COMPLETE TEST BANK
Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
by Donna D. Ignatavicius MS RN CNE CNEcl ANEF FAADN, M. Linda Workman PhD RN FAAN,
Cherie R. Rebar PhD MBA RN CNE CNEcl COI FAADN, Nicole M. Heimgartner DNP RN CNE
CNEcl COI FAADN
10th Edition
,Table of Contents
Section i: concepts of medical-surgical nursing ........................................................................ 6
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-surgical nursing ................................... 24
Chapter 04: common health problems of older adults ............................................................ 32
Chapter 05: assessment and care of patients with pain ........................................................... 45
Chapter 06: concepts of genetics and genomics ...................................................................... 61
Chapter 07: concepts of rehabilitation for chronic and disabling health problems ................. 71
Chapter 08: concepts of care for patients at end of life ........................................................... 82
Chapter 09: concepts of care for perioperative patients .......................................................... 92
Section ii: concepts of emergency care and disaster preparedness ..................................... 110
Chapter 10: concepts of emergency and trauma nursing ...................................................... 110
Chapter 11: concepts of care for patients with common environmental emergencies ......... 122
Chapter 12: concepts of disaster preparedness ..................................................................... 136
Section iii: concepts of patients with problems of fluid, electrolyte, and acid- base balance 148
Chapter 13: concepts of fluid and electrolyte balance ........................................................... 148
Chapter 14: concepts of acid–base balance ........................................................................... 162
Chapter 15: concepts of infusion therapy............................................................................... 174
Section iv: interprofessional collaboration for patients with problems of immunity ............ 187
Chapter 16: concepts of inflammation and immunity ............................................................ 187
Chapter 17: concepts of care for patients with hiv disease .................................................... 199
Chapter 18: concepts of care for patients with hypersensitivity (allergy) and autoimmunity 214
Chapter 19: concepts of cancer development ........................................................................ 221
Chapter 20: concepts of care for patients with cancer ........................................................... 228
Chapter 21: concepts of care for patients with infection ....................................................... 246
Section v: interprofessional collaboration for patients with problems of skin, hair and nails 258
Chapter 22: assessment of the skin, hair, and nails ................................................................ 258
Chapter 23: concepts of care for patients with skin problems ............................................... 266
,Section vi: interprofessional collaboration for patients with problems of respiratory system
......................................................................................................................................... 282
Chapter 24: assessment of the respiratory system................................................................. 282
Chapter 25: concepts of care for patients requiring oxygen therapy or tracheostomy ......... 293
Chapter 26: concepts of care for patients with noninfectious upper respiratory problems .. 303
Chapter 27: concepts of care for patients with noninfectious lower respiratory problems .. 314
Chapter 28: concepts of care for patients with infectious respiratory problems ................... 334
Chapter 29: critical care of patients with respiratory emergencies........................................ 349
Section vii: interprofessional collaboration for patients with problems of the cardiovascular
system............................................................................................................................... 366
Chapter 30: assessment of the cardiovascular system ........................................................... 366
Chapter 31: concepts of care for patients with dysrhythmias ................................................ 380
Chapter 32: concepts of care for patients with cardiac problems .......................................... 395
Chapter 33: concepts of care for patients with vascular problems ........................................ 413
Chapter 34: critical care of patients with shock...................................................................... 434
Chapter 35: critical care of patients with acute coronary syndromes .................................... 445
Section viii: interprofessional collaboration for patients with problems of the hematologic
system............................................................................................................................... 462
Chapter 36: assessment of the hematologic system .............................................................. 462
Chapter 37: concepts of care for patients with hematologic problems ................................. 468
Section ix: interprofessional collaboration for patients with problems of the nervous system
......................................................................................................................................... 487
Chapter 38: assessment of the nervous system ..................................................................... 487
Chapter 39: concepts of care for patients with problems of the central nervous system: the
brain ........................................................................................................................................ 500
Chapter 40: concepts of care for patients with problems of the central nervous system: the
spinal cord ............................................................................................................................... 517
Chapter 41: critical care of patients with neurologic emergencies ........................................ 532
Section x: interprofessional collaboration for patients with problems of the sensory system
......................................................................................................................................... 549
Chapter 42: assessment and care of patients with eye and vision problems ........................ 550
, Chapter 43: assessment and care of patients with ear and hearing problems ...................... 562
Section xi: interprofessional collaboration for patients with problems of the musculoskeletal
system............................................................................................................................... 573
Chapter 44: assessment of the musculoskeletal system ........................................................ 573
Chapter 45: concepts of care for patients with musculoskeletal problems ........................... 581
Chapter 46: concepts of care for patients with arthritis and total joint arthroplasty ............ 592
Chapter 47: concepts of care for patients with musculoskeletal trauma ............................... 608
Section xii: interprofessional collaboration for patients with problems of the gastrointestinal
system............................................................................................................................... 624
