Medical Surgical Nursing Lewis Chapter
1 - Professional Nursing Practice
A nurse who has labored on an orthopedic unit for numerous years is advocated by way of the
nurse manager to turn out to be licensed in orthopedic nursing. What will certification in nursing
require and/or offer (select all that observe)?
A. A sure quantity of clinical enjoy
b. Successful crowning glory of an examination
c. Membership in distinctiveness nursing businesses
d. Professional popularity of knowledge in a area of expertise place
e. An superior exercise function that calls for graduate education - ANS-a, b, d. Certification
generally requires an exam to confirm a sure knowledge base and enjoy within the specialty
place to increase the expertise. Certification is a voluntary procedure that provides reputation of
1's knowledge
A affected person with a seizure ailment is admitted to the medical institution after a sustained
seizure. When she tells the nurse that she has not taken her medication frequently, the nurse
makes a nursing diagnosis of ineffective self-fitness control associated with lack of information
concerning medication regimen and identifies the Nursing Outcomes Classification (NOC) final
results of Compliance behavior, with the indicator Performs treatment routine as prescribed, at a
goal fee of three (on occasion established). When the nurse tries to educate the patient about
the medicine regimen, the affected person tells the nurse that she knows approximately the
medication however she does no longer constantly have the cash to refill the prescription.
Where turned into the mistake made inside the nursing technique with this patient?
A. Planning
b. Diagnosis
c. Evaluation
d. Assessment
e. Implementation - ANS-d. The mistake become made throughout evaluation when the nurse
did no longer ask why the affected person had now not taken her medicinal drug often and the
right etiology for the nursing analysis changed into not confirmed.
Delegation is a system used by the RN to provide secure and effective care in an green manner.
Which nursing
interventions must now not be delegated to unlicensed assistive employees (UAP) however
need to be accomplished through the RN (pick all that observe)?
A. Administering affected person medicinal drugs
b. Ambulating strong patients
c. Performing affected person assessment
, d. Evaluating the effectiveness of affected person care
e. Feeding sufferers at mealtime
f. Performing sterile processes
g. Providing patient teaching
h. Obtaining essential symptoms on a stable affected person
i. Assisting with affected person bathing - ANS-a, c, d, f, g. These moves or interventions require
judgment and medical selection making; consequently they have to be completed via an RN
a. Administering patient medicinal drugs
c. Performing affected person assessment
d. Evaluating the effectiveness of patient care
f. Performing sterile strategies
g. Providing affected person coaching
During the analysis section of the nursing process, both nursing diagnoses and collaborative
problems are diagnosed. Which are collaborative problem statements (pick out all that
observe)?
A. Fatigue associated with sleep deprivation
b. Infection associated with immunosuppression
c. Excess fluid volume associated with high sodium consumption
d. Constipation related to abnormal defecation behavior
e. Hypoxia related to continual obstructive pulmonary sickness
f. Risk for cardiac dysrhythmias associated with potassium deficiency - ANS-b, e, f.
Collaborative troubles are ability or real headaches of ailment or treatment. As said, fatigue,
constipation, and excess fluid quantity aren't complications of ailment or remedy.
For the nursing diagnoses and written patient consequences listed below, use the Nursing
Interventions Classification (NIC) to identify a selected nursing intervention to assist the affected
person attain the outcome.
A. Nursing analysis: Risk for impaired pores and skin integrity associated with immobility
Patient outcome: Patient will exhibit skin integrity free of pressure ulcers.
B. Nursing analysis: Constipation related to insufficient fluid and fiber intake
Patient outcome: Patient can have daily soft bowel actions in 1 week. - ANS-Many solutions
may be accurate. Examples consist of the following:
a. Turn the affected person each 2 hours the use of the following agenda: L side → returned →
R side → L facet → again.
Inspect and file all at-danger regions for blanching and erythema at each role alternate.
B. Provide 8 ozof fluids each 2 hours (even hours) even as the affected person is awake (the
affected person prefers bloodless drinks). Assist the patient in selecting five sparkling fruits or
vegetables from the menu each day.
Identify the five rights of delegating nursing care (pick all that observe).
