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Test Bank for Davis Advantage for Understanding Medical-
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Surgical Nursing, 7th Edition by Linda S. Williams- sd sd sd sd sd sd sd
100% Top scores-2023- 2024 A+ sd sd sd sd
Chapter 1: Critical Thinking and the Nursing Process
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1. The nurse is caring for a group of patients on a medical-
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surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse (LPN/L
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VN) assess first?
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1. A patient with a blood glucose of 42 mg/dL
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2. A patient who reports a pain level of 2
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3. A patient who has just received a diagnosis of cancer
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4. A patient who has a respiratory rate of 22
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ANS: 1 sd
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human needs.
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Pages: 6–7 sd
Heading: Prioritize Care sd sd
Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: SECE—
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Coordinated Care sd
Cognitive Level: Application [Applying] Concept: Patient-Centered Care Difficulty: Difficult
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Feedback
1
This patient has a dangerously low blood glucose level and requires immediate interventio
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n.
2 This patient will need to be assessed, but is not as high a priority.
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3
According to Maslow, psychosocial needs are not as high of a priority as physiological ne
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eds.
4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Caresd sd
2.
The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes ag
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o for my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me now.
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‖ Which statement by the nurse demonstrates intellectual empathy?
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1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
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2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
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3. ―I had another patient who had severe pain, and I had to get to them first.‖
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4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
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ANS: 2 sd
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical thinking Page: 2
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Heading: Intellectual Empathy sd sd
Integrated Process: Communication and Documentation Client Need: Psychosocial Integrity
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Cognitive Level: Application [Applying] Concept: Communication
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Difficulty: Moderate sd
Feedback
1 This statement does not consider an individual’s situation.
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2
This statement demonstrates intellectual empathy by considering this patient’s situation an
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d will likely alleviate the patient’s anger.
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3
This statement does not consider a patient’s situation and does not demonstrate intellectual
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4
This statement addresses the patient’s statement of wanting to call the CEO, but does not d
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emonstrate intellectual empathy by considering the patient’s situation.
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PTS: 1 CON: Communication sd
3. The nurse is collecting data on a patient. Which data are described as subjective?
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1. Respiratory rate of 26 per minute sd sd sd sd sd
2. Patient report of shortness of breath sd sd sd sd sd
3. Coarse lung sounds bilaterally sd sd sd
4. Cough producing green sputum sd sd sd
ANS: 2 sd
Chapter: Chapter 1 Critical Thinking and the Nursing Process Objective: 5. Differentiate between
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objective and subjective data. Page: 4
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Heading: Subjective Data sd sd
Integrated Process: Communication and Documentation Client Need: Communication and Docu
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mentation Cognitive Level: Application (Applying)
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Concept: Communication Difficulty: Moderate
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Feedback
1 Respiratory rate of 26 per minute is an example of objective data.
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2 A patient reporting symptoms to the nurse is an example of subjective data.
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3 Coarse lung sounds is an example of objective data.
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4 A productive cough is an example of objective data.
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PTS: 1 CON: Communication sd
4.
A patient with a newly fractured femur reports a pain level of 8/10 and analgesic medicati
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on is not due for another 50 minutes. Which action should the nurse take first?
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1. Reposition the patient. sd sd
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2. Give the medication in 30 minutes.
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3. Notify the registered nurse (RN) or physician.
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4. Tell the patient it is too early for pain medication.
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ANS: 3 sd
Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using the n
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ursing process.sd
Page: 3 sd
Heading: Clinical Judgement sd sd
Integrated Process: Clinical Problem-solving Process (Nursing Process) Client Need: SECE—
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Coordinated Care sd
Cognitive Level: Application [Applying] Concept: Patient-Centered Care Difficulty: Moderate
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Feedback
1
The patient who has a fractured femur is having acute pain. Repositioning a patient with a
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new fracture is not likely to relieve pain.
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2 Giving the medication before the prescribed time is beyond the nurse’s scope of practice.
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3
The patient should not have to wait for pain relief, so the LPN should inform the RN or ph
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ysician so new pain relief orders can be obtained.
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4 The nurse needs to do more than expect the patient to wait for pain relief.
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PTS: 1 CON: Patient-Centered Care sd sd
5.
The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the n
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urse identify as having the highest priority?
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1. Job-related stress sd
2. Feeling of loneliness sd sd
3. Pain level of 9 on 0-to-10 scale
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