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Nursing 14e (Hinkle 2017) Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) Table of Contents Table of Contents 1 Ch... [Show More] apter 01: Health Care Delivery and Evidence-Based Nursing Practice Chapter 02: Community-Based Nursing Practice Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing Process Chapter 04: Health Education and Promotion Chapter 05: Adult Health and Nutritional Assessment Chapter 06: Individual and Family Homeostasis, Stress, and Adaptation Chapter 07: Overview of Transcultural Nursing Chapter 08: Overview of Genetics and Genomics in Nursing Chapter 09: Chronic Illness and Disability Chapter 10: Principles and Practices of Rehabilitation Chapter 11: Health Care of the Older Adult Chapter 12: Pain Management Chapter 13: Fluid and Electrolytes: Balance and Disturbance Chapter 14: Shock and Multiple Organ Dysfunction Syndrome Chapter 15: Management of Patients with Oncologic Disorders Chapter 16: End-of-Life Care Chapter 17: Preoperative Nursing Management Chapter 18: Intraoperative Nursing Management Chapter 19: Postoperative Nursing Management Chapter 20: Assessment of Respiratory Function Chapter 21: Respiratory Care Modalities Chapter 22: Management of Patients With Upper Respiratory Tract Disorders Chapter 23: Management of Patients with Chest and Lower Respiratory Tract Disorders Chapter 24: Management of Patients With Chronic Pulmonary Disease Chapter 25: Assessment of Cardiovascular Function Chapter 26: Management of Patients With Dysrhythmias and Conduction Problems Chapter 27: Management of Patients With Coronary Vascular Disorders 3 22 41 64 83 104 124 144 164 183 220 240 260 280 300 319 338 357 376 396 415 434 453 472 490 508 526 Chapter 28: Management of Patients With Structural, Infectious, and Inflammatory Cardiac Disorders Chapter 29: Management of Patients With Complications from Heart Disease Chapter 30: Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation Chapter 31: Assessment and Management of Patients With Hypertension Chapter 32: Assessment of Hematologic Function and Treatment Modalities Chapter 33: Management of Patients With Nonmalignant Hematologic Disorders Chapter 34: Management of Patients With Hematologic Neoplasms Chapter 35: Assessment of Immune Function Chapter 36: Management of Patients With Immune Deficiency Disorders Chapter 37: Assessment and Management of Patients With Allergic Disorders Chapter 38: Assessment and Management of Patients With Rheumatic Disorders Chapter 39: Assessment of Musculoskeletal Function Chapter 40: Musculoskeletal Care Modalities Chapter 41: Management of Patients With Musculoskeletal Disorders Chapter 42: Management of Patients With Musculoskeletal Trauma Chapter 43: Assessment of Digestive and Gastrointestinal Function Chapter 44: Digestive and Gastrointestinal Treatment Modalities Chapter 45: Management of Patients with Oral and Esophageal Disorders Chapter 46: Management of Patients with Gastric and Duodenal Disorders Chapter 47: Management of Patients With Intestinal and Rectal Disorders 545 564 582 601 620 638 656 674 692 710 728 746 764 782 800 819 837 855 874 893 Chapter 48: Assessment and Management of Patients with Obesity Chapter 49: Assessment and Management of Patients with Hepatic Disorders Chapter 50: Assessment and Management of Patients with Biliary Disorders Chapter 51: Assessment and Management of Patients with Diabetes Chapter 52: Assessment and Management of Patients with Endocrine Disorders Chapter 53: Assessment of Kidney and Urinary Function Chapter 54: Management of Patients with Kidney Disorders Chapter 55: Management of Patients with Urinary Disorders 911 921 940 959 978 996 1015 1034 Chapter 56: Assessment and Management of Patients With Female Physiologic Processes 1054 Chapter 57: Management of Patients with Female Reproductive Disorders Chapter 58: Assessment and Management of Patients with Breast Disorders 1072 1091 Chapter 59: Assessment and Management of Patients With Male Reproductive Disorders 1110 Chapter 60: Assessment of Integumentary Function Chapter 61: Managements of Patients with Dermatologic Problems Chapter 62: Managements of Patients with Burn Injury Chapter 63: Assessment and Management of Patients with Eye and Vision Disorders 1129 1147 1165 1184 Chapter 64: Assessment and Management of Patients with Hearing and Balance Disorders 1203 Chapter 65: Assessment of Neurologic Function Chapter 66: Management of Patients with Neurologic Dysfunction Chapter 67: Management of Patients with Cerebrovascular Disorders Chapter 68: Management of Patients with Neurologic Trauma 1221 1239 1257 1276 Chapter 69: Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies 1294 Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders 1312 Chapter 71: Management of Patients With Infectious Diseases Chapter 72: Emergency Nursing Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing 1331 1349 1367 Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice The public health nurse is presenting a health promotion class to a group of new mothers. How should the nurse best define health? Health is being disease free. Health is having fulfillment in all domains of life. Health is having psychological and physiological harmony. Health is being connected in body, mind, and spirit. Ans: D Feedback: The World Health Organization (WHO) defines health in the preamble to its constitution as a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity. The other answers are incorrect because they are not congruent with the WHO definition of health. A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse. What is one characteristic the nurse would cite as necessary to possess to be an effective nurse? Sensitivity to cultural differences Team-focused approach to problem-solving Strict adherence to routine Ability to face criticism Ans: A Feedback: To promote an effective nurse-patient relationship and positive outcomes of care, nursing care must be culturally competent, appropriate, and sensitive to cultural differences. Team-focused nursing and strict adherence to routine are not characteristics needed to be an effective nurse. The ability to handle criticism is important, but to a lesser degree than cultural competence. With increases in longevity, people have had to become more knowledgeable about their health and the professional health care that they receive. One outcome of this phenomenon is the development of organized self-care education programs. Which of the following do these programs prioritize? Adequate prenatal care Government advocacy and lobbying Judicious use of online communities Management of illness Ans: D Feedback: Organized self-care education programs emphasize health promotion, disease prevention, management of illness, self-care, and judicious use of the professional health care system. Prenatal care, lobbying, and Internet activities are secondary. The home health nurse is assisting a patient and his family in planning the patients return to work after surgery and the development of postsurgical complications. The nurse is preparing a plan of care that addresses the patients multifaceted needs. To which level of Maslows hierarchy of basic needs does the patients need for self-fulfillment relate? [Show Less]