A. Right time
b. Right undertaking
1 - Professional Nursing Practice
A nurse who has labored on an orthopedic unit for numerous years is advocated by way of the
nurse manager to turn out to be licensed in orthopedic nursing. What will certification in nursing
require and/or offer (select all that observe)?
A. A sure quantity of clinical enjoy
b. Successful crowning glory of an examination
c. Membership in distinctiveness nursing businesses
d. Professional popularity of knowledge in a area of expertise place
e. An superior exercise function that calls for graduate education - ANS-a, b, d. Certification
generally requires an exam to confirm a sure knowledge base and enjoy within the specialty
place to increase the expertise. Certification is a voluntary procedure that provides reputation of
1's knowledge
A affected person with a seizure ailment is admitted to the medical institution after a sustained
seizure. When she tells the nurse that she has not taken her medication frequently, the nurse
makes a nursing diagnosis of ineffective self-fitness control associated with lack of information
concerning medication regimen and identifies the Nursing Outcomes Classification (NOC) final
results of Compliance behavior, with the indicator Performs treatment routine as prescribed, at a
goal fee of three (on occasion established). When the nurse tries to educate the patient about
the medicine regimen, the affected person tells the nurse that she knows approximately the
medication however she does no longer constantly have the cash to refill the prescription.
Where turned into the mistake made inside the nursing technique with this patient?
A. Planning
b. Diagnosis
c. Evaluation
d. Assessment
e. Implementation - ANS-d. The mistake become made throughout evaluation when the nurse
did no longer ask why the affected person had now not taken her medicinal drug often and the
right etiology for the nursing analysis changed into not confirmed.
Delegation is a system used by the RN to provide secure and effective care in an green manner.
Which nursing
interventions must now not be delegated to unlicensed assistive employees (UAP) however
need to be accomplished through the RN (pick all that observe)?
A. Administering affected person medicinal drugs
b. Ambulating strong patients
c. Performing affected person assessment
, d. Evaluating the effectiveness of affected person care
e. Feeding sufferers at mealtime
f. Performing sterile processes
g. Providing patient teaching
h. Obtaining essential symptoms on a stable affected person
i. Assisting with affected person bathing - ANS-a, c, d, f, g. These moves or interventions require
judgment and medical selection making; consequently they have to be completed via an RN
a. Administering patient medicinal drugs
c. Performing affected person assessment
d. Evaluating the effectiveness of patient care
f. Performing sterile strategies
g. Providing affected person coaching
During the analysis section of the nursing process, both nursing diagnoses and collaborative
problems are diagnosed. Which are collaborative problem statements (pick out all that
observe)?
A. Fatigue associated with sleep deprivation
b. Infection associated with immunosuppression
c. Excess fluid volume associated with high sodium consumption
d. Constipation related to abnormal defecation behavior
e. Hypoxia related to continual obstructive pulmonary sickness
f. Risk for cardiac dysrhythmias associated with potassium deficiency - ANS-b, e, f.
Collaborative troubles are ability or real headaches of ailment or treatment. As said, fatigue,
constipation, and excess fluid quantity aren't complications of ailment or remedy.
For the nursing diagnoses and written patient consequences listed below, use the Nursing
Interventions Classification (NIC) to identify a selected nursing intervention to assist the affected
person attain the outcome.
A. Nursing analysis: Risk for impaired pores and skin integrity associated with immobility
Patient outcome: Patient will exhibit skin integrity free of pressure ulcers.
B. Nursing analysis: Constipation related to insufficient fluid and fiber intake
Patient outcome: Patient can have daily soft bowel actions in 1 week. - ANS-Many solutions
may be accurate. Examples consist of the following:
a. Turn the affected person each 2 hours the use of the following agenda: L side → returned →
R side → L facet → again.
Inspect and file all at-danger regions for blanching and erythema at each role alternate.
B. Provide 8 ozof fluids each 2 hours (even hours) even as the affected person is awake (the
affected person prefers bloodless drinks). Assist the patient in selecting five sparkling fruits or
vegetables from the menu each day.
Identify the five rights of delegating nursing care (pick all that observe).
A. Right time
b. Right undertaking
