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TEST BANK LEWIS’ MEDICAL-SURGICAL NURSING 10TH EDITION (9780323328524) BY LEWIS, BUTCHER, HEITKEMPER, HARDING, KWONG & ROBERTS COMPLETE TEST BANK ALL CHAPTERS (CHAPTER 1-68) FULLY COVERED $17.99
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TEST BANK LEWIS’ MEDICAL-SURGICAL NURSING 10TH EDITION (9780323328524) BY LEWIS, BUTCHER, HEITKEMPER, HARDING, KWONG & ROBERTS COMPLETE TEST BANK ALL CHAPTERS (CHAPTER 1-68) FULLY COVERED
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  • Medical Surgical Nursing

TEST BANK LEWIS’ MEDICAL-SURGICAL NURSING 10TH EDITION (9780323328524) BY LEWIS, BUTCHER, HEITKEMPER, HARDING, KWONG & ROBERTS COMPLETE TEST BANK ALL CHAPTERS (CHAPTER 1-68) FULLY COVERED

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  • December 13, 2024
  • 709
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • 10th edition
  • test bank lewis medical surgical nursing 10th edi
  • lewis medical surgical nursing
  • by lewis butcher heitkemper
  • test bank

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,Chapter 01: Professional Nursing Practice
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Lewis: Medical-Surgical Nursing, 10th
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Edition
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MULTIPLE CHOICE dd




1. The nurse completes an admission database and explains that the plan of care and discharge
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goals will be developed with the patient‘s input. The patient states, ―How is this different
dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd



fromwhat the doctor does?‖ Which response would be most appropriate for the nurse to
dd d dd dd dd dd dd dd dd dd dd dd dd dd dd



make?
dd



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



prescribedby your doctor.‖
dd d dd dd



b. ―The nurse‘s job is to help the doctor by collecting information
dd dd dd dd dd dd dd dd dd dd



andcommunicating any problems that occur.‖
dd d dd dd dd dd



c. ―Nurses perform many of the same procedures as the doctor, but nurses are
dd dd dd dd dd dd dd dd dd dd dd dd



withthe patients for a longer time thadoctor.‖
dd d dd dd dd dd dd dd



d. ―In addition to caring for you while you are sick, the nurses will assist you
dd dd dd dd dd dd dd dd dd dd dd dd dd dd



todevelop an individualized plan to maintain your health.‖
dd d dd dd dd dd dd dd dd




ANS: D dd



This response is consistent with the American Nurses Association (ANA) definition of nursing,
dd dd dd dd dd dd dd dd dd dd dd dd



which describes the role of nurses in promoting health. The other responses describe some of
dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd



thedependent and collaborative functions of the nursing role but do not accurately describe the
dd d dd dd dd dd dd dd dd dd dd dd dd dd dd



nurse‘s role in the health care system.
dd dd dd dd dd dd dd




DIF: Cognitive Level: Understand (comprehension) REF: 3 dd dd dd d d



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




2. The nurse describes to a student nurse how to use evidence-based practice guidelines
dd dd dd dd dd dd dd dd dd dd dd dd



whencaring for patients. Which statement, if made by the nurse, would be the most
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accurate?
dd



a. ―Inferences from clinical research studies are used as a guide.‖ dd dd dd dd dd dd dd dd dd



b. ―Patient care is based on clinical judgment, experience, and traditions.‖
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c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
dd dd dd dd dd dd dd dd dd dd dd



d. ―Recommendations are based on research, clinical expertise, and dd dd dd dd dd dd dd



patientpreferences.‖
dd d




ANS: D dd



Evidence-based practice (EBP) is the use of the best research-based evidence combined with
dd dd dd dd dd dd dd dd dd dd dd dd



clinician expertise. Clinical judgment based on the nurse‘s clinical experience is part of EBP,
dd dd dd dd dd dd dd dd dd dd dd dd dd dd



butclinical decision making should also incorporate current research and research-based
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guidelines.Evaluation of patient outcomes is important, but interventions should be based on
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research fromrandomized control studies with a large number of subjects.
dd dd d dd dd dd dd dd dd dd dd




DIF: Cognitive Level: Remember (knowledge) REF: 15 dd dd dd d d



TOP: Nursing Process: Planning
d d MSC: NCLEX: Safe and Effective Care Environment dd dd d d dd dd dd dd dd




3. The nurse teaches a student nurse about how to apply the nursing process when providing
dd dd dd dd dd dd dd dd dd dd dd dd dd dd



patientcare. Which statement, if made by the student nurse, indicates that teaching was
dd d dd dd dd dd dd dd dd dd dd dd dd dd



successful?
dd



a. ―The nursing process is a scientific-based method of diagnosing the patient‘s
dd dd dd dd dd dd dd dd dd dd

, health care problems.‖ dd dd



b. ―The nursing process is a problem-solving tool used to identify and treat
dd dd dd dd dd dd dd dd dd dd dd



patients‘health care needs.‖
dd d dd dd



c. ―The nursing process is used primarily to explain nursing interventions to
dd dd dd dd dd dd dd dd dd dd



otherhealth care professionals.‖
dd d dd dd



d. ―The nursing process is based on nursing theory that incorporates
dd dd dd dd dd dd dd dd dd



thebiopsychosocial nature of humans.‖
dd d dd dd dd




ANS: B dd



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



patients‘problems. Diagnosis is only one phase of the nursing process. The primary use of the
dd d dd dd dd dd dd dd dd dd dd dd dd dd dd dd



nursing process is in patient care, not to establish nursing theory or explain nursing
dd dd dd dd dd dd dd dd dd dd dd dd dd dd



