TEST BANK M
MEDICAL SURGICAL NURSI
M M
NG-
CONCEPTS FOR INTERPRO
M M
FESSIONAL COLLABORATI
M
VE CARE 9TH EDITION BY IG
M M M M M
NATAVICIUS
, M
lOMoAR cPSD|
TestMBankM-MMedical- M 6672187
SurgicalMNursing:MConceptsMforMInterprofessionalMCollaborativeMCareM9thM EditionMIgnatavicius
1
Table of Contents
M M
TableM ofM Content 1
s
ChapterM01:MOverviewMofMProfessionalMNursingMConceptsMforMMedical- 3
SurgicalMNursingMChapterM02:MOverviewMofMHealthMConceptsMforMMedical- 8
SurgicalMNursing 13
ChapterM03:MCommonMHealthMProblemsMofMOlderMAdultsMCha 20
pterM04:MAssessmentMandMCareMofMPatientsMwithMPainMChapt 32
erM05:MGeneticMConceptsMforMMedical-SurgicalMNursing 38
ChapterM06:MRehabilitationMConceptsMforMChronicMandMDisablingMHealthMProblemsMCh 44
apterM07:MEnd-of-LifeMCare 50
ChapterM08:M ConceptsM ofM EmergencyM andM TraumaM Nursing 56
ChapterM09:MCareMofMPatientsMwithMCommonMEnvironmentalMEmergenciesMCh 62
apterM10:MConceptsMofMEmergencyMandMDisasterMPreparedness 68
ChapterM11:MAssessmentMandMCareMofMPatientsMwithMFluidMandMElectrolyteMImbalance 76
sMChapterM12:MAssessmentMandMCareMofMPatientsMwithMAcid-BaseMImbalances 83
ChapterM 13:M InfusionM Therapy 94
ChapterM14:MCareMofMPreoperativeMPatientsMCha 103
pterM15:MCareMofMIntraoperativeMPatientsMChapte 109
rM16:MCareMofMPostoperativeMPatientsMChapterM1 116
7:MInflammationMandMImmunity 122
ChapterM18:MCareMofMPatientsMwithMArthritisMandMOtherMConnectiveMTissueMDiseasesM 138
ChapterM19:MCareMofMPatientsMwithMHIVMDisease 147
ChapterM20:MCareMofMPatientsMwithMHypersensitivityM(Allergy)MandMAutoimmunit 152
yMChapterM21:MCancerMDevelopment 157
ChapterM22:MCareMofMPatientsMwithMCancerMCha 167
pterM23:MCareMofMPatientsMwithMInfection 174
ChapterM24:MAssessmentMofMtheMSkin,MHair,MandMNails 179
MChapterM25:MCareMofMPatientsMwithMSkinMProblemsMC 196
hapterM26:MCareMofMPatientsMwithMBurns 213
ChapterM 27:M AssessmentM ofM theM RespiratoryM System 220
ChapterM28:MCareMofMPatientsMRequiringMOxygenMTherapyMorMTracheostomyMC 226
hapterM29:MCareMofMPatientsMwithMNoninfectiousMUpperMRespiratoryMProblemsM 233
ChapterM30:MCareMofMPatientsMwithMNoninfectiousMLowerMRespiratoryMProblem 245
sMChapterM31:MCareMofMPatientsMwithMInfectiousMRespiratoryMProblems 256
ChapterM32:MCareMofMCriticallyMIllMPatientsMwithMRespiratoryMProblemsMC 269
hapterM33:MAssessmentMofMtheMCardiovascularMSystem 278
ChapterM34:MCareMofMPatientsMwithMDysrhythmiasMCha 287
pterM35:MCareMofMPatientsMwithMCardiacMProblemsMCha 298
pterM36:MCareMofMPatientsMwithMVascularMProblemsMCh 310
apterM37:MCareMofMPatientsMwithMShock 317
ChapterM38:MCareMofMPatientsMwithMAcuteMCoronaryMSyndrom 327
esMChapterM39:MAssessmentMofMtheMHematologicMSystem 331
ChapterM40:MCareMofMPatientsMwithMHematologicMProblemsMC 343
