Medical-Surgical Nursing Concepts and Practice,
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5th Edition by Stromberg
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All Chapters 1 - 49
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Medical-SurgicallNursing,llConceptsllandllPractice
,TABLE OF CONTENTS
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Medical-SurgicallNursing,llConceptsllandllPractice
,Medical-SurgicallNursing,llConceptsllandllPractice
, Chapterl01:lCaringllforlMedical-SurgicallPatients
Stromberg:lMedical-SurgicallNursing:lConceptslandlPractice,l5th Edition g
MULTIPLEllCHOICE
1. Whichgstatementllaccuratelyldescribeslthelprimarylpurposeloflthellstatellnursellpracticellact(l l NPA)?
a. ToltestllandlllicensellLPN/LVNs
b. TolldefinellthellscopeloflLPN/LVNlpractice
c. TollimprovellthellqualityloflcarellprovidedllbylthellLPN/LVN
d. TolllimitllthellLPN/LVNllemploymentgplacement
ANSWER:gllB
WhilellimprovingllqualityloflcarellprovidedllbylthellLPN/LVNllmayllbellallresultlloflthellNPA,ltheprimal l ry purposellofl
thelNPAgofgeachlstatelldefineslthellscopellofgnursingllpracticellingthatllstate.
DIF: CognitivellLevel:llComprehension
REF:lll l p.ll3
l l OBJ:ll3TOP:lll l NPA
KEY:llNursingllProcessllStep:llImplementation
MSC:l l NCLEX:lSafe,llEffectivellCarelEnvironment:llCoordinatedllCare
2. Thellchargellnursellaskslthellnewllvocationalgnurselltollstartllanllintravenousllinfusion,llallskilllthatllthevl l ocational
gnursellhasllnotgbeengtaughtllduringllherlleducationallprogram.llHowllshouldllthellvocationall l nursellrespond?
a. Askgallmorellexperiencedllnurselltolldemonstratelthelprocedure.
b. Lookluplthelprocedurelinlthellprocedurellmanual.
c. Attemptlltollperformgthellprocedurellwithgsupervision.
d. Informgthellchargellnurselloflherlllackllofltrainingllinlthislprocedure.
ANSWER:gllD
Thellchargellnursellshouldllbellinformedlloflthelllackllofgtraininglltollperformgthellprocedure,llandlthevol l cationalgn
ursellshouldllseekgfurtherlltraininglltollgaingproficiency.llAlthoughllthelotherlloptionsllmighl l tllbellhelpful,lltheylare
llnotllsafe.
DIF: CognitivelLevel:llApplication
REF:lll l p.ll3
l l OBJ:ll1llTOP:lll l ProvidingllSafelCare
KEY:llNursingllProcessllStep:llN/AMSC:l l NCLEX:llSafe,llEffectivelCarel l Environment:llCoo
rdinatedllCare
3. Whichgpatientllstatementllindicateslallneedllforllfurtherlldischargelteachingllthatllthelvocationalnl l ursellsh
ouldlladdress?
a. ―Illhavelnollidealo f lhowlthisldruglwilllaffectllme.‖
b. ―Dollyoulknowliflmylphysicianlislcominggbackltoday?‖
c. ―Willgmylinsurancelpaylforlmylstay?‖
d. ―AmlIlgoingltolhaveltolgoltolalnursingllhome?‖
ANSWER:gllA
Lackgofkl nowledgellatlldischargellaboutllmedicationgeffectslandllsidelleffectsllislallconcerngthatshouldl l belladdres
sedllbylthellvocationalllnurse.llThellotherllconcernsllinllthelloptionsllarellthelresponsibilityloflol l therlldepartmentsltol
lwhichlthellnursellmightllreferllthellpatient.
Medical-SurgicallNursing,llConceptsllandllPractice