interventions to other health care professionals.
dd dd dd dd dd dd




DIF: Cognitive Level: Understand (comprehension) REF: 5 dd dd dd d d



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




4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel
dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd



comfortable leaving my children with my parents.‖ Which action should the nurse take
dd dd dd dd dd dd dd dd dd dd dd dd dd



next?
dd



a. Reassure the patient that these feelings are common for parents. dd dd dd dd dd dd dd dd dd



b. Have the patient call the children to ensure that they are doing well.
dd dd dd dd dd dd dd dd dd dd dd dd



c. Gather more data about the patient‘s feelings about the child-care arrangements.
dd dd dd dd dd dd dd dd dd dd



d. Call the patient‘s parents to determine whether adequate child care is
dd dd dd dd dd dd dd dd dd dd



beingprovided.
dd d




ANS: C dd



Because a complete assessment is necessary in order to identify a problem and choose an
dd dd dd dd dd dd dd dd dd dd dd dd dd dd



appropriate intervention, the nurse‘s first action should be to obtain more information. The
dd dd dd dd dd dd dd dd dd dd dd dd dd



otheractions may be appropriate, but more assessment is needed before the best intervention
dd d dd dd dd dd dd dd dd dd dd dd dd dd



can be chosen.
dd dd dd




DIF: Cognitive Level: Apply (application) REF: 6 dd dd dd



OBJ: Special Questions: Prioritization TOP: Nursing Process:
dd dd d d dd dd d d dd



AssessmentMSC: NCLEX: Psychosocial Integrity
dd d d d dd dd




5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer
dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd



dd onthe left hip. Which nursing diagnosis is most appropriate?
d dd dd dd dd dd dd dd dd



a. Impaired physical mobility related to left-sided paralysis dd dd dd dd dd dd



b. Risk for impaired tissue integrity related to left-sided weakness
dd dd dd dd dd dd dd dd



c. Impaired skin integrity related to altered circulation and pressure
dd dd dd dd dd dd dd dd



d. Ineffective tissue perfusion related to inability to move independently dd dd dd dd dd dd dd dd




ANS: C dd



The patient‘s major problem is the impaired skin integrity as demonstrated by the presence of
dd dd dd dd dd dd dd dd dd dd dd dd dd dd



a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by
dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd



frequently repositioning the patient. Although left-sided weakness is a problem for the
dd dd dd dd dd dd dd dd dd dd dd dd



patient, the nurse cannot treat the weakness. The ―risk for‖ diagnosis is not appropriate for
dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd



this patient, who already has impaired tissue integrity. The patient does have ineffective tissue
dd dd dd dd dd dd dd dd dd dd dd dd dd dd



perfusion, butthe impaired skin integrity diagnosis indicates more clearly what the health
dd dd d dd dd dd dd dd dd dd dd dd dd



problem is.
dd dd

, DIF: Cognitive Level: Apply (application) REF: 7 dd dd dd



TOP: Nursing Process: Diagnosis
d d MSC: NCLEX: Physiological Integrity dd dd d d dd dd




6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to
dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd



excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this
dd dd dd dd dd dd dd dd dd dd dd dd



patient?
dd



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



b. Patient‘s bedding is changed when it becomes damp. dd dd dd dd dd dd dd



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



d. Patient‘s skin remains cool and dry throughout hospitalization.
dd dd dd dd dd dd dd




ANS: A dd



This statement gives measurable data showing resolution of the problem of deficient fluid
dd dd dd dd dd dd dd dd dd dd dd dd



volume that was identified in the nursing diagnosis statement. The other statements would
dd dd dd dd dd dd dd dd dd dd dd dd dd



notindicate that the problem of deficient fluid volume was resolved.
dd d dd dd dd dd dd dd dd dd dd




DIF: Cognitive Level: Apply (application) REF: 7 dd dd dd



TOP: Nursing Process: Planning
d d MSC: NCLEX: Physiological Integrity dd dd d d dd dd




7. A nurse asks the patient if pain was relieved after receiving medication. What is the purpose
dd dd dd dd dd dd dd dd dd dd dd dd dd dd dd



dd ofthe evaluation phase of the nursing process?
d dd dd dd dd dd dd



a. To determine if interventions have been effective in meeting patient outcomes
dd dd dd dd dd dd dd dd dd dd



b. To document the nursing care plan in the progress notes of the medical record
dd dd dd dd dd dd dd dd dd dd dd dd dd



c. To decide whether the patient‘s health problems have been completely resolved
dd dd dd dd dd dd dd dd dd dd



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




ANS: A dd



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



and whether the nursing interventions were appropriate. The other responses do not
dd d dd dd dd dd dd dd dd dd dd dd



describe theevaluation phase.
dd dd d dd




DIF: Cognitive Level: Understand (comprehension) REF: 5 dd dd dd



TOP: Nursing Process: Evaluation
d d MSC: NCLEX: Safe and Effective Care Environment
dd dd d d dd dd dd dd dd




8. The nurse interviews a patient while completing the health history and physical
dd dd dd dd dd dd dd dd dd dd dd



dd examination.What is the purpose of the assessment phase of the nursing process?
d dd dd dd dd dd dd dd dd dd dd dd



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



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



c. To obtain data with which to diagnose patient problems
dd dd dd dd dd dd dd dd



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




ANS: C dd



During the assessment phase, the nurse gathers information about the patient to diagnose
dd dd dd dd dd dd dd dd dd dd dd dd



patient problems. The other responses are examples of the planning, intervention, and
dd d dd dd dd dd dd dd dd dd dd dd



evaluation phasesof the nursing process.
dd dd d dd dd dd




DIF: Cognitive Level: Understand (comprehension) REF: 5 dd dd dd



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

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