,TableofContents
Chapter 01 Professional Nursing Practice
p p p p 2
Chapter 02 Medical-Surgical Nursing
p p p 17
Chapter03 Health Education and Health Promotion
p p p p p p 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
p p p p p p p p p 45
Chapter 05 Stress and Inflammatory Responses
p p p p p 60
Chapter 06 Genetics and Genomics in Nursing
p p p p p p 76
Chapter 07 Disability and Chronic Illness
p p p p p 92
Chapter 08 Management of the Older Adult Patient
p p p p p p p 107
Chapter 09 Pain Management
p p p 121
Chapter 10 Fluid and Electrolytes
p p p p 137
Chapter11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
p p p p p p p 153
Chapter12 Management of Patients with Oncologic Disorders
p p p p p p 169
Chapter 13 Palliative and End-of-Life Care
p p p p p 183
Chapter14 Preoperative Nursing Management
p p p 199
Chapter15 Intraoperative Nursing Management
p p p 214
Chapter16 Postoperative Nursing Management
p p p 228
Chapter17 Assessment of Respiratory Function
p p p p 243
Chapter18 Management of Patients with Upper Respiratory Tract Disorders
p p p p p p p p p 258
Chapter19 Management of Patients with Chest and Lower Respiratory Tract Disorders
p p p p p p p p p p 272
Chapter20 Management of Patients with Chronic Pulmonary Disease
p p p p p p p 288
Chapter21 Assessment of Cardiovascular Function
p p p p 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
p p p p p p p p p 318
Chapter23 Management of Patients with Coronary Vascular Disorders
p p p p p p p 331
Chapter24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
p p p p p p p p p p
Disorders 347
Chapter25 Management of Patients with Complications from Heart Disease
p p p p p p p p p 361
Chapter26 Assessment and Management of Patients with Vascular Disorders and Problems
p p p p p p p p p p p
of Peripheral Circulation
p p 375
Chapter27 Assessment and Management of Patients with Hypertension
p p p p p p p 391
Chapter28 Assessment of Hematologic Function and Treatment Modalities
p p p p p p p p 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
p p p p p p p p 420
Chapter30 Management of Patients with Hematologic Neoplasms
p p p p p p 433
Chapter 31 Assessment of Immune Function
p p p p p 448
Chapter32 Management of Patients with Immune Deficiency Disorders
p p p p p p p 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
p p p p p p p p p 477
Chapter34 Assessment and Management ofPatients with Inflammatory Rheumatic Disorders
p p p p p p p p p 492
Chapter35 Assessment of Musculoskeletal Function
p p p p 506
Chapter36 Management of Patients with Musculoskeletal Disorders
p p p p p p 520
Chapter37 Management of Patients with Musculoskeletal Trauma
p p p p p p 535
,Chapter38 Assessment of Digestive and Gastrointestinal Function
p p p p p p 550
Chapter39 Management of Patients with Oral and Esophageal Disorders
p p p p p p p p 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
p p p p p p p p p 578
Chapter41 Management of Patients with Intestinal and Rectal Disorders
p p p p p p p p 591
Chapter42 Assessment and Management of Patients with Obesity
p p p p p p p 606
Chapter43 Assessment and Management of Patients with Hepatic Disorders
p p p p p p p p p 621
Chapter 44 Management of Patients with Biliary Disorders
p p p p p p p 635
Chapter45 Assessment and Management of Patients with Endocrine Disorders
p p p p p p p p p 650
Chapter 46 Management of Patients with Diabetes
p p p p p p 665
Chapter47 Assessment of Kidney and Urinary Function
p p p p p p 680
Chapter48 Management of Patients with Kidney Disorders
p p p p p p 695
Chapter 49 Management of Patients with Urinary Disorders
p p p p p p p 710
Chapter50 Assessment and Management of Patients with Female Physiologic Processes
p p p p p p p p p 725
Chapter51 Management of Patients with Female Reproductive Disorders
p p p p p p p 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
p p p p p p p p p 757
Chapter53 Assessment and Management ofPatients with Male Reproductive Disorders
p p p p p p p p 771
Chapter54 Assessment and Management of Patients Who Are LGBTQ
