TEST BANK for Lewis

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Test Bank For Lewis\'s Medical-
cx cx cx cx




cx Surgical Nursing, 12th Edition by Mariann M. Harding, Je
cx cx cx cx cx cx cx cx




ffrey Kwong, Debra Hagler Chapter 1-69 A+
cx cx cx cx cx cx



Chaptercx01:cxProfessionalcxNursing
Harding:cxLewis’scxMedical-SurgicalcxNursing,cx12thcxEdition
cx

MULTIPLEcxCHOICE


1.
Thecxnursecxcompletescxancxadmissioncxdatabasecxandcxexplainscxthatcxthecxplancxofcxcarecxandcx
dischargecxgoalscxwillcxbecxdevelopedcxwithcxthecxpatient‘scxinput.cxThecxpatientcxasks,cx“Howcxiscxthisc
xdifferentcxfromcxwhatcxthecxphysiciancxdoes?”cxWhichcxresponsecxwouldcxthecxnursecxprovide?


a.
“Thecxrolecxofcxthecxnursecxiscxtocxadministercxmedicationscxandcxothercxtreatmentscxprescribedc
xbycxyourcxphysician.”
b.
“Incxadditioncxtocxcaringcxforcxyoucxwhilecxyoucxarecxsick,cxthecxnursescxwillcxhelpcxyoucxplancxto
cx maintaincxyourcxhealth.”
c.
“Thecxnurse‘scxjobcxiscxtocxcollectcxinformationcxandcxcommunicatecxanycxproblemscxthatcxocc
urcxtocxthecxphysician.”
d.
“Nursescxperformcxmanycxofcxthecxsamecxprocedurescxascxthecxphysician,cxbutcxnursescxarecxwit
hcxthecxpatientscxforcxacxlongercxtimecxthancxthecxphysician.”
ANS:cxB
ThecxAmericancxNursescxAssociationcx(ANA)cxdefinitioncxofcxnursingcxdescribescxthecxrolecxofcxnurse
scxincxpromotingcxhealth.cxThecxothercxresponsescxdescribecxdependentcxandcxcollaborativecxfunctionsc
xofcxthecxnursingcxrolecxbutcxdocxnotcxaccuratelycxdescribecxthecxnurse‘scxuniquecxrolecxincxthecxhealthcxc
arecxsystem.

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DIF: CognitivecxLevel:cxAnalyzecx(Analysis)
TOP:cxNursingcxProcess:cxImplementation
MSC:cxNCLEX:cxSafecxandcxEffectivecxCarecxEnvironment


2. Whichcxstatementcxbycxthecxnursecxaccuratelycxdescribescxthecxusecxofcxevidence-
basedcxpracticecx(EBP)?
a. “Patientcxcarecxiscxbasedcxoncxclinicalcxjudgment,cxexperience,cxandcxtraditions.”
b. “Datacxarecxanalyzedcxlatercxtocxshowcxthatcxthecxpatientcxoutcomescxarecxconsistentlycxmet.”
c.
“Researchcxfromcxallcxpublishedcxarticlescxarecxusedcxascxacxguidecxforcxplanningcxpatientcxcare.
”
d.
“Recommendationscxarecxbasedcxoncxresearch,cxclinicalcxexpertise,cxandcxpatientcxpreferences
.”
ANS:cxD
Evidence-basedcxpracticecx(EBP)cxiscxthecxusecxofcxthecxbestcxresearch-
basedcxevidencecxcombinedcxwithcxcliniciancxexpertisecxandcxconsiderationcxofcxpatientcxpreferences.c
xClinicalcxjudgmentcxbasedcxoncxthecxnurse‘scxclinicalcxexperiencecxiscxpartcxofcxEBP,cxbutcxclinicalcxde
cisioncxmakingcxshouldcxalsocxincorporatecxcurrentcxresearchcxandcxresearch-
basedcxguidelines.cxEvaluationcxofcxpatientcxoutcomescxiscximportant,cxbutcxdatacxanalysiscxiscxnotcxreq
uiredcxtocxusecxEBP.cxAllcxpublishedcxarticlescxdocxnotcxprovidecxresearchcxevidence;cxinterventionscxs
houldcxbecxbasedcxoncxcrediblecxresearch,cxpreferablycxrandomizedcxcontrolledcxstudiescxwithcxacxlarge
cx numbercxofcxsubjects.


