Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
,TABLE OF CONTENTS
o o
SectionoOneo–oConceptsoinoNursingoPractice
1oIntroductionotooMedical-SurgicaloNursingoPracticeoinoCanada
2oCulturaloCompetenceoandoHealthoEquityoinoCare
3oHealthoHistoryoandoPhysicaloExamination
4oPatientoandoCaregiveroTeaching
5oChronicoIllness
6oCommunity-BasedoNursingoandoHomeoCare
7oOlderoAdults
8oStressoandoStressoManagement
9oSleepoandoSleepoDisorders
10oPain
11oSubstanceoUse
12oComplementaryoandoAlternativeoTherapies
13oPalliativeoCareoatotheoEndoofoLife
SectionoTwoo–oPathophysiologicaloMechanismsoofoDisease
14oInflammationoandoWoundoHealing
15oGenetics
16oAlteredoImmuneoResponseoandoTransplantation
17oInfectionoandoHumanoImmunodeficiencyoVirusoInfection
18oCancer
19oFluid,oElectrolyte,oandoAcid–BaseoImbalances
SectionoThreeo–oPerioperativeoCare
20oNursingoManagement:oPreoperativeoCare
21oNursingoManagement:oIntraoperativeoCare
22oNursingoManagement:oPost-operativeoCare
SectionoFouro–oProblemsoRelatedotooAlteredoSensoryoInput
23oNursingoAssessment:oVisualoandoAuditoryoSystems
24oNursingoManagement:oVisualoandoAuditoryoProblems
25oNursingoAssessment:oIntegumentaryoSystem
26oNursingoManagement:oIntegumentaryoProblems
27oNursingoManagement:oBurns
SectionoFiveo–oProblemsoofoOxygenation:oVentilation
28oNursingoAssessment:oRespiratoryoSystem
29oNursingoManagement:oUpperoRespiratoryoProblems
30oNursingoManagement:oLoweroRespiratoryoProblems
31oNursingoManagement:oObstructiveoPulmonaryoDiseases
SectionoSixo–oProblemsoofoOxygenation:oTransport
32oNursingoAssessment:oHematologicaloSystem
33oNursingoManagement:oHematologicaloProblems
SectionoSeveno–oProblemsoofoOxygenation:oPerfusion
34oNursingoAssessment:oCardiovascularoSystem
35oNursingoManagement:oHypertension
,36oNursingoManagement:oCoronaryoArteryoDiseaseoandoAcuteoCoronaryoSyndrome
37oNursingoManagement:oHeartoFailure
38oNursingoManagement:oDysrhythmias
39oNursingoManagement:oInflammatoryoandoStructuraloHeartoDiseases
40oNursingoManagement:oVascularoDisorders
SectionoEighto–oProblemsoofoIngestion,oDigestion,oAbsorption,oandoElimination
41oNursingoAssessment:oGastrointestinaloSystem
42oNursingoManagement:oNutritionaloProblems
43oNursingoManagement:oObesity
44oNursingoManagement:oUpperoGastrointestinaloProblems
45oNursingoManagement:oLoweroGastrointestinaloProblems
46oNursingoManagement:oLiver,oPancreas,oandoBiliaryoTractoProblems
SectionoNineo–oProblemsoofoUrinaryoFunction
47oNursingoAssessment:oUrinaryoSystem
48oNursingoManagement:oRenaloandoUrologicaloProblems
49oNursingoManagement:oAcuteoKidneyoInjuryoandoChronicoKidneyoDisease
SectionoTeno–oProblemsoRelatedotooRegulatoryoandoReproductiveoMechanisms
50oNursingoAssessment:oEndocrineoSystem
51oNursingoManagement:oEndocrineoProblems
52oNursingoManagement:oDiabetesoMellitus
53oNursingoAssessment:oReproductiveoSystem
54oNursingoManagement:oBreastoDisorders
55oNursingoManagement:oSexuallyoTransmittedoInfections
56oNursingoManagement:oFemaleoReproductiveoProblems
57oNursingoManagement:oMaleoReproductiveoProblems
SectionoEleveno–oProblemsoRelatedotooMovementoandoCoordination
58oNursingoAssessment:oNervousoSystem
59oNursingoManagement:oAcuteoIntracranialoProblems
60oNursingoManagement:oStroke
61oNursingoManagement:oChronicoNeurologicaloProblems
