{"id":113654,"date":"2023-08-16T03:00:44","date_gmt":"2023-08-16T03:00:44","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113654"},"modified":"2023-08-16T03:00:45","modified_gmt":"2023-08-16T03:00:45","slug":"lewis-medical-surgical-nursing-10th-edition-testbank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/lewis-medical-surgical-nursing-10th-edition-testbank\/","title":{"rendered":"LEWIS MEDICAL SURGICAL NURSING 10TH EDITION TESTBANK"},"content":{"rendered":"\n

MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. The nurse completes an admission database and explains that the plan of care and
    discharge goals will be developed with the patient\u2019s input. The patient states, \u201cHow is
    this different fromwhat the doctor does?\u201d Which response would be most appropriate
    for the nurse to make?
    a. \u201cThe role of the nurse is to administer medications and other treatments
    prescribedby your doctor.\u201d
    b. \u201cThe nurse\u2019s job is to help the doctor by collecting
    information andcommunicating any problems that occur.\u201d
    c. \u201cNurses perform many of the same procedures as the doctor, but nurses
    are withthe patients for a longer time than the doctor.\u201d
    d. \u201cIn addition to caring for you while you are sick, the nurses will assist
    you todevelop an individualized plan to maintain your health.\u201d
    ANS: D
    This response is consistent with the American Nurses Association (ANA) definition
    of nursing, which describes the role of nurses in promoting health. The other
    responses describesome of the dependent and collaborative functions of the
    nursing role but do not accurately describe the nurse\u2019s role in the health care
    system.
    DIF: Cognitive Level: Understand (comprehension) REF: 3
    TOP: Nursing Process: ImplementationMSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
  2. The nurse describes to a student nurse how to use evidence-based practice
    guidelines whencaring for patients. Which statement, if made by the nurse, would
    be the most accurate?
    a. \u201cInferences from clinical research studies are used as a guide.\u201d
    b. \u201cPatient care is based on clinical judgment, experience, and traditions.\u201d
    c. \u201cData are evaluated to show that the patient outcomes are consistently met.\u201d
    d. \u201cRecommendations are based on research, clinical expertise,
    and patientpreferences.\u201d
    ANS: D
    Evidence-based practice (EBP) is the use of the best research-based evidence
    combined withclinician expertise. Clinical judgment based on the nurse\u2019s clinical
    experience is part of EBP,but clinical decision making should also incorporate
    current research and research-based guidelines. Evaluation of patient outcomes is
    important, but interventions should be based onresearch from randomized control
    studies with a large number of subjects.
    DIF: Cognitive Level: Remember (knowledge) REF: 15
    TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
  3. The nurse teaches a student nurse about how to apply the nursing process when
    providingpatient care. Which statement, if made by the student nurse, indicates
    that teaching was successful?
    a. \u201cThe nursing process is a scientific-based method of diagnosing the
    patient\u2019shealth care problems.\u201d
    2 \/ 4
    b. \u201cThe nursing process is a problem-solving tool used to identify and treat patients\u2019
    3 \/ 4
    health care needs.\u201d
    c. \u201cThe nursing process is used primarily to explain nursing interventions
    to otherhealth care professionals.\u201d
    d. \u201cThe nursing process is based on nursing theory that
    incorporates thebiopsychosocial nature of humans.\u201d
    ANS: B
    The nursing process is a problem-solving approach to the identification and treatment
    of patients\u2019 problems. Diagnosis is only one phase of the nursing process. The
    primary use of thenursing process is in patient care, not to establish nursing theory or
    explain nursing interventions to other health care professionals.
    DIF: Cognitive Level: Understand (comprehension) REF: 5
    TOP: Nursing Process: ImplementationMSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
  4. A patient has been admitted to the hospital for surgery and tells the nurse, \u201cI do not
    feel comfortable leaving my children with my parents.\u201d Which action should 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 more data about the patient\u2019s feelings about the child-care arrangements.
    d. Call the patient\u2019s parents to determine whether adequate child care
    is beingprovided.
    ANS: C
    Because a complete assessment is necessary in order to identify a problem and
    choose an appropriate intervention, the nurse\u2019s first action should be to obtain more
    information. The other actions may be appropriate, but more assessment is needed
    before the best interventioncan be chosen.
    DIF: Cognitive Level: Apply (application) REF: 6
    OBJ: Special Questions: Prioritization TOP: Nursing Process:
    AssessmentMSC: NCLEX: Psychosocial Integrity<\/li>\n\n\n\n
  5. A patient who is paralyzed on the left side of the body after a stroke develops a
    pressure ulceron the left hip. Which nursing diagnosis is most appropriate?
    a. Impaired physical mobility related to left-sided paralysis
    b. Risk for impaired tissue integrity related to left-sided weakness
    c. Impaired skin integrity related to altered circulation and pressure
    d. Ineffective tissue perfusion related to inability to move independently
    ANS: C
    The patient\u2019s major problem is the impaired skin integrity as demonstrated by the
    presence of a pressure ulcer. The nurse is able to treat the cause of altered
    circulation and pressure by frequently repositioning the patient. Although left-sided
    weakness is a problem for the patient,the nurse cannot treat the weakness. The \u201crisk
    for\u201d diagnosis is not appropriate for this patient,who already has impaired tissue
    integrity. The patient does have ineffective tissue perfusion, but the impaired skin
    integrity diagnosis indicates more clearly what the health problem is.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    MULTIPLE CHOICE<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113654","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113654"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113654\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}