DIF: CognitivecxLevel:cxUnderstandcx(Comprehension)
TOP:cxNursingcxProcess:cxPlanningcxMSC:cxNCLEX:cxSafecxandcxEffectivecxCarecxEnvironm
ent


3. Whichcxstatementcxbycxthecxnursecxprovidescxacxclearcxexplanationcxofcxthecxnursingcxprocess?



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a.
“Thecxnursingcxprocesscxiscxacxresearchcxmethodcxofcxdiagnosingcxthecxpatient‘scxhealthcxcarecx
problems.”
b.
“Thecxnursingcxprocesscxiscxusedcxprimarilycxtocxexplaincxnursingcxinterventionscxtocxothercxhe
althcxcarecxprofessionals.”
c. “Thecxnursingcxprocesscxiscxacxproblem-solvingcxtoolcxusedcxtocxidentifycxandcxmanagecxthe
cx

patients‘cxhealthcxcarecxneeds.”
d.
“Thecxnursingcxprocesscxiscxbasedcxoncxnursingcxtheorycxthatcxincorporatescxthecxbiopsychosoc
ialcxnaturecxofcxhumans.”
ANS:cxC
Thecxnursingcxprocesscxiscxacxproblem-
solvingcxapproachcxtocxthecxidentificationcxandcxtreatmentcxofcxpatients‘cxproblems.cxNursingcxprocess
cx doescxnotcxrequirecxresearchcxmethodscxforcxdiagnosis.cxThecxprimarycxusecxofcxthecxnursingcxprocessc
xiscxincxpatientcxcare,cxnotcxtocxestablishcxnursingcxtheorycxorcxexplaincxnursingcxinterventionscxtocxother
cx healthcxcarecxprofessionals.


DIF: CognitivecxLevel:cxUnderstandcx(Comprehension)
TOP:cxNursingcxProcess:cxEvaluationcxMSC:cxNCLEX:cxSafecxandcxEffectivecxCarecxEnviron
ment


4.
Acxpatientcxadmittedcxtocxthecxhospitalcxforcxsurgerycxtellscxthecxnurse,cx“Icxdocxnotcxfeelcxcomfo
rtablecxleavingcxmycxchildrencxwithcxmycxparents.”cxWhichcxactioncxwouldcxthecxnursecxtakecxnext?
a. Reassurecxthecxpatientcxthatcxthesecxfeelingscxarecxcommoncxforcxparents.
b. Havecxthecxpatientcxcallcxthecxchildrencxtocxensurecxthatcxtheycxarecxdoingcxwell.
c. Gathercxinformationcxoncxthecxpatient‘scxconcernscxaboutcxthecxchildcxcarecxarrangements.
d.
Callcxthecxpatient‘scxparentscxtocxdeterminecxwhethercxadequatecxchildcxcarecxiscxbeingcxprovid
ed.

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ANS:cxC
Becausecxacxcompletecxassessmentcxiscxnecessarycxincxordercxtocxidentifycxacxproblemcxandcxchoosecxanc
appropriatecxintervention,cxthecxnurse‘scxfirstcxactioncxshouldcxbecxtocxobtaincxmorecxinformation.cxTh
x


ecxothercxactionscxmaycxbecxappropriate,cxbutcxmorecxassessmentcxiscxneededcxbeforecxthecxbestcxinterve
ntioncxcancxbecxchosen.


DIF: CognitivecxLevel:cxAnalyzecx(Analysis)
TOP:cxNursingcxProcess:cxAssessment MSC:cxNCLEX:cxPsychosocialcxIntegrity


5.
Acxpatientcxwithcxacxbacterialcxinfectioncxiscxhypovolemiccxduecxtocxacxfevercxandcxexcessivecxdi
aphoresis.cxWhichcxexpectedcxoutcomecxwouldcxthecxnursecxselectcxforcxthiscxpatient?
a. Patientcxhascxacxbalancedcxintakecxandcxoutput.
b. Patient‘scxbeddingcxiscxkeptcxcleancxandcxfreecxofcxmoisture.
c. Patientcxunderstandscxthecxneedcxforcxincreasedcxfluidcxintake.
d. Patient‘scxskincxremainscxcoolcxandcxdrycxthroughoutcxhospitalization.
ANS:cxA
Balancedcxintakecxandcxoutputcxgivescxmeasurablecxdatacxshowingcxresolutioncxofcxthecxproblemcxofcxd
eficientcxfluidcxvolume.cxThecxothercxstatementscxwouldcxnotcxindicatecxthatcxthecxproblemcxofcxhypovo
lemiacxwascxresolved.


DIF: CognitivecxLevel:cxApplycx(Application)
TOP:cxNursingcxProcess:cxPlanningcxMSC:cxNCLEX:cxPhysiologicalcxIntegrity


6.
Whichcxstatementcxdescribescxthecxpurposecxofcxthecxevaluationcxphasecxofcxthecxnursingcxproc
ess?
a. Tocxdocumentcxthecxnursingcxcarecxplancxincxthecxprogresscxnotescxofcxthecxhealthcxrecord
b. Tocxdeterminecxifcxinterventionscxhavecxbeencxeffectivecxincxmeetingcxpatientcxoutcomes
c. Tocxdecidecxwhethercxthecxpatient‘scxhealthcxproblemscxhavecxbeencxcompletelycxresolved
d. Tocxestablishcxifcxthecxpatientcxagreescxthatcxthecxnursingcxcarecxprovidedcxwascxsatisfactory

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