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TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 $14.69   Add to cart
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TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69
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TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69

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  • September 17, 2024
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  • test bank for lewiss medical surgical nursing 1

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,Chapter c01: cProfessional cNursing
Harding: c Lewis’s c Medical-Surgical c Nursing, c 12th c Edition


MULTIPLE cCHOICE

1. The cnurse ccompletes can cadmission cdatabase cand cexplains cthat cthe cplan cof ccare cand
cdischarge cgoals cwill cbe cdeveloped cwith cthe cpatient‗s cinput. cThe cpatient casks, c―How cis
cthis cdifferent cfrom cwhat cthe cphysician cdoes?‖ cWhich cresponse cwould cthe cnurse
cprovide?
a. ―The crole cof cthe cnurse cis cto cadminister cmedications cand cother ctreatments
cprescribedcby cyour cphysician.‖
b. ―In caddition cto ccaring cfor cyou cwhile cyou care csick, cthe cnurses cwill chelp cyou
cplan ctocmaintain cyour chealth.‖
c. ―The cnurse‗s cjob cis cto ccollect cinformation cand ccommunicate cany cproblems
cthatcoccur cto cthe cphysician.‖
d. ―Nurses cperform cmany cof cthe csame cprocedures cas cthe cphysician, cbut
cnurses care cwith cthe cpatients cfor ca clonger ctime cthan cthe cphysician.‖

ANS: c B
The cAmerican cNurses cAssociation c(ANA) cdefinition cof cnursing cdescribes cthe crole cof
cnurses cin cpromoting chealth. cThe cother cresponses cdescribe cdependent cand ccollaborative
cfunctions cof cthe cnursing crole cbut cdo cnot caccurately cdescribe cthe cnurse‗s cunique crole cin
cthe chealth ccare csystem.


DIF: c Cognitive cLevel: cAnalyze c(Analysis)
TOP: c Nursing cProcess: cImplementation c c c c c MSC: c NCLEX: cSafe cand cEffective cCare
cEnvironment


2. Which cstatement cby cthe cnurse caccurately cdescribes cthe cuse cof cevidence-based cpractice
c(EBP)?
a. ―Patient ccare cis cbased con cclinical cjudgment, cexperience, cand ctraditions.‖
b. ―Data care canalyzed clater cto cshow cthat cthe cpatient coutcomes care cconsistently cmet.‖
c. ―Research cfrom call cpublished carticles care cused cas ca cguide cfor cplanning cpatient ccare.‖
d. ―Recommendations care cbased con cresearch, cclinical cexpertise, cand
cpatient cpreferences.‖

ANS: c D
Evidence-based cpractice c(EBP) cis cthe cuse cof cthe cbest cresearch-based cevidence ccombined
cwithcclinician cexpertise cand cconsideration cof cpatient cpreferences. cClinical cjudgment
cbased con cthe cnurse‗s cclinical cexperience cis cpart cof cEBP, cbut cclinical cdecision cmaking
cshould calso cincorporate ccurrent cresearch cand cresearch-based cguidelines. cEvaluation cof
cpatient coutcomes ciscimportant, cbut cdata canalysis cis cnot crequired cto cuse cEBP. cAll
cpublished carticles cdo cnot cprovide cresearch cevidence; cinterventions cshould cbe cbased con
ccredible cresearch, cpreferably crandomizedccontrolled cstudies cwith ca clarge cnumber cof
csubjects.


DIF: Cognitive cLevel: cUnderstand c(Comprehension) TOP: c Nursing cProcess:
cPlanningcMSC: c NCLEX: cSafe cand cEffective cCare cEnvironment


3. Which cstatement cby cthe cnurse cprovides ca cclear cexplanation cof cthe cnursing cprocess?
a. ―The cnursing cprocess cis ca cresearch cmethod cof cdiagnosing cthe cpatient‗s chealth
ccarecproblems.‖
b. ―The cnursing cprocess cis cused cprimarily cto cexplain cnursing cinterventions cto
cotherchealth ccare cprofessionals.‖
c. ―The cnursing cprocess cis ca cproblem-solving ctool cused cto cidentify cand cmanage cthe

, patients‗ chealth ccare cneeds.‖
d. ―The cnursing cprocess cis cbased con cnursing ctheory cthat cincorporates
cthecbiopsychosocial cnature cof chumans.‖

ANS: c C
The cnursing cprocess cis ca cproblem-solving capproach cto cthe cidentification cand ctreatment
cof cpatients‗ cproblems. cNursing cprocess cdoes cnot crequire cresearch cmethods cfor
cdiagnosis. cThe cprimary cuse cof cthe cnursing cprocess cis cin cpatient ccare, cnot cto cestablish
cnursing ctheory cor cexplaincnursing cinterventions cto cother chealth ccare cprofessionals.


DIF: Cognitive cLevel: cUnderstand c(Comprehension) TOP: c Nursing cProcess:
cEvaluationcMSC: c NCLEX: cSafe cand cEffective cCare cEnvironment


4. A cpatient cadmitted cto cthe chospital cfor csurgery ctells cthe cnurse, c―I cdo cnot cfeel
ccomfortablecleaving cmy cchildren cwith c my cparents.‖ cWhich caction cwould cthe
cnurse ctake cnext?
a. Reassure cthe cpatient cthat cthese cfeelings care ccommon cfor cparents.
b. Have cthe cpatient ccall cthe cchildren cto censure cthat cthey care cdoing cwell.
c. Gather cinformation con cthe cpatient‗s cconcerns cabout cthe cchild ccare carrangements.
d. Call cthe cpatient‗s cparents cto cdetermine cwhether cadequate cchild ccare cis
cbeingcprovided.

