Test Bank For Lewis's Medical- Surgical Nursing, 12th Edition Mariann M. nHarding, Jeffrey Kwong, Debra Hagler Chapter 1-69 Complete Latest

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Test Bank For Lewis's Medical-
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Surgical Nursing, 12th Edition by
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Mariann M. Harding, Jeffrey Kwong,
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Debra Hagler Chapter 1-69 Complete
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Latest 2024-2025
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Test Bank for Lewis\'s Medical-Surgical Nursing, 12th
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Edition by Mariann M. Harding, Jeffrey Kwong, Debra
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Hagler Chapter 1-69
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Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE n




1. The nurse completes an admission database and explains that the plan of care and discharge
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goals will be developed with the patient‗s input. The patient asks, ―How is this different
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from what the physician does?‖ Which response would the nurse provide?
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a. ―The role of the nurse is to administer medications and other treatments
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prescribed by your physician.‖
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b. ―In addition to caring for you while you are sick, the nurses will help you plan
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to maintain your health.‖
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c. ―The nurse‗s job is to collect information and communicate any problems
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that occur to the physician.‖
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d. ―Nurses perform many of the same procedures as the physician, but nurses
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are with the patients for a longer time than the physician.‖
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ANS: B n


The American Nurses Association (ANA) definition of nursing describes the role of nurses
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nin promoting health. The other responses describe dependent and collaborative functions of
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the nursing role but do not accurately describe the nurse‗s unique role in the health care
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system.
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DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Implementation
n MSC: NCLEX: Safe and Effective Care Environment
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2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖
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b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
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c. ―Research from all published articles are used as a guide for planning patient care.‖
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d. ―Recommendations are based on research, clinical expertise, and n n n n n n n


patient preferences.‖
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ANS: D n


Evidence-based practice (EBP) is the use of the best research-based evidence combined with
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clinician expertise and consideration of patient preferences. Clinical judgment based on the
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nurse‗s clinical experience is part of EBP, but clinical decision making should also
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incorporate current research and research-based guidelines. Evaluation of patient outcomes is
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important, but data analysis is not required to use EBP. All published articles do not provide
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research evidence; interventions should be based on credible research, preferably randomized
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controlled studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) n n n TOP: Nursing Process: Planning
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MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. ―The nursing process is a research method of diagnosing the patient‗s health
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care problems.‖
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b. ―The nursing process is used primarily to explain nursing interventions to
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other health care professionals.‖
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c. ―The nursing process is a problem-solving tool used to identify and manage the
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patients‗ health care needs.‖ n n n


d. ―The nursing process is based on nursing theory that incorporates
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the biopsychosocial nature of humans.‖
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ANS: C n


The nursing process is a problem-solving approach to the identification and treatment of
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patients‗ problems. Nursing process does not require research methods for diagnosis. The
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primary use of the nursing process is in patient care, not to establish nursing theory or explain
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nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) n n n TOP: Nursing Process: Evaluation n n n


MSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel
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comfortable leaving my children with my parents.‖ Which action would the nurse
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take next?
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a. Reassure the patient that these feelings are common for parents.
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b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient‗s concerns about the child care arrangements.
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d. Call the patient‗s parents to determine whether adequate child care is
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being provided.
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ANS: C n


Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‗s first action should be to obtain more information. The
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other actions may be appropriate, but more assessment is needed before the best intervention
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can be chosen.
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DIF: Cognitive Level: Analyze (Analysis) n n n


TOP: Nursing Process: Assessment
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5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
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diaphoresis. Which expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output.n n n n n n


b. Patient‗s bedding is kept clean and free of moisture.n n n n n n n n


c. Patient understands the need for increased fluid intake.
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d. Patient‗s skin remains cool and dry throughout hospitalization.
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ANS: A n


Balanced intake and output gives measurable data showing resolution of the problem of
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deficient fluid volume. The other statements would not indicate that the problem of
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hypovolemia was resolved.
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DIF: Cognitive Level: Apply (Application) n n n TOP: Nursing Process: Planning n n n


MSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‗s health problems have been completely resolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B n