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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 ss
1. Which statement accurately describes the primary purpose of the state
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ss nurse practice act(NPA)? ss ss
a. To test and license LPN/LVNs ss ss ss ss
b. To define the scope of LPN/LVN practice
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c. To improve the quality of care provided by the
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LPN/LVN ss
d. To limit the LPN/LVN employment placement
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ANSWER: s s B
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
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theprimary purpose of the NPA of each state defines the scope of nursing practice in
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that state.
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DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: ss ss s s
3TOP:
ss NPA KEY: Nursing Process Step: Implementation s s ss s s ss
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
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should the vocational nurse respond?
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a. Ask a more experienced nurse to demonstrate the ss s s ss s s ss ss ss
procedure. ss
b. Look up the procedure in the procedure manual. ss ss ss ss ss ss ss
c. Attempt to perform the procedure with supervision. ss s s ss ss ss ss
d. Inform the charge nurse of her lack of training in this ss ss s s ss ss s s ss ss s s ss
procedure.
ANSWER: s s D
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
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other options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 OBJ: ss s s s s
1 TOP: Providing Safe Care
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N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
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Caress
3. Which patient statement indicates a need for further discharge teaching that the
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ss vocationalnurse should address? ss ss
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 s s ss ss ss ss ss ss ss
ss today?‖
c. ―Will my insurance pay for my stay?‖ ss ss ss ss ss ss
d. ―Am I going to have to go to a nursing home?‖ ss ss ss ss ss s s ss s s ss ss
Medical-Surgical Nursing, Concepts and Practice ss ss ss ss