{"id":128060,"date":"2023-11-28T08:56:38","date_gmt":"2023-11-28T08:56:38","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=128060"},"modified":"2023-11-28T08:56:42","modified_gmt":"2023-11-28T08:56:42","slug":"lewis-medical-surgical-nursing-in-canada-4th-edition-test-bank-your-complete-guide","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/11\/28\/lewis-medical-surgical-nursing-in-canada-4th-edition-test-bank-your-complete-guide\/","title":{"rendered":"Lewis Medical-Surgical Nursing in Canada 4th Edition Test Bank – Your Complete Guide"},"content":{"rendered":"\n

Lewis Medical-Surgical Nursing in Canada 4th Edition Test Bank – Your Complete Guide<\/p>\n\n\n\n

Lewis Medical-Surgical Nursing in Canada 4th Edition 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. The nurse is caring for a client with a new diagnosis of pneumonia and
    explains to the client that together they will plan the client\u2019s care and set
    goals for discharge. The client asks, \u201cHow is that different from what the
    doctor does?\u201d Which response by the nurse is most appropriate?
    a. \u201cThe role of the nurse is to administer medications and other treatments prescribed
    by your doctor.\u201d
    b. \u201cThe nurse\u2019s job is to help the doctor by collecting data and communicating when
    there are problems.\u201d
    c. \u201cNurses perform many of the procedures done by physicians, but nurses are here in
    the hospital for a longer time than doctors.\u201d
    d. \u201cIn addition to caring for you while you are sick, the nurses will assist you to
    develop an individualized plan to maintain your health.\u201d
    ANS: D
    This response is consistent with the Canadian Nurses Association (CNA) definition of nursing.
    Registered nurses are self-regulated health care professionals who work autonomously and in
    collaboration with others. RNs enable individuals, families, groups, communities and populations to
    achieve their optimal level of health. RNs coordinate health care, deliver direct services, and support
    clients in their self-care decisions and actions in situations of health, illness, injury, and disability in all
    stages of life. The other responses describe some of the dependent and collaborative functions of the
    nursing role but do not accurately describe the nurse\u2019s role in the health care system.
    DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
    MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
  2. 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.<\/li>\n<\/ol>\n\n\n\n

    Lewis Medical-Surgical Nursing in Canada 4th Edition Test Bank
    DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
    MSC: NCLEX: Safe and Effective Care Environment<\/p>\n\n\n\n

      \n
    1. Which of the following best explains the nurses\u2019 primary 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
      MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
    2. 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
      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
      MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
    3. 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.<\/li>\n<\/ol>\n\n\n\n

      Lewis Medical-Surgical Nursing in Canada 4th Edition Test Bank
      DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
      MSC: NCLEX: Psychosocial Integrity<\/p>\n\n\n\n

        \n
      1. The nurse is caring for a client who has left-sided paralysis as the result of a stroke and assesses a
        pressure injury on the client\u2019s left hip. Which of the following is the most appropriate nursing
        diagnosis for this client?
        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 peripheral 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 impaired circulation and pressure over bony prominence
        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 peripheral tissue perfusion, but the
        impaired skin integrity diagnosis indicates more clearly what the health problem is.
        DIF: Cognitive Level: Application TOP: Nursing Process: Diagnosis
        MSC: NCLEX: Physiological Integrity<\/li>\n\n\n\n
      2. The nurse caring for a client with an infection has a nursing diagnosis of deficient fluid volume related
        to excessive fluid loss through normal route (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.
        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
        MSC: NCLEX: Physiological Integrity<\/li>\n\n\n\n
      3. 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<\/li>\n<\/ol>\n\n\n\n

        Lewis Medical-Surgical Nursing in Canada 4th Edition Test Bank
        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
        MSC: NCLEX: Safe and Effective Care Environment<\/p>\n\n\n\n

          \n
        1. 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 develop priority nursing diagnoses.
          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
          MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
        2. 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
          MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
        3. 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
          MSC: NCLEX: Safe and Effective Care Environment
          Powered by https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ol>\n\n\n\n