medical surgical nursing 6th edition by stromberg Chapter 1- 49 Test bank

Chapter 01:Caringfor Medical-Surgical
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deWit:Medical-Surgical Nursing: Concepts & Practice, 5th
t7n wwq , t 7nw wq, t 7 n w w q , t7nwwq, t7n wwq, t7 n ww q , Edition

MULTIPLECHOICE

,Whichstatement accuratelydescribes theprimarypurpose of t7nwwq, t7nwwq, t7nwwq,




thestatenursepracticeact(NPA)?
t7nwwq, q,
t7nw




a. TotestandlicenseLPN/LVNs.
b. Todefine thescopeof t7nwwq,




LPN/LVNpractice. t7nwwq, q,
t7nw




c. Toimprovethequality of care t7nwwq, t7nwwq,




provided bytheLPN/LVN. q,
t7nw t7nwwq, t7nw
q,




d. Tolimit theLPN/LVNemployment ij q,
t7nw




placement. t7nwwq,




ANS: B t 7 n w wq ,




Whileimproving qualityof care provided bythe LPN/LVN maybe aresult t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t 7 n w w q , t7nwwq,




t of theNPA, the primary purpose of the NPA of each state defines the scope of
7 n w w q , t7nwwq, ij t7nw
wq, t7nw
wq, t7nwwq, t7nwwq, t7nw
wq, t7nww
q, t7nww
q, t7nw
wq, t7nwwq, t7nww
q, t7nww
q, t7nw
wq, t7nw
wq,




nursing practicein that state.
t7nw
wq, t7nwwq, q,
t7nw t7nwwq, t7nw
wq,




PTS: 1
CognitiveLevel:Comprehension DIF: q,
t7nw




REF: 2 q,
t7nw




OBJ:3 TOP: NPA KEY:NursingProcess t 7 n w w q , q,
t7nw q,
t7nw




Step:Implementation q,
t7nw q,
t7nw




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
t7nw q,
t7nw q,
t7nw q,
t7nw q,
t7nw t7nw
wq,




The charge nurse asks the new vocational nurse to start an intravenous infusion,
t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq,




a skillthat the vocational nurse has notbeen taught during
t7nwwq, t7nwwq, her
t 7nw wq, t 7 n w w q , t 7 n w wq , t7 nwwq, t 7 n w w q , t 7 nwwq , t 7 n w w q , t 7 n w w q ,




educational program.
t 7 n w w q , Howshould the vocational nurse respond? t 7 n w w q , t 7 n w w q , q,
t7nw t7nwwq, t7nw
q, t7nwwq, t7nwwq,




a. Ask a more experienced nurse t7nwwq, t7nwwq, t7nwwq, t7nwwq,




todemonstratethe procedure. t7nww q, q,
t7nw t7nwwq,




b. Lookup the procedure in the t7nwwq, t7nwwq, t 7 n w w q , t 7 n w wq ,




proceduremanual. t 7 n w wq, q,
t7nw




c. Attempt to perform theprocedure t 7nwwq , t 7n w wq, t 7 n w w q ,




withsupervision. t 7nww q, q,
t7nw




d. Inform the charge nurse of her lack of t7nwwq, t7nwwq, t 7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq,




traininginthis procedure. q,
t7nw t7nw
q, t7nwwq,




ANS: D t7nwwq,




The charge nurse should be informed of the lack of training to perform
t7nwwq, t7nwwq, t7 nwwq, t 7nwwq, t7nwwq, t 7nwwq, t 7nwwq, t 7nwwq, t 7nwwq, t7nwwq, t 7nwwq, t 7nwwq, t7nwwq, t7nwwq,




the procedure, and the vocational nurse should seek further training to gain
t7nwwq, t 7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7n wwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq,




proficiency. Although the other options might be helpful, they are not safe.
t7nwwq, t7nwwq, t7nw
wq, t7nww
q, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq,




PTS: 1 DIF: CognitiveLevel: q,
t7nw 3

, Application REF: t 7 n w w q ,




OBJ:1 TOP: ProvidingSafeCare NursingProcess q,
t7nw q,
t7nw q,
t7nw




KEY: Step:N/A q,
t7nw q,
t7nw t7nw
q,




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
t7nw q,
t7nw q,
t7nw q,
t7nw q,
t7nw t7nw
wq,