Chapter 48: assessment of the gastrointestinal system ......................................................... 624
Chapter 49: concepts of care for patients with oral cavity and esophageal problems .......... 633
Chapter 50: concepts of care for of patients with stomach disorders ................................... 641
Chapter 51: concepts of care for patients with noninflammatory intestinal disorders ......... 651
Chapter 52: concepts of care for patients with inflammatory intestinal disorders ................ 666
Chapter 53: concepts of care for patients with liver problems .............................................. 680
Chapter 54: concepts of care for patients with problems of the biliary system and pancreas
................................................................................................................................................. 692
Chapter 55: concepts of care for patients with malnutrition: undernutrition and obesity ... 702
Section xiii: interprofessional collaboration for patients with problems of the endocrine
system............................................................................................................................... 712
Chapter 56: assessment of the endocrine system .................................................................. 712
Chapter 57: concepts of care for patients with pituitary and adrenal gland problems ......... 720
Chapter 58: concepts of care for patients with problems of the thyroid and parathyroid glands
................................................................................................................................................. 729
Chapter 59: concepts of care for patients with diabetes mellitus .......................................... 737
Section xiv: interprofessional collaboration for patients with problems of the rena/urinary
system............................................................................................................................... 761
Chapter 60: assessment of the renal/urinary system ............................................................. 761
Chapter 61: concepts of care for patients with urinary problems .......................................... 770
Chapter 62: concepts of care for patients with kidney disorders ........................................... 784
, Chapter 63: concepts of care for patients with acute kidney injury and chronic kidney disease
................................................................................................................................................. 793
Section xv: interprofessional collaboration for patients with problems of the reproductive
system............................................................................................................................... 809
Chapter 64: assessment of the reproductive system ............................................................. 809
Chapter 65: concepts of care for patients with breast disorders ........................................... 815
Chapter 66: concepts of care for patients with gynecologic problems .................................. 825
Chapter 67: concepts of care for clients with male reproductive problems .......................... 835
Chapter 68: concepts of care for transgender patients .......................................................... 844
Chapter 69: concepts of care for patients with sexually transmitted infections .................... 851
, Section i: concepts of medical-surgical nursing
Chapter 01: overview of professional nursing concepts for medical-
surgical nursing
ignatavicius: medical-surgical nursing, 10th 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
Ans>>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
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 theclient.
Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
by Donna D. Ignatavicius MS RN CNE CNEcl ANEF FAADN, M. Linda Workman PhD RN FAAN,
Cherie R. Rebar PhD MBA RN CNE CNEcl COI FAADN, Nicole M. Heimgartner DNP RN CNE
CNEcl COI FAADN
10th Edition
,Table of Contents
Section i: concepts of medical-surgical nursing ........................................................................ 6
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-surgical nursing ................................... 24
Chapter 04: common health problems of older adults ............................................................ 32
Chapter 05: assessment and care of patients with pain ........................................................... 45
Chapter 06: concepts of genetics and genomics ...................................................................... 61
Chapter 07: concepts of rehabilitation for chronic and disabling health problems ................. 71
Chapter 08: concepts of care for patients at end of life ........................................................... 82
Chapter 09: concepts of care for perioperative patients .......................................................... 92
Section ii: concepts of emergency care and disaster preparedness ..................................... 110
Chapter 10: concepts of emergency and trauma nursing ...................................................... 110
Chapter 11: concepts of care for patients with common environmental emergencies ......... 122
Chapter 12: concepts of disaster preparedness ..................................................................... 136
Section iii: concepts of patients with problems of fluid, electrolyte, and acid- base balance 148
Chapter 13: concepts of fluid and electrolyte balance ........................................................... 148
Chapter 14: concepts of acid–base balance ........................................................................... 162
Chapter 15: concepts of infusion therapy............................................................................... 174
Section iv: interprofessional collaboration for patients with problems of immunity ............ 187
Chapter 16: concepts of inflammation and immunity ............................................................ 187
Chapter 17: concepts of care for patients with hiv disease .................................................... 199
Chapter 18: concepts of care for patients with hypersensitivity (allergy) and autoimmunity 214
Chapter 19: concepts of cancer development ........................................................................ 221
Chapter 20: concepts of care for patients with cancer ........................................................... 228
Chapter 21: concepts of care for patients with infection ....................................................... 246
Section v: interprofessional collaboration for patients with problems of skin, hair and nails 258
Chapter 22: assessment of the skin, hair, and nails ................................................................ 258
Chapter 23: concepts of care for patients with skin problems ............................................... 266
,Section vi: interprofessional collaboration for patients with problems of respiratory system
......................................................................................................................................... 282
Chapter 24: assessment of the respiratory system................................................................. 282
Chapter 25: concepts of care for patients requiring oxygen therapy or tracheostomy ......... 293
Chapter 26: concepts of care for patients with noninfectious upper respiratory problems .. 303
Chapter 27: concepts of care for patients with noninfectious lower respiratory problems .. 314
