STUDY GUIDE
,Contents
Section 1
Concepts in Nursing Practice
1 Professional Nursing
2 Social Determinants of Health
3 Health History and Physical Examination 4
Patient and Caregiver Teaching
5 Chronic Illness and Older Adults
6 Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender
Diverse Patients
Section 2
Problems Related to Comfort and Coping
7 Stress Management
8 Sleep and Sleep Disorders 9
Pain
10 Palliative and End-of-Life Care 11
Substance Use Disorders Section 3
Problems Related to Homeostasis and
Protection
12 Inflammation and Healing 13
Genetics
14 Immune Responses and Transplantation 15
Infection
16 Cancer
17 Fluid, Electrolyte, and Acid-Base Imbalances
Section 4
Perioperative and Emergency Care
18 Preoperative Care
19 Intraoperative Care
20 Postoperative Care
21 Emergency and Disaster Nursing
Section 5
Problems Related to Altered Sensory Input
,22 Assessment and Management: Visual Problems
23 Assessment and Management: Auditory Problems 24
Assessment: Integumentary System
25 Integumentary Problems
26 Burns
Section 6
Problems of Oxygenation: Ventilation
27 Assessment: Respiratory System 28
Supporting Ventilation
29 Upper Respiratory Problems 30
Lower Respiratory Problems
31 Obstructive Pulmonary Diseases
32 Acute Respiratory Failure and Acute Respiratory Distress Syndrome
Section 7
Problems of Oxygenation: Transport 33
Assessment: Hematologic System 34
Hematologic Problems
Section 8
Problems of Oxygenation: Perfusion 35
Assessment: Cardiovascular System 36
Hypertension
37 Coronary Artery Disease and Acute Coronary Syndrome 38 Heart
Failure
39 Dysrhythmias
40 Inflammatory and Structural Heart Disorders 41
Vascular Disorders
42 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Section 9
Problems of Ingestion, Digestion, Absorption, and Elimination
43 Assessment: Gastrointestinal System 44
Nutrition Problems
45 Obesity
46 Upper Gastrointestinal Problems 47
Lower Gastrointestinal Problems
48 Liver, Biliary Tract, and Pancreas Problems
,Section 10
Problems of Urinary Function 49
Assessment: Urinary System 50
Renal and Urologic Problems
51 Acute Kidney Injury and Chronic Kidney Disease
Section 11
Problems Related to Regulatory and Reproductive Mechanisms
52 Assessment: Endocrine System 53
Diabetes
54 Endocrine Problems
55 Assessment: Reproductive System 56
Breast Disorders
57 Sexually Transmitted Infections 58
Female Reproductive Problems 59
Male Reproductive Problems Section
12
Problems Related to Movement and Coordination
60 Assessment: Nervous System 61
Acute Intracranial Problems 62 Stroke
63 Chronic Neurologic Problems 64
Dementia and Delirium
65 Spinal Cord and Peripheral Nerve Problems 66
Assessment: Musculoskeletal System
67 Musculoskeletal Trauma and Orthopedic Surgery 68
Musculoskeletal Problems
69 Arthritis and Connective Tissue Diseases
Answer Key for Study Guide
,Inside Front Cover
List of Case Studies in This Study Guide
Abdominal Aortic Aneurysm (Chapter 37), p. 161
Acute Decompensated Heart Failure (Chapter 34), p. 143 Acute
Pancreatitis (Chapter 43), p. 192
Acute Pelvic Inflammatory Disease (Chapter 53), p. 238 Acute
Respiratory Failure (Chapter 67), p. 305
Allergy (Chapter 13), p. 47
Alzheimer's Disease (Chapter 59), p. 265 Asthma
(Chapter 28), p. 113
Bladder Cancer (Chapter 45), p. 201
Burn Patient in Rehabilitation Phase (Chapter 24), p. 93 Cancer
(Chapter 15), p. 56
Cancer of the Rectum (Chapter 42), p. 185 Cellulitis
(Chapter 23), p. 89
Chronic Open-Angle Glaucoma (Chapter 20), p. 78 Cocaine Toxicity
(Chapter 10), p. 36
Coronary Artery Disease (Chapter 33), p. 139 Critically Ill
Patient (Chapter 65), p. 295 Cushing Syndrome (Chapter
49), p. 222
Disseminated Intravascular Coagulation (DIC) (Chapter 30), p. 123 Dysrhythmia (Chapter 35), p.
