Lewis's Medical Surgical Nursing in Canada,
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4th Edition by Jane Tyerman, Shelley Cobbett
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Chapters 1 - 72 Complete
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,TABLE OF CONTENTS ss ss
Section One – Concepts in Nursing Practice
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1 Introduction to Medical-Surgical Nursing Practice in Canada
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2 Cultural Competence and Health Equity in Care
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3 Health History and Physical Examination
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4 Patient and Caregiver Teaching
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5 Chronic Illness
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6 Community-Based Nursing and Home Care
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7 Older Adults
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8 Stress and Stress Management
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9 Sleep and Sleep Disorders
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10 Pain
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11 Substance Use
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12 Complementary and Alternative Therapies
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13 Palliative Care at the End of Life
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Section Two – Pathophysiological Mechanisms of Disease
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14 Inflammation and Wound Healing
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15 Genetics
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16 Altered Immune Response and Transplantation
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17 Infection and Human Immunodeficiency Virus Infection
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18 Cancer
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19 Fluid, Electrolyte, and Acid–Base Imbalances
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Section Three – Perioperative Care
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20 Nursing Management: Preoperative Care
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21 Nursing Management: Intraoperative Care
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22 Nursing Management: Post-operative Care
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Section Four – Problems Related to Altered Sensory Input
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23 Nursing Assessment: Visual and Auditory Systems
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24 Nursing Management: Visual and Auditory Problems
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25 Nursing Assessment: Integumentary System
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26 Nursing Management: Integumentary Problems
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27 Nursing Management: Burns
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Section Five – Problems of Oxygenation: Ventilation
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28 Nursing Assessment: Respiratory System
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29 Nursing Management: Upper Respiratory Problems
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30 Nursing Management: Lower Respiratory Problems
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31 Nursing Management: Obstructive Pulmonary Diseases
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Section Six – Problems of Oxygenation: Transport
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32 Nursing Assessment: Hematological System
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33 Nursing Management: Hematological Problems
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Section Seven – Problems of Oxygenation: Perfusion
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34 Nursing Assessment: Cardiovascular System
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35 Nursing Management: Hypertension
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36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
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,37 Nursing Management: Heart Failure
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38 Nursing Management: Dysrhythmias
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39 Nursing Management: Inflammatory and Structural Heart Diseases
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40 Nursing Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
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41 Nursing Assessment: Gastrointestinal System
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42 Nursing Management: Nutritional Problems
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43 Nursing Management: Obesity
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44 Nursing Management: Upper Gastrointestinal Problems
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45 Nursing Management: Lower Gastrointestinal Problems
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46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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Section Nine – Problems of Urinary Function
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47 Nursing Assessment: Urinary System
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48 Nursing Management: Renal and Urological Problems
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49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
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50 Nursing Assessment: Endocrine System
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51 Nursing Management: Endocrine Problems
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52 Nursing Management: Diabetes Mellitus
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53 Nursing Assessment: Reproductive System
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54 Nursing Management: Breast Disorders
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55 Nursing Management: Sexually Transmitted Infections
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56 Nursing Management: Female Reproductive Problems
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57 Nursing Management: Male Reproductive Problems
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Section Eleven – Problems Related to Movement and Coordination
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58 Nursing Assessment: Nervous System
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59 Nursing Management: Acute Intracranial Problems
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60 Nursing Management: Stroke
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61 Nursing Management: Chronic Neurological Problems
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62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
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63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
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64 Nursing Assessment: Musculoskeletal System
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65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
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66 Nursing Management: Musculoskeletal Problems
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67 Nursing Management: Arthritis and Connective Tissue Diseases
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Section Twelve – Nursing Care in Specialized Settings
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68 Nursing Management: Critical Care Environment
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69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and
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Multiple-Organ Dysfunction Syndrome
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70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
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71 Nursing Management: Emergency Care Situations
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72 Emergency Management and Disaster Planning
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, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
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Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
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MULTIPLE ssCHOICE
1. When sscaring ssfor ssclients ssusing ssevidence-informed sspractice, sswhich ssof ssthe ssfollowing ssdoes
the ssnurse ssuse?
