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Understanding Medical Surgical Nursing 6th Edition Williams Test Bank
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Understanding Medical Surgical Nursing 6th Edition Williams Test Bank (All Chapters Covered Download for Grade A+)

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  • September 30, 2022
  • 915
  • 2022/2023
  • Exam (elaborations)
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  • understanding medic
  • understanding medical surgical nursing 6th edition williams test bank
  • understanding medical surgical nursing 6th edition williams
  • understanding medical surgical nursing 6th edition

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  • TEST BANK FOR UNDERSTANDING M EDICALSURGICAL NURSING 6THEDITION LINDAS. WILLIAMS PAULA D.HOPPER
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,Chapter1.CriticalThinkingandtheNursingProcess

MULTIPLECHOICE

1. Thenurseiscaringforagroupofpatientsonamedical-surgicalunit.Whichpatient
shouldthelicensedpracticalnurse/licensedvocationalnurse(LPN/LVN)assess first?
1. Apatientwithablood glucoseof 42 mg/dL
2. Apatientwho reports apain levelof2
3. Apatientwhohasjustreceived adiagnosisofcancer
4. Apatientwhohas arespiratoryrateof 22
ANS:1
Chapter:Chapter1CriticalThinkingandtheNursingProcess
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
humanneeds.
Pages:6–7
Heading:PrioritizeCare
Integrated Process: Clinical Problem-Solving Process (Nursing
Process)ClientNeed:SECE—CoordinatedCare
CognitiveLevel:Application[Applying]C
oncept: Patient-Centered
CareDifficulty:Difficult

Feedback
1 Thispatienthasadangerouslylowbloodglucose
levelandrequiresimmediateintervention.
2 Thispatient willneedtobeassessed,butisnotashighapriority.
3 AccordingtoMaslow,psychosocialneedsarenotashighofapriorityasphysio
logicalneeds.
4 Arespiratoryrateof 22iswithinnormalrange.

PTS: 1 CON:Patient-CenteredCare

2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes
agoformypainmedication.I‘mgoingtocalltheCEO ofthehospitalif you
don‘tgetitformenow.‖Which statement bythenursedemonstratesintellectualempathy?
1. ―Weareshort-staffedtoday,soitwilltakemelongertomeetyourneeds.‖
2. ―Iamsorry youhad towait,Iknowyoumustbein alot ofpain.‖
3. ―Ihadanotherpatientwho hadseverepain,andIhadtogettothemfirst.‖
4. ―Iwillgetyou thenumber fortheCEO, butheisawareofhowbusyweare.‖
ANS:2
Chapter:Chapter1CriticalThinkingandtheNursingProcess
Objective: 2. Describe attitudes and skills that promote good critical
thinkingPage:2
Heading:IntellectualEmpathy
Integrated Process: Communication and
DocumentationClientNeed:PsychosocialIntegrity

, CognitiveLevel:Application[Applying]C
oncept:Communication
Difficulty:Moderate

Feedback
1 Thisstatementdoesnotconsideranindividual‘ssituation.
2 Thisstatementdemonstratesintellectualempathybyconsideringthispatient‘s
situationand willlikelyalleviatethepatient‘sanger.
3 Thisstatementdoesnotconsiderapatient‘ssituationanddoesnotdemonstrateintelle
ctualempathy.
4 Thisstatementaddressesthepatient‘sstatementofwantingtocalltheCEO,butdoesno
t demonstrate intellectual empathybyconsideringthe patient‘s
situation.

PTS: 1 CON:Communication

3. Thenurseiscollectingdataonapatient.Whichdata aredescribedas subjective?
1. Respiratoryrateof26 per minute
2. Patientreportofshortnessofbreath
3. Coarselungsoundsbilaterally
4. Coughproducinggreensputum
ANS:2
Chapter: Chapter 1 Critical Thinking and the Nursing
ProcessObjective:5.Differentiatebetweenobjectiveandsubjectivedata.P
age:4
Heading:SubjectiveData
Integrated Process: Communication and
DocumentationClient Need: Communication and
DocumentationCognitiveLevel:Application(Applying)
Concept:
CommunicationDifficulty
:Moderate

Feedback
1 Respiratoryrateof26per minuteis anexampleofobjectivedata.
2 Apatient reportingsymptomstothenurseisanexampleofsubjectivedata.
3 Coarselungsoundsis anexampleofobjectivedata.
4 Aproductive cough is an exampleof objectivedata.

PTS: 1 CON:Communication

4. Apatientwithanewlyfracturedfemurreportsapainlevelof8/10andanalgesicmedicationisnot
dueforanother 50 minutes.Which action should thenursetakefirst?
1. Repositionthepatient.
2. Givethemedicationin30minutes.
3. Notifytheregistered nurse(RN)orphysician.
4. Tellthepatientitistooearlyforpainmedication.ANS
:3

, Chapter:Chapter1CriticalThinkingandtheNursingProcess
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in
usingthenursingprocess.
Page:3
Heading:ClinicalJudgement
Integrated Process: Clinical Problem-solving Process (Nursing
Process)ClientNeed:SECE—CoordinatedCare
CognitiveLevel:Application[Applying]C
oncept: Patient-Centered
CareDifficulty:Moderate

Feedback
1 Thepatient whohasa fractured
femurishavingacutepain.Repositioningapatientwithanewfractureisnotlikelyt
o relievepain.
2 Givingthemedicationbeforetheprescribedtimeisbeyondthenurse‘sscopeofpracti
ce.
3 Thepatientshould nothavetowaitforpainrelief,sothe
LPNshouldinformtheRNorphysicianso newpainrelief orderscanbeobtained.
4 Thenurseneedsto domorethan expectthepatienttowaitforpain relief.

PTS: 1 CON:Patient-CenteredCare

5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does
thenurseidentifyas havingthehighestpriority?
1. Job-relatedstress
2. Feelingofloneliness
3. Painlevelof9on0-to-10scale
4. Lackofconfidence
ANS:3
Chapter:Chapter1CriticalThinkingandtheNursingProcess
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of
humanneeds
Page:7
Heading: Prioritize
CareIntegratedProcess:Caring
Client Need: SECE – Coordinated
CareCognitiveLevel:Application[Applyi
ng]Concept: Patient-Centered
CareDifficulty:Moderate

Feedback
1 Job-relatedstressfallsundersafetyaccordingto
Maslowandisaddressedafterphysiologicalneeds.
2 AccordingtoMaslow,lonelinessisaddressedundersocialneedsfollowingphys
iologicalandsafety.
3 Painisaphysiologicalneedandisthehighestpriority.
4 LackofconfidencefallsunderesteemaccordingtoMaslowandisaddressed
followingphysiological,safety,andsocialneeds.

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