hapterM41:MAssessmentMofMtheMNervousMSystem 353
ChapterM42:MCareMofMPatientsMwithMProblemsMofMtheMCNS:MTheMBrainMCh 364
apterM43:MCareMofMPatientsMwithMProblemsMofMtheMCNS:MTheMSpinalMCor 374
d 380
ChapterM44:MCareMofMPatientsMwithMProblemsMofMtheMPeripheralMNervousMSyst 394
emMChapterM45:MCareMofMCriticallyMIllMPatientsMwithMNeurologicMProblems 397
ChapterM46:M AssessmentM ofM theM EyeM andMVision 403
ChapterM47:M CareMofM PatientsM withMEyeMandMVisionMProblems 410
ChapterM48:MAssessmentMandMCareMofMPatientsMwithMEarMandMHearingMProble 415
msMChapterM49:MAssessmentMofMtheMMusculoskeletalMSystem
ChapterM50:M CareM ofM PatientsM withM MusculoskeletalM Problems
, M
lOMoAR cPSD|
TestMBankM-MMedical- M 6672187
SurgicalMNursing:MConceptsMforMInterprofessionalMCollaborativeMCareM9thM EditionMIgnatavicius
2
ChapterM51:MCareMofMPatientsMwithMMusculoskeletalMTrau 424
maMChapterM52:MAssessmentMofMtheMGastrointestinalMSyst 435
emMChapterM53:MCareMofMPatientsMwithMOralMCavityMProble 441
msMChapterM54:MCareMofMPatientsMwithMEsophagealMProbl 445
emsMChapterM55:MCareMofMPatientsMwithMStomachMDisorde 454
rs 461
ChapterM56:MCareMofMPatientsMwithMNoninflammatoryMIntestinalMDisordersM 471
ChapterM57:MCareMofMPatientsMwithMInflammatoryMIntestinalMDisordersMCh 481
apterM58:MCareMofMPatientsMwithMLiverMProblems 489
ChapterM59:MCareMofMPatientsMwithMProblemsMofMtheMBiliaryMSystemMandMPancre 497
asMChapterM60:MCareMofMPatientsMwithMMalnutrition:MUndernutritionMandMObesityM 506
ChapterM61:MAssessmentMofMtheMEndocrineMSystem 512
ChapterM 62:M CareM ofM PatientsM withMPituitaryM andM AdrenalM GlandM Problems 520
ChapterM63:MCareMofMPatientsMwithMProblemsMofMtheMThyroidMandMParathyroidMGlan 527
dsMChapterM64:MCareMofMPatientsMwithMDiabetesMMellitus 549
ChapterM65:MAssessmentMofMtheMRenal/UrinaryMSystemMC 557
hapterM66:MCareMofMPatientsMwithMUrinaryMProblemsMChap 568
terM67:MCareMofMPatientsMwithMKidneyMDisorders 575
ChapterM68:MCareMofMPatientsMwithMAcuteMKidneyMInjuryMandMChronicMKidneyMDise 587
aseMChapterM69:MAssessmentMofMtheMReproductiveMSystem 591
ChapterM70:MCareMofMPatientsMwithMBreastMDisordersMCha 598
pterM71:MCareMofMPatientsMwithMGynecologicMProblems 605
ChapterM72:MCareMofMPatientsMwithMMaleMReproductiveMProblemsMCh 614
apterM73:MCareMofMTransgenderMPatients 618
ChapterM74:M CareM ofM PatientsM withM SexuallyMTransmittedM Diseases
, M
lOMoAR cPSD|
TestMBankM-MMedical- M 6672187
SurgicalMNursing:MConceptsMforMInterprofessionalMCollaborativeMCareM9thM EditionMIgnatavicius
3
Chapter 01: Overview of Professional Nursing Concepts for Medical-
M M M M M M M M
MSurgical Nursing
M
MULTIPLEM CHOICE
1. AMnurseMwishesMtoMprovideMclient-
centeredMcareMinMallMinteractions.MWhichMactionMbyMtheMnurseMbestMdemonstratesMthisMconcept?