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a. Clinical ssjudgement ssbased sson ssexperience
b. Evidence ssfrom ssa ssclinical ssresearch ssstudy
c. The ssbest ssavailable ssevidence ssto ssguide ssclinical ssexpertise
d. Evaluation ssof ssdata ssshowing ssthat ssthe ssclient ssoutcomes ssare ssmet
CORRECT ssANSWER:
s s C
Evidence-informed ssnursing sspractice ssis ssa sscontinuous ssinteractive ssprocess ssinvolving ssthe
ssexplicit, ssconscientious, ssand ssjudicious ssconsideration ssof ssthe ssbest ssavailable ssevidence ssto
ssprovide sscare. ssFour ssprimary sselements ssare: ss(a) ssclinical ssstate, sssetting, ssand sscircumstances;
ss(b) ssclient sspreferences ssand ssactions; ss(c) ssbest ssresearch ssevidence; ssand ss(d) sshealth sscare
ssresources. ssClinical ssjudgement ssbased sson ssthe ssnurse’s ssclinical ssexperience ssis sspart ssof ssEIP,
ssbut ssclinical ssdecision ssmaking ssalso ssshould ssincorporate sscurrent ssresearch ssand ssresearch-based
ssguidelines. ssEvidence ssfrom ssone ssclinical ssresearch ssstudy ssdoes ssnot ssprovide ssan ssadequate
sssubstantiation ssfor ssinterventions. ssEvaluation ssof ssclient ssoutcomes ssis ssimportant, ssbut
ssinterventions ssshould ssbe ssbased sson ssresearch ssfrom ss randomized sscontrol ssstudies sswith ssa sslarge
ssnumber ssof sssubjects.
DIF: Cognitive ssLevel: ssComprehension TOP: s s Nursing ssProcess: ssPlanning
2. Which ss of ss the s s following s s best ssN
e x p lRa i n sIt heGn u B
r s e. sC
’ s s prM
imary ss use ss of s s the ss nursing s s process
sswhen
providing sscare ssto UsSsNsT O
ssclients?
a. To ssexplain ssnursing ssinterventions ssto ssother sshealth sscare ssprofessionals
b. As ssa ssproblem-solving sstool ssto ssidentify ssand sstreat ssclients’ sshealth sscare ssneeds
c. As ssa ssscientific-based ssprocess ssof ssdiagnosing ssthe ssclient’s sshealth sscare ssproblems
d. To ssestablish ssnursing sstheory ssthat ssincorporates ssthe ssbiopsychosocial ssnature ssof sshumans
CORRECT ssANSWER: s s B
The ssnursing ssprocess ssis ssan ssassertive ssproblem-solving ssapproach ssto ssthe ssidentification ssand
sstreatment ssof ssclients’ ssproblems. ssDiagnosis ssis ssonly ssone ssphase ssof ssthe ssnursing ssprocess. ssThe
primary ssuse ssof ssthe ssnursing ssprocess ssis ssin ssclient sscare, ssnot ssto ssestablish ssnursing sstheory ssor
ssexplain ssnursing ssinterventions ssto ssother sshealth sscare ssprofessionals.
DIF: Cognitive ssLevel: ssComprehension TOP: s s Nursing ssProcess: ssImplementation
3. The ssnurse ssis sscaring ssfor ssa sscritically ssill ssclient ssin ssthe ssintensive sscare ssunit ssand ssplans ssan ssevery
2-hour ssturning ssschedule ssto ssprevent ssskin ssbreakdown. ssWhich sstype ssof ssnursing ssfunction ssis
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demonstrated sswith ssthis ssturning ssschedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ssANSWER: s s D