COMPLETE TEST BANK –
LEWIS'S MEDICAL-SURGICAL NURSING: ASSESSMENT AND MANAGEMENT OF CLINICAL
PROBLEMS,
SINGLE VOLUME 12TH EDITION
BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER, COURTNEY REINISCH
,table of contents
chapter 01: professional nursing .............................................................................................................. 5
chapter 02: social determinants of health .............................................................................................. 14
chapter 03: health history and physical examination............................................................................. 22
chapter 04: patient and caregiver teaching ............................................................................................ 29
chapter 05: chronic illness and older adults ........................................................................................... 38
chapter 06: caring for lesbian, gay, bisexual, transgender, queer or questioning, and gender diverse
patients ................................................................................................................................................... 49
chapter 07: stress management ............................................................................................................. 55
chapter 08: sleep and sleep disorders .................................................................................................... 61
chapter 09: pain ...................................................................................................................................... 67
chapter 10: palliative and end-of-life care.............................................................................................. 80
chapter 11: substance use disorders in acute care................................................................................. 88
chapter 12: inflammation and healing.................................................................................................. 100
chapter 13: genetics.............................................................................................................................. 110
chapter 14: immune responses and transplantation ........................................................................... 113
chapter 15: infection ............................................................................................................................. 125
chapter 16: cancer ................................................................................................................................ 139
chapter 17: fluid, electrolyte, and acid-base imbalances ..................................................................... 160
chapter 18: preoperative care .............................................................................................................. 179
chapter 19: intraoperative care ............................................................................................................ 188
chapter 20: postoperative care............................................................................................................. 197
chapter 21: emergency and disaster nursing ....................................................................................... 209
chapter 22: assessment and management: visual problems ............................................................... 221
chapter 23: assessment and management: auditory problems ........................................................... 240
chapter 24: assessment: integumentary system .................................................................................. 250
chapter 25: integumentary problems ................................................................................................... 256
chapter 26: burns .................................................................................................................................. 268
chapter 27: assessment: respiratory system ........................................................................................ 282
chapter 28: supporting ventilation ....................................................................................................... 293
chapter 29: upper respiratory problems .............................................................................................. 308
chapter 30: lower respiratory problems ............................................................................................... 318
,chapter 31: obstructive pulmonary diseases ........................................................................................ 339
chapter 32: acute respiratory failure and acute respiratory distress syndrome .................................. 357
chapter 33: assessment: hematologic system ...................................................................................... 370
chapter 34: hematologic problems ....................................................................................................... 377
chapter 35: assessment: cardiovascular system ................................................................................... 399
chapter 36: hypertension...................................................................................................................... 416
chapter 37: coronary artery disease and acute coronary syndrome.................................................... 427
chapter 38: heart failure ....................................................................................................................... 447
chapter 39: dysrhythmias ..................................................................................................................... 460
chapter 40: inflammatory and structural heart disorders .................................................................... 473
chapter 41: vascular disorders .............................................................................................................. 490
chapter 42: shock, sepsis, and multiple organ dysfunction syndrome ................................................. 507
chapter 43: assessment: gastrointestinal system ................................................................................. 523
chapter 44: nutrition problems............................................................................................................. 531
chapter 45: obesity ............................................................................................................................... 542
chapter 46: upper gastrointestinal problems ....................................................................................... 551
chapter 47: lower gastrointestinal problems ....................................................................................... 572
chapter 48: liver, biliary tract, and pancreas problems ........................................................................ 597
chapter 49: assessment: urinary system .............................................................................................. 618
chapter 50: renal and urologic problems.............................................................................................. 628
chapter 51: acute kidney injury and chronic kidney disease ................................................................ 649
chapter 52: assessment: endocrine system .......................................................................................... 666
chapter 53: diabetes ............................................................................................................................. 676
chapter 54: endocrine problems .......................................................................................................... 699
chapter 55: assessment: reproductive system ..................................................................................... 721
chapter 56: breast problems................................................................................................................. 726
chapter 57: sexually transmitted infections ......................................................................................... 739
chapter 58: female reproductive problems .......................................................................................... 750
chapter 59: male reproductive problems ............................................................................................. 769
chapter 60: assessment: nervous system ............................................................................................. 786
chapter 61: acute intracranial problems .............................................................................................. 795
chapter 62: stroke ................................................................................................................................. 815
,chapter 63: chronic neurologic problems ............................................................................................. 828
chapter 64: dementia and delirium ...................................................................................................... 844
chapter 65: spinal cord and peripheral nerve problems ...................................................................... 856
chapter 66: assessment: musculoskeletal system ................................................................................ 870
chapter 67: musculoskeletal trauma and orthopedic surgery.............................................................. 877
chapter 68: musculoskeletal problems ................................................................................................. 897
chapter 69: arthritis and connective tissue diseases ............................................................................ 908
,chapter 01: professional nursing
harding: lewis’s medical-surgical nursing, 12th edition
multiple choice
1. the nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. the patient asks, “how is this different from what the
physician does?” which response would the nurse provide?
a. “the role of the nurse is to administer medications and other treatments prescribed by your
physician.”
b. “in addition to caring for you while you are sick, the nurses will help you plan to maintain your
health.”
c. “the nurse‘s job is to collect information and communicate any problems that occur to the
physician.”
d. “nurses perform many of the same procedures as the physician, but nurses are with the patients
for a longer time than the physician.”
