems
Section 7bSeven 7b– 7bProblems 7bof 7bOxygenation: 7bPerfusion
34 7bNursing 7bAssessment: 7bCardiovascular 7bSystem
35 7bNursing 7bManagement: 7bHypertension
36 7bNursing 7bManagement: 7bCoronary 7bArtery 7bDisease 7band 7bAcute 7bCoronary 7bSyndrome
,37 7bNursing 7bManagement: 7bHeart 7bFailure
38 7bNursing 7bManagement: 7bDysrhythmias
39 7bNursing 7bManagement: 7bInflammatory 7band 7bStructural 7bHeart 7bDiseases
40 7bNursing 7bManagement: 7bVascular 7bDisorders
Section 7bEight 7b– 7bProblems 7bof 7bIngestion, 7bDigestion, 7bAbsorption, 7band 7bElimination
41 7bNursing 7bAssessment: 7bGastrointestinal 7bSystem
42 7bNursing 7bManagement: 7bNutritional 7bProblems
43 7bNursing 7bManagement: 7bObesity
44 7bNursing 7bManagement: 7bUpper 7bGastrointestinal 7bProblems
45 7bNursing 7bManagement: 7bLower 7bGastrointestinal 7bProblems
46 7bNursing 7bManagement: 7bLiver, 7bPancreas, 7band 7bBiliary 7bTract 7bProblems
Section 7bNine 7b– 7bProblems 7bof 7bUrinary 7bFunction
47 7bNursing 7bAssessment: 7bUrinary 7bSystem
48 7bNursing 7bManagement: 7bRenal 7band 7bUrological 7bProblems
49 7bNursing 7bManagement: 7bAcute 7bKidney 7bInjury 7band 7bChronic 7bKidney 7bDisease
Section 7bTen 7b– 7bProblems 7bRelated 7bto 7bRegulatory 7band 7bReproductive 7bMechanisms
50 7bNursing 7bAssessment: 7bEndocrine 7bSystem
51 7bNursing 7bManagement: 7bEndocrine 7bProblems
52 7bNursing 7bManagement: 7bDiabetes 7bMellitus
53 7bNursing 7bAssessment: 7bReproductive 7bSystem
54 7bNursing 7bManagement: 7bBreast 7bDisorders
55 7bNursing 7bManagement: 7bSexually 7bTransmitted 7bInfections
56 7bNursing 7bManagement: 7bFemale 7bReproductive 7bProblems
57 7bNursing 7bManagement: 7bMale 7bReproductive 7bProblems
Section 7bEleven 7b– 7bProblems 7bRelated 7bto 7bMovement 7band 7bCoordination
58 7bNursing 7bAssessment: 7bNervous 7bSystem
59 7bNursing 7bManagement: 7bAcute 7bIntracranial 7bProblems
60 7bNursing 7bManagement: 7bStroke
61 7bNursing 7bManagement: 7bChronic 7bNeurological 7bProblems
62 7bNursing 7bManagement: 7bDelirium, 7bAlzheimer’s 7bDisease, 7band 7bOther 7bDementias
63 7bNursing 7bManagement: 7bPeripheral 7bNerve 7band 7bSpinal 7bCord 7bProblems
64 7bNursing 7bAssessment: 7bMusculoskeletal 7bSystem
65 7bNursing 7bManagement: 7bMusculoskeletal 7bTrauma 7band 7bOrthopedic 7bSurgery
66 7bNursing 7bManagement: 7bMusculoskeletal 7bProblems
67 7bNursing 7bManagement: 7bArthritis 7band 7bConnective 7bTissue 7bDiseases
Section 7bTwelve 7b– 7bNursing 7bCare 7bin 7bSpecialized 7bSettings
68 7bNursing 7bManagement: 7bCritical 7bCare 7bEnvironment
69 7bNursing 7bManagement: 7bShock, 7bSystemic 7bInflammatory 7bResponse 7bSyndrome, 7band
7bMultiple-Organ 7bDysfunction 7bSyndrome
70 7bNursing 7bManagement: 7bRespiratory 7bFailure 7band 7bAcute 7bRespiratory 7bDistress
7bSyndrome
71 7bNursing 7bManagement: 7bEmergency 7bCare 7bSituations
72 7bEmergency 7bManagement 7band 7bDisaster 7bPlanning
, Chapter 7b01: 7bIntroduction 7bto 7bMedical-Surgical 7bNursing 7bPractice 7bin 7bCanada
7bLewis: 7bMedical-Surgical 7bNursing 7bin 7bCanada, 7b4th 7bCanadian 7bEdition
MULTIPLE 7bCHOICE
1. When 7bcaring 7bfor 7bclients 7busing 7bevidence-informed 7bpractice, 7bwhich 7bof 7bthe 7bfollowing
7bdoes 7bthe 7bnurse 7buse?