ANS: c C
Because ca ccomplete cassessment cis cnecessary cin corder cto cidentify ca cproblem cand cchoose
can cappropriate cintervention, cthe cnurse‗s cfirst caction cshould cbe cto cobtain cmore
cinformation. cThe cother cactions cmay cbe cappropriate, cbut cmore cassessment cis cneeded
cbefore cthe cbest cinterventionccan cbe cchosen.


DIF: Cognitive cLevel: cAnalyze c(Analysis)
TOP: c Nursing cProcess: cAssessment MSC: c NCLEX: cPsychosocial cIntegrity

5. A cpatient cwith ca cbacterial cinfection cis chypovolemic cdue cto ca cfever cand cexcessive
cdiaphoresis.cWhich cexpected coutcome cwould cthe cnurse cselect cfor cthis cpatient?
a. Patient chas ca cbalanced cintake cand coutput.
b. Patient‗s cbedding cis ckept cclean cand cfree cof cmoisture.
c. Patient cunderstands cthe cneed cfor cincreased cfluid cintake.
d. Patient‗s cskin cremains ccool cand cdry cthroughout chospitalization.
ANS: c A
Balanced cintake cand coutput cgives cmeasurable cdata cshowing cresolution cof cthe cproblem cof
cdeficient cfluid cvolume. cThe cother cstatements cwould cnot cindicate cthat cthe cproblem cof
chypovolemia cwas cresolved.


DIF: Cognitive cLevel: cApply c(Application) TOP: c Nursing cProcess:
cPlanningcMSC: c NCLEX: cPhysiological cIntegrity


6. Which cstatement cdescribes cthe cpurpose cof cthe cevaluation cphase cof cthe cnursing cprocess?
a. To cdocument cthe cnursing ccare cplan cin cthe cprogress cnotes cof cthe chealth crecord
b. To cdetermine cif cinterventions chave cbeen ceffective cin cmeeting cpatient coutcomes
c. To cdecide cwhether cthe cpatient‗s chealth cproblems chave cbeen ccompletely cresolved
d. To cestablish cif cthe cpatient cagrees cthat cthe cnursing ccare cprovided cwas csatisfactory
ANS: c B

, Evaluation cconsists cof cdetermining cwhether cthe cdesired cpatient coutcomes chave cbeen
cmet cand cwhether cthe cnursing cinterventions cwere cappropriate. cThe cother cresponses cdo
cnot cdescribe cthecevaluation cphase.


DIF: c c c Cognitive cLevel: cUnderstand c(Comprehension) TOP: c Nursing cProcess:
cEvaluationcMSC: c NCLEX: cSafe cand cEffective cCare cEnvironment


7. Which cstatement cdescribes cthe cpurpose cof cthe cassessment cphase cof cthe cnursing cprocess?
a. To cteach cinterventions cthat crelieve chealth cproblems
b. To cuse cpatient cdata cto cevaluate cpatient ccare coutcomes
c. To cobtain cdata cto cdiagnose cpatient cstrengths cand cproblems
d. To chelp cthe cpatient cidentify crealistic coutcomes cfor chealth cproblems
ANS: c C
During cthe cassessment cphase, cthe cnurse cgathers cinformation cabout cthe cpatient cto
cdiagnosecpatient cstrengths cand cproblems. cThe cother cresponses care cexamples cof cthe
cplanning, cintervention, cand cevaluation cphases cof cthe cnursing cprocess.


DIF: Cognitive cLevel: cUnderstand c(Comprehension)
TOP: c Nursing cProcess: cAssessment MSC: c NCLEX: cSafe cand cEffective cCare cEnvironment

8. When cdeveloping cthe cplan cof ccare, cwhich ccomponents cwould cthe cnurse cinclude cin cthe
cclinicalcproblem cstatement?
a. The cproblem cand cthe csuggested cpatient cgoals cor coutcomes
b. The cproblem, cits ccauses, cand cthe csigns cand csymptoms cof cthe cproblem
c. The cproblem cwith cthe cpossible cetiology cand cthe cplanned cinterventions
d. The cproblem, cits cpathophysiology, cand cthe cexpected coutcome
ANS: c B
When cwriting cclinical cproblems cor cnursing cdiagnoses, cthe csubjective cas cwell cas
cobjective cdata cto csupport cthe cproblem‗s cexistence cshould cbe cincluded. cGoals, coutcomes,
cand cinterventions carecnot cincluded cin cthe cproblem cstatement.


DIF: Cognitive cLevel: cUnderstand c(Comprehension) TOP: c Nursing cProcess:
cDiagnosiscMSC: c NCLEX: cSafe cand cEffective cCare cEnvironment


9. Which cpatient ccare ctask cwould cthe cnurse cdelegate cto cexperienced cassistive cpersonnel c(AP)?
a. Instruct cthe cpatient cabout cthe cneed cto calternate cactivity cand crest.
b. Monitor clevel cof cshortness cof cbreath cor cfatigue cafter cambulation.
c. Obtain cthe cpatient‗s cblood cpressure cand cpulse crate cafter cambulation.
d. Determine cwhether cthe cpatient cis cready cto cincrease cthe cactivity clevel.
ANS: c C
AP ceducation cincludes caccurate cvital csign cmeasurement. cAssessment cand cpatient cteaching
crequire cregistered cnurse ceducation cand cscope cof cpractice cand ccannot cbe cdelegated.


DIF: Cognitive cLevel: cApply c(Application) TOP: c Nursing cProcess:
cPlanningcMSC: c NCLEX: cSafe cand cEffective cCare cEnvironment

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