test bank for DeWit Medical-Surgical Nursing: Concepts & Practice, 5th Edition All 48 Chapters

TEST BANK
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,TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS AND P
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RACTICE 5th EDITION chapter 1-48 n n




Chapter 01: Caring for Medical-Surgical Patients
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deWit: Medical-n




Surgical Nursing: Concepts & Practice, 5th Edition MULTIPLE CHO
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ICE

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


a. To test and license LPN/LVNs.
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b. To define the scope of LPN/LVN
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practice.
c. To improve the quality of care
provided by the LPN/LVN. n n n


d. To limit the LPN/LVN employment
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placement.


ANS: B n


While improving quality of care provided by the LPN/LVN may be a result of the NP
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A, the primary purpose of the NPA of each state defines the scope of nursing practic
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e in that state.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 n n n n


OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation MSC:
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NCLEX: Safe, Effective Care Environment: Coordinated Care
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2.
The charge nurse asks the new vocational nurse to start an intravenous infusi
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on, a skill that the vocational nurse has not been taught during her educational pr
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ogram. How should the vocational nurse respond?
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,a. Ask a more experienced nurse to
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demonstrate the procedure. n n


b. Look up the procedure in the procedure ma
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nual.
c. Attempt to perform the procedure with
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supervision.
d. Inform the charge nurse of her lack of train
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ing in this procedure.
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, ANS: D n


The charge nurse should be informed of the lack of training to perform the procedur
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e, and the vocational nurse should seek further training to gain proficiency. Althou
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gh the other options might be helpful, they are not safe.
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PTS: 1 DIF: Cognitive Level: Application REF: 3 n n n n n


OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/A MSC:
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NCLEX: Safe, Effective Care Environment: Coordinated Care
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3.
Which patient statement indicates a need for further discharge teaching that
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the vocational nurse should address?
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a. “I have no idea of how this drug
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will affect me.” n n


b. “Do you know if my physician is
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coming back today?” n n


c. “Will my insurance pay for my n n n n n


stay?”
d. “Am I going to have to go to a n n n n n n n n


nursing home?” n




ANS: A n


Lack of knowledge at discharge about medication effects and side effects is a concer
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n that should be addressed by the vocational nurse. The other concerns in the options a
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re the responsibility of other departments to which the nurse might refer the patient.
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PTS: 1 DIF: Cognitive Level: Application REF: 2 n n n n n


OBJ: 1
TOP: Teaching KEY: Nursing Process Step: Implementation MSC:
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NCLEX: Safe, Effective Care Environment: Coordinated Care
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4.
According to most state NPAs, the vocational nurse acting as charge nurse i
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n a long-term care facility acts in which capacity?
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