Test Bank For Medical Surgical Nursing Concepts and Practice 3rd Edition - DeWit with complete solution.

,Medical Surgical Nursing Concepts and Practice 3rd Edition - DeWit
Test Bank

Chapter 01: Caring for Medical-Surgical Patients
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deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd
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EditionMULTIPLE CHOICE
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1. Which statement accurately describes the primary purpose of the state nurse
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;r practiceact (NPA)? ;r ;r




a. To test and license LPN/LVNs.
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b To define the scope of LPN/LVN practice.
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.
c. To improve the quality of care provided
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by the LPN/LVN. ;r ;r




d To limit the LPN/LVN employment
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. placement.

ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
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;r primary purpose of the NPA of each state defines the scope of nursing practice in that state.
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PTS: 1 DIF: Cognitive Level: ComprehensionREF: ;r ;r ;r




2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: ;r ;r




Implementation
MSC: ; r NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The charge nurse asks the new vocational nurse to start an intravenous infusion,
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askill that the vocational nurse has notbeen taught during her educational program.
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How should the vocational nurse respond?
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, a. Ask a more experienced nurse to demonstrate
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the procedure. ;r




b Look up the procedure in the procedure ;r ;r ;r ;r ;r ;r




. manual.
c. Attempt to perform the procedure with ;r ;r ;r ;r ;r




supervision.
d Inform the charge nurse of her lack of ;r ;r ;r ;r ;r ;r ;r




. training in this procedure. ;r ;r ;r




ANS: D
The charge nurse should be informed of the lack of training to perform the procedure,
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andthe vocational nurse should seek further training to gain proficiency. Although the
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;r other options might be helpful, they are not safe.
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PTS: 1 DIF: Cognitive Level: Application ;r ;r 3
REF:
OBJ: 1 TOP: Providing Safe Care ;r ;r KEY: Nursing Process ;r




Step: N/A ;r




MSC: ; r NCLEX: Safe, Effective Care Environment: Coordinated Care ;r ;r ;r ;r ;r ;r




3. Which patient statement indicates a need for further discharge teaching that
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;r thevocational nurse should address?
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a. ―I have no idea of how this drug
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;r willaffect me.‖ ;r ;r




b ―Do you know if my physician ;r ;r ;r ;r ;r




. iscoming back today?‖
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c. ―Will my insurance pay for my stay?‖ ;r ;r ;r ;r ;r ;r




d ―Am I going to have to go to a ;r ;r ;r ;r ;r ;r ;r ;r




. ;r nursinghome?‖ ;r




ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern
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thatshould be addressed by the vocationalnurse. The other concerns in the options are the
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;r responsibility of other departments to which the nurse might refer the patient. ;r ;r ;r ;r ;r ;r ;r ;r ;r ;r ;r




PTS: 1 DIF: Cognitive Level: Application ;r ;r ; r REF:
2
OBJ: 1 TOP: Teaching KEY: ; r Nursing Process Step: ;r ;r

, Implementation
MSC: ; r NCLEX: Safe, Effective Care Environment: Coordinated Care
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4. According to most state NPAs, the vocational nurse acting as charge nurse in
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along-term care facility acts in which capacity?
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a. Working under direct supervision of an RN on the
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unit
b Working with the RN in the building ;r ;r ;r ;r ;r ;r




.
c. Working under general supervision by the RN
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available on site or by phone ;r ;r ;r ;r ;r




d Working as an independent vocational nurse
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.

ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts
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;r withthe general supervision of an RN available on site or by phone.
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PTS: 1 DIF: Cognitive Level: ;r REF: 2
Comprehension
OBJ: 1 TOP: Charge Nurse/Manager ;r Nursi Process Step: ;r




KEY: ng N/A
MSC: ; r NCLEX: Safe, Effective Care Environment: Coordinated Care
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