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TABLEOFCONTENTS pz pz
1Introduction to Medical-Surgical Nursing Practice in Canada
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p2Cultural Competenceand Health Equityin Care
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3Health Historyand Physical Examination
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p4PatientandCaregiverTeaching
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5 ChronicIllness pz
6 Community-Based Nursing and Home Care pz pz pz pz
7Older Adults
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8 Stress and Stress Management
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9SleepandSleepDisorders
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10 Pain
11 SubstanceUse pz
12 Complementaryand Alternative Therapies pz pz pz
p13PalliativeCareattheEndofLife
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SectionTwo–PathophysiologicalMechanismsofDisease pz pz pz pz pz pz
14InflammationandWoundHealing
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15 Genetics
16 Altered Immune Response and Transplantation p z p z pz p z
17 Infection and Human Immunodeficiency Virus Infection p z p z p z p z p z
18Cancer
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19 Fluid, Electrolyte, and Acid–Base p z p z p z
pImbalancesSectionThree–PerioperativeCare
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20 NursingManagement: PreoperativeCare pz pz pz
p21Nursing Management: Intraoperative Care 22
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NursingManagement: Post-operativeCare
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Section Four – Problems Related to Altered Sensory Input pz p z pz pz pz pz pz pz
p23NursingAssessment: VisualandAuditorySystems
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24Nursing Management:Visualand AuditoryProblems
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p25NursingAssessment:IntegumentarySystem
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26Nursing Management: IntegumentaryProblems
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p27NursingManagement: Burns
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Section Five – Problems of Oxygenation: Ventilation pz pz pz pz pz pz
28NursingAssessment:RespiratorySystem
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29Nursing Management: Upper Respiratory Problems
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p30NursingManagement: Lower RespiratoryProblems
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31 Nursing Management: Obstructive PulmonaryDiseases pz pz pz pz
p SectionSix–ProblemsofOxygenation:Transport
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32 NursingAssessment: pz
HematologicalSystem33NursingManagement:
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HematologicalProblems
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Section Seven– ProblemsofOxygenation: Perfusion pz pz pz pz pz pz
p34NursingAssessment:Cardiovascular System
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35 NursingManagement: Hypertension pz pz
36 Nursing Management: Coronary ArteryDisease and AcuteCoronary Syndrome pz pz pz pz pz pz pz pz
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37 NursingManagement: HeartFailure pz pz pz
p38NursingManagement:Dysrhythmias
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39Nursing Management: Inflammatoryand Structural Heart Diseases
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p40NursingManagement:Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
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41NursingAssessment:GastrointestinalSystem
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42Nursing Management: NutritionalProblems 43
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Nursing Management: Obesity pz pz
44 Nursing Management: Upper Gastrointestinal Problems
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45NursingManagement: Lower Gastrointestinal Problems
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46 NursingManagement:Liver,Pancreas,andBiliaryTractProblems pz pz pz pz pz pz pz
pSectionNine–ProblemsofUrinaryFunction
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47 Nursing Assessment: Urinary System p z p z p z
48 NursingManagement: Renaland UrologicalProblems pz pz pz pz pz
49 Nursing Management: Acute Kidney Injury and Chronic KidneyDisease Section Ten pz pz pz pz pz p z pz pz p z pz
– Problems Related to Regulatory and Reproductive Mechanisms 50 Nursing
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Assessment:EndocrineSystem
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51 Nursing Management: Endocrine Problems
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52NursingManagement:DiabetesMellitus
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53NursingAssessment: Reproductive System 54
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Nursing Management: Breast Disorders pz p z pz
55 Nursing Management: Sexually Transmitted Infections 56pz pz pz pz pz pz
Nursing Management: Female Reproductive Problems 57
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NursingManagement:MaleReproductiveProblems
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Section Eleven – Problems Related to Movement and Coordination pz p z pz pz pz pz pz pz
58NursingAssessment:NervousSystem
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59Nursing Management: Acute IntracranialProblems
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p60NursingManagement: Stroke
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61 Nursing Management: Chronic Neurological Problems pz pz pz pz
62 NursingManagement:Delirium,Alzheimer‘sDisease,andOtherDementias63 pz pz pz pz pz pz pz pz
Nursing Management: Peripheral Nerve and Spinal Cord Problems 64
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NursingAssessment:MusculoskeletalSystem
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65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery 66
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NursingManagement:MusculoskeletalProblems
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67 NursingManagement: ArthritisandConnective Tissue Diseases pz pz pz pz pz pz
pSectionTwelve–NursingCareinSpecializedSettings
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68 Nursing Management: CriticalCare Environment pz pz pz pz
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple- pz pz pz pz pz pz pz pz
OrganDysfunctionSyndrome
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70 NursingManagement: RespiratoryFailureandAcuteRespiratoryDistress Syndrome pz pz pz pz pz pz pz p z
71 NursingManagement: EmergencyCareSituations pz pz pz pz
p72EmergencyManagement and Disaster Planning
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Chapter01:IntroductiontoMedical-Surgical
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NursingPracticeinCanadaLewis: Medical-Surgical NursinginCanada, 5th
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Canadian Edition
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1. When caring for clients using evidence-informed practice, which of the following does
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thenurse use?
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a. Clinicaljudgement based onexperience pz pz pz pz
b. Evidence fromaclinical research study pz pz pz pz pz
c. Thebest available evidence to guide clinicalexpertise pz p z pz pz p z pz pz
d. Evaluation of data showing that the client outcomes are met p z pz p z p z pz p z p z pz p z
CORRECTANSWER: C z
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Evidence-informed nursing practice is a continuous interactive process involving the explicit, p z pz p z pz pz pz pz p z pz pz
conscientious, and judicious considerationofthe best available evidence to providecare. Four primary
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elements are: (a) clinical state, setting, and circumstances; (b) client preferences and actions;(c)best
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research evidence; and (d) health care resources. Clinical judgement based on thenurse‘s clinical
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experience is part of EIP, but clinical decision making also should incorporate current research and
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research-based guidelines. Evidence from one clinical research study does not provide an adequate
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substantiation for interventions. Evaluation of client outcomes is important, but interventions
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should be based on research from randomized control studies with a large number of subjects.
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DIF: CognitiveLevel:Comprehension pz pz TOP: Nursing Process: Planning p z pz pz
2. Whichofthe folowing best N
ex plRai nsItheGnu B
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rs e.sC imary useofthenursing processwhen
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providing care to clients?
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US NT O pz pz pz
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a. To explain nursing interventions to other health care professionals
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b. As aproblem-solving toolto identify andtreat clients‘ health care needs
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c. Asascientific-basedprocessofdiagnosing the client‘s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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CORRECTANSWER: B pz p z
The nursing process is an assertive problem-solving approach to the identification and treatmentof
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clients‘ problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing
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process is in client care, not to establish nursing theory or explain nursing interventions to other
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health careprofessionals.
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DIF: CognitiveLevel:Comprehension pz pz TOP: NursingProcess:Implementation p z pz z
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3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-
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hour turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
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withthis turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECTANSWER: D pz p z
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