Test bank for Medical-Surgical Nursing 10th Edition Author: Sharon L. Lewis, Linda Bucher, Margaret M. Heitkemper, Mariann M. Harding, Jeffrey Kwong, Dotti... [Show More] e Roberts Medical Surgical Nursing 10th Edition By Lewis Test Bank for Medical-Surgical Nursing 10th Edition By Lewis, Bucher, Heitkemper, Harding, Kwong, Roberts Chapter 1-68 | Complete Guide A+ Chapter 1: Professional Nursing Practice Chapter 2: Health Disparities and Culturally Competent Care Chapter 3: Health History and Physical Examination Chapter 4: Patient and Caregiver Teaching Chapter 5: Chronic Illness and Older Adults Chapter 6: Stress and Stress Management Chapter 7: Sleep and Sleep Disorders Chapter 8: Pain Chapter 9: Palliative Care at End of Life Chapter 10: Substance Use Disorders Chapter 11: Inflammation and Wound Healing Chapter 12: Genetics and Genomics Chapter 13: Altered Immune Responses and Transplantation Chapter 14: Infection and Human Immunodeficiency Virus Infection Chapter 15: Cancer Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances Chapter 17: Preoperative Care Chapter 18: Intraoperative Care Chapter 19: Postoperative Care Chapter 20: Assessment of Visual and Auditory Systems Chapter 21: Visual and Auditory Problems Chapter 22: Assessment of Integumentary System Chapter 23: Integumentary Problems Chapter 24: Burns Chapter 25: Assessment of Respiratory System Chapter 26: Upper Respiratory Problems Chapter 27: Lower Respiratory Problems Chapter 28: Obstructive Pulmonary Diseases Chapter 29: Assessment of Hematologic System Chapter 30: Hematologic Problems Chapter 31: Assessment of Cardiovascular System Chapter 32: Hypertension Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome Chapter 34: Heart Failure Chapter 35: Dysrhythmias Chapter 36: Inflammatory and Structural Heart Disorders Chapter 37: Vascular Disorders Chapter 38: Assessment of Gastrointestinal System Chapter 39: Nutritional Problems Chapter 40: Obesity Chapter 41: Upper Gastrointestinal Problems Chapter 42: Lower Gastrointestinal Problems Chapter 43: Liver, Pancreas, and Biliary Tract Problems Chapter 44: Assessment of Urinary System Chapter 45: Renal and Urologic Problems Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Chapter 47: Assessment of Endocrine System Chapter 48: Diabetes Mellitus Chapter 49: Endocrine Problems Chapter 50: Assessment of Reproductive System Chapter 51: Breast Disorders Chapter 52: Sexually Transmitted Infections Chapter 53: Female Reproductive and Genital Problems Chapter 54: Male Reproductive and Genital Problems Chapter 55: Assessment of Nervous System Chapter 56: Acute Intracranial Problems Chapter 57: Stroke Chapter 58: Chronic Neurologic Problems Chapter 59: Dementia and Delirium Chapter 60: Spinal Cord and Peripheral Nerve Problems Chapter 61: Assessment of Musculoskeletal System Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery Chapter 63: Musculoskeletal Problems Chapter 64: Arthritis and Connective Tissue Diseases Chapter 65: Critical Care Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome Chapter 68: Emergency and Disaster Nursing Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th 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 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 nurse’s 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 nurse’s 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 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 interventions should be based on research from randomized control studies with a large number of subjects. DIF: Cognitive Level: Remember (knowledge) REF: 15 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 patient’s 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 used primarily to explain nursing interventions to other health care professionals.” d. “The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans.” 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: 5 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 patient’s feelings about the child-care arrangements. d. Call the patient’s parents to determine whether adequate child care is being provided. ANS: C Because a complete assessment is necessary in order to identify a problem and choose an appropriate intervention, the nurse’s first action should be to obtain more information. The other actions may be appropriate, but more assessment is needed before the best intervention can be chosen. DIF: Cognitive Level: Apply (application) REF: 6 OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip. Which nursing diagnosis is most appropriate? a. Impaired physical mobility related to left-sided paralysis b. Risk for impaired tissue integrity related to left-sided weakness c. Impaired skin integrity related to altered circulation and pressure d. Ineffective tissue perfusion related to inability to move independently ANS: C The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The “risk for” diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is. DIF: Cognitive Level: Apply (application) REF: 7 TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity 6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this patient? a. Patient has a balanced intake and output. b. Patient’s bedding is changed when it becomes damp. c. Patient understands the need for increased fluid intake. d. Patient’s skin remains cool and dry throughout hospitalization. ANS: A This statement gives measurable data showing resolution of the problem of deficient fluid volume that was identified in the nursing diagnosis statement. The other statements would not indicate that the problem of deficient fluid volume was resolved. DIF: Cognitive Level: Apply (application) REF: 7 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity 7. A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation phase of the nursing process? a. To determine if interventions have been effective in meeting patient outcomes b. To document the nursing care plan in the progress notes of the medical record c. To decide whether the patient’s health problems have been completely resolved d. To establish if the patient agrees that the nursing care provided was satisfactory ANS: A Evaluation consists of determining whether the desired patient outcomes have been met and whether the nursing interventions were appropriate. The other responses do not describe the evaluation phase. DIF: Cognitive Level: Understand (comprehension) REF: 5 TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment 8. The nurse interviews a patient while completing the health history and physical examination. What is the purpose of the assessment phase of the nursing process? a. To teach interventions that relieve health problems b. To use patient data to evaluate patient care outcomes c. To obtain data with which to diagnose patient problems d. To help the patient identify realistic outcomes for health problems ANS: C During the assessment phase, the nurse gathers information about the patient to diagnose patient problems. The other responses are examples of the p... Chapter 1 to 68 complete test bank [Show Less]
deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition MULTIPLE CHOICE 1. Which statement accurately describes the primary purpose of the state ... [Show More] nurse practice act (NPA)? a. To test and license LPN/LVNs. b. To define the scope of LPN/LVN practice. c. To improve the quality of care provided by the LPN/LVN. d. To limit the LPN/LVN employment placement. ANS: B While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of the NPA of each state defines the scope of nursing practice in that state. PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational nurse has not been taught during her educational program. How should the vocational nurse respond? a. Ask a more experienced nurse to demonstrate the procedure. b. Look up the procedure in the procedure manual. c. Attempt to perform the procedure with supervision. d. Inform the charge nurse of her lack of training in this procedure. ANS: D The charge nurse should be informed of the lack of training to perform the procedure, and the vocational nurse should seek further training to gain proficiency. Although the other options might be helpful, they are not safe. PTS: 1 DIF: Cognitive Level: Application REF: 3 OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 3. Which patient statement indicates a need for further discharge teaching that the vocational nurse should address? a. “I have no idea of how this drug will affect me.” b. “Do you know if my physician is coming back today?” c. “Will my insurance pay for my stay?” d. “Am I going to have to go to a nursing home?” ANS: A Lack of knowledge at discharge about medication effects and side effects is a concern that should be addressed by the vocational nurse. The other concerns in the options are the responsibility of other departments to which the nurse might refer the patient. PTS: 1 DIF: Cognitive Level: Application REF: 2 OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts in which capacity? a. Working under direct supervision of an RN on the unit b. Working with the RN in the building c. Working under general supervision by the RN available on site or by phone d. Working as an independent vocational nurse ANS: C The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general supervision of an RN available on site or by phone. PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 5. The nurse is educating a patient that is a member of a health maintenance organization (HMO). Which information should the nurse include? a. Seek the opinion of an alternate health care provider. b. Obtain insurance approval for medical services prior to treatment. c. Provide detailed documentation of all care received for his condition. d. Wait at least 6 months to see a specialist. ANS: B Most HMOs require preprocedure authorization for treatment. Patients are not required to seek a second opinion, provide documentation of care, or wait a specific time period before visiting a specialist. PTS: 1 DIF: Cognitive Level: Application REF: 9 OBJ: 9 TOP: Charge Nurse/Manager KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 6. The patient complains to the nurse that he is confused about his “deductible” that he owes the hospital. Which statement accurately explains a deductible? a. An amount of money put aside for the payment of future medical bills b. A one-time fee for service c. An amount of money deducted from the bill by the insurance company d. An annual amount of money the patient must pay out-of-pocket for medical care ANS: D The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance company assuming the cost. This practice improves the profit of the insurance company. PTS: 1 DIF: Cognitive Level: Comprehension REF: 7 OBJ: 9 TOP: Health Care Financing KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 7. The nurse compares the characteristics of a health maintenance organization (HMO) and a preferred provider organization (PPO). Which information should the nurse include about HMOs? a. HMOs require a set fee of each member monthly. b. HMOs allow the member to select his health care provider. c. HMOs permit admission to any facility the member prefers. d. HMOs offer unlimited diagnostic tests and treatments. ANS: A HMOs require a set fee from each member monthly (capitation). The patient will be treated by the HMO staff in HMO-approved facilities. Excessive use of diagnostic tests and treatments is discouraged by the HMO. PTS: 1 DIF: Cognitive Level: Application REF: 9 OBJ: 9 TOP: Managed Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 8. A patient asks the nurse what Medicare Part A covers. Which response is correct? a. Medicare Part A covers inpatient hospital costs. b. Medicare Part A covers reimbursement to the physician. c. Medicare Part A covers outpatient hospital services. d. Medicare Part A covers ambulance transportation. ANS: A Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work, and intensive care. Medicare Part B pays the physician, ambulance transport, and outpatient services. PTS: 1 DIF: Cognitive Level: Comprehension REF: 7, Box 1-4 OBJ: 9 TOP: Government-Sponsored Health Insurance KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 9. Which is the main cost-containment component of diagnosis-related groups (DRGs)? a. Hospitals focus only on the specific diagnosis. b. Hospitals treat and discharge patients quickly. c. Reduced cost drugs are ordered for specific diagnoses. d. Diagnostic group classification streamlines care. ANS: B DRGs are a prospective payment plan in which hospitals receive a flat fee for each patient’s diagnostic category regardless of the length of time in the hospital. If hospitals can treat and discharge patients before the allotted time, hospitals get to keep the excess payment; cost is contained, and the patient is discharged sooner. PTS: 1 DIF: Cognitive Level: Comprehension REF: 8 OBJ: 9 TOP: Government-Sponsored Health Insurance KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 10. The nurse is assessing a group of patients. Which patient would most likely qualify for Medicaid? a. A 35-year-old unemployed single mother with diabetes b. A 70-year-old Medicare recipient with retirement income who needs to be in a long-term care facility c. An 80-year-old blind woman living in her own home who has inadequate private insurance d. A 67-year-old stroke victim with Medicare Part A and an income from investments ANS: A Medicaid is a joint effort of federal and state governments geared primarily for low-income people with no insurance. PTS: 1 DIF: Cognitive Level: Application REF: 8, Box 1-5 OBJ: 9 TOP: Government-Sponsored Health Insurance–Medicaid KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 11. Which area is the major focus of Healthy People 2020 and the primary mechanism through which to improve the health of Americans in the second decade of the century? a. Research funding b. Health information distribution c. Healthy lifestyle encouragement d. Health improvement program designs ANS: C Healthy People 2020 focuses on expanding ongoing programs to include support and information to reduce infant mortality, cancer, cardiovascular disease, and HIV/AIDS, and to increase effective immunizations, healthy eating habits, and healthy weight. PTS: 1 DIF: Cognitive Level: Comprehension REF: 6 OBJ: 7 TOP: Healthy People 2020 KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 12. Which term explains the type of care that addresses interventions for all dimensions of a patient’s life? a. Focused care b. General care c. Directed care d. Holistic care ANS: D Holistic care addresses the