Which patient statement indicates aneed for further
t 7 n w w q , t 7 n w w q , t 7 n wwq, t 7 n w w q , t 7 n w wq , t 7 n w wq ,




dischargeteaching thatthevocationalnurse should address?
t 7 n w w q , t 7 n w wq , q,
t7nw t7nw
q, t7nw
q, t7nw
wq,




a. ―I haveno idea of how this t7nwwq, t7 n w wq , t7nwwq, t 7 n w w q , t7nwwq,




drugwillaffect me.‖ t7 n w w q , q,
t7nw q,
t7nw t7nw
q,




b. ―Doyouknow if myphysicianis q,
t7nw q,
t7nw t7nw
q, t7nw
wq, q,
t7nw q,
t7nw




coming back today?‖ q,
t7nw t7nwwq, t7nwwq,




c. ―Will my insurance pay for my t7nwwq, t7 n w wq , t7 n w wq , t7nwwq, t7nwwq,




stay?‖ q,
t7nw




d. ―Am I going to have to go to a t7nwwq, t7nwwq, t7nwwq, t7n wwq , t7nwwq, t7nwwq, t7nwwq, t7 n w wq ,




nursing home?‖ q,
t7nw t7nw
q,




ANS: A t 7 n w wq ,




Lack of knowledge at discharge about medication effects and side effects
t7 nwwq, t7 nwwq, t7nwwq, t7 nwwq, t 7nwwq, t 7nwwq, t7nwwq, t 7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq,




is a concern that should be addressed by the vocationalnurse. The other
t7nwwq, t 7nwwq, t7nwwq, t 7nwwq, t7nwwq, t 7nwwq, t7nwwq, t7nwwq, t7nwwq, t 7nwwq, t 7nwwq, t7nwwq, t7nwwq,




concerns in theoptions arethe responsibility of other departments to which the
t7nwwq, t7 nwwq, t7nwwq, q,
t7nw t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq,




nurse might refer the patient.
t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7 nwwq,




PTS: 1
CognitiveLevel:Application REF: DIF: q,
t7nw q,
t7nw




2 q,
t7nw




OBJ:1 TOP: Teaching KEY: Nursing t 7 n w w q ,




ProcessStep:Implementation q,
t7nw q,
t7nw




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
t7nw q,
t7nw q,
t7nw q,
t7nw q,
t7nw t7nw
wq,




According tomost state NPAs, thevocational nurse acting as charge t 7nw wq, t 7 nww q, t 7 n w w q , t7nwwq, t 7n wwq, t 7 n wwq, t 7 n w wq , t 7 n w w q ,




nurse in along-termcarefacility acts in which capacity?
t7nww q, t 7nwwq, t7n wwq, q,
t7nw t7nw
q, t7nw
q, t7nwwq, t7nw
wq, t7nw
wq, t7nwwq,




a. Working under direct supervision of an t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq,




RN ontheunit t7nwwq, t7nwwq, q,
t7nw q,
t7nw




b. Working withthe RNin thebuilding t 7 n w w q , t 7nwwq , t 7 n w w q ,




c. Working under general supervision by the t 7 n w wq, t7nwwq, t7nwwq, t 7 n w w q , t7nwwq,




RNavailableonsite orbyphone t7nwwq, q,
t7nw q,
t7nw t7nw
q, t7nw
q, q,
t7nw




d. Workingasanindependentvocationalnurse q,
t7nw q,
t7nw q,
t7nw q,
t7nw




ANS: C t7nwwq,




The vocational nurse in the capacity of the charge nurse in a long-term care
t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq, t7nwwq,




facilityacts with the general supervision of an RNavailable on
t7nwwq, site t 7 n wwq, t 7n wwq, t 7 n w w q , t 7 n w w q , t 7 nw wq , t7nwwq, t7nwwq, t 7nww q, t 7 n w w q ,




or by phone.
t 7 n w w q , t 7nwwq, t 7 n w w q,




PTS: 1 DIF: CognitiveLevel: q,
t7nw REF: 2
Comprehension q,
t7nw




OBJ:1 TOP: ChargeNurse/Manager q,
t7nw Nursi Process
KEY: q,
t7nw ng
q,
t7nw Step:N/A t7nwwq, q,
t7nw

, MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care
q,
t7nw q,
t7nw q,
t7nw q,
t7nw q,
t7nw t7nw
wq,