p p p p p p p p 786
Chapter55 Assessment of Integumentary Function
p p p p 794
Chapter56 Management of Patients with Dermatologic Disorders
p p p p p p 808
Chapter57 Management of Patients with Burn Injury
p p p p p p 822
Chapter58 Assessment and Management of Patients with Eye and Vision Disorders
p p p p p p p p p p p 837
Chapter59 Assessment andManagement of Patients with Hearing and Balance Disorders
p p p p p p p p p 851
Chapter60 Assessment of Neurologic Function
p p p p 866
Chapter61 Management of Patients With Neurologic Dysfunction
p p p p p p 881
Chapter62 Management of Patients With Cerebrovascular Disorders
p p p p p p 895
Chapter63 Management of Patients with Neurologic Trauma
p p p p p p 911
Chapter64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
p p p p p p p p p p
Neuropathies 926
Chapter65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
p p p p p p p p p 940
Chapter66 Management of Patients with Infectious Diseases
p p p p p p 955
Chapter67 Emergency Nursing
p p 968
Chapter 68 Disaster Nursing
p p p 977
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MULTIPLE CHOICE p
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
p p p p p p p p p p p p p p p p p p
abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
p p p p p p p p p p p p p p
obligation to these clients?
p p p p
A. The nurse should adhere to professional standards of practice and offer service to these
p p p p p p p p p p p p p
clients. p
B. The nurse should make the choice to decline this position and pursue a different nursing
p p p p p p p p p p p p p p
role. p
C. The nurse should decline to care for the client’s considering abortion.
p p p p p p p p p p
D. The nurse should express alternatives to women considering terminating their pregnancy.
p p p p p p p p p p
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
p p p p p p p p p p p p p p
beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The
p p p p p p p p p p p p p p p p p p
nurse should not provide care to the client because it is a conflict of personal values. The nurse should
p p p p p p p p p p p p p p p p p p p
not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is
p p p p p p p p p p p p p p p p p p p p p p p
not requesting information for alternatives to abortions, then the nurse should not be providing this
p p p p p p p p p p p p p p p
information.
p
PTS: 1 REF: p. 27 p
NAT: Client Needs: Safe, Effective Care Environment: Management of Care p p p p p p p p
TOP: Chapter 1: Professional Nursing Practice KEY: IntegratedProcess: p p p p p p
Caring BLM: Cognitive Level: Apply
p p p p p
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
p p p p p p p p p p p
admission the client states, "I have a living will." What implication of this should the nurse recognize?
p p p p p p p p p p p p p p p p p
A. This document is always honored, regardless of circumstances.
p p p p p p p
B. This document specifies the client's wishes before hospitalization.
p p p p p p p
C. This document is binding for the duration of the client's life.
p p p p p p p p p p
D. This document has been drawn up by the client's family to determine DNR status.
p p p p p p p p p p p p p
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
p p p p p p p p p p p p p p p p p
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
p p p p p p p p p p p p p p p
because living wills are not always honored in every circumstance, they are not binding for the
p p p p p p p p p p p p p p p p
duration of the client's life, and they are not drawn up by the client's family.
p p p p p p p p p p p p p p p
PTS: 1 REF: p. 29 p
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
p p p p p p p p p
pTOP: Chapter 1: Professional Nursing Practice p p p p
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
p p p p p p p
Analyze NOT: Multiple Choice
p p p p
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
p p p p p p p p p p p p p p p p p p p
principle of nonmaleficence. Which of the following actions would be considered a violation of this
p p p p p p p p p p p p p p p
principle?
