Concepts and Practice, 5th Edition
(Stromberg, 2023) Chapters 1 - 49
Medical-Surgical Nursing, Concepts and Practice
,TABLE OF CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, 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 w
1. Which statement accurately describes the primary purpose of the state nurse
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wpractice act(NPA)? w w
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 w
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
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state.
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DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
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TOP: NPA
w w KEY: Nursing Process Step: Implementation w w w w
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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wthat thevocational nurse has not been taught during her educational program. How
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wshould 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
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procedure.
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ANSWER: D w
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: 1
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TOP: Providing Safe Care
w w KEY: Nursing Process Step: N/A
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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
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wvocationalnurse should address? w w w
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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ANSWER: A w
Lack of knowledge at discharge about medication effects and side effects is a concern that
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Medical-Surgical Nursing, Concepts and Practice