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TEST BANK FOR LEWIS MEDICAL- SURGICAL NURSING ASSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS, SINGLE VOLUME 12TH EDITION/ LATEST UPDATE 2024$17.99
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1. The nurse is caring for an older adult patient who needs continued nursing care and
physical therapy to improve mobility after surgery to repair a fractured hip. The nurse
would help to arrange for transfer of the patient to which type of facility? a. A skilled
care facility
b. A transitional care facility
c. A residential care facility
d. An intermediate care facility
ANS: B
Transitional care settings are appropriate for patients who need continued
rehabilitation before discharge to home or to long-term care settings. The patient
is no longer in need of the more continuous assessment and care given in acute
care settings. There is no indication that the patient will need the permanent and
ongoing medical and nursing services available in intermediate or skilled care.
The patient is not yet independent enough to transfer to a residential care
facility.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
2. A home care nurse is planning care for a patient who has just been diagnosed with type
2 diabetes. Which task is appropriate for the nurse to delegate to the home health aide?
a. Assist the patient to choose appropriate foods.
b. Help the patient with a daily bath and oral
care.
c. Check the patient ‘s feet for signs of
breakdown.
d. Teach the patient how to monitor blood
glucose.
ANS: B
Assisting with patient hygiene is included in home health-aide education and
scope of practice. Assessment of the patient and instructing the patient in new
skills, such as diet and blood glucose monitoring, are complex skills that are
included in registered nurse education and scope of practice.
pg. 2
, DIF: Cognitive Level: Apply (Application) 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
3. The nurse is providing education to nursing staff on quality care initiatives. Which
statement is an accurate description of the impact of health care financing on quality
care? a. “If a patient develops a catheter-related infection, the hospital receives
additional funding.”
b. “Payment for patient care is primarily based on clinical outcomes and patient
satisfaction.”
c. “Hospitals are reimbursed for all costs incurred if care is documented
electronically.”
d. “Because hospitals are accountable for overall care, it is not nursing ‘s
responsibility to monitor care delivered by others.”
ANS: B
Payment for health care services programs reimburses hospitals for their
performance on overall quality-of-care measures. These measures include
clinical outcomes and patient satisfaction. Nurses are responsible for
coordinating complex aspects of patient care, including the care delivered by
others, and identifying issues that are associated with poor quality care. Payment
for care can be withheld if something happens to the patient that is considered
preventable (e.g., acquiring a catheter-related urinary tract infection).
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. The nurse documenting the patient ‘s progress in the electronic health record is
demonstrating competency in which area?
a. Patient-centered care
b. Evidence-based practice
c. Quality improvement
d. Informatics and technology
ANS: D
The nurse is displaying competency in informatics and technology. Using a
computerized information system to document patient needs and progress and
communicate vital information about the patient with the interprofessional care
team members provides evidence that nursing practice standards related to the
nursing process have been maintained during the care of the patient.
DIF: Cognitive Level: Apply (Application)
pg. 3
, TOP: Nursing Process: Implementation MSC: NCLEX: Safe and 4
Effective Care Environment
5. Which information will the nurse consider when deciding what
nursing actions to delegate to a licensed practical/vocational nurse (LPN/VN) who is
working on a medicalsurgical unit? (Select all that apply.) a. Agency policies
b. Stability of the patients
c. State nurse practice act
d. LPN/VN teaching abilities
e. Experience of the LPN/VN
ANS: A, B, C, E
The nurse should assess the experience of LPN/VNs when delegating. In
addition, state nurse practice acts and agency policies must be considered. In
general, while the LPN/VN scope of practice includes caring for patients who
are stable, registered nurses should provide most of the care for unstable
patients. Because the LPN/VN scope of practice does not include patient
education, this will not be part of the delegation process.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
6. Which actions by the nurse administering medications are consistent with promoting safe
delivery of patient care? (Select all that apply.) a. Discards a medication that is not
labeled.
b. Uses hand sanitizer before preparing a medication.
c. Identifies the patient by the room number on the door.
d. Checks laboratory test results before administering a diuretic.
e. Gives the patient a list of current medications upon discharge.
ANS: A, B, D, E
National Patient Safety Goals have been established to promote safe delivery of
care. The nurse should use at least 2 reliable ways to identify the patient such as
asking the patient ‘s full name and date of birth before medication
administration. Other actions that improve patient safety include performing
hand hygiene, disposing of unlabeled medications, completing appropriate
assessments before administering medications, and giving a list of the current
medicines to the patient and caregiver before discharge.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
pg. 4
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