p
A. Discussing a DNR order with a terminally ill client p p p p p p p p
B. Assisting a semi-independent client with ADLs p p p p p
C. Refusing to administer pain medication as prescribed p p p p p p
1| Pa ge
p p p p p
Chapter 01 Professional Nursing Practice
p p p p 2
Chapter 02 Medical-Surgical Nursing
p p p 17
Chapter03 Health Education and Health Promotion
p p p p p p 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
p p p p p p p p p 45
Chapter 05 Stress and Inflammatory Responses
p p p p p 60
Chapter 06 Genetics and Genomics in Nursing
p p p p p p 76
Chapter 07 Disability and Chronic Illness
p p p p p 92
Chapter 08 Management of the Older Adult Patient
p p p p p p p 107
Chapter 09 Pain Management
p p p 121
Chapter 10 Fluid and Electrolytes
p p p p 137
Chapter11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
p p p p p p p 153
Chapter12 Management of Patients with Oncologic Disorders
p p p p p p 169
Chapter 13 Palliative and End-of-Life Care
p p p p p 183
Chapter14 Preoperative Nursing Management
p p p 199
Chapter15 Intraoperative Nursing Management
p p p 214
Chapter16 Postoperative Nursing Management
p p p 228
Chapter17 Assessment of Respiratory Function
p p p p 243
Chapter18 Management of Patients with Upper Respiratory Tract Disorders
p p p p p p p p p 258
Chapter19 Management of Patients with Chest and Lower Respiratory Tract Disorders
p p p p p p p p p p 272
Chapter20 Management of Patients with Chronic Pulmonary Disease
p p p p p p p 288
Chapter21 Assessment of Cardiovascular Function
p p p p 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
p p p p p p p p p 318
Chapter23 Management of Patients with Coronary Vascular Disorders
p p p p p p p 331
Chapter24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
p p p p p p p p p p
Disorders 347
Chapter25 Management of Patients with Complications from Heart Disease
p p p p p p p p p 361
Chapter26 Assessment and Management of Patients with Vascular Disorders and Problems
p p p p p p p p p p p
of Peripheral Circulation
p p 375
Chapter27 Assessment and Management of Patients with Hypertension
p p p p p p p 391
Chapter28 Assessment of Hematologic Function and Treatment Modalities
p p p p p p p p 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
p p p p p p p p 420
Chapter30 Management of Patients with Hematologic Neoplasms
p p p p p p 433
Chapter 31 Assessment of Immune Function
p p p p p 448
Chapter32 Management of Patients with Immune Deficiency Disorders
p p p p p p p 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
p p p p p p p p p 477
Chapter34 Assessment and Management ofPatients with Inflammatory Rheumatic Disorders
p p p p p p p p p 492
Chapter35 Assessment of Musculoskeletal Function
p p p p 506
Chapter36 Management of Patients with Musculoskeletal Disorders
p p p p p p 520
Chapter37 Management of Patients with Musculoskeletal Trauma
p p p p p p 535
,Chapter38 Assessment of Digestive and Gastrointestinal Function
p p p p p p 550
Chapter39 Management of Patients with Oral and Esophageal Disorders
p p p p p p p p 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
p p p p p p p p p 578
Chapter41 Management of Patients with Intestinal and Rectal Disorders
p p p p p p p p 591
Chapter42 Assessment and Management of Patients with Obesity
p p p p p p p 606
Chapter43 Assessment and Management of Patients with Hepatic Disorders
p p p p p p p p p 621
Chapter 44 Management of Patients with Biliary Disorders
p p p p p p p 635
Chapter45 Assessment and Management of Patients with Endocrine Disorders
p p p p p p p p p 650
Chapter 46 Management of Patients with Diabetes
p p p p p p 665
Chapter47 Assessment of Kidney and Urinary Function
p p p p p p 680
Chapter48 Management of Patients with Kidney Disorders
p p p p p p 695
Chapter 49 Management of Patients with Urinary Disorders
p p p p p p p 710
Chapter50 Assessment and Management of Patients with Female Physiologic Processes
p p p p p p p p p 725
Chapter51 Management of Patients with Female Reproductive Disorders
p p p p p p p 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
p p p p p p p p p 757
Chapter53 Assessment and Management ofPatients with Male Reproductive Disorders
p p p p p p p p 771
Chapter54 Assessment and Management of Patients Who Are LGBTQ