150
End-of-Life Palliative Care (Chapter 9), p. 32 Extreme
Obesity (Chapter 40), p. 173
Fluid and Electrolyte Imbalance (Chapter 16), p. 62 Fracture (Chapter
62), p. 281
Gastric Cancer (Chapter 41), p. 179
Genetics (Chapter 12), p. 43 Gonorrhea
(Chapter 52), p. 233 Head Injury (Chapter
56), p. 252 Heatstroke (Chapter 68), p. 309
Herniated Intervertebral Disc (Chapter 63), p. 284
,HIV Infection (Chapter 14), p. 51 Hypoglycemia
(Chapter 48), p. 217 Infective Endocarditis (Chapter
36), p. 155 Inflammation (Chapter 11), p. 40
Intraoperative Patient (Chapter 18), p. 68 Kidney
Transplant (Chapter 46), p. 207 Malnutrition
(Chapter 39), p. 169
Metastatic Breast Cancer (Chapter 51), p. 230
Ménière’s Disease (Chapter 21), p. 82 Multiple
Sclerosis (Chapter 58), p. 261
Pain (Chapter 8), p. 29
Postoperative Patient (Chapter 19), p. 71 Preoperative
Patient (Chapter 17), p. 65 Primary Hypertension
(Chapter 32), p. 133 Pulmonary Hypertension (Chapter
27), p. 107 Rheumatoid Arthritis (Chapter 64), p. 289
Rhinoplasty (Chapter 26), p. 101
Septic Shock (Chapter 66), p. 299 Sleep
Disturbance (Chapter 7), p. 25
Spinal Cord Injury (Chapter 60), p. 270 Stress
(Chapter 6), p. 22
Stroke (Chapter 57), p. 256
Testicular Cancer (Chapter 54), p. 242
,SECTION 1
Concepts in Nursing Practice
,1
Professional Nursing
1. Using the American Nurses Association’s definition of nursing, which activities are within the domain
of nursing (select all that apply)?
a. Implementing intake and output for a patient who is vomiting
b. Establishing and implementing a stress management program for family
caregivers of patients with Alzheimer’s disease
c. Explaining the risks associated with the planned surgical procedure when a
preoperative patient asks about risks
d. Developing and performing a study to compare the health status of older patients
who live alone with the status of older patients who live with family members
e. Identifying the effect of an investigational drug on patients’ hemoglobin
levels
f. Using a biofeedback machine to teach a patient with cancer how to manage
chronic pain
g. Preventing pneumonia in an immobile patient by implementing frequent
turning, coughing, and deep breathing
h. Determining and giving fluid replacement therapy needed for a patient with
serious burns
i. Testifying to legislative bodies about the effect of health policies on culturally,
socially, and economically diverse populations
2. A nurse who has worked on an orthopedic unit for several years is encouraged by the nurse manager to
become certified in orthopedic nursing. What will certification in nursing require and/or provide (select all
that apply)?
a. A certain amount of clinical experience
b. Successful completion of an examination
c. Membership in specialty nursing organizations
d. Professional recognition of expertise in a specialty area
e. An advanced practice role that requires graduate education
3. When guiding nurses in how to perform professionally, which describes a competent level of nursing
care based on the nursing process?
a. Standards of Professional Performance
b. Standards of Practice
c. Quality and Safety Education for Nurses
, d. State Nurse Practice Act
4. What are the 6 competencies from Quality and Safety Education for Nurses (QSEN) that are expected
of new nursing graduates?
a.
b.
c.
d.
e.
f.
5. Place the steps of the evidence-based practice (EBP) process in order (1 being the first step; 6 being
the last step).
Make recommendations for practice or generate data
Ask a clinical question
Critically analyze the evidence
Find and collect the evidence
Evaluate the outcomes in the clinical setting
Use evidence, clinical expertise, and patient preferences to determine care
6. The following is an example of an evidence-based practice (EBP) clinical question. “In adult seizure
patients, is restraint or medication more effective in protecting them from injury during a seizure?”
Which word(s) in the question identify(ies) the C part of the PICOT format?
a. Restraint
b. Or medication
c. During a seizure
d. Adult seizure patients
e. Protecting them from injury
7. Two nurses are establishing a smoking cessation program to assist patients with chronic lung disease to
stop smoking. To offer the most effective program with the best outcomes, the nurses should initially
a. search for an article that describes nursing interventions that are effective for smoking
cessation.
b. develop a clinical question that will allow patients to compare different cessation
methods during the program.
c. keep comprehensive records that detail each patient’s progress and ultimate
outcomes from participation in the program.
d. use evidence-based clinical practice guidelines developed from randomized
controlled trials of smoking cessation methods.
8. Which standardized nursing terminologies specifically relate to the steps of the nursing process
(select all that apply)?
a. Omaha System
b. Nursing Minimum Data Set (NMDS)
c. PeriOperative Nursing Data Set (PNDS)
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