Medical-Surgical Nursing 10th Edition by LEWIS ALL CHAPTERS COVERED
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Medical-Surgical Nursing 10th Edition by LEWIS AL
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Medical-Surgical Nursing 10th Edition By LEWIS AL
Chapter 01: Professional Nursing Practice
Medical-Surgical Nursing, 10th Edition by LEWIS
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient’s input. The patient states, “How is this differe...
medical surgical nursing 10th edition by lewis all chapters covered
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Medical-Surgical Nursing
10th Edition by LEWIS
ALL CHAPTERS COVERED
,Chapter 01: Professional Nursing Practice
Medical-Surgical Nursing, 10th Edition by LEWIS
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient’s input. The patient states, “How is this different from what the
doctor does?” Which response would be most appropriate for the nurse to make?
a. “The role of the nurse is to administer medications and other treatments prescribed by your
doctor.”
b. “The nurse’s job is to help the doctor by collecting information and communicating any
problems that occur.”
c. “Nurses perform many of the same procedures as the doctor, but nurses are with the patients
for a longer time than the doctor.”
d. “In addition to caring for you while you are sick, the nurses will assist you to develop an
individualized plan to maintain your health.”
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of nursing, which
describes the role of nurses in promoting health. The other responses describe some of the dependent
and collaborative functions of the nursing role but do not accurately describe the nurse’s role in the
health care system.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when
caring for patients. Which statement, if made by the nurse, would be the most accurate?
a. “Inferences from clinical research studies are used as a guide.”
b. “Patient care is based on clinical judgment, experience, and traditions.”
c. “Data are evaluated to show that the patient outcomes are consistently met.”
d. “Recommendations are based on research, clinical expertise, and patient preferences.”
ANS: D
,Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurse’s clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient
outcomes is important, but interventions should be based on research from randomized control studies
with a large number of subjects.
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement, if made by the student nurse, indicates that teaching was successful?
a. “The nursing process is a scientific-based method of diagnosing the patient’s health care
problems.”
b. “The nursing process is a problem-solving tool used to identify and treat patients’
health care needs.”
c. “The nursing process is used primarily to explain nursing interventions to other health care
professionals.”
d. “The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.”
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients’
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
in patient care, not to establish nursing theory or explain nursing interventions to other health care
professionals.
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel
comfortable leaving my children with my parents.” Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
, c. Gather more data about the patient’s feelings about the child-care arrangements.
d. Call the patient’s parents to determine whether adequate child care is being provided.
ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an appropriate
intervention, the nurse’s first action should be to obtain more information. The other actions may be
appropriate, but more assessment is needed before the best intervention can be chosen.
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer
on the left hip. Which nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
d. Ineffective tissue perfusion related to inability to move independently
ANS: C
The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a
pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently
repositioning the patient. Although left-sided weakness is a problem for the patient, the nurse cannot
treat the weakness. The “risk for” diagnosis is not appropriate for this patient, who already has impaired
tissue integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity
diagnosis indicates more clearly what the health problem is.
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to
excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patient’s bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
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