deWit's Medical-Surgical Nursing,
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Concepts and Practice, 4th Edition
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(Stromberg, 2023) Chapters 1 - 49
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TABLE OF CONTENTS
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Medical-Surgical Nursing, Concepts and Practice
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,Medical-Surgical Nursing, Concepts and Practice
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,Medical-Surgical Nursing, Concepts and Practice
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, Chapter 01: Caring for Medical-Surgical Patients
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DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
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MULTIPLE |CHOICE
1. Which |statement |accurately |describes |the |primary |purpose |of |the |state |nurse
practice |act|(NPA)?
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a. To |test |and |license |LPN/LVNs
b. To |define |the |scope |of |LPN/LVN |practice
c. To |improve |the |quality |of |care |provided |by |the |LPN/LVN
d. To |limit |the |LPN/LVN |employment |placement
ANSWER: | B
While |improving |quality |of |care |provided |by |the |LPN/LVN |may |be |a |result |of |the |NPA, |the
|primary |purpose |of |the |NPA |of |each |state |defines |the |scope |of |nursing |practice | in |that | state.
DIF: Cognitive |Level: |Comprehension REF: | | |p. |3 OBJ: |3
|TOP: | NPA KEY: | Nursing |Process |Step: |Implementation
MSC: | NCLEX: |Safe, |Effective |Care |Environment: |Coordinated |Care
2. The |charge |nurse |asks |the |new |vocational |nurse |to |start |an |intravenous |infusion, |a |skill
that |the|vocational |nurse |has |not |been |taught |during |her |educational |program. |How |should
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|the |vocational |nurse |respond?
a. Ask |a |more |experienced |nurse |to |demonstrate |the |procedure.
b. Look |up |the |procedure |in |the |procedure |manual.
c. Attempt |to |perform |the |procedure |with |supervision.
d. Inform |the |charge |nurse |of |her |lack |of |training |in |this
|procedure.
ANSWER: | D
The |charge |nurse |should |be |informed |of |the |lack |of |training |to |perform |the |procedure, |and
|the|vocational |nurse |should |seek |further |training |to |gain |proficiency. |Although |the |other
|options |might | be |helpful, |they |are | not | safe.
DIF: Cognitive |Level: |Application REF: | | |p. |3 OBJ: |1
|TOP: | Providing |Safe |Care KEY: |Nursing |Process |Step: |N/A
|MSC: | NCLEX: |Safe, | Effective |Care |Environment: |Coordinated |Care
3. Which |patient |statement |indicates |a |need |for |further |discharge |teaching |that |the
vocational|nurse |should |address?
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a. ―I |have |no | idea |of |how |this |drug |will |affect |me.‖
b. ―Do | you |know |if |my |physician |is |coming |back |today?‖
c. ―Will |my |insurance |pay |for |my |stay?‖
d. ―Am |I |going |to |have |to |go |to |a |nursing |home?‖
ANSWER: | A
Lack |of |knowledge |at |discharge |about |medication |effects |and |side |effects |is |a |concern |that
|should |be |addressed |by |the |vocational |nurse. |The |other |concerns |in |the |options |are |the
Medical-Surgical Nursing, Concepts and Practice
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