Test Bank - Lewis Medical Surgical Nursing, 10th Edition (Lewis, 2017), Chapter 1-68 | All Chapters

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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank

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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Le
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wis: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE Xt




1. The nurse completes an admission database and explains that the plan of care and discharg
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e goals will be developed with the patient‘s input. The patient states, ―How is this different f
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rom what the doctor does?‖ Which response would be most appropriate for the nurse to ma
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ke?
a. ―The role of the nurse is to administer medications and other treatments prescrib
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ed by your doctor.‖
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b. ―The nurse‘s job is to help the doctor by collecting information a
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nd communicating any problems that occur.‖
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c. ―Nurses perform many of the same procedures as the doctor, but nurses are wi
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th the patients for a longer time than the doctor.‖
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d. ―In addition to caring for you while you are sick, the nurses will assist you
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to develop an individualized plan to maintain your health.‖
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ANS: D Xt


This response is consistent with the American Nurses Association (ANA) definition of nurs
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ing, which describes the role of nurses in promoting health. The other responses describe so
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me of the dependent and collaborative functions of the nursing role but do not accurately d
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escribe the nurse‘s role in the health care system.
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DIF: Cognitive Level: Understand (comprehension) REF: 3 Xt Xt Xt X t


TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. The nurse describes to a student nurse how to use evidence-
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based practice guidelines when caring for patients. Which statement, if made by the nur
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se, would be the most accurate?
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a. ―Inferences from clinical research studies are used as a guide.‖ Xt Xt Xt Xt Xt Xt Xt Xt Xt


b. ―Patient care is based on clinical judgment, experience, and traditions.‖
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c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
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d. ―Recommendations are based on research, clinical expertise, and patie Xt Xt Xt Xt Xt Xt Xt Xt


nt preferences.‖ Xt




ANS: D Xt


Evidence-based practice (EBP) is the use of the best research- Xt Xt Xt Xt Xt Xt Xt Xt Xt


based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s cl
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inical experience is part of EBP, but clinical decision making should also incorporate curren
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t research and research-
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based guidelines. Evaluation of patient outcomes is important, but interventions should be b
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ased on research from randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Remember (knowledge) REF: 15 Xt Xt Xt X t


TOP: Nursing Process: Planning
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3. The nurse teaches a student nurse about how to apply the nursing process when providi
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ng patient care. Which statement, if made by the student nurse, indicates that teaching
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was successful?
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a. ―The nursing process is a scientific-
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based method of diagnosing the patient‘s health care problems.‖
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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.‖ Xt Xt


c. ―The nursing process is used primarily to explain nursing interventions to oth
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er health care professionals.‖
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d. ―The nursing process is based on nursing theory that incorporates t
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he biopsychosocial nature of humans.‖
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ANS: B Xt


The nursing process is a problem-
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solving approach to the identification and treatment of patients‘ problems. Diagnosis is onl
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y one phase of the nursing process. The primary use of the nursing process is in patient car
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e, not to establish nursing theory or explain nursing interventions to other health care profe
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ssionals.

DIF: Cognitive Level: Understand (comprehension) REF: 5 Xt Xt Xt X t


TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel c
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omfortable leaving my children with my parents.‖ Which action should the nurse take next
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?
a. Reassure the patient that these feelings are common for parents.
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b. Have the patient call the children to ensure that they are doing well.
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c. Gather more data about the patient‘s feelings about the child-care arrangements.
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d. Call the patient‘s parents to determine whether adequate child care is bei
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ng provided. Xt




ANS: C Xt


Because a complete assessment is necessary in order to identify a problem and choose an a
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ppropriate intervention, the nurse‘s first action should be to obtain more information. The o
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ther actions may be appropriate, but more assessment is needed before the best intervention
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can be chosen.
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DIF: Cognitive Level: Apply (application) Xt Xt Xt REF: 6
OBJ: Special Questions: Prioritization
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TOP: Nursing Process: Assessmen
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t MSC: NCLEX: Psychosocial Integrity
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5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ul
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cer on the left hip. Which nursing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysisXt Xt Xt Xt Xt Xt


b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and pressure
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d. Ineffective tissue perfusion related to inability to move independently
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ANS: C Xt


The patient‘s major problem is the impaired skin integrity as demonstrated by the presence
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of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure b
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y frequently repositioning the patient. Although left-
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sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk f
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or‖ diagnosis is not appropriate for this patient, who already has impaired tissue integrity. T
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he patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis i
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ndicates more clearly what the health problem is.
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DIF: Cognitive Level: Apply (application) REF: 7 Xt Xt Xt


TOP: Nursing Process: Diagnosis
X t MSC: NCLEX: Physiological Integrity
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