test bank for_lewiss medical surgical nursing 12thedition by mariann m.harding jeff

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,Table of Content
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Chaptert01:tProfessionaltNursing ..............................................................................................................................................4
Chaptert02:tSocialtDeterminantstoftHealth ..............................................................................................................................10
Chaptert03:tHealthtHistorytandtPhysicaltExaminationtHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition ......................15
Chaptert04:tPatienttandtCaregivertTeaching ............................................................................................................................20
Chaptert05:tChronictIllnesstandtOldertAdults ..........................................................................................................................26
Harding:tLewis’stMedical-SurgicaltNursing,t12tht Edition .....................................................................................................34
Chaptert07:tStresstManagement ..............................................................................................................................................38
Chaptert08:tSleeptandtSleeptDisorders.....................................................................................................................................42
Chaptert09:tPain ......................................................................................................................................................................47
Chaptert10:tPalliativetandtEnd-of-LifetCare ............................................................................................................................56
Chaptert11:tSubstancetUsetDisorderstintAcutetCare .................................................................................................................61
Chaptert12:tInflammationtandtHealing ....................................................................................................................................69
Chaptert13:tGenetics ...............................................................................................................................................................76
Chaptert14:tImmunetResponsestandtTransplantationtHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition........................79
Chaptert15:tInfection...............................................................................................................................................................87
Chaptert16:tCancer..................................................................................................................................................................97
Chaptert17:tFluid,tElectrolyte,tandtAcid-BasetImbalancestHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition ...........111
Chaptert18:tPreoperativetCare ...............................................................................................................................................124
Chaptert19:tIntraoperativetCare.............................................................................................................................................131
Chaptert20:tPostoperativetCare .............................................................................................................................................137
Chaptert21:tEmergencytandtDisastertNursing ........................................................................................................................145
Chaptert22:tAssessmenttandtManagement:tVisualtProblemstHarding:tLewis’stMedical-
SurgicaltNursing,t12thtEditiont153tChaptert23:tAssessmenttandtManagement:tAuditorytProblemstHarding:tLewis’stMedical-
SurgicaltNursing,t12thtEdition
.............................................................................................................................................................................................166
Chaptert24:tAssessment:tIntegumentarytSystemtHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition ............................173
Chaptert25:tIntegumentarytProblems ....................................................................................................................................178
Chaptert26:tBurns .................................................................................................................................................................186
Chaptert27:tAssessment:tRespiratorytSystem ........................................................................................................................195
Chaptert28:tSupportingtVentilation .......................................................................................................................................203
Chaptert29:tUppertRespiratorytProblems ..............................................................................................................................214
Chaptert30:tLowertRespiratorytProblems ..............................................................................................................................220
Chaptert31:tObstructivetPulmonarytDiseases ........................................................................................................................235
Chaptert32:tAcutetRespiratorytFailuretandtAcutetRespiratorytDistresstSyndrometHarding:tLewis’stMedical-
SurgicaltNursing,t12thtEdition ..............................................................................................................................................248
first? .................................................................................................................................................................................253
Chaptert33:tAssessment:tHematologictSystem ......................................................................................................................257
Chaptert34:tHematologictProblems .......................................................................................................................................262
Chaptert35:tAssessment:tCardiovasculartSystemtHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition ...........................277
Chaptert36:tHypertension......................................................................................................................................................289
Chaptert38:tHearttFailure ......................................................................................................................................................311
Chaptert39:tDysrhythmias.....................................................................................................................................................319
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,Chaptert40:tInflammatorytandtStructuraltHearttDisorderstHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition ............329
first? ................................................................................................................................................................................. 339
Chaptert41:tVasculartDisorders ............................................................................................................................................. 341
Chaptert43:tAssessment:tGastrointestinaltSystemtHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition .......................... 364
Chaptert44:tNutritiontProblems ............................................................................................................................................. 369
Chaptert45:tObesity .............................................................................................................................................................. 377
Chaptert46:tUppertGastrointestinaltProblems ........................................................................................................................ 383
Chaptert47:tLowertGastrointestinaltProblems ....................................................................................................................... 397
first? ................................................................................................................................................................................. 408
Chaptert48:tLiver,tBiliarytTract,tandtPancreastProblemstHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition .............. 414
Chaptert49:tAssessment:tUrinarytSystem .............................................................................................................................. 429
Chaptert50:tRenaltandtUrologictProblems ............................................................................................................................. 436
Chaptert51:tAcutetKidneytInjurytandtChronictKidneytDiseasetHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition
............................................................................................................................................................................................. 450
Chaptert52:tAssessment:tEndocrinetSystem .......................................................................................................................... 462
Chaptert53:tDiabetes ............................................................................................................................................................. 469
Chaptert54:tEndocrinetProblems ........................................................................................................................................... 484
first? ................................................................................................................................................................................. 494
Chaptert55:tAssessment:tReproductivetSystem ..................................................................................................................... 499
first? ................................................................................................................................................................................. 502
Chaptert56:tBreasttProblems ................................................................................................................................................. 503
Chaptert57:tSexuallytTransmittedtInfections ......................................................................................................................... 512
Chaptert58:tFemaletReproductivetProblems .......................................................................................................................... 519
Chaptert59:tMaletReproductivetProblems ............................................................................................................................. 533
Chaptert60:tAssessment:tNervoustSystem ............................................................................................................................. 544
Chaptert61:tAcutetIntracranialtProblems ............................................................................................................................... 550
Chaptert62:tStroke ................................................................................................................................................................ 565
Chaptert63:tChronictNeurologictProblems ............................................................................................................................ 574
Chaptert64:tDementiatandtDelirium ...................................................................................................................................... 585
Chaptert65:tSpinaltCordtandtPeripheraltNervetProblemstHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition .............. 593
Chaptert66:tAssessment:tMusculoskeletaltSystemtHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition ......................... 603
Chaptert67:tMusculoskeletaltTraumatandtOrthopedictSurgerytHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition
............................................................................................................................................................................................. 608
Chaptert68:MusculoskeletaltProblems .................................................................................................................................. 622
Chaptert69:tArthritistandtConnectivetTissuetDiseasestHarding:tLewis’stMedical-SurgicaltNursing,t12thtEdition .................... 629