a. AssessesM forM culturalM influencesM affectingM healthM care
b. EnsuresMthatMallM theMclientsM basicMneedsMareMmet
c. TellsMtheMclientMandMfamilyMaboutM allMupcomingM tests
d. ThoroughlyMorientsMtheMclientM andMfamilyMtoM theMroom
ANS:M A
CompetencyMinMclient-
focusedMcareMisMdemonstratedMwhenMtheMnurseMfocusesMonMcommunication,Mculture,MrespectMcompassion,Mcli
entMeducation,MandMempowerment.MByMassessingMtheMeffectMofMtheMclientsMcultureMonMhealthMcare,MthisMn
urseMisMpracticingMclient-
focusedMcare.MProvidingMforMbasicMneedsMdoesMnotMdemonstrateMthisMcompetence.MSimplyMtellingMtheMcli
entMaboutMallMupcomingMtestsMisMnotMprovidingMempoweringMeducation.MOrientingMtheMclientMandMfamilyM
toMtheMroomMisManMimportantMsafetyMmeasure,MbutMnotMdirectlyMrelatedMtoMdemonstratingMclient-
centeredMcare.
DIF:M Understanding/ComprehensionM REF:M 3
KEY:MPatient-
centeredMcare|McultureMMSC:MIntegratedMProcess:MCaringMNOT:MCl
ientMNeedsMCategory:MPsychosocialMIntegrity
2. AMnurseMisMcaringMforMaMpostoperativeMclientMonMtheMsurgicalMunit.MTheMclientsMbloodMpressureMwasM14
2/76MmmMHgM30MminutesMago,MandMnowMisM88/50MmmMHg.MWhatMactionMbyMtheMnurseMisMbest?
a. CallMtheMRapidM ResponseMTeam.
b. DocumentMandMcontinueM toM monitor.
c. NotifyMtheMprimaryMcareMprovider.
d. RepeatMbloodM pressureMmeasurementM inM15M minutes.
ANS:M A
TheMpurposeMofMtheMRapidMResponseMTeamM(RRT)MisMtoMinterveneMwhenMclientsMareMdeterioratingMbef
oreMtheyMsufferMeitherMrespiratoryMorMcardiacMarrest.MSinceMtheMclientMhasMmanifestedMaMsignificantMchange,
MtheMnurseMshouldMcallMtheMRRT.MChangesMinMbloodMpressure,MmentalMstatus,MheartMrate,MandMpainMareM
particularlyMsignificant.
DocumentationMisMvital,MbutMtheMnurseMmustMdoMmoreMthanMdocument.MTheMprimaryMcareMproviderM
shouldMbeMnotified,MbutMthisMisMnotMtheMpriorityMoverMcallingMtheMRRT.MTheMclientsMbloodMpressureMs
houldMbeMreassessedMfrequently,MbutMtheMpriorityMisMgettingMtheMrapidMcareMtoMtheMclient.
DIF:M Applying/ApplicationM REF:M 3
KEY:MRapidMResponseMTeamM(RRT)|MmedicalMemergenciesM
MSC:MIntegratedMProcess:MCommunicationMandMDocumentat
ion
NOT:MClientM NeedsM Category:M PhysiologicalM Integrity:M PhysiologicalM Adaptation
3. AMnurseMisMorientingMaMnewMclientMandMfamilyMtoMtheMinpatientMunit.MWhatMinformationMdoesMtheMnurseMp
rovideMtoMhelpMtheMclientMpromoteMhisMorMherMownMsafety?
a. EncourageMtheMclientMandMfamilyMtoMbeMactiveM partners.
b. HaveMtheMclientM monitorM handM hygieneMinMcaregivers.
c. OfferMtheMfamilyM theMopportunityMtoMstayM withMtheMclient.
d. TellMtheMclientMtoMalwaysMwearMhisMorMherMarmband.
ANS:M A
EachMactionMcouldMbeMimportantMforMtheMclientMorMfamilyMtoMperform.MHowever,MencouragingMtheMclie
ntMtoMbeMactiveMinMhisMorMherMhealthMcareMasMaMpartnerMisMtheMmostMcritical.MTheMotherMactionsMareMvery
MlimitedMinMscopeMandMdoMnotMprovideMtheMbroadMprotectionMthatMbeingMactiveMandMinvolvedMdoes.