Chapter 28: concepts of care for patients with infectious respiratory problems ................... 334
Chapter 29: critical care of patients with respiratory emergencies........................................ 349
Section vii: interprofessional collaboration for patients with problems of the cardiovascular
system............................................................................................................................... 366
Chapter 30: assessment of the cardiovascular system ........................................................... 366
Chapter 31: concepts of care for patients with dysrhythmias ................................................ 380
Chapter 32: concepts of care for patients with cardiac problems .......................................... 395
Chapter 33: concepts of care for patients with vascular problems ........................................ 413
Chapter 34: critical care of patients with shock...................................................................... 434
Chapter 35: critical care of patients with acute coronary syndromes .................................... 445
Section viii: interprofessional collaboration for patients with problems of the hematologic
system............................................................................................................................... 462
Chapter 36: assessment of the hematologic system .............................................................. 462
Chapter 37: concepts of care for patients with hematologic problems ................................. 468
Section ix: interprofessional collaboration for patients with problems of the nervous system
......................................................................................................................................... 487
Chapter 38: assessment of the nervous system ..................................................................... 487
Chapter 39: concepts of care for patients with problems of the central nervous system: the
brain ........................................................................................................................................ 500
Chapter 40: concepts of care for patients with problems of the central nervous system: the
spinal cord ............................................................................................................................... 517
Chapter 41: critical care of patients with neurologic emergencies ........................................ 532
Section x: interprofessional collaboration for patients with problems of the sensory system
......................................................................................................................................... 549
Chapter 42: assessment and care of patients with eye and vision problems ........................ 550
, Chapter 43: assessment and care of patients with ear and hearing problems ...................... 562
Section xi: interprofessional collaboration for patients with problems of the musculoskeletal
system............................................................................................................................... 573
Chapter 44: assessment of the musculoskeletal system ........................................................ 573
Chapter 45: concepts of care for patients with musculoskeletal problems ........................... 581
Chapter 46: concepts of care for patients with arthritis and total joint arthroplasty ............ 592
Chapter 47: concepts of care for patients with musculoskeletal trauma ............................... 608
Section xii: interprofessional collaboration for patients with problems of the gastrointestinal
system............................................................................................................................... 624
Chapter 48: assessment of the gastrointestinal system ......................................................... 624
Chapter 49: concepts of care for patients with oral cavity and esophageal problems .......... 633
Chapter 50: concepts of care for of patients with stomach disorders ................................... 641
Chapter 51: concepts of care for patients with noninflammatory intestinal disorders ......... 651
Chapter 52: concepts of care for patients with inflammatory intestinal disorders ................ 666
Chapter 53: concepts of care for patients with liver problems .............................................. 680
Chapter 54: concepts of care for patients with problems of the biliary system and pancreas
................................................................................................................................................. 692
Chapter 55: concepts of care for patients with malnutrition: undernutrition and obesity ... 702
Section xiii: interprofessional collaboration for patients with problems of the endocrine
system............................................................................................................................... 712
Chapter 56: assessment of the endocrine system .................................................................. 712
Chapter 57: concepts of care for patients with pituitary and adrenal gland problems ......... 720
Chapter 58: concepts of care for patients with problems of the thyroid and parathyroid glands
................................................................................................................................................. 729
Chapter 59: concepts of care for patients with diabetes mellitus .......................................... 737
Section xiv: interprofessional collaboration for patients with problems of the rena/urinary
system............................................................................................................................... 761
Chapter 60: assessment of the renal/urinary system ............................................................. 761
Chapter 61: concepts of care for patients with urinary problems .......................................... 770
Chapter 62: concepts of care for patients with kidney disorders ........................................... 784
, Chapter 63: concepts of care for patients with acute kidney injury and chronic kidney disease
................................................................................................................................................. 793
Section xv: interprofessional collaboration for patients with problems of the reproductive
system............................................................................................................................... 809
Chapter 64: assessment of the reproductive system ............................................................. 809
Chapter 65: concepts of care for patients with breast disorders ........................................... 815
Chapter 66: concepts of care for patients with gynecologic problems .................................. 825
Chapter 67: concepts of care for clients with male reproductive problems .......................... 835
Chapter 68: concepts of care for transgender patients .......................................................... 844
Chapter 69: concepts of care for patients with sexually transmitted infections .................... 851
, Section i: concepts of medical-surgical nursing
Chapter 01: overview of professional nursing concepts for medical-
surgical nursing
ignatavicius: medical-surgical nursing, 10th 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
Ans>>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
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 theclient.
