Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank. Questions With Correct Answers 2022/2023 Latest Update

,Chapter 01: Professional Nursing Practice
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Lewis: Medical-Surgical Nursing, 10th
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Edition
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MULTIPLE CHOICE mm




1. The nurse completes an admission database and explains that the plan of care and
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mmdischarge goals will be developed with the patient‘s input. The patient states, ―How
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mmis this different fromwhat the doctor does?‖ Which response would be most
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mmappropriate for the nurse to make? mm mm mm mm mm



a. ―The role of the nurse is to administer medications and other
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treatments prescribed by your doctor.‖
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b. ―The nurse‘s job is to help the doctor by collecting
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information andcommunicating any problems that occur.‖
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c. ―Nurses perform many of the same procedures as the doctor, but
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nurses are withthe patients for a longer time thadoctor.‖
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d. ―In addition to caring for you while you are sick, the nurses will
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assist you todevelop an individualized plan to maintain your health.‖
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ANS: m m D
This response is consistent with the American Nurses Association (ANA) definition of
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nursing, which describes the role of nurses in promoting health. The other responses
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describe some of the dependent and collaborative functions of the nursing role but do not
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accurately describe the nurse‘s role in the health care system.
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DIF: Cognitive Level: Understand (comprehension) mm REF: 3 mm mm



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-based practice
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mmguidelines whencaring for patients. Which statement, if made by the nurse,
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mmwould be the most accurate?
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a. ―Inferences from clinical research studies are used as a guide.‖
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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, mm mm mm mm mm mm



and patientpreferences.‖
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ANS: m m D
Evidence-based practice (EBP) is the use of the best research-based evidence combined
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with clinician expertise. Clinical judgment based on the nurse‘s clinical experience is
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part of EBP, butclinical decision making should also incorporate current research and
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research-based guidelines.Evaluation of patient outcomes is important, but interventions
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should be based on research fromrandomized control studies with a large number of
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subjects.
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DIF: Cognitive Level: Remember (knowledge) mmREF: 15 mm mm



TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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3. The nurse teaches a student nurse about how to apply the nursing process when
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mm providing patient care. Which statement, if made by the student nurse, indicates that
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mm teaching was successful?
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,a. ―The nursing process is a scientific-based method of diagnosing the patient‘s
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, health care problems.‖mm mm



b. ―The nursing process is a problem-solving tool used to identify and
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treat patients‘health care needs.‖
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c. ―The nursing process is used primarily to explain nursing
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interventions to otherhealth care professionals.‖
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d. ―The nursing process is based on nursing theory that
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incorporates the biopsychosocial nature of humans.‖
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ANS: m m B
The nursing process is a problem-solving approach to the identification and treatment of
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patients‘problems. Diagnosis is only one phase of the nursing process. The primary use
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of the nursing process is in patient care, not to establish nursing theory or explain
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nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension) REF: 5 mm mm mm



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
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mmnot feel comfortable leaving my children with my parents.‖ Which action should
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mmthe 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
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care is beingprovided.
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ANS: m m C
Because a complete assessment is necessary in order to identify a problem and choose
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an appropriate intervention, the nurse‘s first action should be to obtain more
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information. The otheractions may be appropriate, but more assessment is needed
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before the best intervention can be chosen.
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DIF: Cognitive Level: Apply (application) REF: 6 mm mm mm



OBJ: Special Questions: Prioritization TOP: Nursing mm mm



Process: Assessment MSC:
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Integrity
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5. A patient who is paralyzed on the left side of the body after a stroke develops a
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mm pressure ulcer onthe left hip. Which nursing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysis
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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: m m C
The patient‘s major problem is the impaired skin integrity as demonstrated by the
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presence of a pressure ulcer. The nurse is able to treat the cause of altered
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circulation and pressure by frequently repositioning the patient. Although left-sided
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weakness is a problem for the patient, the nurse cannot treat the weakness. The
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―risk for‖ diagnosis is not appropriate for this patient, who already has impaired
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tissue integrity. The patient does have ineffective tissue perfusion, but t he impaired skin
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integrity diagnosis indicates more clearly what the health problem is.
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