Test bank for medical surgical nursing 6th edition by stromberg Chapter 1- 49

Chapter 01:Caringfor Medical-Surgical
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deWit:Medical-Surgical Nursing: Concepts & Practice, 5th
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MULTIPLECHOICE

,Whichstatement accuratelydescribes theprimarypurpose of i0nwwq, i0nwwq, i0nwwq,




thestatenursepracticeact(NPA)?
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i0nw




a. TotestandlicenseLPN/LVNs.
b. Todefine thescopeof i0nwwq,




LPN/LVNpractice. i0nwwq, q,
i0nw




c. Toimprovethequality of care i0nwwq, i0nwwq,




provided bytheLPN/LVN. q,
i0nw i0nwwq, i0nw
q,




d. Tolimit theLPN/LVNemployment ij q,
i0nw




placement. i0nwwq,




ANS: B i 0 n w wq ,




Whileimproving qualityof care provided bythe LPN/LVN maybe aresult i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq, i 0 n w w q , i0nwwq,




i of theNPA, the primary purpose of the NPA of each state defines the scope of
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wq, i0nw
wq, i0nwwq, i0nwwq, i0nw
wq, i0nww
q, i0nww
q, i0nw
wq, i0nwwq, i0nww
q, i0nww
q, i0nw
wq, i0nw
wq,




nursing practicein that state.
i0nw
wq, i0nwwq, q,
i0nw i0nwwq, i0nw
wq,




PTS: 1
CognitiveLevel:Comprehension DIF: q,
i0nw




REF: 2 q,
i0nw




OBJ:3 TOP: NPA KEY:NursingProcess i 0 n w w q , q,
i0nw q,
i0nw




Step:Implementation q,
i0nw q,
i0nw




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
i0nw q,
i0nw q,
i0nw q,
i0nw q,
i0nw i0nw
wq,




The charge nurse asks the new vocational nurse to start an intravenous infusion,
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a skillthat the vocational nurse has notbeen taught during
i0nwwq, i0nwwq, her
i 0nw wq, i 0 n w w q , i 0 n w wq , i0 nwwq, i 0 n w w q , i 0 nwwq , i 0 n w w q , i 0 n w w q ,




educational program.
i 0 n w w q , Howshould the vocational nurse respond? i 0 n w w q , i 0 n w w q , q,
i0nw i0nwwq, i0nw
q, i0nwwq, i0nwwq,




a. Ask a more experienced nurse i0nwwq, i0nwwq, i0nwwq, i0nwwq,




todemonstratethe procedure. i0nww q, q,
i0nw i0nwwq,




b. Lookup the procedure in the i0nwwq, i0nwwq, i 0 n w w q , i 0 n w wq ,




proceduremanual. i 0 n w wq, q,
i0nw




c. Attempt to perform theprocedure i 0nwwq , i 0n w wq, i 0 n w w q ,




withsupervision. i 0nww q, q,
i0nw




d. Inform the charge nurse of her lack of i0nwwq, i0nwwq, i 0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq,




traininginthis procedure. q,
i0nw i0nw
q, i0nwwq,




ANS: D i0nwwq,




The charge nurse should be informed of the lack of training to perform
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the procedure, and the vocational nurse should seek further training to gain
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proficiency. Although the other options might be helpful, they are not safe.
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wq, i0nww
q, i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq,




PTS: 1 DIF: CognitiveLevel: q,
i0nw 3

, Application REF: i 0 n w w q ,




OBJ:1 TOP: ProvidingSafeCare NursingProcess q,
i0nw q,
i0nw q,
i0nw




KEY: Step:N/A q,
i0nw q,
i0nw i0nw
q,




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
i0nw q,
i0nw q,
i0nw q,
i0nw q,
i0nw i0nw
wq,




Which patient statement indicates aneed for further
i 0 n w w q , i 0 n w w q , i 0 n wwq, i 0 n w w q , i 0 n w wq , i 0 n w wq ,




dischargeteaching thatthevocationalnurse should address?
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i0nw i0nw
q, i0nw
q, i0nw
wq,




a. ―I haveno idea of how this i0nwwq, i0 n w wq , i0nwwq, i 0 n w w q , i0nwwq,




drugwillaffect me.‖ i0 n w w q , q,
i0nw q,
i0nw i0nw
q,




b. ―Doyouknow if myphysicianis q,
i0nw q,
i0nw i0nw
q, i0nw
wq, q,
i0nw q,
i0nw




coming back today?‖ q,
i0nw i0nwwq, i0nwwq,




c. ―Will my insurance pay for my i0nwwq, i0 n w wq , i0 n w wq , i0nwwq, i0nwwq,




stay?‖ q,
i0nw




d. ―Am I going to have to go to a i0nwwq, i0nwwq, i0nwwq, i0n wwq , i0nwwq, i0nwwq, i0nwwq, i0 n w wq ,




nursing home?‖ q,
i0nw i0nw
q,




ANS: A i 0 n w wq ,




Lack of knowledge at discharge about medication effects and side effects
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is a concern that should be addressed by the vocationalnurse. The other
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concerns in theoptions arethe responsibility of other departments to which the
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i0nw i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq,




nurse might refer the patient.
i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0 nwwq,




PTS: 1
CognitiveLevel:Application REF: DIF: q,
i0nw q,
i0nw




2 q,
i0nw




OBJ:1 TOP: Teaching KEY: Nursing i 0 n w w q ,




ProcessStep:Implementation q,
i0nw q,
i0nw




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
i0nw q,
i0nw q,
i0nw q,
i0nw q,
i0nw i0nw
wq,




According tomost state NPAs, thevocational nurse acting as charge i 0nw wq, i 0 nww q, i 0 n w w q , i0nwwq, i 0n wwq, i 0 n wwq, i 0 n w wq , i 0 n w w q ,




nurse in along-termcarefacility acts in which capacity?
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i0nw i0nw
q, i0nw
q, i0nwwq, i0nw
wq, i0nw
wq, i0nwwq,




a. Working under direct supervision of an i0nwwq, i0nwwq, i0nwwq, i0nwwq, i0nwwq,




RN ontheunit i0nwwq, i0nwwq, q,
i0nw q,
i0nw




b. Working withthe RNin thebuilding i 0 n w w q , i 0nwwq , i 0 n w w q ,




c. Working under general supervision by the i 0 n w wq, i0nwwq, i0nwwq, i 0 n w w q , i0nwwq,




RNavailableonsite orbyphone i0nwwq, q,
i0nw q,
i0nw i0nw
q, i0nw
q, q,
i0nw




d. Workingasanindependentvocationalnurse q,
i0nw q,
i0nw q,
i0nw q,
i0nw




ANS: C i0nwwq,




The vocational nurse in the capacity of the charge nurse in a long-term care
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facilityacts with the general supervision of an RNavailable on
i0nwwq, site i 0 n wwq, i 0n wwq, i 0 n w w q , i 0 n w w q , i 0 nw wq , i0nwwq, i0nwwq, i 0nww q, i 0 n w w q ,




or by phone.
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PTS: 1 DIF: CognitiveLevel: q,
i0nw REF: 2
Comprehension q,
i0nw




OBJ:1 TOP: ChargeNurse/Manager q,
i0nw Nursi Process
KEY: q,
i0nw ng
q,
i0nw Step:N/A i0nwwq, q,
i0nw

, MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care
q,
i0nw q,
i0nw q,
i0nw q,
i0nw q,
i0nw i0nw
wq,