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, Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLEtCHOICE

1. Thetnursetcompletestantadmissiontdatabasetandtexplainstthattthetplantoftcaretandtdischargetgoal
stwilltbetdevelopedtwithtthetpatient‘stinput.tThetpatienttasks,t“Howtistthistdifferenttfromtwhattthet
physiciantdoes?”tWhichtresponsetwouldtthetnursetprovide?
a. “Thetroletoftthetnursetisttotadministertmedicationstandtotherttreatmentstprescribedtbyty
ourtphysician.”
b. “Intadditionttotcaringtfortyoutwhiletyoutaretsick,tthetnursestwillthelptyoutplanttotmain
taintyourthealth.”
c. “Thetnurse‘stjobtisttotcollecttinformationtandtcommunicatetanytproblemstthattocc
urttotthetphysician.”
d. “Nursestperformtmanytoftthetsametprocedurestastthetphysician,tbuttnursestaretwit
htthetpatientstfortatlongerttimetthantthetphysician.”
ANS:tB
ThetAmericantNursestAssociationt(ANA)tdefinitiontoftnursingtdescribestthetroletoftnursestintpro
motingthealth.tThetothertresponsestdescribetdependenttandtcollaborativetfunctionstoftthetnursingt
roletbuttdotnottaccuratelytdescribetthetnurse‘stuniquetroletintthehealthtcaretsystem.

DIF:tCognitivetLevel:tAnalyzet(Analysis)
TOP:tNursingtProcess:tImplementationtMSC:tNCLEX:tSafetandtEffectivetCaretEnvironment

2. Whichtstatementtbytthetnursetaccuratelytdescribest thetusetoftevidence-basedtpracticet(EBP)?
a. “Patienttcaretistbasedtontclinicaltjudgment,texperience,tandttraditions.”
b. “Datataretanalyzedtlaterttotshowtthattthetpatienttoutcomestaretconsistentlytmet.”
c. “Researchtfromtalltpublishedtarticlestaretusedtastatguidetfortplanningtpatienttcare.”
d. “Recommendationstaretbasedtontresearch,tclinicaltexpertise,tandtpatienttpr
eferences.”
ANS:tD
Evidence-basedtpracticet(EBP)tistthetusetoftthetbesttresearch-
basedtevidencetcombinedtwithtcliniciantexpertisetandtconsiderationtoftpatienttpreferences.tClini
caltjudgmenttbasedtontthetnurse‘stclinicaltexperiencetistparttoftEBP,tbuttclinicaltdecisiontmakingts
houldtalsotincorporatetcurrenttresearchtandtresearch-
basedtguidelines.tEvaluationtoftpatienttoutcomestistimportant,tbuttdatatanalysististnottrequiredttot
usetEBP.tAlltpublishedtarticlestdotnottprovidetresearchtevidence;tinterventionstshouldtbetbasedto
ntcredibletresearch,tpreferablytrandomizedtcontrolledtstudiestwithtatlargetnumbertoftsubjects.

DIF: CognitivetLevel:tUnderstandt(Comprehension)
TOP:tNursingtProcess:tPlanningtMSC:tNCLEX:tSafetandtEffectivetCaretEnvironment

3. Whichtstatementtbytthetnursetprovidestatcleartexplanationtoftthetnursingtprocess?
a. “Thetnursingtprocesstistatresearchtmethodtoftdiagnosingtthetpatient‘sthealthtcaretpro
blems.”
b. “Thetnursingtprocesstistusedtprimarilyttotexplaintnursingtinterventionsttototherthea
lthtcaretprofessionals.”
c. “Thetnursingtprocesstistatproblem-solvingttooltusedttotidentifytandtmanagetthe




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