Test bank for medical surgical nursing 4th edition by holly k stromberg

TEST BANK n




deWit's Medical-Surgical Nursing,
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Concepts and Practice, 4th Edition
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(Stromberg, 2023) Chapters 1 - 49
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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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,Medical-Surgical Nursing, Concepts and Practice
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, Chapter 01: Caring for Medical-Surgical Patients
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DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
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MULTIPLE CHOICE n




1. Which statement accurately describes the primary purpose of the state nurse practice act
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(NPA)?
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a. To test and license LPN/LVNs n n n n




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




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: 3 n n nnn n n




TOP: NPA
n 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 the
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vocational 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. n n n n n n n




c. Attempt to perform the procedure with supervision. n n n n n n




d. Inform the charge nurse of her lack of training in this procedure. n n n n n n n n n n n




ANSWER: D n




The charge nurse should be informed of the lack of training to perform the procedure, and the
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vocational 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: n n nnn n n n




nProviding Safe Care KEY: Nursing Process Step: N/An n n n n n




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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3. Which patient statement indicates a need for further discharge teaching that the vocational
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nurse should address?
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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?‖
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c. ―Will my insurance pay for my stay?‖ n n n n n n




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




ANSWER: A n




Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
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be 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 n n n n