physiologic, psychological, social, cultural, and spiritual needs of the patient. PTS: 1 DIF: Cognitive Level: Comprehension REF: 6 OBJ: 8 TOP: Holistic Care KEY: Nursing Process Step: Planning MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 13. A patient furiously says, “My doctor was so busy giving me instructions that he didn’t hear what I was trying to ask him!” Which response is most empathetic? a. “When people ignore me, I really get mad.” b. “I’m sure that the doctor was rushed and unaware of your needs.” c. “I’ll bet that made you feel very frustrated.” d. “Take a deep breath and plan what you will say to him tomorrow.” ANS: C Empathy demonstrates that the nurse perceives the patient’s feelings but does not share the emotion. Belittling the patient’s feelings, showing sympathy, or defending the doctor makes the patient feel devalued. PTS: 1 DIF: Cognitive Level: Analysis REF: 10 OBJ: 10 TOP: Nurse–Patient Relationship KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 14. The nurse is explaining differences in a therapeutic relationship and a social relationship to a patient. Which information about therapeutic relationships is most important for the nurse to include in the explanation? a. Therapeutic relationships lack formal boundaries. b. Therapeutic relationships are goal directed. c. Therapeutic relationships meet the needs of each person in the relationship. d. Therapeutic relationships extend past the hospitalization period. ANS: B The therapeutic relationship is focused on the patient and is goal directed and designed to meet only the needs of the patient and does not extend past the period of hospitalization. PTS: 1 DIF: Cognitive Level: Comprehension REF: 9 OBJ: 10 TOP: Therapeutic Relationship KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 15. The long-term care facility nurse is caring for a newly admitted 80-year-old patient who is depressed. Which approach is best for the nurse to employ? a. Encourage the resident to engage in an activity. b. Remind the resident of reasons to be positive. c. Point out episodes of negative behavior. d. Present a bright and cheerful behavior. ANS: A Activity and social interaction are helpful to depressed patients. Presenting a cheery approach and pointing out negative behavior and reasons to be positive are not therapeutic at this stage of the relationship. PTS: 1 DIF: Cognitive Level: Analysis REF: 10 OBJ: 10 TOP: Depressed Behavior KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 16. The nurse is caring for a patient who has been on antidepressants for 3 days. The patient tearfully says, “I still feel terrible. I don’t think anything can help how I feel.” Which response is best? a. “I will tell the charge nurse how you are feeling.” b. “You just need to be patient and give your medicine some time to work.” c. “Look how much you have improved since you were admitted to the facility.” d. “It must be frustrating to be going through this difficult time.” ANS: D This response is an empathetic response that allows for further exploration of the patient’s feelings. The other responses will block communication with this patient. PTS: 1 DIF: Cognitive Level: Application REF: 9 OBJ: 10 TOP: Therapeutic Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 17. An overweight male patient rips off his hospital gown, throws it out the door, and shouts, “I’m not wearing this stupid gown! It is too small, too short, and exposes my backside to the world!” Which response is most appropriate? a. Remind patient of the need to wear the gown for convenience in care. b. Confer with the patient for methods to acquire a larger gown. c. Replace the torn gown with another. d. Inform the charge nurse of the hostile behavior. ANS: B Allowing hostile patients to make reasonable requests defuses the anger and allows patients to vent their feelings. PTS: 1 DIF: Cognitive Level: Application REF: 9 OBJ: 10 TOP: Hostile Behavior KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 18. The nurse is caring for a patient who states, “You are the only nurse who understands about my pain. Can’t you give me an extra dose of pain medication?” How should the nurse respond to the patient’s request? a. Explain that dosage schedules are by physician’s orders. b. Ignore the request. c. Tell the patient that his behavior is manipulative. d. Agree to give an extra dose of pain medication. ANS: A A matter-of-fact response to a manipulative request limits the effect of the manipulation, thereby helping the nurse to avoid becoming defensive or being swayed by flattery. PTS: 1 DIF: Cognitive Level: Application REF: 9 OBJ: 10 TOP: Manipulative Behavior KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 19. A female patient who has recently been diagnosed with an inoperable brain tumor asks the nurse, “Do you think God punishes us?” Which response demonstrates therapeutic communication? a. “What do you think?” b. “God loves you.” c. “Would like to speak with the chaplain?” d. “God will not give you more than you can bear.” ANS: A Sitting with the patient and offering oneself to listen to the patient’s concerns and encouraging reflection is the best approach rather than responding with a cliché or suggesting speaking with the chaplain. PTS: 1 DIF: Cognitive Level: Application REF: 10 OBJ: 10 TOP: Spiritual Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 20. The nurse is communicating with a patient who voices concern about an upcoming high-risk procedure. Which statement best demonstrates empathy? a. “Would you like to talk about your feelings regarding the procedure?” b. “My mother had the same procedure and did very well.” c. “I can’t imagine how you feel.” d. “It must be difficult preparing for the procedure; how are you feeling?” ANS: D This statement by the nurse displays empathy by trying to place oneself in the patient’s circumstance and validating the patient’s feelings. Simply asking patients if they would like to talk about their feelings does not show empathy and may elicit a “yes” or “no” response. Telling the patient one’s mother had the procedure or stating “I can’t imagine how you feel” does not show empathy toward the patient. PTS: 1 DIF: Cognitive Level: Application REF: 10 OBJ: 10 TOP: Nurse–Patient Relationship KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity MULTIPLE RESPONSE 21. Which of the following are sources of clear guidelines for upholding clinical standards for safe and competent care? (Select all that apply.) a. The state’s nurse practice act (NPA) b. The State Board of Nurse Examiners (BNE) c. The National Association for Practical Nurse Education and Service (NAPNES) d. Institutional policies e. The National Federation of Licensed Practical Nurses, Inc. (NFLPN) ANS: C, E NAPNES and the NFLPN give clear guidelines for clinical standards that can be used as a basis for court decisions. The NPA has broad guidelines, and institutional policies may not be complete. The BNE enforces the NPA. PTS: 1 DIF: Cognitive Level: Comprehension REF: 5 OBJ: 3 TOP: Upholding Clinical Standards KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 22. Which statement(s) accurately describes the role of the LPN/LVN regardless of employment placement? (Select all that apply.) a. Uphold clinical standards b. Educate patients c. Communicate effectively d. Collaborate with the health care