TEST BANK FOR LEWIS\'S MEDICAL-
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SURGICALNURSING, 12TH EDITION BY MARIAN
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N M. HARDING, JEFFREY KWONG, DEBRA HAGLE
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R CHAPTER 1- l
69 QUESTIONS AND CORRECT ANSWERS
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9
Chapter01:ProfessionalNursing
Harding:9 Lewis’s9 Medical-Surgical9 Nursing,9 12th9 Edition
MULTIPLECHOICE
1. The9nurse9completes9an9admissiondatabase9and9explains9that9thelplan9of9care9and9discharge9goal9
s will bedeveloped9with thepatient‗s9input.9Thepatient asks,9―How9is this different9from9what9the9
physician9does?‖9Which9response9would9the9nurse9provide?
a. ―Thelroleofthelnurselistoadministermedicationsland9othertreatments prescribed9by
9 yourlphysician.‖
b. ―In addition to9caringfor9youwhile9you aresick,thenurses will help9youplantolmai9
ntain9your9health.‖
c. ―Thelnurse‗sjobistolcollectlinformationandcommunicateanyproblems9thatloc
9cur9to9the9physician.‖
d. ―Nursesperformmanyofthesameprocedures9asthephysician,9butnurses are9wit
9hthe9patients9for9allonger9timethan9the9physician.‖
ANS:9B
The9American9Nurses9Association9(ANA)9definition9ofnursing describes9the role of9nurses inlpro9
motinghealth.9The9otherlresponses9describeldependentland9collaborative9functionsof9the9nursin9
grolebut9donot9accuratelydescribethenurse‗s9uniqueroleinlthe9health9caresystem.
DIF:9 CognitiveLevel:Analyze(Analysis)
TOP:9 NursingProcess:9Implementation9 MSC:9 NCLEX:9SafeandlEffective9Care9Environment
2. Whichlstatementbythe9nurseaccuratelydescribes9theuseof9evidence-based9practicel(EBP)?
a. ―Patientcareisbasedon9clinicaljudgment,experience,9andtraditions.‖
b. ―Dataareanalyzed laterto show that thepatientoutcomesareconsistentlymet.‖
c. ―Researchfrom allpublishedarticles areused aslaguideforplanninglpatient care.‖
d. ―Recommendations9arebased onlresearch,9clinical9expertise,9and patient9pr
9 eferences.‖
ANS:9D
Evidence-based9practice9(EBP)9is9the9use9of9the9best9research-
based9evidence9combined9withlclinician9expertise9and9consideration9of9patient9preferences.9Clin9
ical9judgment9based9on9the9nurse‗s9clinical9experience9is9part9of9EBP,9but9clinical9decision9maki9
ng9should9also9incorporatecurrent9researchandresearch-
basedguidelines.9Evaluationofpatientoutcomesisimportant,9but9data9analysis9is9not9required9to9
use9EBP.9All9published9articles9do9not9provideresearchevidence;9interventionsshouldbebasedo9
ncredibleresearch,9preferablylrandomizedcontrolledstudies9with9a9large9number9of9subjects.
DIF:999 Cognitive9Level:9Understand(Comprehension)
TOP:9NursinglProcess:9PlanningMSC:9 NCLEX:9Safe9and9Effective9Care9Environment
,3. Whichstatementbythenurseprovides9 aclear9 explanationofthelnursingprocess?
a. ―Thelnursinglprocessisa9researchmethodofdiagnosingthelpatient‗s9healthcare9pro
9blems.‖
b. ―Thelnursinglprocessisusedprimarilyto9explainnursinginterventions9toother9he
9alth9care9professionals.‖
c. ―Thelnursinglprocess9is aproblem-solvingtool usedltoidentifyandlmanage the
, patients‗healthcareneeds.‖
d. ―Thelnursinglprocessisbasedonnursingtheorythatincorporatesthe9bi
9opsychosocial9nature9of9humans.‖
ANS:9C
The9nursing9process9is9a9problem-
solving9approach9to9the9identification9and9treatment9of9patients‗9problems.9Nursing9process9doe9
s9not9require9research9methods9for9diagnosis.9The9primaryuseofthenursingprocessisinpatient9
care,9nottoestablishnursingtheoryorexplainnursinginterventions9to9other9health9careprofessi9
onals.
DIF:999 Cognitive9Level:9Understand(Comprehension)
TOP:9Nursing9Process:9EvaluationM
l99999 SC:9 NCLEX:9Safe land9Effective9Care9Environment
4. A9patientladmitted9to9thehospital9for9surgerytells9the9nurse,9―I9dolnot9feel9comfortablelleav9
ingmychildren9with9myparents.‖9Which9action9would9the9nurseltake9next?
a. Reassurethepatientthat9thesefeelings9 arecommonforparents.
b. Havethepatient9call9the9childrentoensurethat9theyaredoinglwell.
c. Gather9information9on9the9patient‗s9concerns9about9the9child9care9arrangements.
d. Callthepatient‗sparentstodeterminewhetheradequatechildcareisbeingpr9o
vided.