Ans:> b
the american nurses association (ana) definition of nursing describes the role of nurses in promoting
health. the other responses describe dependent and collaborative functions of the nursing role but do
not accurately describe the nurse‘s unique role in the health care system.
dif: cognitive level: analyze (analysis)
top: nursing process: implementation msc: nclex: safe and effective care environment
2. which statement by the nurse accurately describes the use of evidence-based practice (ebp)?
a. “patient care is based on clinical judgment, experience, and traditions.”
b. “data are analyzed later to show that the patient outcomes are consistently met.”
c. “research from all published articles are used as a guide for planning patient care.”
d. “recommendations are based on research, clinical expertise, and patient
preferences.”
Ans:> d
, evidence-based practice (ebp) is the use of the best research-based evidence combined with clinician
expertise and consideration of patient preferences. clinical judgment based on the nurse‘s clinical
experience is part of ebp, but clinical decision making should also incorporate current research and
research-based guidelines. evaluation of patient outcomes is important, but data analysis is not required
to use ebp. all published articles do not provide research evidence; interventions should be based on
credible research, preferably randomized controlled studies with a large number of subjects.
dif: cognitive level: understand (comprehension) top: nursing process: planning msc: nclex: safe
and effective care environment
3. which statement by the nurse provides a clear explanation of the nursing process?
a. “the nursing process is a research method of diagnosing the patient‘s health care
problems.”
b. “the nursing process is used primarily to explain nursing interventions to other health care
professionals.”
c. “the nursing process is a problem-solving tool used to identify and manage the
patients‘ health care needs.”
d. “the nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.”
Ans:> c
the nursing process is a problem-solving approach to the identification and treatment of patients‘
problems. nursing process does not require research methods for diagnosis. the primary use of the
nursing process is in patient care, not to establish nursing theory or explain nursing interventions to
other health care professionals.
dif: cognitive level: understand (comprehension) top: nursing process: evaluation msc: nclex: safe
and effective care environment
4. a patient admitted to the hospital for surgery tells the nurse, “i do not feel comfortable leaving
my children with my parents.” which action would the nurse take next?
a. reassure the patient that these feelings are common for parents.
b. have the patient call the children to ensure that they are doing well.
c. gather information on the patient‘s concerns about the child care arrangements.
d. call the patient‘s parents to determine whether adequate child care is being provided.
LEWIS'S MEDICAL-SURGICAL NURSING: ASSESSMENT AND MANAGEMENT OF CLINICAL
PROBLEMS,
SINGLE VOLUME 12TH EDITION
BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER, COURTNEY REINISCH
,table of contents
chapter 01: professional nursing .............................................................................................................. 5
chapter 02: social determinants of health .............................................................................................. 14
chapter 03: health history and physical examination............................................................................. 22
chapter 04: patient and caregiver teaching ............................................................................................ 29
chapter 05: chronic illness and older adults ........................................................................................... 38
chapter 06: caring for lesbian, gay, bisexual, transgender, queer or questioning, and gender diverse
patients ................................................................................................................................................... 49
chapter 07: stress management ............................................................................................................. 55
chapter 08: sleep and sleep disorders .................................................................................................... 61
chapter 09: pain ...................................................................................................................................... 67
chapter 10: palliative and end-of-life care.............................................................................................. 80
chapter 11: substance use disorders in acute care................................................................................. 88
chapter 12: inflammation and healing.................................................................................................. 100
chapter 13: genetics.............................................................................................................................. 110
chapter 14: immune responses and transplantation ........................................................................... 113
chapter 15: infection ............................................................................................................................. 125
chapter 16: cancer ................................................................................................................................ 139
chapter 17: fluid, electrolyte, and acid-base imbalances ..................................................................... 160
chapter 18: preoperative care .............................................................................................................. 179
chapter 19: intraoperative care ............................................................................................................ 188
chapter 20: postoperative care............................................................................................................. 197
chapter 21: emergency and disaster nursing ....................................................................................... 209
chapter 22: assessment and management: visual problems ............................................................... 221
chapter 23: assessment and management: auditory problems ........................................................... 240
chapter 24: assessment: integumentary system .................................................................................. 250
chapter 25: integumentary problems ................................................................................................... 256
chapter 26: burns .................................................................................................................................. 268
chapter 27: assessment: respiratory system ........................................................................................ 282
chapter 28: supporting ventilation ....................................................................................................... 293
chapter 29: upper respiratory problems .............................................................................................. 308
chapter 30: lower respiratory problems ............................................................................................... 318
,chapter 31: obstructive pulmonary diseases ........................................................................................ 339
chapter 32: acute respiratory failure and acute respiratory distress syndrome .................................. 357
chapter 33: assessment: hematologic system ...................................................................................... 370
chapter 34: hematologic problems ....................................................................................................... 377
chapter 35: assessment: cardiovascular system ................................................................................... 399
chapter 36: hypertension...................................................................................................................... 416