DIF:MUnderstanding/ComprehensionMREF:
MEDICAL SURGICAL NURSI
M M
NG-
CONCEPTS FOR INTERPRO
M M
FESSIONAL COLLABORATI
M
VE CARE 9TH EDITION BY IG
M M M M M
NATAVICIUS
, M
lOMoAR cPSD|
TestMBankM-MMedical- M 6672187
SurgicalMNursing:MConceptsMforMInterprofessionalMCollaborativeMCareM9thM EditionMIgnatavicius
1
Table of Contents
M M
TableM ofM Content 1
s
ChapterM01:MOverviewMofMProfessionalMNursingMConceptsMforMMedical- 3
SurgicalMNursingMChapterM02:MOverviewMofMHealthMConceptsMforMMedical- 8
SurgicalMNursing 13
ChapterM03:MCommonMHealthMProblemsMofMOlderMAdultsMCha 20
pterM04:MAssessmentMandMCareMofMPatientsMwithMPainMChapt 32
erM05:MGeneticMConceptsMforMMedical-SurgicalMNursing 38
ChapterM06:MRehabilitationMConceptsMforMChronicMandMDisablingMHealthMProblemsMCh 44
apterM07:MEnd-of-LifeMCare 50
ChapterM08:M ConceptsM ofM EmergencyM andM TraumaM Nursing 56
ChapterM09:MCareMofMPatientsMwithMCommonMEnvironmentalMEmergenciesMCh 62
apterM10:MConceptsMofMEmergencyMandMDisasterMPreparedness 68
ChapterM11:MAssessmentMandMCareMofMPatientsMwithMFluidMandMElectrolyteMImbalance 76
sMChapterM12:MAssessmentMandMCareMofMPatientsMwithMAcid-BaseMImbalances 83
ChapterM 13:M InfusionM Therapy 94
ChapterM14:MCareMofMPreoperativeMPatientsMCha 103
pterM15:MCareMofMIntraoperativeMPatientsMChapte 109
rM16:MCareMofMPostoperativeMPatientsMChapterM1 116
7:MInflammationMandMImmunity 122
ChapterM18:MCareMofMPatientsMwithMArthritisMandMOtherMConnectiveMTissueMDiseasesM 138
ChapterM19:MCareMofMPatientsMwithMHIVMDisease 147
ChapterM20:MCareMofMPatientsMwithMHypersensitivityM(Allergy)MandMAutoimmunit 152
yMChapterM21:MCancerMDevelopment 157
ChapterM22:MCareMofMPatientsMwithMCancerMCha 167
pterM23:MCareMofMPatientsMwithMInfection 174
ChapterM24:MAssessmentMofMtheMSkin,MHair,MandMNails 179
MChapterM25:MCareMofMPatientsMwithMSkinMProblemsMC 196
hapterM26:MCareMofMPatientsMwithMBurns 213
ChapterM 27:M AssessmentM ofM theM RespiratoryM System 220
ChapterM28:MCareMofMPatientsMRequiringMOxygenMTherapyMorMTracheostomyMC 226
hapterM29:MCareMofMPatientsMwithMNoninfectiousMUpperMRespiratoryMProblemsM 233
ChapterM30:MCareMofMPatientsMwithMNoninfectiousMLowerMRespiratoryMProblem 245
sMChapterM31:MCareMofMPatientsMwithMInfectiousMRespiratoryMProblems 256
ChapterM32:MCareMofMCriticallyMIllMPatientsMwithMRespiratoryMProblemsMC 269
hapterM33:MAssessmentMofMtheMCardiovascularMSystem 278
ChapterM34:MCareMofMPatientsMwithMDysrhythmiasMCha 287
pterM35:MCareMofMPatientsMwithMCardiacMProblemsMCha 298
pterM36:MCareMofMPatientsMwithMVascularMProblemsMCh 310
apterM37:MCareMofMPatientsMwithMShock 317
ChapterM38:MCareMofMPatientsMwithMAcuteMCoronaryMSyndrom 327
esMChapterM39:MAssessmentMofMtheMHematologicMSystem 331
ChapterM40:MCareMofMPatientsMwithMHematologicMProblemsMC 343
