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TEST BANK MEDICAL SURGICAL NURSING 10TH EDITION IGNATAVICIUS WORKMAN| TEST BANK EXAM QUESTIONS AND COMPLETE 100% CORRECT VERIFIED ANSWERS WITH WELL EXPLAINED RATIONALES VERIFIED BY EXPERTS AND GRADED A+ LATEST UPDATE 2024 ALREADY PASSED!!!!!!!!!WITH 100%$15.74
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TEST BANK MEDICAL SURGICAL NURSING 10TH EDITION IGNATAVICIUS WORKMAN| TEST BANK EXAM QUESTIONS AND COMPLETE 100% CORRECT VERIFIED ANSWERS WITH WELL EXPLAINED RATIONALES VERIFIED BY EXPERTS AND GRADED A+ LATEST UPDATE 2024 ALREADY PASSED!!!!!!!!!WITH 100%
TEST BANK MEDICAL SURGICAL NURSING 10TH EDITION IGNATAVICIUS WORKMAN| TEST BANK EXAM QUESTIONS AND COMPLETE 100% CORRECT VERIFIED ANSWERS WITH WELL EXPLAINED RATIONALES VERIFIED BY EXPERTS AND GRADED A+ LATEST UPDATE 2024 ALREADY PASSED!!!!!!!!!WITH 100% GUARANTEED SUCCESS AFTER DOWNLOAD (ALL YOU ...
TEST BANK MEDICAL SURGICAL
NURSING 10TH EDITION
IGNATAVICIUS WORKMAN| TEST
BANK EXAM QUESTIONS AND
COMPLETE 100% CORRECT
VERIFIED ANSWERS WITH WELL
EXPLAINED RATIONALES
VERIFIED BY EXPERTS AND
GRADED A+ LATEST UPDATE 2024
ALREADY PASSED!!!!!!!!!WITH
100% GUARANTEED SUCCESS
AFTER DOWNLOAD (ALL YOU
NEED TO PASS YOUR EXAMS)
,
, Chapter 01: Professional Nursing Practice
Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
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
Risk for impaired tissue integrity related to left-sided weakness
Impaired skin integrity related to altered circulation and pressure
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.
DIF: Cognitive Level: Apply (application) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
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?
Patient has a balanced intake and output.
Patient’s bedding is changed when it becomes damp.
Patient understands the need for increased fluid intake.
Patient’s skin remains cool and dry throughout hospitalization.
ANS: A
This statement gives measurable data showing resolution of the problem of deficient fluid volume
that was identified in the nursing diagnosis statement. The other statements would not indicate
that the problem of deficient fluid volume was resolved.
DIF: Cognitive Level: Apply (application) REF: 7
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of
the evaluation phase of the nursing process?
To determine if interventions have been effective in meeting patient outcomes
To document the nursing care plan in the progress notes of the medical record
To decide whether the patient’s health problems have been completely resolved
To establish if the patient agrees that the nursing care provided was satisfactory
ANS: A
, 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 the
evaluation phase.
DIF: Cognitive Level: Understand (comprehension) REF: 5
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
The nurse interviews a patient while completing the health history and physical examination.
What is the purpose of the assessment phase of the nursing process? a. To teach interventions that
relieve health problems
To use patient data to evaluate patient care outcomes
To obtain data with which to diagnose patient problems
To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnose patient
problems. The other responses are examples of the planning, intervention, and evaluation phases
of the nursing process.
DIF: Cognitive Level: Understand (comprehension) REF: 5
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
Which nursing diagnosis statement is written correctly?
Altered tissue perfusion related to heart failure
Risk for impaired tissue integrity related to sacral redness
Ineffective coping related to response to biopsy test results
Altered urinary elimination related to urinary tract infection
ANS: C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes a
patient’s response to a health problem that can be treated by nursing. The use of a medical
diagnosis as an etiology (as in the responses beginning “Altered tissue perfusion” and “Altered
urinary elimination”) is not appropriate. The response beginning “Risk for impaired tissue
integrity” uses the defining characteristic as the etiology.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
The nurse admits a patient to the hospital and develops a plan of care. What components should
the nurse include in the nursing diagnosis statement?
The problem and the suggested patient goals or outcomes
The problem with possible causes and the planned interventions
The problem, its cause, and objective data that support the problem
The problem with an etiology and the signs and symptoms of the problem
ANS: D
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