TEST BANK FOR Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th

TEST BANK FOR Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 11th Edition Authors: Mariann M. Harding, Jeffrey Kwong, Dottie Roberts, Debra Hagler, Courtney Reinisch Table of Contents Section One – Concepts in Nursing Practice Chapter 1: Professional Nursing Chapter 2: Health Equity and Culturally Competent Care Chapter 3: Health History and Physical Examination Chapter 4: Patient and Caregiver Teaching Chapter 5: Chronic Illness and Older Adults Section Two – Problems Related to Comfort and Coping Chapter 6: Stress Management Chapter 7: Sleep and Sleep Disorders Chapter 8: Pain Chapter 9: Palliative and End-of-Life Care Chapter 10: Substance Use Disorders Section Three – Problems Related to Homeostasis and Protection Chapter 11: Inflammation and Healing Chapter 12: Genetics Chapter 13: Immune Responses and Transplantation Chapter 14: Infection Chapter 15: Cancer Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances Section Four – Perioperative Care Chapter 17: Management: Preoperative Care Chapter 18: Management: Intraoperative Care Chapter 19: Management: Postoperative Care Section Five – Problems Related to Altered Sensory Input Chapter 20: Assessment and Management: Visual Problems Chapter 21: Assessment and Management: Auditory Problems Chapter 22: Assessment: Integumentary System Chapter 23: Management: Integumentary Problems Chapter 24: Management: Burns Section Six – Problems of Oxygenation: Ventilation Chapter 25: Assessment: Respiratory System Chapter 26: Management: Upper Respiratory Problems Chapter 27: Management: Lower Respiratory Problems Chapter 28: Management: Obstructive Pulmonary Diseases Section Seven – Problems of Oxygenation: Transport Chapter 29: Assessment: Hematologic System Chapter 30: Management: Hematologic Problems Section Eight – Problems of Oxygenation: Perfusion Chapter 31: Assessment: Cardiovascular System Chapter 32: Management: Hypertension Chapter 33: Management: Coronary Artery Disease and Acute Coronary Syndrome Chapter 34: Management: Heart Failure Chapter 35: Management: Dysrhythmias Chapter 36: Management: Inflammatory and Structural Heart Disorders Chapter 37: Management: Vascular Disorders Section Nine – Problems of Ingestion, Digestion, Absorption, and Elimination Chapter 38: Assessment: Gastrointestinal System Chapter 39: Management: Nutritional Problems Chapter 40: Management: Obesity Chapter 41: Management: Upper Gastrointestinal Problems Chapter 42: Management: Lower Gastrointestinal Problems Chapter 43: Management: Liver, Biliary Tract, Pancreas Section Ten – Problems of Urinary Function Chapter 44: Assessment: Urinary System Chapter 45: Management: Renal and Urologic Problems Chapter 46: Management: Acute Renal Failure and Chronic Kidney Disease Section Eleven – Problems Related to Regulatory and Reproductive Mechanisms Chapter 47: Assessment: Endocrine System Chapter 48: Management: Diabetes Mellitus Chapter 49: Management: Endocrine Problems Chapter 50: Assessment: Reproductive System Chapter 51: Management: Breast Disorders Chapter 52: Management: Sexually Transmitted Infections Chapter 53: Management: Female Reproductive Problems Chapter 54: Management: Male Reproductive Problems Section Twelve – Problems Related to Movement and Coordination Chapter 55: Assessment: Nervous System Chapter 56: Management: Acute Intracranial Problems Chapter 57: Management: Stroke Chapter 58: Management: Chronic Neurologic Problems Chapter 59: Management: Alzheimer’s Disease and Dementia Chapter 60: Management: Peripheral Nerve and Spinal Cord Problems Chapter 61: Assessment: Musculoskeletal System Chapter 62: Management: Musculoskeletal Trauma and Orthopedic Surgery Chapter 63: Management: Musculoskeletal Problems Chapter 64: Management: Arthritis and Connective Tissue Diseases Section Thirteen – Nursing Care in Specialized Settings Chapter 65: Management: Critical Care Chapter 66: Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome Chapter 67: Management: Respiratory Failure and Acute Respiratory Distress Syndrome Chapter 68: Management: Emergency Care Situations Chapter 1. Professional Nursing MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patients input. The patient states, How is this different from what the doctor does? Which response would be most appropriate for the nurse to make? a. The role of the nurse is to administer medications and other treatments prescribed by your doctor. b. The nurses job is to help the doctor by collecting information and communicating any problems that occur. c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor. d. In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health. ANS: D This response is consistent with the American Nurses Association (ANA) definition of nursing, which describes the role of nurses in promoting health. The other responses describe some of the dependent and collaborative functions of the nursing role but do not accurately describe the nurses role in the health care system. DIF: Cognitive Level: Understand (comprehension) REF: 3 TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients. Which statement, if made by the nurse, would be the most accurate? a. Inferences from clinical research studies are used as a guide. b. Patient care is based on clinical judgment, experience, and traditions. c. Data are evaluated to show that the patient outcomes are consistently met. 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. Clinical judgment based on the nurses 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 interventions should be based on research from randomized control studies with a large number of subjects. DIF: Cognitive Level: Remember (knowledge) REF: 11 TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment 3. The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which statement, if made by the student nurse, indicates that teaching was successful? a. The nursing process is a scientific-based method of diagnosing the patients health care problems. b. The nursing process is a problem-solving tool used to identify and treat patients health care needs. c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans. d. The nursing process is used primarily to explain nursing interventions to other health care professionals. ANS: B The nursing process is a problem-solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of the nursing process. 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) REF: 7 TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 4. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving my children with my parents. Which action should 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 more data about the patients feelings about the child-care arrangements. d. Call the patients parents to determine whether adequate child care is being provided.