hapterM41:MAssessmentMofMtheMNervousMSystem 353
ChapterM42:MCareMofMPatientsMwithMProblemsMofMtheMCNS:MTheMBrainMCh 364
apterM43:MCareMofMPatientsMwithMProblemsMofMtheMCNS:MTheMSpinalMCor 374
d 380
ChapterM44:MCareMofMPatientsMwithMProblemsMofMtheMPeripheralMNervousMSyst 394
emMChapterM45:MCareMofMCriticallyMIllMPatientsMwithMNeurologicMProblems 397
ChapterM46:M AssessmentM ofM theM EyeM andMVision 403
ChapterM47:M CareMofM PatientsM withMEyeMandMVisionMProblems 410
ChapterM48:MAssessmentMandMCareMofMPatientsMwithMEarMandMHearingMProble 415
msMChapterM49:MAssessmentMofMtheMMusculoskeletalMSystem
ChapterM50:M CareM ofM PatientsM withM MusculoskeletalM Problems
, M
lOMoAR cPSD|
TestMBankM-MMedical- M 6672187
SurgicalMNursing:MConceptsMforMInterprofessionalMCollaborativeMCareM9thM EditionMIgnatavicius
2
ChapterM51:MCareMofMPatientsMwithMMusculoskeletalMTrau 424
maMChapterM52:MAssessmentMofMtheMGastrointestinalMSyst 435
emMChapterM53:MCareMofMPatientsMwithMOralMCavityMProble 441
msMChapterM54:MCareMofMPatientsMwithMEsophagealMProbl 445
emsMChapterM55:MCareMofMPatientsMwithMStomachMDisorde 454
rs 461
ChapterM56:MCareMofMPatientsMwithMNoninflammatoryMIntestinalMDisordersM 471
ChapterM57:MCareMofMPatientsMwithMInflammatoryMIntestinalMDisordersMCh 481
apterM58:MCareMofMPatientsMwithMLiverMProblems 489
ChapterM59:MCareMofMPatientsMwithMProblemsMofMtheMBiliaryMSystemMandMPancre 497
asMChapterM60:MCareMofMPatientsMwithMMalnutrition:MUndernutritionMandMObesityM 506
ChapterM61:MAssessmentMofMtheMEndocrineMSystem 512
ChapterM 62:M CareM ofM PatientsM withMPituitaryM andM AdrenalM GlandM Problems 520
ChapterM63:MCareMofMPatientsMwithMProblemsMofMtheMThyroidMandMParathyroidMGlan 527
dsMChapterM64:MCareMofMPatientsMwithMDiabetesMMellitus 549
ChapterM65:MAssessmentMofMtheMRenal/UrinaryMSystemMC 557
hapterM66:MCareMofMPatientsMwithMUrinaryMProblemsMChap 568
terM67:MCareMofMPatientsMwithMKidneyMDisorders 575
ChapterM68:MCareMofMPatientsMwithMAcuteMKidneyMInjuryMandMChronicMKidneyMDise 587
aseMChapterM69:MAssessmentMofMtheMReproductiveMSystem 591
ChapterM70:MCareMofMPatientsMwithMBreastMDisordersMCha 598
pterM71:MCareMofMPatientsMwithMGynecologicMProblems 605
ChapterM72:MCareMofMPatientsMwithMMaleMReproductiveMProblemsMCh 614
apterM73:MCareMofMTransgenderMPatients 618
ChapterM74:M CareM ofM PatientsM withM SexuallyMTransmittedM Diseases
, M
lOMoAR cPSD|
TestMBankM-MMedical- M 6672187
SurgicalMNursing:MConceptsMforMInterprofessionalMCollaborativeMCareM9thM EditionMIgnatavicius
3
Chapter 01: Overview of Professional Nursing Concepts for Medical-
M M M M M M M M
MSurgical Nursing
M
MULTIPLEM CHOICE
1. AMnurseMwishesMtoMprovideMclient-
centeredMcareMinMallMinteractions.MWhichMactionMbyMtheMnurseMbestMdemonstratesMthisMconcept?
