Lew is' s Medical-Surgical Nursing: Assessment and Management of Clinical Problems

Name: Lew is' s Medical-Surgical Nursing: Assessment and Management of Clinical Problems
Author: Mariann M. Harding Jeffrey Kwong Debra Hagler
ISBN: 9780323789615

Mariann M. Harding Jeffrey Kwong Debra Hagler

12TH EDITION

PublisherElsevier Inc.Published2023pages1829LanguageEnglishISBN-139780323789615ISBN-100323789613FormatPDF

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Professional Nursing PracticeSocial Determinants of HealthHealth History and Physical ExaminationPatient and Caregiver EducationChronic Illness Management in Older AdultsLGBTQ+ Patient CareStress Management TechniquesSleep Disorders and ManagementPain Assessment and Management

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Questions & Answers from this book

9 questions9 chapters covered31 topics

Questions and answers are connected to the referenced book and its available source material.

Chapter 31: Obstructive Pulmonary Diseases

How is a pleural effusion classified and what distinguishes a transudative effusion from an exudative effusion?

Pleural effusions are classified as transudative or exudative based on their protein content. Transudative effusions contain protein-poor, cell-poor fluid and are typically clear, while exudative effusions are rich in protein and occur due to inflammatory reactions.

Advancedp. 647

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Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress Syndrome

What are the signs and symptoms of tension pneumothorax as described in the chapter?

Signs and symptoms of tension pneumothorax include severe dyspnea, marked tachycardia, neck vein distention, and profuse diaphoresis. Decreased or absent breath sounds may be noted on the affected side, and tracheal deviation occurs as a late sign.

Intermediatep. 649-651

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Chapter 33: Assessment: Hematologic System

What is the role of transferrin in iron metabolism according to the chapter?

Transferrin plays a crucial role in iron metabolism by transporting absorbed dietary iron through the plasma. It is produced in the liver and serves as an indicator of the iron supply available for developing red blood cells (RBCs).

Intermediatep. 730-734

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Chapter 34: Hematologic Problems

What subjective data should be gathered from a patient with a hematologic problem regarding their health history?

Subjective data to gather from a patient with a hematologic problem includes their health history regarding prior hematologic issues, symptoms of anemia or bleeding, related medical conditions, and any history of infections or blood clotting problems. Additionally, inquire about medication use, surgical history, and family history of hematologic disorders.

Intermediatep. 735

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Chapter 35: Assessment: Cardiovascular System

What is the primary means of supporting a patient with hemophilia according to the chapter?

The primary means of supporting a patient with hemophilia is through the replacement of deficient clotting factors. Regular prophylaxis is preferred over on-demand treatment to prevent and manage bleeding episodes effectively.

Introductoryp. 770-772

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Chapter 36: Hypertension

How is secondary hypertension different from primary hypertension according to the chapter?

Secondary hypertension is elevated blood pressure with a specific identifiable cause, while primary hypertension has no identifiable cause and accounts for 90% to 95% of cases. Secondary hypertension can often be corrected by addressing the underlying issue, whereas primary hypertension is typically managed through lifestyle changes and medication.

Intermediatep. 834-836

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Chapter 37: Coronary Artery Disease and Acute Coronary Syndrome

What is the relationship between hypertension and coronary artery disease as described in the chapter?

Hypertension is a significant risk factor for coronary artery disease (CAD) as it disrupts the coronary artery endothelium, leading to a rigid arterial wall and narrowed lumen. This process contributes to a higher incidence of CAD, angina, and myocardial infarction (MI). Additionally, sustained high blood pressure can cause left ventricular hypertrophy, which may progress to heart failure, further complicating CAD.

Intermediatep. 838-858

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Chapter 38: Heart Failure

What are the four groups used to categorize patients with acute decompensated heart failure (ADHF) based on hemodynamic and clinical status?

Patients with acute decompensated heart failure (ADHF) are categorized into four groups based on hemodynamic and clinical status: dry-warm, dry-cold, wet-warm, and wet-cold.

Intermediatep. 899-903

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Chapter 39: Dysrhythmias

What are the common clinical associations of sinus bradycardia as described in the chapter on dysrhythmias?

Common clinical associations of sinus bradycardia include being a normal finding in aerobically trained athletes and during sleep. It can also occur due to the Valsalva maneuver, hypothermia, increased intraocular pressure, vagal stimulation, and certain medications like β-blockers and calcium channel blockers. Additionally, it is associated with conditions such as hypothyroidism, increased intracranial pressure, and inferior myocardial infarction.

Intermediatep. 925-927

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