ANS:9C
Becauselalcomplete9assessmentlis9necessary9in9orderlto9identifya9problem9and9choose9an9approp9
riate9intervention,9the9nurse‗s9firstlaction9should9be9to9obtain9more9information.9The9otherlaction9
smaybelappropriate,9but9moreassessmentisneededbeforethebestlinterventioncan9be9chosen.
DIF:9 CognitivelLevel:Analyze(Analysis)
TOP:9 NursingProcess:9Assessment MSC:9NCLEX:Psychosocial9Integrity
5. Apatientwithalbacterial9infectionlishypovolemic9duetoalfeverland9 excessivediaphoresis.Wh9
ich9expectedloutcomelwould9the9nurse9select9for9this9patient?
a. Patienthasabalancedintakeand9output.
b. Patient‗sbeddingiskeptcleanandlfreeofmoisture.
c. Patientunderstandstheneedforincreased9 fluidintake.
d. Patient‗s9skin9remains9cool9and9dry9throughout9hospitalization.
ANS:9A
Balancedintakeandoutputgivesmeasurabledata9showingresolutionoftheproblemofdeficient9fl
uid9volume.9The9other9statements9would9not9indicatelthat9the9problem9of9hypovolemia9was9res9o
lved.
DIF:9 Cognitive9Level:9Applyl(Application)
TOP:9NursinglProcess:9PlanningMSC:9 NCLEX:9Physiological9Integrity
6. Whichstatement9 describesthe9 purposeoftheevaluationphaseofthenursinglprocess?
a. To9documentlthenursingcareplanlin9thelprogress9notesofthehealth9record
b. Todetermine9ifinterventionshavelbeeneffectivelinmeetingpatient9outcomes
c. Todecide9whetherthelpatient‗shealthproblemshavebeen9completelyresolved
d. Toestablish9 ifthepatient9 agreesthatthenursingcareprovidedwassatisfactory
ANS:9B
, Evaluation9consists9of9determining9whether9the9desired9patient9outcomes9have9been9met9andwh9
ether9the9nursing9interventions9were9appropriate.9The9other9responses9do9not9describe9theevalua9
tionphase.
DIF:9Cognitive9Level:9Understand(Comprehension)9
TOP:9Nursing9Process:9Evaluation
MSC:9 NCLEX:9Safe9and9Effective9Care9Environmen
t
7. Whichstatement9 describesthepurposeloftheassessment9 phaseofthenursingprocess?
a. Toteach9interventionsthatrelievehealthproblems
b. To9usepatient9datatoevaluatepatient9careoutcomes
c. Toobtain9datatodiagnosepatientstrengths9andproblems
d. Tohelplthe9 patientidentifyrealisticoutcomesforhealthproblems
ANS:9C
Duringthelassessmentphase,9thenursegathersinformationaboutthepatienttodiagnosepatient9s9tr
engths9and9problems.9The9other9responses9are9examples9of9the9planning,9intervention,9and9eval9u
ation9phases9of9the9nursingprocess.
DIF:9 Cognitive9Level:9Understand(Comprehension)
TOP:9 NursingProcess:9Assessment MSC:9 NCLEX:9Safeand9Effective9Care9Environment
8. Whendevelopingtheplanlofcare,9whichcomponentswouldthenurseincludeintheclinicalpro9bl
emstatement?
a. Theproblem9andthelsuggestedpatient9goalsoroutcomes
b. Theproblem,9its9causes,9andthelsigns9andlsymptoms9oftheproblem
c. Theproblemwithlthelpossibleetiologyandtheplannedinterventions
d. Theproblem,9itspathophysiology,9andthelexpectedloutcome
ANS:9B
When9writing9clinical9problems9or9nursingldiagnoses,9the9subjective9as9well9as9objective9data9tos9
upporttheproblem‗s9existenceshouldlbeincluded.9Goals,9outcomes,9andinterventionsarenotlinc9
luded9in9the9problem9statement.
DIF:999 Cognitive9Level:9Understand(Comprehension)
TOP:9Nursing9Process:9DiagnosisMSC:9 NCLEX:9Safe9and9Effective9Care9Environment
9. Whichpatient9caretask9wouldthenursedelegate9to9experienced9assistivepersonnel(AP)?
a. Instructthepatientabout9theneed9to9alternate9activityand9rest.
b. Monitorlevel9 ofshortnessofbreathorfatigueafterambulation.
c. Obtainthepatient‗sbloodpressureandpulserate9 afterambulation.
d. Determinewhetherlthepatientlisreadytoincrease9 theactivitylevel.
ANS:9C
AP9educationincludesaccuratevitalsignmeasurement.Assessmentandpatientteachingrequirel9r
egistered9nurseleducation9and9scope9of9practice9and9cannot9be9delegated.
DIF:999 Cognitive9Level:9Apply(Application)
TOP:9NursinglProcess:9PlanningMSC:9 NCLEX:9Safe9and9Effective9Care9Environment