a. Clinical 7bjudgement 7bbased 7bon 7bexperience
b. Evidence 7bfrom 7ba 7bclinical 7bresearch 7bstudy
c. The 7bbest 7bavailable 7bevidence 7bto 7bguide 7bclinical 7bexpertise
d. Evaluation 7bof 7bdata 7bshowing 7bthat 7bthe 7bclient 7boutcomes 7bare 7bmet
CORRECT 7bANSWER:
7 b C
Evidence-informed 7bnursing 7bpractice 7bis 7ba 7bcontinuous 7binteractive 7bprocess 7binvolving 7bthe
7bexplicit, 7bconscientious, 7band 7bjudicious 7bconsideration 7bof 7bthe 7bbest 7bavailable 7bevidence 7bto
7bprovide 7bcare. 7bFour 7bprimary 7belements 7bare: 7b(a) 7bclinical 7bstate, 7bsetting, 7band
7bcircumstances; 7b(b) 7bclient 7bpreferences 7band 7bactions; 7b(c) 7bbest 7bresearch 7bevidence; 7band 7b(d)
7bhealth 7bcare 7bresources. 7bClinical 7bjudgement 7bbased 7bon 7bthe 7bnurse’s 7bclinical 7bexperience 7bis
7bpart 7bof 7bEIP, 7bbut 7bclinical 7bdecision 7bmaking 7balso 7bshould 7bincorporate 7bcurrent 7bresearch
7band 7bresearch-based 7bguidelines. 7bEvidence 7bfrom 7bone 7bclinical 7bresearch 7bstudy 7bdoes 7bnot
7bprovide 7ban 7badequate 7bsubstantiation 7bfor 7binterventions. 7bEvaluation 7bof 7bclient 7boutcomes 7bis
7bimportant, 7bbut 7binterventions 7bshould 7bbe 7bbased 7bon 7bresearch 7bfrom 7brandomized 7bcontrol
7bstudies 7bwith 7ba 7blarge 7bnumber 7bof 7bsubjects.
DIF: Cognitive 7bLevel: 7bComprehension TOP: 7 b Nursing 7bProcess: 7bPlanning
2. Which 7b of 7b the 7b following 7 b best 7b N
e x p lRa i n sIt h eGn u B
r s e. sC
’ 7 b prM
imary 7 b use 7b of 7b the 7b nursing 7 b process
7bwhen
providing 7bcare 7bto U7bS7bN7bT O
7bclients?
a. To 7bexplain 7bnursing 7binterventions 7bto 7bother 7bhealth 7bcare 7bprofessionals
b. As 7ba 7bproblem-solving 7btool 7bto 7bidentify 7band 7btreat 7bclients’ 7bhealth 7bcare 7bneeds
c. As 7ba 7bscientific-based 7bprocess 7bof 7bdiagnosing 7bthe 7bclient’s 7bhealth 7bcare 7bproblems
d. To 7bestablish 7bnursing 7btheory 7bthat 7bincorporates 7bthe 7bbiopsychosocial 7bnature 7bof 7bhumans
CORRECT 7bANSWER: 7 b B
The 7bnursing 7bprocess 7bis 7ban 7bassertive 7bproblem-solving 7bapproach 7bto 7bthe 7bidentification
7band 7btreatment 7bof 7bclients’ 7bproblems. 7bDiagnosis 7bis 7bonly 7bone 7bphase 7bof 7bthe 7bnursing
7bprocess. 7bThe
primary 7buse 7bof 7bthe 7bnursing 7bprocess 7bis 7bin 7bclient 7bcare, 7bnot 7bto 7bestablish 7bnursing 7btheory
7bor 7bexplain 7bnursing 7binterventions 7bto 7bother 7bhealth 7bcare 7bprofessionals.
DIF: Cognitive 7bLevel: 7bComprehension TOP: 7 b Nursing 7bProcess: 7bImplementation
3. The 7bnurse 7bis 7bcaring 7bfor 7ba 7bcritically 7bill 7bclient 7bin 7bthe 7bintensive 7bcare 7bunit 7band 7bplans 7ban
7bevery 7b2-hour 7bturning 7bschedule 7bto 7bprevent 7bskin 7bbreakdown. 7bWhich 7btype 7bof 7bnursing
7bfunction 7bis 7bdemonstrated 7bwith 7bthis 7bturning 7bschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT 7bANSWER: 7 b D