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, 6th Edition
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MULTIPLE CHOICE Z@
1. Which statement accurately describes the primary purpose of the state nurse pr
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actice act(NPA)? Z@ Z@
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/LV
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N
d. To limit the LPN/LVN employment placement
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ANSWER: B Z@
While improving quality of care provided by the LPN/LVN may be a result of the NPA, t
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heprimary purpose of the NPA of each state defines the scope of nursing practice in th
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at state.
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DIF: Cognitive Level: Comprehension REF: p. 3 Z@ Z@ Z@Z@Z@ Z@
OBJ: 3TOP: NPA Z@ Z@ Z @
KEY: Nursing Process Step: ImplementationZ@ Z@ Z@ Z@
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 ski
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ll 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 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 proce
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dure.
ANSWER: D Z@
The charge nurse should be informed of the lack of training to perform the procedur
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e, and thevocational nurse should seek further training to gain proficiency. Although t
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he other options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 Z@ Z@ Z@Z@Z@ Z@
OBJ: 1 TOP: Providing Safe Care Z@ Z@ Z @ Z@ Z@
KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care
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Environment: Coordinated Care
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3. Which patient statement indicates a need for further discharge teaching that the v
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ocational nurse should address? Z@ Z@ Z@
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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Medical-Surgical Nursing, Concepts and Practice Z@ Z@ Z@ Z@
Z@ Z@ Z@ Z@
,TABLE OF CONTENTS
Z@ Z@
Medical-Surgical Nursing, Concepts and Practice
Z@ Z@ Z@ Z@
,Medical-Surgical Nursing, Concepts and Practice
Z@ Z@ Z@ Z@
, Chapter 01: Caring for Medical-Surgical Patients
Z@ Z@ Z@ Z@ Z@
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
Z@ Z@ Z@ Z@ Z@ Z@ Z@
MULTIPLE CHOICE Z@
1. Which statement accurately describes the primary purpose of the state nurse pr
Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@
actice act(NPA)? Z@ Z@
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/LV
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N
d. To limit the LPN/LVN employment placement
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ANSWER: B Z@
While improving quality of care provided by the LPN/LVN may be a result of the NPA, t
Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@
heprimary purpose of the NPA of each state defines the scope of nursing practice in th
Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@
at state.
Z@
DIF: Cognitive Level: Comprehension REF: p. 3 Z@ Z@ Z@Z@Z@ Z@
OBJ: 3TOP: NPA Z@ Z@ Z @
KEY: Nursing Process Step: ImplementationZ@ Z@ Z@ Z@
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 ski
Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@
ll that thevocational nurse has not been taught during her educational program. How
Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@
should 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 proce
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dure.
ANSWER: D Z@
The charge nurse should be informed of the lack of training to perform the procedur
Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@ Z@
e, and thevocational nurse should seek further training to gain proficiency. Although t
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he other options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 Z@ Z@ Z@Z@Z@ Z@
OBJ: 1 TOP: Providing Safe Care Z@ Z@ Z @ Z@ Z@
KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care
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Environment: Coordinated Care
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3. Which patient statement indicates a need for further discharge teaching that the v
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ocational nurse should address? Z@ Z@ Z@
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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Medical-Surgical Nursing, Concepts and Practice Z@ Z@ Z@ Z@
