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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, 6th Edition
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MULTIPLE CHOICE wx
1. Which statement accurately describes the primary purpose of the state nurse prac
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tice act(NPA)?
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a. To test and license LPN/LVNs
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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 wx
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
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primary purpose of the NPA of each state defines the scope of nursing practice in that st
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ate.
DIF: Cognitive Level: Comprehension REF: p. 3 wx wx wxwxwx wx
OBJ: 3TOP: NPA wx w
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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
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that thevocational nurse has not been taught during her educational program. How sho
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uld the 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.
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c. Attempt to perform the procedure with supervision.
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d. Inform the charge nurse of her lack of training in this proced
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ure.
ANSWER: D wx
The charge nurse should be informed of the lack of training to perform the procedure,
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and thevocational nurse should seek further training to gain proficiency. Although the o
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ther options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 wx wx wxwxwx wx
OBJ: 1 TOP: Providing Safe Care
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KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care
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Environment: Coordinated Care wx wx
3. Which patient statement indicates a need for further discharge teaching that the vo
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cationalnurse 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?‖
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d. ―Am I going to have to go to a nursing home?‖
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Medical-Surgical Nursing, Concepts and Practice wx wx wx wx