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TEST BANK For: Lewis Medical Surgical Nursing, 12thn Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Versio|LATES UPDATE 2024|25

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TEST BANK For: Lewis Medical Surgical Nursing, 12thn Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Versio|LATES UPDATE 2024|25TEST BANK For: Lewis Medical Surgical Nursing, 12thn Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Versio|LATES UPDAT...

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12th edition
lewis medical surgical nursing
test bank for lewis medical surgical nursing

Institution Lewis's Medical-Surgical Nursing 12th Ed
Course Lewis's Medical-Surgical Nursing 12th Ed

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,Chapter 01: Professional Nursing
? ? ?

Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
? ? ? ? ?

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 asks, ―How is this
? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

different fromwhat the physician does?‖ Which response would the nurse provide?
? ? ? ? ? ? ? ? ? ? ? ?

a. ―The role of the nurse is to administer medications and other treatments prescribedby
? ? ? ? ? ? ? ? ? ? ? ? ?

your physician.‖
? ?

b. ―In addition to caring for you while you are sick, the nurses will help you plan
? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

tomaintain your health.‖
? ? ? ?

c. ―The nurse‗s job is to collect information and communicate anyproblems
? ? ? ? ? ? ? ? ? ?

thatoccur to the physician.‖
? ? ? ? ?

d. ―Nurses perform manyof the same procedures as the physician, but nurses are
? ? ? ? ? ? ? ? ? ? ? ?

with the patients for a longer time than the physician.‖
? ? ? ? ? ? ? ? ? ?

ANS: B ?

The American Nurses Association (ANA) definition of nursing describes the role of nurses
? ? ? ? ? ? ? ? ? ? ? ?

inpromoting health. The other responses describe dependent and collaborative functions of the
? ? ? ? ? ? ? ? ? ? ? ? ?

nursing role but do not accurately describe the nurse‗s unique role in the health care system.
? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

DIF: Cognitive Level: Analyze (Analysis)
? ? ? ?

TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
? ? ? ???? ? ? ? ? ? ? ?

2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
? ? ? ? ? ? ? ? ? ? ? ?

a. ―Patient care is based on clinical judgment, experience, and traditions.‖? ? ? ? ? ? ? ? ?

b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
? ? ? ? ? ? ? ? ? ? ? ?

c. ―Research from all published articles are used as a guide for planning patient care.‖ ? ? ? ? ? ? ? ? ? ? ? ? ?

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 ? ? ? ? ? ? ? ? ? ? ?

withclinician expertise and consideration of patient preferences. 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 isimportant, but
? ? ? ? ? ? ? ? ? ? ? ?

data analysis is not required to use EBP. All published articles do not provide research
? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

evidence; interventions should be based on credible research, preferably randomizedcontrolled
? ? ? ? ? ? ? ? ? ? ?

studies with a large number of subjects.
? ? ? ? ? ? ?

DIF: Cognitive Level: Understand (Comprehension) ? ? ? TOP: Nursing Process: ? ?

PlanningMSC: NCLEX: Safe and Effective Care Environment
? ? ? ? ? ? ? ?

3. Which statement by the nurse provides a clear explanation of the nursing process?
? ? ? ? ? ? ? ? ? ? ? ?

a. ―The nursing process is a research method of diagnosing the patient‗s health
? ? ? ? ? ? ? ? ? ? ?

careproblems.‖
? ?

b. ―The nursing process is used primarilyto explain nursing interventions to
? ? ? ? ? ? ? ? ? ?

otherhealth care professionals.‖
? ? ? ?

c. ―The nursing process is a problem-solving tool used to identify and manage the
? ? ? ? ? ? ? ? ? ? ? ?

, patients‗ health care needs.‖ ? ? ?

d. ―The nursing process is based on nursing theorythat incorporates
? ? ? ? ? ? ? ? ?

thebiopsychosocial nature of humans.‖
? ? ? ? ?

ANS: C ?

The nursing process is a problem-solving approach to the identification and treatment of
? ? ? ? ? ? ? ? ? ? ? ?

patients‗ problems. Nursing process does not require research methods for diagnosis. The
? ? ? ? ? ? ? ? ? ? ? ?

primary use of the nursing process is in patient care, not to establish nursing theory or
? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

explainnursing interventions to other health care professionals.
? ? ? ? ? ? ? ?

DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: ? ? ? ? ?

EvaluationMSC: NCLEX: Safe and Effective Care Environment
? ? ? ? ? ? ? ?

4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel
? ? ? ? ? ? ? ? ? ? ? ? ? ?

comfortableleaving my children with my parents.‖ Which action would 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 information on the patient‗s concerns about the child care arrangements.
? ? ? ? ? ? ? ? ? ?

d. Call the patient‗s parents to determine whether adequate child care is
? ? ? ? ? ? ? ? ? ?

beingprovided.
? ?

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 interventioncan
? ? ? ? ? ? ? ? ? ? ? ? ? ? ?

be chosen.
? ?

DIF: Cognitive Level: Analyze (Analysis) ? ? ?

TOP: Nursing Process: Assessment
? MSC: NCLEX: Psychosocial Integrity ? ? ? ? ?

