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

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




TABLE OF CONTENTS
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 p




1. Which statement accurately describes the primary purpose of the state nurse practice
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pact(NPA)? p


a. To test and license LPN/LVNs
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b. To define the scope of LPN/LVN practice
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c. To improve the quality of care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
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ANSWER: B p


While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
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primary purpose of the NPA of each state defines the scope of nursing practice in that state.
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DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 p p pp p p p


TOP: NPA
p KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: 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 demonstrate the procedure.
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b. Look up the procedure in the procedure manual.
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c. Attempt to perform the procedure with supervision. p p p p p p


d. Inform the charge nurse of her lack of training in this procedure.
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ANSWER: D p


The charge nurse should be informed of the lack of training to perform the procedure, and
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thevocational nurse should seek further training to gain proficiency. Although the other
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options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 p p pp p p p


TOP: Providing Safe Care
p p KEY: Nursing Process Step: N/A p p p p p p


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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3. Which patient statement indicates a need for further discharge teaching that the
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pvocationalnurse should address? p p p


a. ―I have no idea of how this drug will affect me.‖
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b. ―Do you know if my physician is coming back today?‖
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c. ―Will my insurance pay for my stay?‖ p p p p p p


d. ―Am I going to have to go to a nursing home?‖
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ANSWER: A p


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