TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND CORRECT ANSWERS

TESTiBANKiFORiLEWIS\'SiMEDICAL-
SURGICALiNURSING,i12THiEDITIONiBYiMARIAN
NiM.iiHARDING,iJEFFREYiKWONG,iDEBRAi HAGLE
RiCHAPTERi1-
69iQUESTIONSiANDiCORRECTiiANSWERS


Chapteri01:iProfessionaliNursing
Harding:iLewis’siMedical-SurgicaliNursing,i12thiEdition


MULTIPLEiCHOICE

1. Theinurseicompletesianiadmissionidatabaseiandiexplainsithatitheiplanioficareiandidischargeigo
alsiwillibeidevelopediwithitheipatient‗siinput.iTheipatientiasks,i―Howiisithisidifferentifromiwhat
itheiphysicianidoes?‖iWhichiresponseiwoulditheinurseiprovide?
a. ―Theiroleiofitheinurseiisitoiadministerimedicationsiandiotheritreatmentsiprescribedib
yiyouriphysician.‖
b. ―Iniadditionitoicaringiforiyouiwhileiyouiareisick,itheinursesiwillihelpiyouiplanitoim
aintainiyourihealth.‖
c. ―Theinurse‗sijobiisitoicollectiinformationiandicommunicateianyiproblemsithatio
ccuritoitheiphysician.‖
d. ―Nursesiperformimanyiofitheisameiproceduresiasitheiphysician,ibutinursesiarei
withitheipatientsiforiailongeritimeithanitheiphysician.‖
ANS:i B
TheiAmericaniNursesiAssociationi(ANA)idefinitioniofinursingidescribesitheiroleiofinursesiinipr
omotingihealth.iTheiotheriresponsesidescribeidependentiandicollaborativeifunctionsiofitheinurs
ingiroleibutidoinotiaccuratelyidescribeitheinurse‗siuniqueiroleiinitheihealthicareisystem.

DIF:i i CognitiveiLevel:iAnalyzei(Analysis)
TOP:i NursingiProcess:iImplementationi i i MSC:i NCLEX:iSafeiandiEffectiveiCareiEnvironment

2. Whichistatementibyitheinurseiaccuratelyidescribesi theiuseiofievidence-basedipracticei(EBP)?
a. ―Patienticareiisibasedioniclinicalijudgment,iexperience,ianditraditions.‖
b. ―Dataiareianalyzedilateritoishowithatitheipatientioutcomesiareiconsistentlyimet.‖
c. ―Researchifromiallipublishediarticlesiareiusediasiaiguideiforiplanningipatienticare.‖
d. ―Recommendationsiareibasedioniresearch,iclinicaliexpertise,iandipatientip
references.‖
ANS:i D
Evidence-basedipracticei(EBP)iisitheiuseiofitheibestiresearch-
basedievidenceicombinediwithiclinicianiexpertiseiandiconsiderationiofipatientipreferences.iCli
nicalijudgmentibasedionitheinurse‗siclinicaliexperienceiisipartiofiEBP,ibuticlinicalidecisionim
akingishouldialsoiincorporateicurrentiresearchiandiresearch-
basediguidelines.iEvaluationiofipatientioutcomesiisiimportant,ibutidataianalysisiisinotirequiredi
toiuseiEBP.iAllipublishediarticlesidoinotiprovideiresearchievidence;iinterventionsishouldibeiba
sedionicredibleiresearch,ipreferablyirandomizedicontrolledistudiesiwithiailargeinumberiofisubj
ects.

DIF: CognitiveiLevel:iUnderstandi(Comprehension)
TOP:iNursingiProcess:iPlanningiMSC:i NCLEX:iSafeiandiEffectiveiCareiEnvironment

,3. Whichistatementibyitheinurseiprovidesiaicleariexplanationiofitheinursingiprocess?
a. ―Theinursingiprocessiisiairesearchimethodiofidiagnosingitheipatient‗sihealthicareip
roblems.‖
b. ―Theinursingiprocessiisiusediprimarilyitoiexplaininursingiinterventionsitoiotherih
ealthicareiprofessionals.‖
c. ―Theinursingiprocessiisiaiproblem-solvingitooliuseditoiidentifyiandimanageithe

, patients‗ihealthicareineeds.‖
d. ―Theinursingiprocessiisibasedioninursingitheoryithatiincorporatesitheib
iopsychosocialinatureiofihumans.‖
ANS:i C
Theinursingiprocessiisiaiproblem-
solvingiapproachitoitheiidentificationianditreatmentiofipatients‗iproblems.iNursingiprocessido
esinotirequireiresearchimethodsiforidiagnosis.iTheiprimaryiuseiofitheinursingiprocessiisiinipatie
nticare,inotitoiestablishinursingitheoryioriexplaininursingiinterventionsitoiotherihealthicareiprof
essionals.

DIF: CognitiveiLevel:iUnderstandi(Comprehension)
TOP:iNursingiProcess:iEvaluationiMSC:i NCLEX:iSafeiandiEffectiveiCareiEnvironment

4. Aipatientiadmitteditoitheihospitaliforisurgeryitellsitheinurse,i―Iidoinotifeelicomfortableile
avingimyichildreniwithimyiparents.‖iWhichiactioniwoulditheinurseitakeinext?
a. Reassureitheipatientithatitheseifeelingsiareicommoniforiparents.
b. Haveitheipatienticallitheichildrenitoiensureithatitheyiareidoingiwell.
c. Gatheriinformationionitheipatient‗siconcernsiaboutitheichildicareiarrangements.
d. Callitheipatient‗siparentsitoidetermineiwhetheriadequateichildicareiisibeingip
rovided.
ANS:i C
Becauseiaicompleteiassessmentiisinecessaryiiniorderitoiidentifyiaiproblemiandichooseianiappr
opriateiintervention,itheinurse‗sifirstiactionishouldibeitoiobtainimoreiinformation.iTheiotheriac
tionsimayibeiappropriate,ibutimoreiassessmentiisineededibeforeitheibestiinterventionicanibeicho
sen.

