Test Bank for Lewis Medical-Surgical Nursing 11th Edition by Harding – Complete Exam Questions & Answers (A+ Updated)

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TESTBANK FOR LEWIS
Medical MEDICAL SURGICAL NURSING
by Harding)11TH EDITION BY HARDING
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Test Bank - Lewis's
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Surgical Nursing (11th Edition n
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Table of Contents n n




Table of Contents
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Chapter 01: Professional Nursing
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Chapter 02: Health Equity and Culturally Competent Care
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Chapter 03: Health History and Physical Examination Chapter
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04: Patient and Caregiver Teaching
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Chapter 05: Chronic Illness and Older Adults
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Chapter 06: Stress Management
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Chapter 07: Sleep and Sleep Disorders
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Chapter 08: Pain
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Chapter 09: Palliative and End of Life Care
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Chapter 10: Substance Use Disorders Chapter
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11: Inflammation and Healing Chapter 12:
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Genetics
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Chapter 13: Immune Responses and Transplantation Chapter
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14: Infection
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Chapter 15: Cancer
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Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances
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Chapter 17: Preoperative Care
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Chapter 18: Intraoperative Care
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Chapter 19: Postoperative Care
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Chapter 20: Assessment and Management: Visual Problems Chapter
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21: Assessment and Management: Auditory Problems Chapter 22:
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Assessment: Integumentary System
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Chapter 23: Integumentary Problems
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Chapter 24: Burns
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Chapter 25: Assessment: Respiratory System
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Chapter 26: Upper Respiratory Problems Chapter
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27: Lower Respiratory Problems Chapter 28:
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Obstructive Pulmonary Diseases Chapter 29:
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Assessment: Hematologic System Chapter 30:
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Hematologic Problems
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Chapter 31: Assessment: Cardiovascular System Chapter
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32: Hypertension
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Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
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Chapter 34: Heart Failure
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Chapter 35: Dysrhythmias
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Chapter 36: Inflammatory and Structural Heart Disorders
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Chapter 37: Vascular Disorders
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Chapter 38: Assessment: Gastrointestinal System Chapter
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39: Nutritional Problems
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Chapter 40: Obesity
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Chapter 41: Upper Gastrointestinal Problems
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Chapter 42: Lower Gastrointestinal Problems
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Chapter 43: Liver, Biliary Tract, and Pancreas Problems
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Chapter 44: Assessment: Urinary System
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Chapter 45: Renal and Urologic Problems
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Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Chapter
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47: Assessment: Endocrine System
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Chapter 48: Diabetes Mellitus Chapter
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49: Endocrine Problems
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Chapter 50: Assessment: Reproductive System
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Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
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Chapter 51: Breast Disorders
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Chapter 52: Sexually Transmitted Infections
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Chapter 53: Female Reproductive Problems
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Chapter 54: Male Reproductive Problems
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Chapter 55: Assessment: Nervous System
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Chapter 56: Acute Intracranial Problems Chapter
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57: Stroke
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Chapter 58: Chronic Neurologic Problems
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Chapter 59: Dementia and Delirium
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Chapter 60: Spinal Cord and Peripheral Nerve Problems Chapter
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61: Assessment: Musculoskeletal System
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Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
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Chapter 63: Musculoskeletal Problems
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Chapter 64: Arthritis and Connective Tissue Diseases Chapter
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65: Critical Care
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Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
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Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome
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Chapter 68: Emergency and Disaster Nursing
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Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
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Chapter 01: Professional Nursing n n n




Test Bank n




n MULTIPLE

n CHOICE

1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which
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statement, if made by the student nurse, indicates that teaching was successful?
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a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
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b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
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c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
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humans.
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d. The nursing process is used primarily to explain nursing interventions to other health care
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professionals.
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ANS: B n




The nursing process is a problem-solving approach to the identification and treatment of patients problems.
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Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care, not to
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establish nursing theory or explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
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patients. Which statement, if made by the nurse, would be the most accurate?
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a. Inferences from clinical research studies are used as a guide. n n n n n n n n n




b. Patient care is based on clinical judgment, experience, and traditions.
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c. Data are evaluated to show that the patient outcomes are consistently met.
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d. Recommendations are based on research, clinical expertise, and patient preferences. n n n n n n n n n




ANS: D n




Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
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expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
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making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes
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is important, but interventions should be based on research from randomized control studies with a large
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number of subjects.
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DIF: Cognitive Level: Remember (knowledge)
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TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
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3. The nurse completes an admission database and explains that the plan of care and discharge goals will be
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developed with the patients input. The patient states, How is this different from what the doctor does? Which
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nresponse would be most appropriate for the nurse to make?
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a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
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b. The nurses job is to help the doctor by collecting information and communicating any problems that
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occur.
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c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer
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time than the doctor.
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d. In addition to caring for you while you are sick, the nurses will assist you to develop an
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individualized plan to maintain your health.
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ANS: D n




This response is consistent with the American Nurses Association (ANA) definition of nursing, which describes
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the role of nurses in promoting health. The other responses describe some of the dependent and collaborative
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functions of the nursing role but do not accurately describe the nurses role in the health care system.
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DIF: Cognitive Level: Understand (comprehension)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip Which
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nursing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysis n n n n n n




b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and pressure n n n n n n n n




d. Ineffective tissue perfusion related to inability to move independently n n n n n n n n




ANS: C n




The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The
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nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although
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left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for diagnosis is not
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appropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tissue
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perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is.
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DIF: Cognitive Level: Apply (application)
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TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
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5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving my
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children with my parents. Which action should the nurse take next?
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