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TEST BANK FOR Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 9th Edition Lewis, Dirksen, Heitkemper, Bucher | All Chapters | A+ Complete Guide$17.49
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TEST BANK FOR Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 9th Edition Lewis, Dirksen, Heitkemper, Bucher | All Chapters | A+ Complete Guide
1
FULL TEST BANK 2
Test Bank
MULTIPLE CHOICE
1.The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with
the patient’s input. The patient states, “How is this different from what the doctor does?” Which response would be most
appropriate for the nurse to make?
o“The role of the nurse is to administer medications and other treatments prescribed by your doctor.”
o“The nurse’s job is to help the doctor by collecting information and
communicating any problems that occur.”
o“Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.”
o“In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.”THANKS FOR PURCHASING GOOD LUCK IN YOUR STUDIES 3
232.The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients.
Which statement, if made by the nurse, would be the most accurate?
0“Inferences from clinical research studies are used as a guide.”
1“Patient care is based on clinical judgment, experience, and traditions.”
2“Data are evaluated to show that the patient outcomes are consistently met.”
3“Recommendations are based on research, clinical expertise, and patient preferences.”
233.The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which
statement, if made by the student nurse, indicates that teaching was successful?
0“The nursing process is a scientific-based method of diagnosing the patient’s health care problems.”
1“The nursing process is a problem-solving tool used to identify and treat
patients’ health care needs.”
2“The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.”
3“The nursing process is used primarily to explain nursing interventions to
other health care professionals.”
234.A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel comfortable leaving my
children with my parents.” Which action should the nurse take next?
0Reassure the patient that these feelings are common for parents.
1Have the patient call the children to ensure that they are doing well.
2Gather more data about the patient’s feelings about the child-care arrangements.
3Call the patient’s parents to determine whether adequate child care is being provided.
235.A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip. Which
nursing diagnosis is most appropriate?
0Impaired physical mobility related to left-sided paralysis
1Risk for impaired tissue integrity related to left-sided weakness
2Impaired skin integrity related to altered circulation and pressure
3Ineffective tissue perfusion related to inability to move independently
236.A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis.
Which outcome would the nurse recognize as most appropriate for this patient?
0Patient has a balanced intake and output.
1Patient’s bedding is changed when it becomes damp.
2Patient understands the need for increased fluid intake.
3Patient’s skin remains cool and dry throughout hospitalization.
237.A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation
phase of the nursing process?
0To determine if interventions have been effective in meeting patient outcomes
1To document the nursing care plan in the progress notes of the medical record
2To decide whether the patient’s health problems have been completely resolved
3To establish if the patient agrees that the nursing care provided was satisfactory
238.The nurse interviews a patient while completing the health history and physical examination. What is the purpose of
the assessment phase of the nursing process?
0To teach interventions that relieve health problems
1To use patient data to evaluate patient care outcomes
2To obtain data with which to diagnose patient problems
3To help the patient identify realistic outcomes for health problems 4
239.Which nursing diagnosis statement is written correctly?
0Altered tissue perfusion related to heart failure
1Risk for impaired tissue integrity related to sacral redness
2Ineffective coping related to response to biopsy test results
3Altered urinary elimination related to urinary tract infection
2310.The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse
include in the nursing diagnosis statement?
0The problem and the suggested patient goals or outcomes
1The problem with possible causes and the planned interventions
2The problem, its cause, and objective data that support the problem
3The problem with an etiology and the signs and symptoms of the problem
2311.A nurse is caring for a patient with heart failure. Which task is appropriate for the nurse to delegate to experienced
unlicensed assistive personnel (UAP)?
0Monitor for shortness of breath or fatigue after ambulation.
1Instruct the patient about the need to alternate activity and rest.
2Obtain the patient’s blood pressure and pulse rate after ambulation.
3Determine whether the patient is ready to increase the activity level.
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2312.A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse (LPN/LVN). Which assignment, if delegated by the nurse, would be inappropriate?
0Measurement of a patient’s urine output by UAP
1Administration of oral medications by LPN/LVN
2Check for the presence of bowel sounds and flatulence by UAP
3Care of a patient with diabetes by RN who usually works on the pediatric unit
2313.Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse (LPN/LVN)?
0Complete the initial admission assessment and plan of care.
1Document teaching completed before a diagnostic procedure.
2Instruct a patient about low-fat, reduced sodium dietary restrictions.
3Obtain bedside blood glucose on a patient before insulin administration.
2314.A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The patient can expect the
nurse functioning in this role to perform which activity?
0Care for the patient during hospitalization for the injuries.
1Assist the patient with home care activities during recovery.
2Determine what medical care the patient needs for optimal rehabilitation.
3Coordinate the services that the patient receives in the hospital and at home.
2315.The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The patient needs continued nursing care and physical therapy to improve mobility before returning home. The nurse will help to arrange for transfer of this patient to which facility?
0A skilled care facility
1A residential care facility
2A transitional care facility
3An intermediate care facility
2316.A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes mellitus. Which
task is appropriate for the nurse to delegate to the home health aide?
0Assist the patient to choose appropriate foods.
1Help the patient with a daily bath and oral care.
2Check the patient’s feet for signs of breakdown.
3Teach the patient how to monitor blood glucose.
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