a. AssessesM forM culturalM influencesM affectingM healthM care
b. EnsuresMthatMallM theMclientsM basicMneedsMareMmet
c. TellsMtheMclientMandMfamilyMaboutM allMupcomingM tests
d. ThoroughlyMorientsMtheMclientM andMfamilyMtoM theMroom
ANS:M A
CompetencyMinMclient-
focusedMcareMisMdemonstratedMwhenMtheMnurseMfocusesMonMcommunication,Mculture,MrespectMcompassion,Mcli
entMeducation,MandMempowerment.MByMassessingMtheMeffectMofMtheMclientsMcultureMonMhealthMcare,MthisMn
urseMisMpracticingMclient-
focusedMcare.MProvidingMforMbasicMneedsMdoesMnotMdemonstrateMthisMcompetence.MSimplyMtellingMtheMcli
entMaboutMallMupcomingMtestsMisMnotMprovidingMempoweringMeducation.MOrientingMtheMclientMandMfamilyM
toMtheMroomMisManMimportantMsafetyMmeasure,MbutMnotMdirectlyMrelatedMtoMdemonstratingMclient-
centeredMcare.
DIF:M Understanding/ComprehensionM REF:M 3
KEY:MPatient-
centeredMcare|McultureMMSC:MIntegratedMProcess:MCaringMNOT:MCl
ientMNeedsMCategory:MPsychosocialMIntegrity
2. AMnurseMisMcaringMforMaMpostoperativeMclientMonMtheMsurgicalMunit.MTheMclientsMbloodMpressureMwasM14
2/76MmmMHgM30MminutesMago,MandMnowMisM88/50MmmMHg.MWhatMactionMbyMtheMnurseMisMbest?
a. CallMtheMRapidM ResponseMTeam.
b. DocumentMandMcontinueM toM monitor.
c. NotifyMtheMprimaryMcareMprovider.
d. RepeatMbloodM pressureMmeasurementM inM15M minutes.
ANS:M A
TheMpurposeMofMtheMRapidMResponseMTeamM(RRT)MisMtoMinterveneMwhenMclientsMareMdeterioratingMbef
oreMtheyMsufferMeitherMrespiratoryMorMcardiacMarrest.MSinceMtheMclientMhasMmanifestedMaMsignificantMchange,
MtheMnurseMshouldMcallMtheMRRT.MChangesMinMbloodMpressure,MmentalMstatus,MheartMrate,MandMpainMareM
particularlyMsignificant.
DocumentationMisMvital,MbutMtheMnurseMmustMdoMmoreMthanMdocument.MTheMprimaryMcareMproviderM
shouldMbeMnotified,MbutMthisMisMnotMtheMpriorityMoverMcallingMtheMRRT.MTheMclientsMbloodMpressureMs
houldMbeMreassessedMfrequently,MbutMtheMpriorityMisMgettingMtheMrapidMcareMtoMtheMclient.
DIF:M Applying/ApplicationM REF:M 3
KEY:MRapidMResponseMTeamM(RRT)|MmedicalMemergenciesM
MSC:MIntegratedMProcess:MCommunicationMandMDocumentat
ion
NOT:MClientM NeedsM Category:M PhysiologicalM Integrity:M PhysiologicalM Adaptation
3. AMnurseMisMorientingMaMnewMclientMandMfamilyMtoMtheMinpatientMunit.MWhatMinformationMdoesMtheMnurseMp
rovideMtoMhelpMtheMclientMpromoteMhisMorMherMownMsafety?
a. EncourageMtheMclientMandMfamilyMtoMbeMactiveM partners.
b. HaveMtheMclientM monitorM handM hygieneMinMcaregivers.
c. OfferMtheMfamilyM theMopportunityMtoMstayM withMtheMclient.
d. TellMtheMclientMtoMalwaysMwearMhisMorMherMarmband.
ANS:M A
EachMactionMcouldMbeMimportantMforMtheMclientMorMfamilyMtoMperform.MHowever,MencouragingMtheMclie
ntMtoMbeMactiveMinMhisMorMherMhealthMcareMasMaMpartnerMisMtheMmostMcritical.MTheMotherMactionsMareMvery
MlimitedMinMscopeMandMdoMnotMprovideMtheMbroadMprotectionMthatMbeingMactiveMandMinvolvedMdoes.
DIF:MUnderstanding/ComprehensionMREF:
