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LEWIS’S MEDICAL-SURGICAL NURSING IN CANADA
By Jeffrey Kwong; Courtney
Reinisch 5th edition
,Table Of Contents
Chapter 01: Introduction To Medical-Surgical Nursing Practice In Canada ........................................................4
Chapter 02: Cultural Competence And Health Equity In Nursing Care .............................................................10
Chapter 03: Health History And Physical Examination......................................................................................18
Chapter 04: Patient And Caregiver Teaching .....................................................................................................24
Chapter 05: Chronic Illness ................................................................................................................................31
Chapter 06: Community-Based Nursing And Home Care ..................................................................................38
Chapter 07: Older Adults....................................................................................................................................42
Chapter 08: Stress And Stress Management .......................................................................................................49
Chapter 09: Sleep And Sleep Disorders .............................................................................................................53
Chapter 10: Pain .................................................................................................................................................57
Chapter 11: Substance Use .................................................................................................................................66
Chapter 12: Complementary And Alternative Therapies ....................................................................................74
Chapter 13: Palliative Care At The End Of Life.................................................................................................78
Chapter 14: Inflammation And Wound Healing.................................................................................................84
Chapter 15: Genetics ..........................................................................................................................................92
Chapter 16: Altered Immune Response And Transplantation ............................................................................96
Chapter 17: Infection And Human Immunodeficiency Virus Infection ............................................................ 106
Chapter 18: Cancer ........................................................................................................................................... 115
Chapter 19: Fluid, Electrolyte, And Acid–Base Imbalances............................................................................. 128
Chapter 20: Nursing Management: Preoperative Care ..................................................................................... 141
Chapter 21: Nursing Management: Intraoperative Care ................................................................................... 150
Chapter 22: Nursing Management: Postoperative Care .................................................................................... 157
Chapter 23: Nursing Assessment: Visual And Auditory Systems .................................................................... 166
Chapter 24: Nursing Management: Visual And Auditory Problems ................................................................ 174
Chapter 25: Nursing Assessment: Integumentary System ................................................................................ 188
Chapter 26: Nursing Management: Integumentary Problems........................................................................... 193
Chapter 27: Nursing Management: Burns ........................................................................................................ 202
Chapter 28: Nursing Assessment: Respiratory System..................................................................................... 212
Chapter 29: Nursing Management: Upper Respiratory Problems .................................................................... 222
Chapter 30: Nursing Management: Lower Respiratory Problems .................................................................... 231
Chapter 31: Nursing Management: Obstructive Pulmonary Diseases .............................................................. 247
Chapter 32: Nursing Assessment: Hematological System ................................................................................ 263
Chapter 33: Nursing Management: Hematological Problems .......................................................................... 270
Chapter 34: Nursing Assessment: Cardiovascular System ............................................................................... 283
Chapter 35: Nursing Management: Hypertension............................................................................................. 290
Chapter 36: Nursing Management: Coronary Artery Disease And Acute Coronarysyndrome ........................ 299
Chapter 37: Nursing Management: Heart Failure ............................................................................................. 313
Chapter 38: Nursing Management: Dysrhythmias............................................................................................ 322
Chapter 39: Nursing Management: Inflammatory And Structural Heart Disorders .......................................... 333
Chapter 40: Nursing Management: Vascular Disorders ................................................................................... 343
Chapter 41: Nursing Assessment: Gastro-Intestinal System............................................................................. 355
Chapter 42: Nursing Management: Nutritional Problems................................................................................. 361
,Chapter 43: Nursing Management: Obesity .................................................................................................... 370
Chapter 44: Nursing Management: Upper Gastro-Intestinal Problems............................................................ 378
Chapter 45: Nursing Management: Lower Gastro-Intestinal Problems ........................................................... 394
Chapter 46: Nursing Management: Liver, Pancreas, And Biliary Tract Problems .......................................... 411
Chapter 47: Nursing Assessment: Urinary System .......................................................................................... 426
Chapter 48: Nursing Management: Renal And Urologic Problems................................................................. 435
Chapter 49: Nursing Management: Acute Kidney Injury And Chronic Kidneydisease ................................... 448
Chapter 50: Nursing Assessment: Endocrine System ...................................................................................... 461
Chapter 51: Nursing Management: Endocrine Problems................................................................................. 470
Chapter 52: Nursing Management: Diabetes Mellitus ..................................................................................... 484
Chapter 53: Nursing Assessment: Reproductive System ................................................................................. 498
Chapter 54: Nursing Management: Breast Disorders ...................................................................................... 505
Chapter 55: Nursing Management: Sexually Transmitted Infections .............................................................. 514
Chapter 56: Nursing Management: Female Reproductive Problems ............................................................... 521
Chapter 57: Nursing Management: Male Reproductive Problems .................................................................. 536
Chapter 58: Nursing Assessment: Nervous System ......................................................................................... 546
Chapter 59: Nursing Management: Acute Intracranial Problems .................................................................... 553
Chapter 60: Nursing Management: Stroke ...................................................................................................... 567
Chapter 61: Nursing Management: Chronic Neurological Problems............................................................... 578
Chapter 62: Nursing Management: Delirium, Alzheimer‘s Disease, And Other Dementias ........................... 590
Chapter 63: Nursing Management: Peripheral Nerve And Spinal Cord Problems .......................................... 596
Chapter 64: Nursing Assessment: Musculo-Skeletal System .......................................................................... 607
Chapter 65: Nursing Management: Musculo-Skeletal Trauma And Orthopedicsurgery ................................. 614
Chapter 66: Nursing Management: Musculo-Skeletal Problems ..................................................................... 628
Chapter 67: Nursing Management: Arthritis And Connective Tissue Diseases............................................... 636
Chapter 68: Nursing Management: Critical Care Environment ....................................................................... 652
Chapter 69: Nursing Management: Shock, Systemic Inflammatory Responsesyndrome, And Multiple-Organ Dysfunction
Syndrome ........................................................................................................................................................ 665
Chapter 70: Nursing Management: Respiratory Failure And Acute Respiratorydistress Syndrome................ 674
Chapter 71: Nursing Management: Emergency Care Situations ..................................................................... 683
Chapter 72: Emergency Management And Disaster Planning ........................................................................ 691
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Chapter 01: Introduction To Medical-Surgical Nursing Practice In Canada
Lewis: Medical-Surgical Nursing In Canada, 5th Canadian Edition
Multiple Choice
1. When Caring For Patients Using Evidence-Informed Practice, Which Of The Following
Does The Nurse Use?
a. Clinical Judgement Based On Experience
b. Evidence From A Clinical Research Study
c. The Best Available Evidence To Guide Clinical Expertise
d. Evaluation Of Data Showing That The Patient Outcomes Are Met
Answer: C
Evidence-Informed Nursing Practice Is A Continuous Interactive Process Involving The Explicit,
Conscientious, And Judicious Consideration Of The Best Available Evidence To Provide
Care. Four Primary Elements Are: (1) Clinical State, Setting, And Circumstances; (2) Patient
Preferences And Actions; (3) Best Research Evidence; And (4) Health Care Resources.
Clinical Judgement Based On The Nurse‘s Clinical Experience Is Part Of Eip, But Clinical
Decision Making Also Should Incorporate Current Research And Research-Based Guidelines.
Evidence From One Clinical Research Study Does Not Provide An Adequate Substantiation
For Interventions. Evaluation Of Patient Outcomes Is Important, But Interventions Should Be
Based On Research From Randomized Control Studies With A Large Number Of Subjects.
Dif: Cognitive Level: Comprehension Top: Nursing Process: Planning
2. Which Of The Following Best Explains The Nurses‘ Primary Use Of The Nursing
Process When Providing Care To Patients?
a. To Explain Nursing Interventions To Other Health Care Professionals
b. As A Problem-Solving Tool To Identify And Treat Patients‘ Health Care Needs
c. As A Scientific-Based Process Of Diagnosing The Patient‘s Health Care Problems
d. To Establish Nursing Theory That Incorporates The Biopsychosocial Nature Of Humans
Answer: B
The Nursing Process Is An Assertive Problem-Solving Approach To The Identification And
Treatment Of Patients‘ Problems. Diagnosis Is Only One Phase Of The Nursing Process. The
Primary Use Of The Nursing Process Is In Patient Care, Not To Establish Nursing Theory Or
Explainnursing Interventions To Other Health Care Professionals.
Dif: Cognitive Level: Comprehension Top: Nursing Process: Implementation
3. The Nurse Is Caring For A Critically Ill Patient In The Intensive Care Unit And Plans An
Every 2- Hour Turning Schedule To Prevent Skin Breakdown. Which Type Of Nursing
Function Is Demonstrated With This Turning Schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
Answer: D
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LEWIS’S MEDICAL-SURGICAL NURSING IN CANADA
By Jeffrey Kwong; Courtney
Reinisch 5th edition
,Table Of Contents
Chapter 01: Introduction To Medical-Surgical Nursing Practice In Canada ........................................................4
Chapter 02: Cultural Competence And Health Equity In Nursing Care .............................................................10
Chapter 03: Health History And Physical Examination......................................................................................18
Chapter 04: Patient And Caregiver Teaching .....................................................................................................24
Chapter 05: Chronic Illness ................................................................................................................................31
Chapter 06: Community-Based Nursing And Home Care ..................................................................................38
Chapter 07: Older Adults....................................................................................................................................42
Chapter 08: Stress And Stress Management .......................................................................................................49
Chapter 09: Sleep And Sleep Disorders .............................................................................................................53
Chapter 10: Pain .................................................................................................................................................57
Chapter 11: Substance Use .................................................................................................................................66
Chapter 12: Complementary And Alternative Therapies ....................................................................................74
Chapter 13: Palliative Care At The End Of Life.................................................................................................78
Chapter 14: Inflammation And Wound Healing.................................................................................................84
Chapter 15: Genetics ..........................................................................................................................................92
Chapter 16: Altered Immune Response And Transplantation ............................................................................96
Chapter 17: Infection And Human Immunodeficiency Virus Infection ............................................................ 106
Chapter 18: Cancer ........................................................................................................................................... 115
Chapter 19: Fluid, Electrolyte, And Acid–Base Imbalances............................................................................. 128
Chapter 20: Nursing Management: Preoperative Care ..................................................................................... 141
Chapter 21: Nursing Management: Intraoperative Care ................................................................................... 150
Chapter 22: Nursing Management: Postoperative Care .................................................................................... 157
Chapter 23: Nursing Assessment: Visual And Auditory Systems .................................................................... 166
Chapter 24: Nursing Management: Visual And Auditory Problems ................................................................ 174
Chapter 25: Nursing Assessment: Integumentary System ................................................................................ 188
Chapter 26: Nursing Management: Integumentary Problems........................................................................... 193
Chapter 27: Nursing Management: Burns ........................................................................................................ 202
Chapter 28: Nursing Assessment: Respiratory System..................................................................................... 212
Chapter 29: Nursing Management: Upper Respiratory Problems .................................................................... 222
Chapter 30: Nursing Management: Lower Respiratory Problems .................................................................... 231
Chapter 31: Nursing Management: Obstructive Pulmonary Diseases .............................................................. 247
Chapter 32: Nursing Assessment: Hematological System ................................................................................ 263
Chapter 33: Nursing Management: Hematological Problems .......................................................................... 270
Chapter 34: Nursing Assessment: Cardiovascular System ............................................................................... 283
Chapter 35: Nursing Management: Hypertension............................................................................................. 290
Chapter 36: Nursing Management: Coronary Artery Disease And Acute Coronarysyndrome ........................ 299
Chapter 37: Nursing Management: Heart Failure ............................................................................................. 313
Chapter 38: Nursing Management: Dysrhythmias............................................................................................ 322
Chapter 39: Nursing Management: Inflammatory And Structural Heart Disorders .......................................... 333
Chapter 40: Nursing Management: Vascular Disorders ................................................................................... 343
Chapter 41: Nursing Assessment: Gastro-Intestinal System............................................................................. 355
Chapter 42: Nursing Management: Nutritional Problems................................................................................. 361
,Chapter 43: Nursing Management: Obesity .................................................................................................... 370
Chapter 44: Nursing Management: Upper Gastro-Intestinal Problems............................................................ 378
Chapter 45: Nursing Management: Lower Gastro-Intestinal Problems ........................................................... 394
Chapter 46: Nursing Management: Liver, Pancreas, And Biliary Tract Problems .......................................... 411
Chapter 47: Nursing Assessment: Urinary System .......................................................................................... 426
Chapter 48: Nursing Management: Renal And Urologic Problems................................................................. 435
Chapter 49: Nursing Management: Acute Kidney Injury And Chronic Kidneydisease ................................... 448
Chapter 50: Nursing Assessment: Endocrine System ...................................................................................... 461
Chapter 51: Nursing Management: Endocrine Problems................................................................................. 470
Chapter 52: Nursing Management: Diabetes Mellitus ..................................................................................... 484
Chapter 53: Nursing Assessment: Reproductive System ................................................................................. 498
Chapter 54: Nursing Management: Breast Disorders ...................................................................................... 505
Chapter 55: Nursing Management: Sexually Transmitted Infections .............................................................. 514
Chapter 56: Nursing Management: Female Reproductive Problems ............................................................... 521
Chapter 57: Nursing Management: Male Reproductive Problems .................................................................. 536
Chapter 58: Nursing Assessment: Nervous System ......................................................................................... 546
Chapter 59: Nursing Management: Acute Intracranial Problems .................................................................... 553
Chapter 60: Nursing Management: Stroke ...................................................................................................... 567
Chapter 61: Nursing Management: Chronic Neurological Problems............................................................... 578
Chapter 62: Nursing Management: Delirium, Alzheimer‘s Disease, And Other Dementias ........................... 590
Chapter 63: Nursing Management: Peripheral Nerve And Spinal Cord Problems .......................................... 596
Chapter 64: Nursing Assessment: Musculo-Skeletal System .......................................................................... 607
Chapter 65: Nursing Management: Musculo-Skeletal Trauma And Orthopedicsurgery ................................. 614
Chapter 66: Nursing Management: Musculo-Skeletal Problems ..................................................................... 628
Chapter 67: Nursing Management: Arthritis And Connective Tissue Diseases............................................... 636
Chapter 68: Nursing Management: Critical Care Environment ....................................................................... 652
Chapter 69: Nursing Management: Shock, Systemic Inflammatory Responsesyndrome, And Multiple-Organ Dysfunction
Syndrome ........................................................................................................................................................ 665
Chapter 70: Nursing Management: Respiratory Failure And Acute Respiratorydistress Syndrome................ 674
Chapter 71: Nursing Management: Emergency Care Situations ..................................................................... 683
Chapter 72: Emergency Management And Disaster Planning ........................................................................ 691
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Chapter 01: Introduction To Medical-Surgical Nursing Practice In Canada
Lewis: Medical-Surgical Nursing In Canada, 5th Canadian Edition
Multiple Choice
1. When Caring For Patients Using Evidence-Informed Practice, Which Of The Following
Does The Nurse Use?
a. Clinical Judgement Based On Experience
b. Evidence From A Clinical Research Study
c. The Best Available Evidence To Guide Clinical Expertise
d. Evaluation Of Data Showing That The Patient Outcomes Are Met
Answer: C
Evidence-Informed Nursing Practice Is A Continuous Interactive Process Involving The Explicit,
Conscientious, And Judicious Consideration Of The Best Available Evidence To Provide
Care. Four Primary Elements Are: (1) Clinical State, Setting, And Circumstances; (2) Patient
Preferences And Actions; (3) Best Research Evidence; And (4) Health Care Resources.
Clinical Judgement Based On The Nurse‘s Clinical Experience Is Part Of Eip, But Clinical
Decision Making Also Should Incorporate Current Research And Research-Based Guidelines.
Evidence From One Clinical Research Study Does Not Provide An Adequate Substantiation
For Interventions. Evaluation Of Patient Outcomes Is Important, But Interventions Should Be
Based On Research From Randomized Control Studies With A Large Number Of Subjects.
Dif: Cognitive Level: Comprehension Top: Nursing Process: Planning
2. Which Of The Following Best Explains The Nurses‘ Primary Use Of The Nursing
Process When Providing Care To Patients?
a. To Explain Nursing Interventions To Other Health Care Professionals
b. As A Problem-Solving Tool To Identify And Treat Patients‘ Health Care Needs
c. As A Scientific-Based Process Of Diagnosing The Patient‘s Health Care Problems
d. To Establish Nursing Theory That Incorporates The Biopsychosocial Nature Of Humans
Answer: B
The Nursing Process Is An Assertive Problem-Solving Approach To The Identification And
Treatment Of Patients‘ Problems. Diagnosis Is Only One Phase Of The Nursing Process. The
Primary Use Of The Nursing Process Is In Patient Care, Not To Establish Nursing Theory Or
Explainnursing Interventions To Other Health Care Professionals.
Dif: Cognitive Level: Comprehension Top: Nursing Process: Implementation
3. The Nurse Is Caring For A Critically Ill Patient In The Intensive Care Unit And Plans An
Every 2- Hour Turning Schedule To Prevent Skin Breakdown. Which Type Of Nursing
Function Is Demonstrated With This Turning Schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
Answer: D
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