Test bank for medical surgical nursing 4th edition by holly k stromberg

TEST BANK h




deWit's Medical-Surgical Nursing,
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Concepts and Practice, 4th Edition
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(Stromberg, 2023) Chapters 1 - 49
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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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,Medical-Surgical Nursing, Concepts and Practice
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, Chapter 01: Caring for Medical-Surgical Patients
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DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
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MULTIPLE CHOICE h




1. Which statement accurately describes the primary purpose of the state nurse practice
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hact(NPA)? h




a. To test and license LPN/LVNs h h h h




b. To define the scope of LPN/LVN practiceh h h h h h




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 h




While improving quality of care provided bythe LPN/LVN may be a result of the NPA, theprimary
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purpose of the NPA of each state defines the scope of nursing practice in that state.
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DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: h h hh h h




3TOP: NPA
h h 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 that
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thevocational nurse has not been taught during her educational program. How should the
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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. h h h h h h h




c. Attempt to perform the procedure with supervision. h h h h h h




d. Inform the charge nurse of her lack of training in this procedure. h h h h h h h h h h h




ANSWER: D h




The charge nurse should be informed of the lack of training to perform the procedure, and
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thevocational nurse should seek further training to gain proficiency. Although the other options
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might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: h h hh h h h h




hProviding Safe Care KEY: Nursing Process Step: h h h h h




N/AMSC: 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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hvocationalnurse should address? h h h




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?‖ h h h h h h h h h




c. ―Will my insurance pay for my stay?‖ h h h h h h




d. ―Am I going to have to go to a nursing home?‖ h h h h h h h h h h




ANSWER: A h




Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
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be addressed by the vocational nurse. The other concerns in the options are the responsibility of
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other departments to which the nurse might refer the patient.
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Medical-Surgical Nursing, Concepts and Practice h h h h