p p p p p p p p 786
Chapter55 Assessment of Integumentary Function
p p p p 794
Chapter56 Management of Patients with Dermatologic Disorders
p p p p p p 808
Chapter57 Management of Patients with Burn Injury
p p p p p p 822
Chapter58 Assessment and Management of Patients with Eye and Vision Disorders
p p p p p p p p p p p 837
Chapter59 Assessment andManagement of Patients with Hearing and Balance Disorders
p p p p p p p p p 851
Chapter60 Assessment of Neurologic Function
p p p p 866
Chapter61 Management of Patients With Neurologic Dysfunction
p p p p p p 881
Chapter62 Management of Patients With Cerebrovascular Disorders
p p p p p p 895
Chapter63 Management of Patients with Neurologic Trauma
p p p p p p 911
Chapter64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
p p p p p p p p p p
Neuropathies 926
Chapter65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
p p p p p p p p p 940
Chapter66 Management of Patients with Infectious Diseases
p p p p p p 955
Chapter67 Emergency Nursing
p p 968
Chapter 68 Disaster Nursing
p p p 977
, il il il il
il il il il il il il il il
MULTIPLE CHOICE p
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
p p p p p p p p p p p p p p p p p p
abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
p p p p p p p p p p p p p p
obligation to these clients?
p p p p
A. The nurse should adhere to professional standards of practice and offer service to these
p p p p p p p p p p p p p
clients. p
B. The nurse should make the choice to decline this position and pursue a different nursing
p p p p p p p p p p p p p p
role. p
C. The nurse should decline to care for the client’s considering abortion.
p p p p p p p p p p
D. The nurse should express alternatives to women considering terminating their pregnancy.
p p p p p p p p p p
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
p p p p p p p p p p p p p p
beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The
p p p p p p p p p p p p p p p p p p
nurse should not provide care to the client because it is a conflict of personal values. The nurse should
p p p p p p p p p p p p p p p p p p p
not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is
p p p p p p p p p p p p p p p p p p p p p p p
not requesting information for alternatives to abortions, then the nurse should not be providing this
p p p p p p p p p p p p p p p
information.
p
PTS: 1 REF: p. 27 p
NAT: Client Needs: Safe, Effective Care Environment: Management of Care p p p p p p p p
TOP: Chapter 1: Professional Nursing Practice KEY: IntegratedProcess: p p p p p p
Caring BLM: Cognitive Level: Apply
p p p p p
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
p p p p p p p p p p p
admission the client states, "I have a living will." What implication of this should the nurse recognize?
p p p p p p p p p p p p p p p p p
A. This document is always honored, regardless of circumstances.
p p p p p p p
B. This document specifies the client's wishes before hospitalization.
p p p p p p p
C. This document is binding for the duration of the client's life.
p p p p p p p p p p
D. This document has been drawn up by the client's family to determine DNR status.
p p p p p p p p p p p p p
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
p p p p p p p p p p p p p p p p p
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
p p p p p p p p p p p p p p p
because living wills are not always honored in every circumstance, they are not binding for the
p p p p p p p p p p p p p p p p
duration of the client's life, and they are not drawn up by the client's family.
p p p p p p p p p p p p p p p
PTS: 1 REF: p. 29 p
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
p p p p p p p p p
pTOP: Chapter 1: Professional Nursing Practice p p p p
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
p p p p p p p
Analyze NOT: Multiple Choice
p p p p
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
p p p p p p p p p p p p p p p p p p p
principle of nonmaleficence. Which of the following actions would be considered a violation of this
p p p p p p p p p p p p p p p
principle?
p
A. Discussing a DNR order with a terminally ill client p p p p p p p p
B. Assisting a semi-independent client with ADLs p p p p p
C. Refusing to administer pain medication as prescribed p p p p p p
1| Pa ge
p p p p p