chapter 37: coronary artery disease and acute coronary syndrome.................................................... 427
chapter 38: heart failure ....................................................................................................................... 447
chapter 39: dysrhythmias ..................................................................................................................... 460
chapter 40: inflammatory and structural heart disorders .................................................................... 473
chapter 41: vascular disorders .............................................................................................................. 490
chapter 42: shock, sepsis, and multiple organ dysfunction syndrome ................................................. 507
chapter 43: assessment: gastrointestinal system ................................................................................. 523
chapter 44: nutrition problems............................................................................................................. 531
chapter 45: obesity ............................................................................................................................... 542
chapter 46: upper gastrointestinal problems ....................................................................................... 551
chapter 47: lower gastrointestinal problems ....................................................................................... 572
chapter 48: liver, biliary tract, and pancreas problems ........................................................................ 597
chapter 49: assessment: urinary system .............................................................................................. 618
chapter 50: renal and urologic problems.............................................................................................. 628
chapter 51: acute kidney injury and chronic kidney disease ................................................................ 649
chapter 52: assessment: endocrine system .......................................................................................... 666
chapter 53: diabetes ............................................................................................................................. 676
chapter 54: endocrine problems .......................................................................................................... 699
chapter 55: assessment: reproductive system ..................................................................................... 721
chapter 56: breast problems................................................................................................................. 726
chapter 57: sexually transmitted infections ......................................................................................... 739
chapter 58: female reproductive problems .......................................................................................... 750
chapter 59: male reproductive problems ............................................................................................. 769
chapter 60: assessment: nervous system ............................................................................................. 786
chapter 61: acute intracranial problems .............................................................................................. 795
chapter 62: stroke ................................................................................................................................. 815
,chapter 63: chronic neurologic problems ............................................................................................. 828
chapter 64: dementia and delirium ...................................................................................................... 844
chapter 65: spinal cord and peripheral nerve problems ...................................................................... 856
chapter 66: assessment: musculoskeletal system ................................................................................ 870
chapter 67: musculoskeletal trauma and orthopedic surgery.............................................................. 877
chapter 68: musculoskeletal problems ................................................................................................. 897
chapter 69: arthritis and connective tissue diseases ............................................................................ 908
,chapter 01: professional nursing
harding: lewis’s medical-surgical nursing, 12th edition
multiple choice
1. the nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. the patient asks, “how is this different from what the
physician does?” which response would the nurse provide?
a. “the role of the nurse is to administer medications and other treatments prescribed by your
physician.”
b. “in addition to caring for you while you are sick, the nurses will help you plan to maintain your
health.”
c. “the nurse‘s job is to collect information and communicate any problems that occur to the
physician.”
d. “nurses perform many of the same procedures as the physician, but nurses are with the patients
for a longer time than the physician.”
Ans:> b
the american nurses association (ana) definition of nursing describes the role of nurses in promoting
health. the other responses describe dependent and collaborative functions of the nursing role but do
not accurately describe the nurse‘s unique role in the health care system.
dif: cognitive level: analyze (analysis)
top: nursing process: implementation msc: nclex: safe and effective care environment
2. which statement by the nurse accurately describes the use of evidence-based practice (ebp)?
a. “patient care is based on clinical judgment, experience, and traditions.”
b. “data are analyzed later to show that the patient outcomes are consistently met.”
c. “research from all published articles are used as a guide for planning patient care.”
d. “recommendations are based on research, clinical expertise, and patient
preferences.”
Ans:> d
, evidence-based practice (ebp) is the use of the best research-based evidence combined with clinician
expertise and consideration of patient preferences. clinical judgment based on the nurse‘s clinical
experience is part of ebp, but clinical decision making should also incorporate current research and
research-based guidelines. evaluation of patient outcomes is important, but data analysis is not required
to use ebp. all published articles do not provide research evidence; interventions should be based on
credible research, preferably randomized controlled studies with a large number of subjects.
dif: cognitive level: understand (comprehension) top: nursing process: planning msc: nclex: safe
and effective care environment
3. which statement by the nurse provides a clear explanation of the nursing process?
a. “the nursing process is a research method of diagnosing the patient‘s health care
problems.”
b. “the nursing process is used primarily to explain nursing interventions to other health care
professionals.”
c. “the nursing process is a problem-solving tool used to identify and manage the
patients‘ health care needs.”
d. “the nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.”
Ans:> c
the nursing process is a problem-solving approach to the identification and treatment of patients‘
problems. nursing process does not require research methods for diagnosis. the primary use of the
nursing process is in patient care, not to establish nursing theory or explain nursing interventions to
other health care professionals.
dif: cognitive level: understand (comprehension) top: nursing process: evaluation msc: nclex: safe
and effective care environment
4. a patient admitted to the hospital for surgery tells the nurse, “i do not feel comfortable leaving
my children with my parents.” which action would the nurse take next?
a. reassure the patient that these feelings are common for parents.
b. have the patient call the children to ensure that they are doing well.
c. gather information on the patient‘s concerns about the child care arrangements.
d. call the patient‘s parents to determine whether adequate child care is being provided.