5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
? ? ? ? ? ? ? ? ? ? ? ? ?

diaphoresis.Which expected outcome would the nurse select for this patient?
? ? ? ? ? ? ? ? ? ? ?

a. Patient has a balanced intake and output. ? ? ? ? ? ?

b. Patient‗s bedding is kept clean and free of moisture. ? ? ? ? ? ? ? ?

c. Patient understands the need for increased fluid intake. ? ? ? ? ? ? ?

d. Patient‗s skin remains cool and dry throughout hospitalization. ? ? ? ? ? ? ?

ANS: A ?

Balanced intake and output gives measurable data showing resolution of the problem ofdeficient
? ? ? ? ? ? ? ? ? ? ? ? ?

fluid volume. The other statements would not indicate that the problem of hypovolemia was
? ? ? ? ? ? ? ? ? ? ? ? ? ?

resolved.
?

DIF: Cognitive Level: Apply (Application) ? ? ? TOP: Nursing Process: ? ?

PlanningMSC: NCLEX: Physiological Integrity
? ? ? ? ?

6. Which statement describes the purpose of the evaluation phase of the nursing process?
? ? ? ? ? ? ? ? ? ? ? ?

a. To document the nursing care plan in the progress notes of the health record
? ? ? ? ? ? ? ? ? ? ? ? ?

b. To determine if interventions have been effective in meeting patient outcomes
? ? ? ? ? ? ? ? ? ?

c. To decide whether the patient‗s health problems have been completely resolved
? ? ? ? ? ? ? ? ? ?

d. To establish if the patient agrees that the nursing care provided was satisfactory
? ? ? ? ? ? ? ? ? ? ? ?

ANS: B ?

, Evaluation consists of determining whether the desired patient outcomes have been met
? ? ? ? ? ? ? ? ? ? ?

and whether the nursing interventions were appropriate. The other responses do not describe
? ? ? ? ? ? ? ? ? ? ? ? ?

theevaluation phase.
? ? ?

DIF: Cognitive Level: Understand (Comprehension)
?? ? TOP: ? ? ? ? Nursing Process:
?

EvaluationMSC: NCLEX: Safe and Effective Care Environment
? ? ? ? ? ? ? ?

7. Which statement describes the purpose of the assessment phase of the nursing process?
? ? ? ? ? ? ? ? ? ? ? ?

a. To teach interventions that relieve health problems
? ? ? ? ? ?

b. To use patient data to evaluate patient care outcomes
? ? ? ? ? ? ? ?

c. To obtain data to diagnose patient strengths and problems
? ? ? ? ? ? ? ?

d. To help the patient identify realistic outcomes for health problems
? ? ? ? ? ? ? ? ?

ANS: C ?

During the assessment phase, the nurse gathers information about the patient to diagnosepatient
? ? ? ? ? ? ? ? ? ? ? ? ?

strengths and problems. The other responses are examples of the planning, intervention, and
? ? ? ? ? ? ? ? ? ? ? ? ?

evaluation phases of the nursing process.
? ? ? ? ? ?

DIF: Cognitive Level: Understand (Comprehension) ? ? ?

TOP: Nursing Process: Assessment
? MSC: NCLEX: Safe and Effective Care Environment ? ? ? ? ? ? ? ?

8. When developing the plan of care, which components would the nurse include in the
? ? ? ? ? ? ? ? ? ? ? ? ?

clinicalproblem statement?
? ? ?

a. The problem and the suggested patient goals or outcomes
? ? ? ? ? ? ? ?

b. The problem, its causes, and the signs and symptoms of the problem
? ? ? ? ? ? ? ? ? ? ?

c. The problem with the possible etiology and the planned interventions
? ? ? ? ? ? ? ? ?

d. The problem, its pathophysiology, and the expected outcome
? ? ? ? ? ? ?

ANS: B ?

When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
? ? ? ? ? ? ? ? ? ? ? ? ? ?

support the problem‗s existence should be included. Goals, outcomes, and interventions arenot
? ? ? ? ? ? ? ? ? ? ? ? ?

included in the problem statement.
? ? ? ? ?

DIF: Cognitive Level: Understand (Comprehension) ? ? ? TOP: Nursing Process: ? ?

DiagnosisMSC: NCLEX: Safe and Effective Care Environment
? ? ? ? ? ? ? ?

9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
? ? ? ? ? ? ? ? ? ? ? ?

a. Instruct the patient about the need to alternate activity and rest.? ? ? ? ? ? ? ? ? ?

b. Monitor level of shortness of breath or fatigue after ambulation. ? ? ? ? ? ? ? ? ?

c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
? ? ? ? ? ? ? ? ?

d. Determine whether the patient is ready to increase the activity level. ? ? ? ? ? ? ? ? ? ?

ANS: C ?

AP education includes accurate vital sign measurement. Assessment and patient teachingrequire
? ? ? ? ? ? ? ? ? ? ?

registered nurse education and scope of practice and cannot be delegated.
? ? ? ? ? ? ? ? ? ? ?

DIF: Cognitive Level: Apply (Application) ? ? ? TOP: Nursing Process: ? ?

PlanningMSC: NCLEX: Safe and Effective Care Environment
? ? ? ? ? ? ? ?

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TEST BANK For: Lewis Medical Surgical Nursing, 12thn Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Versio|LATES UPDATE 2024|25

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