Medical surgical nursing 10th edition lewis test bank

Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank


Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank
Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank
Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank
Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank
Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank

,Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank
Chapter 01: Professional Nursing Practice Lew
e e e e e

is: Medical-Surgical Nursing, 10th Edition
e e e e




MULTIPLEeCHOICE

1. Theenurseecompleteseaneadmissionedatabaseeandeexplainsethatetheeplaneofecareeandedischargeegoal
sewillebeedevelopedewithetheepatient’seinput.eTheepatientestates,e“Howeisethisedifferentefromewhatet
heedoctoredoes?”eWhicheresponseewouldebeemosteappropriateeforetheenurseetoemake?
a. “Theeroleeofetheenurseeisetoeadministeremedicationseandeotheretreatmentseprescribedeb
yeyouredoctor.”
b. “Theenurse’sejobeisetoehelpetheedoctorebyecollectingeinformationeandec
ommunicatingeanyeproblemsethateoccur.”
c. “Nurseseperformemanyeofetheesameeprocedureseasetheedoctor,ebutenurseseareewitheth
eepatientseforeaelongeretimeethanetheedoctor.”
d. “Ineadditionetoecaringeforeyouewhileeyoueareesick,etheenursesewilleassisteyouetoede
velopeaneindividualizedeplanetoemaintaineyourehealth.”
ANS:e D
ThiseresponseeiseconsistentewithetheeAmericaneNurseseAssociatione(ANA)edefinitioneofenursing
,ewhichedescribesetheeroleeofenurseseinepromotingehealth.eTheeothereresponsesedescribeesomeeofet
heedependenteandecollaborativeefunctionseofetheenursingeroleebutedoenoteaccuratelyedescribeethee
nurse’seroleeinetheehealthecareesystem.

DIF: CognitiveeLevel:eUnderstande(comprehension) REF:e 3
TOP:e NursingeProcess:eImplementation MSC:e NCLEX:eSafeeandeEffectiveeCareeEnvironment

2. Theenurseedescribesetoeaestudentenurseehowetoeuseeevidence-
basedepracticeeguidelinesewhenecaringeforepatients.eWhichestatement,eifemadeebyetheenurse,ew
ouldebeetheemosteaccurate?
a. “Inferencesefromeclinicaleresearchestudieseareeusedeaseaeguide.”
b. “Patientecareeisebasedeoneclinicalejudgment,eexperience,eandetraditions.”
c. “Dataeareeevaluatedetoeshowethatetheepatienteoutcomeseareeconsistentlyemet.”
d. “Recommendationseareebasedeoneresearch,eclinicaleexpertise,eandepatientep
references.”
ANS:e D
Evidence-basedepracticee(EBP)eisetheeuseeofetheebesteresearch-
basedeevidenceecombinedewitheclinicianeexpertise.eClinicalejudgmentebasedeonetheenurse’seclini
caleexperienceeiseparteofeEBP,ebuteclinicaledecisionemakingeshouldealsoeincorporateecurrenteresea
rcheanderesearch-
basedeguidelines.eEvaluationeofepatienteoutcomeseiseimportant,ebuteinterventionseshouldebeebase
deoneresearchefromerandomizedecontrolestudiesewitheaelargeenumbereofesubjects.

DIF: CognitiveeLevel:eRemembere(knowledge) REF:e 15
TOP:e NursingeProcess:ePlanning MSC:e NCLEX:eSafeeandeEffectiveeCareeEnvironment

3. Theenurseeteacheseaestudentenurseeaboutehowetoeapplyetheenursingeprocessewheneprovidingepa
tientecare.eWhichestatement,eifemadeebyetheestudentenurse,eindicatesethateteachingewasesucce

,Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank
ssful?
a. “Theenursingeprocesseiseaescientific-
basedemethodeofediagnosingetheepatient’sehealthecareeproblems.”
b. “Theenursingeprocesseiseaeproblem-solvingetooleusedetoeidentifyeandetreatepatients’

, Medical-Surgical-Nursing-10th-Edition-Lewis-
Test-Bank
healthecareeneeds.”
c. “Theenursingeprocesseiseusedeprimarilyetoeexplainenursingeinterventionsetoeothereh
ealthecareeprofessionals.”
d. “Theenursingeprocesseisebasedeonenursingetheoryethateincorporatesetheeb
iopsychosocialenatureeofehumans.”
ANS:e B
Theenursingeprocesseiseaeproblem-
solvingeapproachetoetheeidentificationeandetreatmenteofepatients’eproblems.eDiagnosiseiseonlyeone
ephaseeofetheenursingeprocess.eTheeprimaryeuseeofetheenursingeprocesseiseinepatientecare,enotetoeesta

blishenursingetheoryeoreexplainenursingeinterventionsetoeotherehealthecareeprofessionals.

DIF: CognitiveeLevel:eUnderstande(comprehension) REF:e 5
TOP:e NursingeProcess:eImplementation MSC:e NCLEX:eSafeeandeEffectiveeCareeEnvironment

4. Aepatientehasebeeneadmittedetoetheehospitaleforesurgeryeandetellsetheenurse,e“Iedoenotefeelecomfort
ableeleavingemyechildrenewithemyeparents.”eWhicheactioneshouldetheenurseetakeenext?
a. Reassureetheepatientethatetheseefeelingseareecommoneforeparents.
b. Haveetheepatientecalletheechildrenetoeensureethatetheyeareedoingewell.
c. Gatheremoreedataeaboutetheepatient’sefeelingseaboutetheechild-careearrangements.
d. Calletheepatient’separentsetoedetermineewhethereadequateechildecareeisebeingep
rovided.
ANS:e C
Becauseeaecompleteeassessmenteisenecessaryeineorderetoeidentifyeaeproblemeandechooseeaneappr
opriateeintervention,etheenurse’sefirsteactioneshouldebeetoeobtainemoreeinformation.eTheeothereac
tionsemayebeeappropriate,ebutemoreeassessmenteiseneededebeforeetheebesteinterventionecanebeech
osen.

DIF: CognitiveeLevel:eApplye(application) REF: 6
OBJ:eeeSpecialeQuestions:ePrioritization
TOP:e NursingeProcess:eAssessmente
MSC:e NCLEX:ePsychosocialeIntegrity

5. Aepatientewhoeiseparalyzedeonetheeleftesideeofetheebodyeaftereaestrokeedevelopseaepressureeulcereone
theeleftehip.eWhichenursingediagnosiseisemosteappropriate?
a. Impairedephysicalemobilityerelatedetoeleft-sidedeparalysis
b. Riskeforeimpairedetissueeintegrityerelatedetoeleft-sidedeweakness
c. Impairedeskineintegrityerelatedetoealteredecirculationeandepressure
d. Ineffectiveetissueeperfusionerelatedetoeinabilityetoemoveeindependently
ANS:e C
Theepatient’semajoreproblemeisetheeimpairedeskineintegrityeasedemonstratedebyetheepresenceeofeaep
ressureeulcer.eTheenurseeiseableetoetreatetheecauseeofealteredecirculationeandepressureebyefrequently
erepositioningetheepatient.eAlthougheleft-

sidedeweaknesseiseaeproblemeforetheepatient,etheenurseecannotetreatetheeweakness.eThee“riskefor”edi
agnosiseisenoteappropriateeforethisepatient,ewhoealreadyehaseimpairedetissueeintegrity.eTheepatiente
doesehaveeineffectiveetissueeperfusion,ebutetheeimpairedeskineintegrityediagnosiseindicatesemoreec
learlyewhatetheehealtheproblemeis.