TEST BANK -MEDICAL-SURGICAL
NURSING: CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE
CARE 9TH EDITION
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Chapters 1 - 74
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Table of Contents
Table of Contents 1
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing 3
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing 10
Chapter 03: Common Health Problems of Older Adults 15
Chapter 04: Assessment and Care of Patients with Pain 24
Chapter 05: Genetic Concepts for Medical-Surgical Nursing 40
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems 48
Chapter 07: End-of-Life Care 56
Chapter 08: Concepts of Emergency and Trauma Nursing 63
Chapter 09: Care of Patients with Common Environmental Emergencies 71
Chapter 10: Concepts of Emergency and Disaster Preparedness 79
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances 87
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances 96
Chapter 13: Infusion Therapy 105
Chapter 14: Care of Preoperative Patients 118
Chapter 15: Care of Intraoperative Patients 129
Chapter 16: Care of Postoperative Patients 136
Chapter 17: Inflammation and Immunity 145
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases 152
Chapter 19: Care of Patients with HIV Disease 172
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity 183
Chapter 21: Cancer Development 189
Chapter 22: Care of Patients with Cancer 194
Chapter 23: Care of Patients with Infection 206
Chapter 24: Assessment of the Skin, Hair, and Nails 215
Chapter 25: Care of Patients with Skin Problems 221
Chapter 26: Care of Patients with Burns 240
Chapter 27: Assessment of the Respiratory System 259
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy 268
Chapter 29: Care of Patients with Noninfectious Upper Respiratory Problems 275
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Chapter 30: Care of Patients with Noninfectious Lower Respiratory Problems 283
Chapter 31: Care of Patients with Infectious Respiratory Problems 298
Chapter 32: Care of Critically Ill Patients with Respiratory Problems 310
Chapter 33: Assessment of the Cardiovascular System 325
Chapter 34: Care of Patients with Dysrhythmias 336
Chapter 35: Care of Patients with Cardiac Problems 347
Chapter 36: Care of Patients with Vascular Problems 361
Chapter 37: Care of Patients with Shock 376
Chapter 38: Care of Patients with Acute Coronary Syndromes 385
Chapter 39: Assessment of the Hematologic System 398
Chapter 40: Care of Patients with Hematologic Problems 402
Chapter 41: Assessment of the Nervous System 417
Chapter 42: Care of Patients with Problems of the CNS: The Brain 430
Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord 444
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System 456
Chapter 45: Care of Critically Ill Patients with Neurologic Problems 463
Chapter 46: Assessment of the Eye and Vision 481
Chapter 47: Care of Patients with Eye and Vision Problems 484
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems 492
Chapter 49: Assessment of the Musculoskeletal System 500
Chapter 50: Care of Patients with Musculoskeletal Problems 506
Chapter 51: Care of Patients with Musculoskeletal Trauma 517
Chapter 52: Assessment of the Gastrointestinal System 531
Chapter 53: Care of Patients with Oral Cavity Problems 538
Chapter 54: Care of Patients with Esophageal Problems 542
Chapter 55: Care of Patients with Stomach Disorders 552
Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders 560
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders 573
Chapter 58: Care of Patients with Liver Problems 586
Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas 596
Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity 606
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Chapter 61: Assessment of the Endocrine System 618
Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems 625
Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands 635
Chapter 64: Care of Patients with Diabetes Mellitus 644
Chapter 65: Assessment of the Renal/Urinary System 670
Chapter 66: Care of Patients with Urinary Problems 681
Chapter 67: Care of Patients with Kidney Disorders 695
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease 704
Chapter 69: Assessment of the Reproductive System 719
Chapter 70: Care of Patients with Breast Disorders 724
Chapter 71: Care of Patients with Gynecologic Problems 733
Chapter 72: Care of Patients with Male Reproductive Problems 742
Chapter 73: Care of Transgender Patients 752
Chapter 74: Care of Patients with Sexually Transmitted Diseases 757
Chapter 01: Overview of Professional Nursing Concepts
for MedicalSurgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions.
Which action by the nurse best demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on
communication,culture, respect, compassion, client education, and empowerment. By
assessing the effect of the clients culture on health care, this
nurse is practicing client-focused care. Providing for basic needs
does not demonstrate this competence. Simply telling the client about all
upcoming tests is not providing empowering education. Orienting
the client and family to the room is an important safety
measure, but not directly related to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centeredcare| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical
unit. The clients blood pressure was 142/76 mm Hg 30 minutesago,
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and now is 88/50 mm Hg. What action by the nurse is
best? a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primarycare provider.
d. Repeat blood pressure measurement in 15 minutes.
ANS: A
The purposeof the Rapid Response Team (RRT) is to intervene
when clients are deteriorating before they suffer either respiratory or
cardiac arrest. Since the client has manifested a significant change,
the nurse should call the RRT. Changes in blood pressure,
mental status, heart rate, and pain are particularly significant. Documentation
is vital, but the nurse must do more than document. The
primarycare provider should be notified, but this is not the
priority over calling the RRT. The clients blood pressure should be
reassessed frequently, but the priority is getting the rapid care to
the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medicalemergencies
MSC: Integrated Process: Communicationand Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the
inpatient unit. What information does the nurse provide to help the
client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitorhand hygienein caregivers.
c. Offerthe family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform.
However, encouraging the client to be active in his or
her health care as a partner is the most critical. The other
actions are very limited in scope and do not provide the broad protection
that being active and involved does.
DIF: Understanding/Comprehension REF: 3
KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
and Infection Control
4. A new nurse is working with a preceptor on an
inpatient medical-surgical unit. The preceptor advises the student
that which is the priority when working as a professional
nurse? a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring
client safety is the priority.Up to 98,000 deaths result each year
from errors in hospitalcare, according to the 2000 Institute of
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Medicine report. Many more clients have suffered injuries and less
serious outcomes. Every nurse has the responsibility to guard the
clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: NursingProcess: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
and Infection Control
5. A client is going to be admitted for a scheduled
surgicalprocedure. Which action does the nurse explain is the most
important thing the client can do to protect against errors? a.
Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the
room.
ANS: A
Medication errors are the most common type of health care mistake.
The Joint Commissions Speak Up campaign encourages clients to help
ensure their safety. One recommendation is for clients to know all
their medications and why they take them. This will help prevent
medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process:
Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
and Infection Control [Show Less]