62oNursingoManagement:oDelirium,oAlzheimer’soDisease,oandoOtheroDementias
63oNursingoManagement:oPeripheraloNerveoandoSpinaloCordoProblems
64oNursingoAssessment:oMusculoskeletaloSystem
65oNursingoManagement:oMusculoskeletaloTraumaoandoOrthopedicoSurgery
66oNursingoManagement:oMusculoskeletaloProblems
67oNursingoManagement:oArthritisoandoConnectiveoTissueoDiseases
SectionoTwelveo–oNursingoCareoinoSpecializedoSettings
68oNursingoManagement:oCriticaloCareoEnvironment
69oNursingoManagement:oShock,oSystemicoInflammatoryoResponseoSyndrome,oandoMu
ltiple-OrganoDysfunctionoSyndrome
70oNursingoManagement:oRespiratoryoFailureoandoAcuteoRespiratoryoDistressoSyndro
me
71oNursingoManagement:oEmergencyoCareoSituations
72oEmergencyoManagementoandoDisasteroPlanning
, Chaptero01:oIntroductionotooMedical-
SurgicaloNursingoPracticeoinoCanadaoLewis:oMedical-
SurgicaloNursingoinoCanada,o4thoCanadianoEdition
MULTIPLEoCHOICE
1. Whenocaringoforoclientsousingoevidence-
informedopractice,owhichoofotheofollowingodoesotheonurseouse?
a. Clinicalojudgementobasedoonoexperience
b. Evidenceofromoaoclinicaloresearchostudy
c. Theobestoavailableoevidenceotooguideoclinicaloexpertise
d. Evaluationoofodataoshowingothatotheoclientooutcomesoareomet
CORRECToANSWER:o C
Evidence-
informedonursingopracticeoisoaocontinuousointeractiveoprocessoinvolvingotheoexplicit,oco
nscientious,oandojudiciousoconsiderationoofotheobestoavailableoevidenceotooprovideocare.o
Fouroprimaryoelementsoare:o(a)oclinicalostate,osetting,oandocircumstances;o(b)oclientopre
ferencesoandoactions;o(c)obestoresearchoevidence;oando(d)ohealthocareoresources.oClinica
lojudgementobasedoonotheonurse’soclinicaloexperienceoisopartoofoEIP,obutoclinicalodecisio
nomakingoalsooshouldoincorporateocurrentoresearchoandoresearch-
basedoguidelines.oEvidenceofromooneoclinicaloresearchostudyodoesonotoprovideoanoadeq
uateosubstantiationoforointerventions.oEvaluationoofoclientooutcomesoisoimportant,obutoi
nterventionsoshouldobeobasedoonoresearchofromorandomizedocontrolostudiesowithoaolar
geonumberoofosubjects.
DIF: CognitiveoLevel:oComprehension TOP:o NursingoProcess:oPlanning
2. Whicho ofo theo followingo besto N
e x p lRa i n sIt h eGn u B ’ o prM
r s e. sC imaryo useo ofo theo nursingo processo whe
n
providingocareotooclient UoSoNoT O
s?
a. Tooexplainonursingointerventionsotoootherohealthocareoprofessionals
b. Asoaoproblem-solvingotoolotooidentifyoandotreatoclients’ohealthocareoneeds
c. Asoaoscientific-basedoprocessoofodiagnosingotheoclient’sohealthocareoproblems
d. Tooestablishonursingotheoryothatoincorporatesotheobiopsychosocialonatureoofohumans
CORRECToANSWER:o B
Theonursingoprocessoisoanoassertiveoproblem-
solvingoapproachotootheoidentificationoandotreatmentoofoclients’oproblems.oDiagnosisoiso
onlyooneophaseoofotheonursingoprocess.oThe
primaryouseoofotheonursingoprocessoisoinoclientocare,onototooestablishonursingotheoryooro
explainonursingointerventionsotoootherohealthocareoprofessionals.
DIF: CognitiveoLevel:oComprehension TOP:o NursingoProcess:oImplementation
3. Theonurseoisocaringoforoaocriticallyoilloclientoinotheointensiveocareounitoandoplansoanoever
yo2-
houroturningoscheduleotoopreventoskinobreakdown.oWhichotypeoofonursingofunctionoisod
emonstratedowithothisoturningoschedule?
a. Dependent
b. Cooperative
c. Independent