TEST BANK FOR UNDERSTANDING MEDICAL-SURGICAL NURSING 6TH EDITION BY WILLIAMS

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, Understanding Medical-Surgical Nursing 6th Edition Williams Test Bank g g g g g g g g



(complete All chapters 1-57 Q&As) g g g g g



Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE g




1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should
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gthe licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
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1. A patient with a blood glucose of 42 mg/dL
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2. A patient who reports a pain level of 2
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3. A patient who has just received a diagnosis of cancer
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4. A patient who has a respiratory rate of 22
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ANS: 1 g


Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
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needs.
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Pages: 6–7 g


Heading: Prioritize Care g g


Integrated Process: Clinical Problem-Solving Process (Nursing Process)
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Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying] g g g


Concept: Patient-Centered Care
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Difficulty: Difficult
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Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
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intervention.
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2 This patient will need to be assessed, but is not as high a priority.
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3 According to Maslow, psychosocial needs are not as high of a priority as
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physiological needs.
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4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care g g




2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes ago
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gfor my pain medication. I‘m going to call the CEO of the hospital if you don‘t get it for me
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gnow.‖ Which statement by the nurse demonstrates intellectual empathy?
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1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
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2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
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3. ―I had another patient who had severe pain, and I had to get to them first.‖
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4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
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ANS: 2 g


Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 2. Describe attitudes and skills that promote good critical thinking
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Page: 2
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Heading: Intellectual Empathy g g


Integrated Process: Communication and Documentation g g g g


Client Need: Psychosocial Integrity
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, Cognitive Level: Application [Applying]
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Concept: Communication
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Difficulty: Moderate g




Feedback
1 This statement does not consider an individual‘s situation.
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2 This statement demonstrates intellectual empathy by considering this patient‘s
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situation and will likely alleviate the patient‘s anger.
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3 This statement does not consider a patient‘s situation and does not demonstrate
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intellectual empathy.
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4 This statement addresses the patient‘s statement of wanting to call the CEO, but
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does not demonstrate intellectual empathy by considering the patient‘s
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situation.

PTS: 1 CON: Communication g




3. The nurse is collecting data on a patient. Which data are described as subjective?
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1. Respiratory rate of 26 per minute g g g g g


2. Patient report of shortness of breath g g g g g


3. Coarse lung sounds bilaterally g g g


4. Cough producing green sputum g g g




ANS: 2 g


Chapter: Chapter 1 Critical Thinking and the Nursing Process
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Objective: 5. Differentiate between objective and subjective data.
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Page: 4
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Heading: Subjective Data g g


Integrated Process: Communication and Documentation
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Client Need: Communication and Documentation
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Cognitive Level: Application (Applying)
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Concept: Communication g


Difficulty: Moderate
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Feedback
1 Respiratory rate of 26 per minute is an example of objective data.
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2 A patient reporting symptoms to the nurse is an example of subjective data.
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3 Coarse lung sounds is an example of objective data.
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4 A productive cough is an example of objective data.
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PTS: 1 CON: Communication g




4. A patient with a newly fractured femur reports a pain level of 8/10 and analgesic medication
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is not due for another 50 minutes. Which action should the nurse take first?
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1. Reposition the patient. g g


2. Give the medication in 30 minutes.
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3. Notify the registered nurse (RN) or physician.
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4. Tell the patient it is too early for pain medication.
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ANS: 3
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