{"id":115955,"date":"2023-08-24T20:31:06","date_gmt":"2023-08-24T20:31:06","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115955"},"modified":"2023-08-24T20:31:07","modified_gmt":"2023-08-24T20:31:07","slug":"complete-test-bank-medical-surgical-nursing-in-canada-4th-edition-lewi-questions-answers-with-rationales-chapter-1-72","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/24\/complete-test-bank-medical-surgical-nursing-in-canada-4th-edition-lewi-questions-answers-with-rationales-chapter-1-72\/","title":{"rendered":"Complete Test Bank Medical-Surgical Nursing in Canada 4th Edition Lewi Questions & Answers with rationales (Chapter 1-72)"},"content":{"rendered":"\n

Medical-Surgical Nursing in Canada 4th Edition Lewi
Test Bank
Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. When caring for clients using evidence-informed practice, which of the following does the
    nurse use?
    a. Clinical judgement based on experience
    b. Evidence from a clinical research study
    c. The best available evidence to guide clinical expertise
    d. Evaluation of data showing that the client outcomes are met
    ANS: C
    Evidence-informed nursing practice is a continuous interactive process involving the explicit,
    conscientious, and judicious consideration of the best available evidence to provide care. Four
    primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
    actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
    the nurse\u2019s clinical experience is part of EIP, but clinical decision making also should
    incorporate current research and research-based guidelines. Evidence from one clinical
    research study does not provide an adequate substantiation for interventions. Evaluation of
    client outcomes is important, but interventions should be based on research from randomized
    control studies with a large number of subjects.
    DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning<\/li>\n\n\n\n
  2. Which of the following best N
    explR
    ainsI
    theG
    nuB
    rs.
    esC
    \u2019 prM
    imary use of the nursing process when
    providing care to clients?
    a. To explain nursing interventions to other health care professionals
    b. As a problem-solving tool to identify and treat clients\u2019 health care needs
    c. As a scientific-based process of diagnosing the client\u2019s health care problems
    d. To establish nursing theory that incorporates the biopsychosocial nature of humans
    ANS: B
    The nursing process is an assertive problem-solving approach to the identification and
    treatment of clients\u2019 problems. Diagnosis is only one phase of the nursing process. The
    primary use of the nursing process is in client care, not to establish nursing theory or explain
    nursing interventions to other health care professionals.
    DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation<\/li>\n\n\n\n
  3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
    turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
    with this turning schedule?
    a. Dependent
    b. Cooperative
    c. Independent
    d. Collaborative
    ANS: D<\/li>\n<\/ol>\n\n\n\n

    When implementing collaborative nursing actions, the nurse is responsible primarily for
    monitoring for complications of acute illness or providing care to prevent or treat
    complications. Independent nursing actions are focused on health promotion, illness
    prevention, and client advocacy. A dependent action would require a physician order to
    implement. Cooperative nursing functions are not described as one of the formal nursing
    functions.
    DIF: Cognitive Level: Application TOP: Nursing Process: Implementation<\/p>\n\n\n\n

      \n
    1. The nurse is caring for a client who has been admitted to the hospital for surgery and tells the
      nurse, \u201cI do not feel right about leaving my children with my neighbour.\u201d Which action
      should the nurse take next?
      a. Reassure the client that these feelings are common for parents.
      b. Have the client call the children to ensure that they are doing well.
      c. Call the neighbour to determine whether adequate childcare is being provided.
      d. Gather more data about the client\u2019s feelings about the childcare arrangements.
      ANS: D
      Since a complete assessment is necessary in order to identify a problem and choose an
      appropriate intervention, the nurse\u2019s 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: Application TOP: Nursing Process: Assessment<\/li>\n\n\n\n
    2. The nurse is caring for a client who has left-sided paralysis as the result of a stroke and
      assesses a pressure injury on
      N
      the
      R
      clie
      I
      nt\u2019s
      G
      left
      B
      h
      .
      ip
      C
      . WM
      hich of the following isthe most
      appropriate nursing diagnosis fUo r tShis cNl i e nTt ? O
      a. Impaired physical mobility related to decrease in muscle control (left-sided
      paralysis)
      b. Risk for impaired tissue integrity as evidenced by insufficient knowledge about
      protecting tissue integrity
      c. Impaired skin integrity related to pressure over bony prominence (impaired
      circulation)
      d. Ineffective tissue perfusion related to sedentary lifestyle
      ANS: C
      The client\u2019s major problem is the impaired skin integrity as demonstrated by the presence of a
      pressure injury. The nurse is able to treat the cause of altered circulation and pressure by
      frequently repositioning the client. Although left-sided weakness is a problem for the client,
      the nurse cannot treat the weakness. The \u201crisk for\u201d diagnosis is not appropriate for this client,
      who already has impaired tissue integrity. The client does have ineffective tissue perfusion,
      but the impaired skin integrity diagnosis indicates more clearly what the health problem is.
      DIF: Cognitive Level: Application TOP: Nursing Process: Diagnosis<\/li>\n\n\n\n
    3. The nurse caring for a client with an infection has a nursing diagnosis of deficient fluid
      volume related to excessive diaphoresis. Which of the following is an appropriate client
      outcome?
      a. Client has a balanced intake and output.
      b. Client\u2019s bedding is changed when it becomes damp.<\/li>\n<\/ol>\n\n\n\n