team e. Initiate a care plan immediately after admission ANS: A, B, C, D The LPN/LVN has the accountability to uphold clinical standards, educate patients, communicate effectively, and collaborate with the health care team. Depending on the type of facility, initiation of a care plan is often the role of the registered nurse. PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 OBJ: 3 TOP: Roles of LPN/LVNs KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 23. The newly licensed LPN/LVN demonstrates an understanding of employment opportunities when applying to a position in which area(s)? (Select all that apply.) a. An outpatient clinic b. A home health care agency c. An intravenous (IV) therapy team d. A long-term care facility e. An ambulatory care unit ANS: A, B, D, E With the exception of an IV therapy team, which requires postgraduate education and/or certification, the other options are open to newly graduated vocational nurses. PTS: 1 DIF: Cognitive Level: Application REF: 2 OBJ: 2 TOP: Employment Opportunities for LPN/LVNs KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 24. What factor(s) should the LPN/LVN consider when delegating a task to unlicensed assistive personnel (UAP)? (Select all that apply.) a. A need for the UAP to voluntarily accept the task delegated b. Continued accountability for the task by the LPN/LVN c. Assurance that the task requires no further need for supervision of the UAP d. An understanding that the task is in the job description of the UAP e. A transfer of authority to the UAP ANS: A, B, D, E Delegation is a considered act involving the condition of the patient and the competency of the UAP. Delegation requires that the UAP voluntarily accept the task, which is in the job description of the UAP. The vocational nurse has transferred authority for the completion of the task but is still accountable and should supervise. PTS: 1 DIF: Cognitive Level: Application REF: 3 OBJ: 1 TOP: Delegation KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 25. The LPN/LVN participates in an in-service about cost containment within the health care facility. Which action(s) demonstrate understanding of cost-containment principles? (Select all that apply.) a. Telling patients to limit their usage of supplies. b. Asking the UAP to ensure correct charges for patient care items. c. Only using necessary items for patient care. d. Charging for extra patient care items that the patient may take home upon discharge. e. Documenting supplies used for patients in their patient care record. ANS: B, C, E The UAP must correctly charge patients utilizing the facility’s charging system, only necessary supplies should be used for patient care, and documenting supplies used assists in reimbursement. It is inappropriate and not the patient’s responsibility to monitor their supply use, and excess charges would be incurred if items were given to the patient upon discharge. PTS: 1 DIF: Cognitive Level: Application REF: 6 OBJ: 8 TOP: Cost Containment KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Management of Care COMPLETION 26. When an insurance company directly reimburses a licensed health care provider for services, the form of financing is called ______________. ANS: fee for service Fee for service is the direct reimbursement by an insurance company to a health care provider. PTS: 1 DIF: Cognitive Level: Comprehension REF: 7 OBJ: 9 TOP: Health Care Financing KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 27. The nurse explains that the term _____________ refers to the severity of illness. ANS: acuity Acuity is the term referring to the severity of illness or condition of a patient. PTS: 1 DIF: Cognitive Level: Knowledge REF: 4 OBJ: 6 TOP: Acuity KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care Chapter 02: Critical Thinking and the Nursing Process deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition MULTIPLE CHOICE 1. Which foundational behavior is necessary for effective critical thinking? a. Unshakable beliefs and values b. An open attitude c. An ability to disregard evidence inconsistent with set goals d. An ability to recognize the perfect solution ANS: B An open attitude not clouded by unshakable beliefs and values or preset goals allows the application of critical thinking. Acceptance that there may not be a perfect solution leaves the field open to new ideas. PTS: 1 DIF: Cognitive Level: Comprehension REF: 16, Box 2-1 OBJ: 2 (theory) TOP: Factors Influencing Critical Thinking KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance 2. Which fundamental belief underscores the basis of the nursing process? a. Recognition that basic needs must be met by the individual without assistance. b. Acknowledgment that patients and families appreciate an efficient health care system that functions without their input. c. A focus on disease control as the most important aspect of patient care. d. Recognition that all people have worth and dignity. ANS: D The nursing process is based on the belief that all people have worth and dignity. Patient-centered care that is applied to all aspects of the patient’s health, and is not just disease oriented, is appreciated by the family and patient. Holistic care approach can support the patient to meet basic needs. PTS: 1 DIF: Cognitive Level: Comprehension REF: 17 OBJ: 5 (theory) TOP: Basic Beliefs Pertinent to the Nursing Process KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 3. The nurse is assessing a new patient who complains of his chest feeling tight. The patient displays a temperature of 100° F and an oxygen saturation of 89%, and expectorates frothy mucus. Which finding is an example of subjective data? a. Temperature b. Oxygen saturation c. Frothy mucus d. Chest tightness ANS: D Subjective data is information given by the patient that cannot be measured otherwise. The other data are considered objective data. Objective data are pieces of information that can be measured by the examiner. The nurse should avoid making judgments or conclusions when obtaining data. PTS: 1 DIF: Cognitive Level: Application REF: 18 OBJ: 8 (clinical) TOP: Assessment Data KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 4. The nurse is caring for a newly admitted patient who is describing his recent symptoms to the nurse. This scenario is an example of which type of source? a. Primary b. Objective c. Secondary d. Complete ANS: A The patient is the primary source of information. Objective refers to a type of data obtained by the nurse that is measured or can be verified through assessment techniques, secondary information is obtained from relatives or significant others, and information is not necessarily complete when the patient is the source. PTS: 1 DIF: Cognitive Level: Application REF: 19 OBJ: 8 (clinical) TOP: Sources of Information KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 5. The nurse is performing an intake interview on a new resident to the long-term care facility. The nurse detects the odor of acetone from the patient’s breath. Which term accurately describes this assessment? a. Inspection b. Observation c. Auscultation d. Olfaction ANS: D Olfaction is an assessment method of smells. Inspection and observation use the sense of vision. Auscultation refers to use of the sense of hearing. PTS: 1 DIF: Cognitive