Lewis's Medical Surgical Nursing in Canada,
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5th Edition by Tyerman, Cobbett
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Chapters 1 - 72 Complete
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,TABLE OF CONTENTS ll ll
Section One – Concepts in Nursing Practice
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1 Introduction to Medical-Surgical Nursing Practice in Canada
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2 Cultural Competence and Health Equity in Care
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3 Health History and Physical Examination
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4 Patient and Caregiver Teaching
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5 Chronic Illness
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6 Community-Based Nursing and Home Care
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7 Older Adults
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8 Stress and Stress Management
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9 Sleep and Sleep Disorders
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10 Pain
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11 Substance Use
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12 Complementary and Alternative Therapies
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13 Palliative Care at the End of Life
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Section Two – Pathophysiological Mechanisms of Disease
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14 Inflammation and Wound Healing
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15 Genetics
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16 Altered Immune Response and Transplantation
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17 Infection and Human Immunodeficiency Virus Infection
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18 Cancer
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19 Fluid, Electrolyte, and Acid–Base Imbalances
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Section Three – Perioperative Care
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20 Nursing Management: Preoperative Care
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21 Nursing Management: Intraoperative Care
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22 Nursing Management: Post-operative Care
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Section Four – Problems Related to Altered Sensory Input
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23 Nursing Assessment: Visual and Auditory Systems
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24 Nursing Management: Visual and Auditory Problems
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25 Nursing Assessment: Integumentary System
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26 Nursing Management: Integumentary Problems
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27 Nursing Management: Burns
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Section Five – Problems of Oxygenation: Ventilation
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28 Nursing Assessment: Respiratory System
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29 Nursing Management: Upper Respiratory Problems
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30 Nursing Management: Lower Respiratory Problems
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31 Nursing Management: Obstructive Pulmonary Diseases
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Section Six – Problems of Oxygenation: Transport
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32 Nursing Assessment: Hematological System
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33 Nursing Management: Hematological Problems
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Section Seven – Problems of Oxygenation: Perfusion
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34 Nursing Assessment: Cardiovascular System
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35 Nursing Management: Hypertension
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,36 Nursing Management: Coronary Artery Disease and Acute Coronary
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Syndrome
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37 Nursing Management: Heart Failure
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38 Nursing Management: Dysrhythmias
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39 Nursing Management: Inflammatory and Structural Heart Diseases
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40 Nursing Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
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41 Nursing Assessment: Gastrointestinal System
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42 Nursing Management: Nutritional Problems
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43 Nursing Management: Obesity
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44 Nursing Management: Upper Gastrointestinal Problems
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45 Nursing Management: Lower Gastrointestinal Problems
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46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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Section Nine – Problems of Urinary Function
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47 Nursing Assessment: Urinary System
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48 Nursing Management: Renal and Urological Problems
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49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
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50 Nursing Assessment: Endocrine System
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51 Nursing Management: Endocrine Problems
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52 Nursing Management: Diabetes Mellitus
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53 Nursing Assessment: Reproductive System
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54 Nursing Management: Breast Disorders
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55 Nursing Management: Sexually Transmitted Infections
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56 Nursing Management: Female Reproductive Problems
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57 Nursing Management: Male Reproductive Problems
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Section Eleven – Problems Related to Movement and Coordination
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58 Nursing Assessment: Nervous System
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59 Nursing Management: Acute Intracranial Problems
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60 Nursing Management: Stroke
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61 Nursing Management: Chronic Neurological Problems
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62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
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63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
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64 Nursing Assessment: Musculoskeletal System
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65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
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66 Nursing Management: Musculoskeletal Problems
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67 Nursing Management: Arthritis and Connective Tissue Diseases
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Section Twelve – Nursing Care in Specialized Settings
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68 Nursing Management: Critical Care Environment
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69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome,
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and Multiple-Organ Dysfunction Syndrome
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70 Nursing Management: Respiratory Failure and Acute Respiratory Distress
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Syndrome
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71 Nursing Management: Emergency Care Situations
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72 Emergency Management and Disaster Planning
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, Chapter 01: Introduction to Medical-Surgical Nursing Practice in
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Canada Lewis: Medical-Surgical Nursing in Canada, 5th Canadian
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Edition
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MULTIPLE llCHOICE
1. When llcaring llfor llclients llusing llevidence-informed llpractice, llwhich llof llthe
following lldoes llthe llnurse lluse?
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a. Clinical lljudgement llbased llon llexperience
b. Evidence llfrom lla llclinical llresearch llstudy
c. The llbest llavailable llevidence llto llguide llclinical llexpertise
d. Evaluation llof lldata llshowing llthat llthe llclient lloutcomes llare llmet
ANS: l l C
Evidence-informed llnursing llpractice llis lla llcontinuous llinteractive llprocess llinvolving
llthe llexplicit, llconscientious, lland lljudicious llconsideration llof llthe llbest llavailable
llevidence llto llprovide llcare. llFour llprimary ll elements llare: ll(a) llclinical llstate,
llsetting, ll and llcircumstances; ll(b) llclient llpreferences ll and llactions; ll(c) llbest
llresearch llevidence; lland ll(d) llhealth llcare llresources. llClinical lljudgement llbased llon
llthe llnurse’s llclinical ll experience llis llpart llof ll EIP, llbut llclinical lldecision llmaking llalso
llshould ll incorporate llcurrent ll research ll and llresearch-based llguidelines. llEvidence
llfrom llone llclinical llresearch ll study lldoes llnot ll provide llan lladequate llsubstantiation
llfor llinterventions. llEvaluation llof llclient lloutcomes llis llimportant, llbut llinterventions
llshould llbe llbased llon llresearch llfrom llrandomized llcontrol ll studies ll with lla lllarge
llnumber llof llsubjects.
DIF: Cognitive llLevel: llComprehension TOP: l l Nursing llProcess: llPlanning
2. Which ll of ll the l l following l l best ll e x p l a i n s t h e n u r s e s ’ l l pr imary l l use ll of l l the ll nursing
ll process l l when N R I G B. C M
providing llcare llto l l l USNT O
llclients?
a. To llexplain llnursing llinterventions llto llother llhealth llcare llprofessionals
b. As lla llproblem-solving lltool llto llidentify lland lltreat llclients’ llhealth llcare llneeds
c. As lla llscientific-based llprocess llof lldiagnosing llthe llclient’s llhealth llcare llproblems
d. To llestablish llnursing lltheory llthat llincorporates llthe llbiopsychosocial llnature llof
llhumans
ANS: l l B
The llnursing llprocess llis llan llassertive llproblem-solving llapproach llto llthe
llidentification lland lltreatment llof llclients’ llproblems. llDiagnosis llis llonly llone llphase
llof llthe llnursing llprocess. llThe
primary lluse llof llthe llnursing llprocess llis llin llclient llcare, llnot llto llestablish llnursing
lltheory llor llexplain llnursing llinterventions llto ll other ll health llcare llprofessionals.
DIF: Cognitive llLevel: llComprehension TOP: l l Nursing llProcess: llImplementation
3. The llnurse llis llcaring llfor lla llcritically llill llclient llin llthe llintensive llcare llunit lland llplans
an llevery ll2-hour llturning llschedule llto llprevent llskin llbreakdown. llWhich lltype llof
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nursing llfunction llis lldemonstrated llwith llthis llturning llschedule?
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a. Dependent
b. Cooperative
c. Independent