      U S N T O
      c. Client understands the need for increased fluid intake.
      d. Client\u2019s 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: Application TOP: Nursing Process: Planning<\/p>\n\n\n\n

        \n
      1. Which of the following represents a nursing activity that is carried out during the evaluation
        phase of the nursing process?
        a. Determining if interventions have been effective in meeting client outcomes
        b. Documenting the nursing care plan in the progress notes in the medical record
        c. Deciding whether the client\u2019s health problems have been completely resolved
        d. Asking the client to evaluate whether the nursing care provided was satisfactory
        ANS: A
        Evaluation consists of determining whether the desired client outcomes have been met and
        whether the nursing interventions were appropriate. The other responses do not describe the
        evaluation phase.
        DIF: Cognitive Level: Comprehension TOP: Nursing Process: Evaluation<\/li>\n\n\n\n
      2. Which of the following would the nurse perform during the assessment phase of the nursing
        process?
        a. Obtains data with which to diagnose client problems
        b. Uses client data to develoNp pRriorIity nGursBin.gCdiagMnoses
        c. Teaches interventions to relieve client health problems
        d. Assists the client to identify realistic outcomes to health problems
        ANS: A
        During the assessment phase, the nurse gathers information about the client. The other
        responses are examples of the intervention, diagnosis, and planning phases of the nursing
        process.
        DIF: Cognitive Level: Knowledge TOP: Nursing Process: Assessment<\/li>\n\n\n\n
      3. Which of the following is an example of a correctly written nursing diagnosis statement?
        a. Altered tissue perfusion related to heart failure
        b. Risk for impaired tissue integrity related to sacral redness
        c. Ineffective coping related to insufficient sense of control.
        d. Altered urinary elimination related to urinary tract infection
        ANS: C
        This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes
        a client\u2019s response to a health problem that can be treated by nursing. The use of a medical
        diagnosis (as in the responses beginning \u201cAltered tissue perfusion\u201d and \u201cAltered urinary
        elimination\u201d) is not appropriate. The response beginning \u201cRisk for impaired tissue integrity\u201d
        uses the defining characteristics as the etiology.
        DIF: Cognitive Level: Comprehension TOP: Nursing Process: Diagnosis<\/li>\n<\/ol>\n\n\n\n

        U S N T O<\/p>\n\n\n\n

          \n
        1. Which of the following includes the components required for a complete nursing diagnosis
          statement?
          a. A problem and the suggested client goals or outcomes
          b. A problem, its cause, and objective data that support the problem
          c. A problem with all its possible causes and the planned interventions
          d. A problem with its etiology and the signs and symptoms of the problem
          ANS: D
          The PES format is used when writing nursing diagnoses. The subjective, as well as objective,
          data should be included in the defining characteristics. Interventions and outcomes are not
          included in the nursing diagnosis statement.
          DIF: Cognitive Level: Knowledge TOP: Nursing Process: Diagnosis<\/li>\n\n\n\n
        2. Which of the following refers to a situation that results in unintended harm to the client and is
          related to the care or services provided rather than the client\u2019s medical condition?
          a. Negligence
          b. Adverse event
          c. Incident report
          d. Nonmaleficence
          ANS: B
          An adverse event is an event that results in unintended harm to the client and is related to the
          care or services provided to the client rather than to the client\u2019s underlying medical condition.
          12.1
          2
          .
          DIF: Cognitive Level: Knowledge TOP: Nursing Process: Evaluation
          N R I G B.C M
          When using the Five Steps of the evidence-informed practice (EIP) Process, which of the
          flowing elements is the final step when constructing a clinical question?
          a. Comparison of interest
          b. Population of interest
          c. Outcome of interest
          d. Timeframe of interest
          ANS: D
          The order of the nurse\u2019s statements follows the PICOT format with the final step being the
          \u201cT\u201d, or timeframe of interest.
          DIF: Cognitive Level: Application TOP: Nursing Process: Implementation<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          Medical-Surgical Nursing in Canada 4th Edition LewiTest BankChapter 01: Introduction to Medical-Surgical Nursing Practice in CanadaLewis: Medical-Surgical Nursing in Canada, 4th Canadian EditionMULTIPLE CHOICE When implementing collaborative nursing actions, the nurse is responsible primarily formonitoring for complications of acute illness or providing care to prevent or treatcomplications. Independent nursing actions are focused on health promotion, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115955","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115955","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115955"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115955\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115955"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115955"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}