Level: Comprehension REF: 20 OBJ: 9 (clinical) TOP: Olfaction KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 6. During a morning assessment, the nurse observes that the patient displays significant edema of both feet and ankles. Which statement best documents these findings? a. Pitting edema present in both feet and ankles b. Edema in both feet and ankles approximately 4 mm deep c. 4 mm pitting edema quickly resolving d. Bilateral pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds ANS: D Edema should be recorded as to location, depth of pitting, and time for resolution. PTS: 1 DIF: Cognitive Level: Application REF: 20 OBJ: 9 (theory) TOP: Palpation KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 7. Which technique should the nurse employ to best assess skin turgor? a. Examine mucous membranes of the mouth. b. Compare limbs for similar color. c. Pinch a skinfold on chest to assess for tenting. d. Palpate the ankles for evidence of pitting edema. ANS: C Skin turgor can be assessed by tenting the skin on the chest and recording the speed at which the “tent” subsides. PTS: 1 DIF: Cognitive Level: Comprehension REF: 22 OBJ: 9 (clinical) TOP: Practical Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 8. Which example shows that the nursing student demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA)? a. The student uses the patient’s full name only on clinical assignments submitted to the instructor. b. The student uses the facility printer to copy laboratory reports on an assigned patient. c. The student shreds any documents that contain identifying patient information before leaving the clinical facility. d. The student asks the patient for permission to copy laboratory and diagnostic reports for educational purposes. ANS: C HIPAA forbids any information used for educational purposes to have any identifying information; therefore, shredding documents would be appropriate. Full names on documents, printing copies of chart forms, and asking the patient for permission to copy forms would be violations of HIPAA regulations. PTS: 1 DIF: Cognitive Level: Comprehension REF: 26 OBJ: 4 (theory) TOP: HIPAA KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 9. The diabetic patient who had blood drawn for an HbA1c level says, “I don’t know why they want to look at my hemoglobin.” Which response is most appropriate for the nurse to make? a. “Diabetes increases your risk of bleeding.” b. “The HbA1c provides information relative to blood sugar levels for the last 2 to 3 months.” c. “Hemoglobin levels and blood sugar levels are closely related.” d. “The HbA1c tells if you have type 1 or type 2 diabetes.” ANS: B HbA1c evaluates the average blood glucose level for the last 2 to 3 months. By explaining the purpose of the common laboratory test (HgbA1c) and its relationship to diabetes, the nurse answers the patient’s question and clearly communicates relevant data. PTS: 1 DIF: Cognitive Level: Comprehension REF: 25, 27 OBJ: 8 (clinical) TOP: Diagnostic Studies KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 10. The nurse is caring for a patient with the problem statement/nursing diagnosis of Risk for Impaired Skin Integrity Related to Immobility. Which goal/outcome statement best correlates with this diagnosis? a. The patient will sit in chair at bedside for 15 minutes after each meal. b. The nurse will assist the patient to chair every shift. c. The nurse will assess skin and record condition every shift. d. The patient will change positions frequently. ANS: A The goal/outcome statement is directed at the etiology and should be patient oriented. The statement should be realistic and measurable and reflect what the patient will do. PTS: 1 DIF: Cognitive Level: Comprehension REF: 24 OBJ: 11 (clinical) TOP: Goals KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 11. The nurse who has recently moved from Louisiana to Texas is uncertain about the LPN/LVN’s role in applying the nursing process. Which source is most appropriate source for the nurse to consult? a. Hospital policies b. The Texas State Board of Nursing c. Rules and regulations of the Louisiana Nurse Practice Act d. The National Association of Practical Nurse Education and Service ANS: B Each state has different guidelines for areas of care planning, intravenous therapy, teaching, and delegation. The Texas State Board of Nursing is the most reliable source. PTS: 1 DIF: Cognitive Level: Comprehension REF: 17 OBJ: 4 (theory) TOP: Nursing Process KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 12. The nurse adds a nursing order to the care plan related to a patient with a problem statement/nursing diagnosis of altered nutrition/Nutrition: Less Than Body Requirements Related to Nausea and Vomiting. Which nursing order should the nurse include in the plan of care? a. Medicate with an antiemetic before each meal. b. Offer crackers and iced drink before each meal. c. Change diet to clear liquids. d. Give nothing by mouth until nausea subsides. ANS: B Offering crackers and iced drinks are within the scope of nursing; the other options would require a medical order to complete. PTS: 1 DIF: Cognitive Level: Application REF: 18 OBJ: 11 (clinical) TOP: Nursing Orders KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 13. After evaluating the nursing care plan, the nurse finds lack of progress toward the goal. What action should the nurse take next? a. Create a more accessible goal. b. Revise the nursing interventions. c. Change the problem statement/nursing diagnosis. d. Use a new evaluation plan. ANS: B When lack of progress to reach the goal is seen on evaluation, the interventions are reviewed and/or revised. PTS: 1 DIF: Cognitive Level: Application REF: 26 OBJ: 10 (clinical) TOP: Evaluation KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care [Show Less]
TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGI... [Show More] CAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS.TEST BANK FOR MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS. [Show Less]
INSTANTLY DOWNLOAD TEST BANK FOR MEDICAL SURGICAL NURSING 10TH EDITION BY IGNATAVICIUS TEST BANK MEDICAL-SURGICAL NURSING, 10TH EDITION (ALL CHAPTERS COVER... [Show More] ED) TABLE OF CONTENTS Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing Page : 8 Chapter 02: Clinical Judgment and Systems Thinking Medical-Surgical Page : 13 Chap ter 03: Overview of Health Concepts for Medical-Surgical Nursing Page : 19 Chapter 04: Common Health Problems of Older Adults MedicalPage : 28 Chapter 05: Assessment and Care of Patients With Pain Medical Page : 40 Chapter 06: Concepts of Genetics and Genomics Medical-Surgical Page : 47 Chapter 07: Concepts of Rehabilitation for Chronic and Disabling Health Problems Page : 55 Chapter 08: Concepts of Care for Patients at End of Life Page : 62 Chapter 09: Concepts of Care for Perioperative Patients MedicalPage : 74 Chapter 10: Concepts of Emergency and Trauma Nursing MedicalPage : 83 Chapter 11: Concepts of Care for Patients With Common Environmental Emergencies Page : 93 Chapter 12: Concepts of Disaster Preparedness Nursing Page : 101 Chapter 13: Concepts of Fluid and Electrolyte Balance MedicalPage : 111 Chapter 14: Concepts of Acid–Base Balance MedicalPage : 119 Chapter 15: Concepts of Infusion Therapy Nursing Page : 128 Chapter 16: Concepts of Inflammation and Immunity Medical-Surgical Page : 136 Chapter 17: Concepts of Care for Patients With HIV Disease Page : 146 Chapter 18: Concepts of Care for Patients With Hypersensitivity (Allergy) Page : 151 Chapter 19: Concepts of Cancer Development Nursing Page : 156 Chapter 20: Concepts of Care for Patients With Cancer Medical Page : 168 Chapter 21: Concepts of Care for Patients With Infection Medical Page : 176 Chapter 22: Assessment of the Skin, Hair, and Nails Page : 182 Chapter 23: Concepts of Care for Patients With Skin Problems Page : 193 Chapter 24: Assessment of the Respiratory System Medical-Surgical Page : 201 Chapter 25: Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy Page : 208 Chapter 26: Concepts of Care for Patients With Noninfectious Upper Respiratory Problems Page : 216 Chapter 27: Concepts of Care for Patients With Noninfectious Lower Respiratory Problems Page : 230 Chapter 28: Concepts of Care for Patients With Infectious Respiratory Problems Page : 240 Chapter 29: Critical Care of Patients With Respiratory Emergencies Medical Page : 251 Chapter 30: Assessment of the Cardiovascular System Medical-Surgical Page : 261 Chapter 31: Concepts of Care for Patients With Dysrhythmias Medical Page : 272 Chapter 32: Concepts of Care for Patients With Cardiac Problems Page : 285 Chapter 33: Concepts of Care for Patients With Vascular Problems Page : 299 Chapter 34: Critical Care of Patients With Shock MedicalPage : 307 Chapter 35: Critical Care of Patients With Acute Coronary Syndromes Page : 319 Chapter 36: Assessment of the Hematologic System Medical-Surgical Page : 324 Chapter 37: Concepts of Care for Patients With Hematologic Problems Page : 337 Chapter 38: Assessment of the Nervous System Page : 347 Chapter 39: Concepts of Care for Patients With Problems of the Central Page : 359 Chapter 40: Concepts of Care for Patients With Problems of the Central Page : 369 Chapter 41: Critical Care of Patients With Neurologic Emergencies Medical Page : 381 Chapter 42: Assessment and Care of Patients With Eye and Vision Problems Page : 389 Chapter 43: Assessment and Care of Patients With Ear and Hearing Problems Page : 396 Chapter 44: Assessment of the Musculoskeletal System Medical-Surgical Page : 401 Chapter 45: Concepts of Care for Patients With Musculoskeletal Problems Page : 408 Chapter 46: Concepts of Care for Patients With Arthritis and Total Joint Page : 419 Chapter 47: Concepts of Care for Patients With Musculoskeletal Trauma Page : 430 Chapter 48: Assessment of the Gastrointestinal System Medical-Surgical Page : 436 Chapter 49: Concepts of Care for Patients With Oral Cavity and Esophageal Page : 441 Chapter 50: Concepts of Care for of Patients With Stomach Disorders Page : 448 Chapter 51: Concepts of Care for Patients With Noninflammatory Intestinal Disorders Page : 450 local chapter of the United Ostomy Associations of America has resources for clients and Page : 458 Chapter 52: Concepts of Care for Patients With Inflammatory Intestinal Disorders Page : 467 Chapter 53: Concepts of Care for Patients With Liver Problems Page : 476 Chapter 54: Concepts of Care for Patients With Problems of the Biliary Page : 483 Chapter 55: Concepts of Care for Patients With Malnutrition: Undernutrition and Page : 490 Chapter 56: Assessment of the Endocrine System Medical-Surgical Page : 495 Chapter 57: Concepts of Care for Patients With Pituitary and Adrenal Gland Page : 501 Chapter 58: Concepts of Care for Patients With Problems of the Thyroid Page : 507 Chapter 59: Concepts of Care for Patients With Diabetes Mellitus Page : 523 Chapter 60: Assessment of the Renal/Urinary System Medical Page : 530 Chapter 61: Concepts of Care for Patients With Urinary Problems Page : 540 Chapter 62: Concepts of Care for Patients with Kidney Disorders Page : 546 Chapter 63: Concepts of Care for Patients with Acute Kidney Injury and Page : 557 Chapter 64: Assessment of the Reproductive System Medical-Surgical Page : 561 Chapter 65: Concepts of Care for Patients with Breast Disorders Page : 568 Chapter 66: Concepts of Care for Patients With Gynecologic Problems Page : 575 Chapter 67: Concepts of Care for Clients With Male Reproductive Problems Page : 581 Chapter 68: Concepts of Care for Transgender Patients MedicalPage : 586 Chapter 69: Concepts of Care for Patients With Sexually Transmitted Infections [Show Less]
Test bank for Medical-Surgical Nursing 10th Edition Author: Sharon L. Lewis, Linda Bucher, Margaret M. Heitkemper, Mariann M. Harding, Jeffrey Kwong, Dotti... [Show More] e Roberts Medical Surgical Nursing 10th Edition By Lewis Test Bank for Medical-Surgical Nursing 10th Edition By Lewis, Bucher, Heitkemper, Harding, Kwong, Roberts Chapter 1-68 | Complete Guide A+ Chapter 1: Professional Nursing Practice Chapter 2: Health Disparities and Culturally Competent Care Chapter 3: Health History and Physical Examination Chapter 4: Patient and Caregiver Teaching Chapter 5: Chronic Illness and Older Adults Chapter 6: Stress and Stress Management Chapter 7: Sleep and Sleep Disorders Chapter 8: Pain Chapter 9: Palliative Care at End of Life Chapter 10: Substance Use Disorders Chapter 11: Inflammation and Wound Healing Chapter 12: Genetics and Genomics Chapter 13: Altered Immune Responses and Transplantation Chapter 14: Infection and Human Immunodeficiency Virus Infection Chapter 15: Cancer Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances Chapter 17: Preoperative Care Chapter 18: Intraoperative Care Chapter 19: Postoperative Care Chapter 20: Assessment of Visual and Auditory Systems Chapter 21: Visual and Auditory Problems Chapter 22: Assessment of Integumentary System Chapter 23: Integumentary Problems Chapter 24: Burns Chapter 25: Assessment of Respiratory System Chapter 26: Upper Respiratory Problems Chapter 27: Lower Respiratory Problems Chapter 28: Obstructive Pulmonary Diseases Chapter 29: Assessment of Hematologic System Chapter 30: Hematologic Problems Chapter 31: Assessment of Cardiovascular System Chapter 32: Hypertension Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome Chapter 34: Heart Failure Chapter 35: Dysrhythmias Chapter 36: Inflammatory and Structural Heart Disorders Chapter 37: Vascular Disorders Chapter 38: Assessment of Gastrointestinal System Chapter 39: Nutritional Problems Chapter 40: Obesity Chapter 41: Upper Gastrointestinal Problems Chapter 42: Lower Gastrointestinal Problems Chapter 43: Liver, Pancreas, and Biliary Tract Problems Chapter 44: Assessment of Urinary System Chapter 45: Renal and Urologic Problems Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Chapter 47: Assessment of Endocrine System Chapter 48: Diabetes Mellitus Chapter 49: Endocrine Problems Chapter 50: Assessment of Reproductive System Chapter 51: Breast Disorders Chapter 52: Sexually Transmitted Infections Chapter 53: Female Reproductive and Genital Problems Chapter 54: Male Reproductive and Genital Problems Chapter 55: Assessment of Nervous System Chapter 56: Acute Intracranial Problems Chapter 57: Stroke Chapter 58: Chronic Neurologic Problems Chapter 59: Dementia and Delirium Chapter 60: Spinal Cord and Peripheral Nerve Problems Chapter 61: Assessment of Musculoskeletal System Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery Chapter 63: Musculoskeletal Problems Chapter 64: Arthritis and Connective Tissue Diseases Chapter 65: Critical Care Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome Chapter 68: Emergency and Disaster Nursing Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th 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 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 nurse’s 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 nurse’s 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 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 interventions should be based on research from randomized control studies with a large number of subjects. DIF: Cognitive Level: Remember (knowledge) REF: 15 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 patient’s 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 used primarily to explain nursing interventions to other health care professionals.” d. “The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans.” 