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LEWIS’S MEDICAL SURGICAL NURSING 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER, COURTNEY REINISCH
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LEWIS’S MEDICAL SURGICAL NURSING 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER, COURTNEY REINISCH (TEST BANK) CHAPTERS {1-69} WITH DETAILED SOLUTIONS Chapter 01: Professional Nursing MULTIPLE CHOICE • A patient admitted to the hospital forsurgery tells the...

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  • March 23, 2024
  • 648
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • lewiss 12th edition
  • lewiss medical surgical nursing 12th edition
  • lewiss medical surgical nursing
  • test bank
  • mariann m harding jeffrey kwong debra hagler
  • chapters 1 69 with detailed solutions

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  • LEWIS’S MEDICAL SURGICAL NURSING 12TH EDITION
  • LEWIS’S MEDICAL SURGICAL NURSING 12TH EDITION

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1

LEWIS’S MEDICAL SURGICAL NURSING

12TH EDITION

BY

MARIANN M. HARDING, JEFFREY KWONG,
DEBRA HAGLER, COURTNEY REINISCH




(TEST BANK ) CHAPTER S {1-69} WITH DETAILED SOLUTIONS




Chapter 01: Professional Nursing

MULTIPLE
CHOICE

• A patient admitted to the hospital for surgery tells the nurse, “I do not feel comfortable
leaving my children with my parents.” Which action would the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather information on the patient‘s concerns about the child care arrangements.
d. Call the patient‘s parents to determine whether adequate child care is being
provided.
ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse‘s first action should be to obtain more information. The
other actions may be appropriate, but more assessment is needed before the best intervention
can be chosen.

DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity

• A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the nurse select for this patient?
1 / 4


2 a. Patient has a balanced intake and output.
b. Patient‘s bedding is kept clean and free of moisture.
c. Patient understands the need for increased fluid intake.
d. Patient‘s skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output gives measurable data showing resolution of the problem of
deficient fluid volume. The other statements would not indicate that the problem of
hypovolemia was resolved.

DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity

• Which statement describes the purpose of the evaluation phase of the nursing process?
a. To document the nursing care plan in the progress notes of the health recor d
b. To determine if interventions have been effective in meeting patient outcomes
c. To decide whether the patient‘s health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: B
2 / 4


3 Evaluat ion consists of determining whether the desired patient outcomes have been met and
whether the nursing interventions were appropriate. The other responses do not describe the
evaluation phase.

DIF: Cognitive Level: Understand (Comprehension) TOP: Nursin g Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment

• Which statement describes the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data to diagnose patient strengths and problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnose
patient strengths and probl ems. The other responses are examples of the planning,
intervention, and evaluation phases of the nursing process.

DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment

• When deve loping the plan of care, which components would the nurse include in the clinical
problem statement?
a. The problem and the suggested patient goals or outcomes
b. The problem, its causes, and the signs and symptoms of the problem
c. The problem with the possible etiology and the planned interventions
d. The problem, its pathophysiology, and the expected outcome
ANS: B
When writing clinical problems or nursing diagnoses, the subjective as well as objective data
to support the problem‘s existence should be included. Goal s, outcomes, and interventions are
not included in the problem statement.

DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Diagnosis
MSC: NCLEX: Safe and Effective Care Environment

• Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
a. Instruct the patient about the need to alternate activity and rest.
b. Monitor level of shortness of breath or fatigue after ambulation.
c. Obtain the patient‘s blood pressure and pulse rate after ambulation.
d. Determine whet her the patient is ready to increase the activity level.
ANS: C
AP education includes accurate vital sign measurement. Assessment and patient teaching
require registered nurse education and scope of practice and cannot be delegated.

DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3 / 4


4 • A nurse is caring for a group of patients on the medical -surgical unit with the help of one float
registered nurse (RN), one assistive personnel (AP), and o ne licensed practical/vocational
nurse (LPN/VN). Which assignment, if delegated by the nurse, would be outside that
individual‘s scope of practice?
a. Check for the presence of bowel sounds by AP
b. Administration of oral medications by LPN/VN
c. Insulin administra tion by float RN from the pediatric unit
d. Measurement of a patient‘s urinary catheter output by AP
ANS: A
Assessment requires RN education and scope of practice so it cannot be delegated to an
LPN/VN or AP. The other assignments made by the RN are appropria te for the role of the
team member.

DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment

• Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse
(LPN /VN)?
a. Complete the initial admission assessment and plan of care.
b. Measure bedside blood glucose before administering insulin.
c. Document teaching completed before a diagnostic procedure.
d. Instruct a patient about low-fat, reduced sodium dietary restrictions.
ANS: B
The education and scope of practice of the LPN/LVN include activities such as obtaining
glucose testing using a finger stick and administering insulin. Patient teaching and the initial
assessment and development of the plan of care are nursing actio ns that require registered
nurse education and scope of practice.

DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment

•

• 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 asks, “How is this different from
what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health.”
c. “The nurse‘s job is to collect information and communicate any problems that
occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses are
with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately describe the nurse‘s unique role in the health care system.

DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment

• Which statement by the nurse accurately describes the use of evidence -based practice (EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.” Powered by TCPDF (www.tcpdf.org)
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