Test Bank for deWit's Medical-Surgical Nursing: Concepts and Practice, 4th Edition by Holly K. Stromberg | Questions and Answers | Chapters 1–49

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deWit's Medical-Surgical Nursing,
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Concepts and Practice, 4th Edition
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(Stromberg, 2023) Chapters 1 - 49
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TABLE OF CONTENTS
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Medical-Surgical Nursing, Concepts and Practice

,Medical-Surgical Nursing, Concepts and Practice

,Medical-Surgical Nursing, Concepts and Practice

, Chapter 01: Caring for Medical-Surgical Patients
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DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
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MULTIPLE CHOICE vh




1. Whichstatement accuratelydescribes the primary purposeofthe state nurse practice
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vh act(NPA)? h
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a. Totest and license LPN/LVNs vh vh vh vh




b. To define the scopeofLPN/LVN practice vh vh vh vh vh vh




c. To improve the qualityofcare provided by the LPN/LVN
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d. To limit theLPN/LVN employment placement vh vh vh vh vh




ANSWER: B v h




While improving qualityofcare provided bythe LPN/LVN may be a result ofthe NPA, theprimary
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purpose ofthe NPA ofeach state defines the scope ofnursing practice in that state.
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DIF: CognitiveLevel: Comprehension REF: p. 3 OBJ: vh vh vh vh vh vh




3TOP: NPA
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v KEY: Nursing Process Step: Implementation v h v h vh vh vh




MSC: NCLEX: Safe, Effective CareEnvironment: Coordinated Care
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2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
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thevocational nurse has not been taught during her educational program. How should the
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vocational nurse respond?
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a. Ask a more experienced nurse to demonstratetheprocedure. vh vh vh vh vh vh vh vh




b. Look up the procedurein the procedure manual. vh vh vh vh vh vh vh




c. Attempt to performthe procedure with supervision. vh vh h
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d. Informthe charge nurse of her lack oftraining inthis procedure. h
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ANSWER: D v h




The charge nurse should be informed ofthe lack oftraining to performthe procedure, and
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thevocational nurse should seek further training to gain proficiency. Although the other options
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might be helpful, theyare not safe.
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DIF: CognitiveLevel: Application REF: p. 3 OBJ: 1 TOP: vh vh vh vh vh vh vh vh




v Providing Safe Care
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N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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3. Whichpatient statement indicates a need for further discharge teaching thatthe
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vh vocationalnurse should address? h
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a. ―I have no idea of how this drug will affect me.‖
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b. ―Do you know if myphysician is coming back today?‖ v h vh vh vh vh vh vh v h vh




c. ―Will my insurance pay for my stay?‖ vh vh vh vh vh vh




d. ―Am I going to have to go to a nursing home?‖ vh vh vh v h vh v h vh v h vh v h




ANSWER: A v h




Lack ofknowledge at discharge about medicationeffects and side effects is a concernthatshould be
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addressed by the vocational nurse. The other concerns in the options are the responsibility of
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other departments to which the nurse might refer the patient.
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Medical-Surgical Nursing, Concepts and Practice