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: 5 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 patient’s feelings about the child-care arrangements. d. Call the patient’s parents to determine whether adequate child care is being provided. ANS: C Because a complete assessment is necessary in order to identify a problem and choose an appropriate intervention, the nurse’s first action should be to obtain more information. The other actions may be appropriate, but more assessment is needed before the best intervention can be chosen. DIF: Cognitive Level: Apply (application) REF: 6 OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip. Which nursing diagnosis is most appropriate? a. Impaired physical mobility related to left-sided paralysis b. Risk for impaired tissue integrity related to left-sided weakness c. Impaired skin integrity related to altered circulation and pressure d. Ineffective tissue perfusion related to inability to move independently ANS: C The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The “risk for” diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is. DIF: Cognitive Level: Apply (application) REF: 7 TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity 6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this patient? a. Patient has a balanced intake and output. b. Patient’s bedding is changed when it becomes damp. c. Patient understands the need for increased fluid intake. d. Patient’s skin remains cool and dry throughout hospitalization. ANS: A This statement gives measurable data showing resolution of the problem of deficient fluid volume that was identified in the nursing diagnosis statement. The other statements would not indicate that the problem of deficient fluid volume was resolved. DIF: Cognitive Level: Apply (application) REF: 7 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity 7. A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation phase of the nursing process? a. To determine if interventions have been effective in meeting patient outcomes b. To document the nursing care plan in the progress notes of the medical record c. To decide whether the patient’s health problems have been completely resolved d. To establish if the patient agrees that the nursing care provided was satisfactory ANS: A Evaluation consists of determining whether the desired patient outcomes have been met and whether the nursing interventions were appropriate. The other responses do not describe the evaluation phase. DIF: Cognitive Level: Understand (comprehension) REF: 5 TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment 8. The nurse interviews a patient while completing the health history and physical examination. What is the purpose of the assessment phase of the nursing process? a. To teach interventions that relieve health problems b. To use patient data to evaluate patient care outcomes c. To obtain data with which to diagnose patient problems d. To help the patient identify realistic outcomes for health problems ANS: C During the assessment phase, the nurse gathers information about the patient to diagnose patient problems. The other responses are examples of the p... Chapter 1 to 68 complete test bank [Show Less]
TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG TABLE OF CONTENT Unit I: Medical-Surgical Nursing Settings 1. Caring for Medical-Sur... [Show More] gical Patients 2. Critical Thinking and the Nursing Process Unit II: Medical-Surgical Patient Care Problems 3. Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy 4. Care of Preoperative and Intraoperative Surgical Patients 5. Care of Postoperative Surgical Patients 6. Infection Prevention and Control 7. Care of Patients with Pain 8. Care of Patients with Cancer 9. Chronic Illness and Rehabilitation Unit III: Immune System 10. The Immune and Lymphatic Systems 11. Care of Patients with Immune and Lymphatic Disorders Unit IV: Respiratory System 12. The Respiratory System 13. Care of Patients with Disorders of the Upper Respiratory System 14. Care of Patients with Disorders of the Lower Respiratory System Unit V: Hematologic System 15. The Hematologic System 16. Care of Patients with Hematologic Disorders Unit VI: Cardiovascular System 17. The Cardiovascular System 18. Care of Patients with Hypertension and Peripheral Vascular Disease 19. Care of Patients with Cardiac Disorders 20. Care of Patients with Coronary Artery Disease and Cardiac Surgery Unit VII: Neurologic System 21. The Neurologic System 22. Care of Patients with Head and Spinal Cord Injuries 23. Care of Patients with Brain Disorders 24. Care of Patients with Peripheral Nerve and Degenerative Neurologic Disorders Unit VIII: Sensory System 25. The Sensory System: Eye 26. The Sensory System: Ear Unit IX: Gastrointestinal System 27. The Gastrointestinal System 28. Care of Patients with Disorders of the Upper Gastrointestinal System 29. Care of Patients with Disorders of the Lower Gastrointestinal System 30. Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas Unit X: Musculoskeletal System 31. The Musculoskeletal System 32. Care of Patients with Musculoskeletal and Connective Tissue Disorders Unit XI: Urinary System 33. The Urinary System 34. Care of Patients with Disorders of the Urinary System Unit XII: Endocrine System 35. The Endocrine System 36. Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders 37. Care of Patients with Diabetes and Hypoglycemia Unit XIII: Reproductive System 38. NEW! Normal Male and Female Reproductive System Findings 39. Care of Women with Reproductive Disorders 40. Care of Men with Reproductive Disorders 41. Care of Patients with Sexually Transmitted Infections Unit XIV: Integumentary System 42. The Integumentary System 43. Care of Patents with Integumentary Disorders and Burns Unit XV: Emergency and Disaster Management 44. Care of Patients in Disasters or Bioterrorism Attack 45. Care of Patients with Emergent Conditions, Trauma, and Shock Unit XVI: Mental Health Nursing of the Adult 46. Care of Patients with Cognitive Function Disorders 47. Care of Patients with Anxiety, Mood, and Eating Disorders 48. Care of Patients with Substance-Related and Addictive Disorders 49. Care of Patients with Thought and Personality Disorders TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG TEST BANK FOR DEWIT’S MEDICAL SURGICAL NURSING 4TH EDITION STROMBERG [Show Less]
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