Test bank for medical surgical nursing 5th edition by holly k stromberg

TEST BANK Medical-Surgical Nursing,
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Concepts and Practice, 5th Edition
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(Stromberg, 2023) Chapters 1 - 49
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Medical-Surgical Nursing, Concepts and Practice
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,TABLE OF CONTENTS
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Medical-Surgical Nursing, Concepts and Practice
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,Medical-Surgical Nursing, Concepts and Practice
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, Chapter 01: Caring for Medical-Surgical Patients
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Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
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MULTIPLE CHOICE s




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




a. To test and license LPN/LVNs s s s s




b. To define the scope of LPN/LVN practice
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c. To improve the qualityof care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
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ANSWER: B s




While improving quality of care provided bythe LPN/LVN may be a result of the NPA, theprimary
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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: s s sss s




3TOP: NPA
s s 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. s s s s s s s




c. Attempt to performthe procedure with supervision. s s s s s s




d. Informthe charge nurse of her lack of training in this procedure. s s s s s s s s s s s




ANSWER: D s




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




sProviding Safe Care KEY: Nursing Process Step: s s s s s




N/AMSC: 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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svocationalnurse should address? s s s




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?‖ s s s s s s s s s




c. ―Will my insurance pay for my stay?‖ s s s s s s




d. ―Am I going to have to go to a nursing home?‖ s s s s s s s s s s




ANSWER: A s




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