DIF: CognitiveiLevel:iAnalyzei(Analysis)
TOP:i NursingiProcess:iAssessment MSC:i NCLEX:iPsychosocialiIntegrity

5. Aipatientiwithiaibacterialiinfectioniisihypovolemicidueitoiaifeveriandiexcessiveidiaphoresis.i
Whichiexpectedioutcomeiwoulditheinurseiselectiforithisipatient?
a. Patientihasiaibalancediintakeiandioutput.
b. Patient‗sibeddingiisikepticleaniandifreeiofimoisture.
c. Patientiunderstandsitheineediforiincreasedifluidiintake.
d. Patient‗siskiniremainsicooliandidryithroughoutihospitalization.
ANS:i A
Balancediintakeiandioutputigivesimeasurableidataishowingiresolutioniofitheiproblemiofideficie
ntifluidivolume.iTheiotheristatementsiwouldinotiindicateithatitheiproblemiofihypovolemiaiwasi
resolved.

DIF: CognitiveiLevel:iApplyi(Application)
TOP:iNursingiProcess:iPlanningiMSC:i NCLEX:iPhysiologicaliIntegrity

6. Whichistatementidescribesitheipurposeiofitheievaluationiphaseiofitheinursingiprocess?
a. Toidocumentitheinursingicareiplaniinitheiprogressinotesiofitheihealthirecord
b. Toidetermineiifiinterventionsihaveibeenieffectiveiinimeetingipatientioutcomes
c. Toidecideiwhetheritheipatient‗sihealthiproblemsihaveibeenicompletelyiresolved
d. Toiestablishiifitheipatientiagreesithatitheinursingicareiprovidediwasisatisfactory

ANS:i B

, Evaluationiconsistsiofideterminingiwhetheritheidesiredipatientioutcomesihaveibeenimetiandiw
hetheritheinursingiinterventionsiwereiappropriate.iTheiotheriresponsesidoinotidescribeitheieva
luationiphase.

DIF:i CognitiveiLevel:iUnderstandi(Comprehension)
TOP:iNursingiProcess:iEvaluationi
MSC:i NCLEX:iSafeiandiEffectiveiCareiEnvironment

7. Whichistatementidescribesitheipurposeiofitheiassessmentiphaseiofitheinursingiprocess?
a. Toiteachiinterventionsithatirelieveihealthiproblems
b. Toiuseipatientidataitoievaluateipatienticareioutcomes
c. Toiobtainidataitoidiagnoseipatientistrengthsiandiproblems
d. Toihelpitheipatientiidentifyirealisticioutcomesiforihealthiproblems
ANS:i C
Duringitheiassessmentiphase,itheinurseigathersiinformationiaboutitheipatientitoidiagnoseipatien
tistrengthsiandiproblems.iTheiotheriresponsesiareiexamplesiofitheiplanning,iintervention,iandi
evaluationiphasesiofitheinursingiprocess.

DIF: CognitiveiLevel:iUnderstandi(Comprehension)
TOP:i NursingiProcess:iAssessment MSC:i NCLEX:iSafeiandiEffectiveiCareiEnvironment

8. Whenidevelopingitheiplanioficare,iwhichicomponentsiwoulditheinurseiincludeiinitheiclinicalipr
oblemistatement?
a. Theiproblemianditheisuggestedipatientigoalsiorioutcomes
b. Theiproblem,iitsicauses,ianditheisignsiandisymptomsiofitheiproblem
c. Theiproblemiwithitheipossibleietiologyianditheiplannediinterventions
d. Theiproblem,iitsipathophysiology,ianditheiexpectedioutcome
ANS:i B
Wheniwritingiclinicaliproblemsiorinursingidiagnoses,itheisubjectiveiasiwelliasiobjectiveidataitoi
supportitheiproblem‗siexistenceishouldibeiincluded.iGoals,ioutcomes,iandiinterventionsiareinoti
includediinitheiproblemistatement.

DIF: CognitiveiLevel:iUnderstandi(Comprehension)
TOP:iNursingiProcess:iDiagnosisiMSC:i NCLEX:iSafeiandiEffectiveiCareiEnvironment

9. Whichipatienticareitaskiwoulditheinurseidelegateitoiexperiencediassistiveipersonneli(AP)?
a. Instructitheipatientiaboutitheineeditoialternateiactivityiandirest.
b. Monitorileveliofishortnessiofibreathiorifatigueiafteriambulation.
c. Obtainitheipatient‗sibloodipressureiandipulseirateiafteriambulation.
d. Determineiwhetheritheipatientiisireadyitoiincreaseitheiactivityilevel.
ANS:i C
APieducationiincludesiaccurateivitalisignimeasurement.iAssessmentiandipatientiteachingirequir
eiregisteredinurseieducationiandiscopeiofipracticeiandicannotibeidelegated.

DIF: CognitiveiLevel:iApplyi(Application)
TOP:iNursingiProcess:iPlanningiMSC:i NCLEX:iSafeiandiEffectiveiCareiEnvironment