FULL TEST BANK FOR _ Davis Advantage for Understanding Medical-Surgical Nursing Seventh Ed, Exams of Nursing

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UNDERSTANDING

MEDICAL-SURGICAL

NURSING

5THqqEDITIONqqBY

HOPPERqq,WILLIAMS

TESTqq qqBANKqqFOR

Chapterqq1. qqCriticalqqThinking qqand qqthe qqNursing qqProcess

MULTIPLEqqCHOICE

1. The qqnurseqqisqqcaringqqfor qqaqqgroupqqof qqpatients qqon qqaqqmedical-surgicalqqunit.qqWhichqqpatient qqshould qqthe qqlicensed qqpractical qqnurse/licensed qqvocational qqnurse qq(LPN/LVN) qqassess qqfirst?
2. Aqqpatient qqwith qqa qqblood qqglucose qqof qq 42 qqmg/dL
3. Aqqpatient qqwho qqreports qqa qqpain qqlevel qqof qq 2
4. Aqqpatient qqwho qqhas qqjust qqreceived qqa qqdiagnosis qqof qqcancer
5. Aqqpatient qqwho qqhas qqa qqrespiratory qqrate qqof qq 22 ANS: q q q q 1 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq7.qqPrioritize qqpatientqqcareqqactivities qqbased qqonqqthe qqMaslow qqhierarchy qqofqqhuman qqneeds. Pages: qq 6 – 7 Heading:qqPrioritize qqCare IntegratedqqProcess:qqClinicalqqProblem-SolvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE—Coordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqDifficult Feedback (^1) Thisqqpatient qqhas qqa qqdangerously qqlow qqblood qqglucose qqlevelqqand qqrequires qqimmediate intervention. (^2) Thisqqpatient qqwillqqneed qqto qqbe qqassessed, qqbut qqisqqnot qqasqqhigh qqa qqpriority. (^3) Accordingqqto qqMaslow, qqpsychosocialqqneedsqqare qqnotqqasqqhigh qqofqqa qqpriority qqas physiologicalqqneeds. (^4) Aqqrespiratory qqrate qqof qq 22 qqisqqwithin qqnormal qqrange. PTS: 1 CON: q q Patient-Centered qqCare
6. The qqLPN/LVN qqenters qqthe qqroom qqof qqa qqpatient qqwho qqis qqangry qqand qqyells, qq“I qqasked qq 5 qqminutes qqago qqfor qqmy qqpain qqmedication. qqI’m qqgoing qqto qqcall qqthe qqCEOqqof qqthe qqhospital qqif qqyou qqdon’t qqget qqitqqforqqme qqnow.” qqWhich qqstatement qqby qqthe qqnurse qqdemonstrates qqintellectual qqempathy?
7. “Weqqareqqshort-staffed qqtoday,qqso qqitqqwillqqtakeqqme qqlongerqqtoqqmeetqqyour qqneeds.”
8. “I qqam qqsorry qqyou qqhad qqto qqwait, qqI qqknow qqyou qqmust qqbe qqin qqa qqlot qqof qqpain.”
9. “I qqhad qqanother qqpatient qqwho qqhad qqsevere qqpain, qqand qqI qqhad qqto qqget qqto qqthem qqfirst.”
10. “I qqwill qqget qqyou qqthe qqnumber qqfor qqthe qqCEO, qqbut qqhe qqisqqaware qqof qqhowqqbusy qqwe qqare.” ANS: q q q q 2 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq2. qqDescribeqqattitudesqqandqqskills qqthatqqpromoteqqgood qqcriticalqqthinking qqPage: qq 2 Heading:qqIntellectual qqEmpathy IntegratedqqProcess:qqCommunicationqqandqqDocumentation qqClient qqNeed: qqPsychosocial qqIntegrity

Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq4.qqIdentify qqtheqqroleqqofqqaqqlicensed qqpracticalqqnurse/licensed qqvocationalqqnurse qqin qqusing qqthe qqnursing qqprocess. Page: qq 3 Heading:qqClinicalqqJudgement IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE—Coordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Theqqpatient qqwho qqhasqqa qqfractured qqfemur qqisqqhaving qqacuteqqpain. qqRepositioning qqa patient qqwith qqa qqnewqqfracture qqisqqnot qqlikely qqto qqrelieve qqpain. (^2) Givingqqthe qqmedicationqqbeforeqqtheqqprescribed qqtimeqqisqqbeyondqqthe qqnurse’s qqscope qqof qqpractice. (^3) The qqpatient qqshould qqnotqqhave qqtoqqwait qqfor qqpain qqrelief, qqso qqthe qqLPNqqshould qqinform the qqRNqqor qqphysician qqso qqnewqqpain qqrelief qqordersqqcan qqbe qqobtained. (^4) The qqnurseqqneeds qqto qqdo qqmore qqthan qqexpect qqthe qqpatient qqto qqwait qqfor qqpain qqrelief. PTS: 1 CON: q q Patient-Centered qqCare

5. The qqnurseqqisqqprioritizingqqcareqqbased qqon qqMaslowqqhierarchy qqofqqneeds.qqWhich qqneed qqdoesqqthe qqnurse qqidentify qqas qqhaving qqthe qqhighest qqpriority?
6. Job-relatedqqstress
7. Feeling qqof qqloneliness
8. Pain qqlevel qqof qq 9 qqon qq 0 - to- 10 qqscale
9. Lack qqof qqconfidence ANS: q q q q 3 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq7.qqPrioritize qqpatientqqcareqqactivities qqbased qqonqqthe qqMaslow qqhierarchy qqofqqhuman qqneeds Page: qq 7 Heading: qqPrioritize qqCare qqIntegratedqqProcess:qqCaring Client qqNeed: qqSECE qq– qqCoordinated qqCare qqCognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Job-relatedqqstress qqfallsqqunderqqsafety qqaccording qqto qqMaslow qqandqqisqqaddressed qqafter physiologicalqqneeds. (^2) AccordingqqtoqqMaslow,qqlonelinessqqisqqaddressedqqunderqqsocialqqneedsqqfollowing qqphysiological qqand qqsafety. (^3) Pain qqisqqa qqphysiological qqneed qqand qqis qqthe qqhighest qqpriority. (^4) Lackqqofqqconfidence qqfallsqqunderqqesteem qqaccording qqtoqqMaslowqqandqqisqqaddressed qqfollowing qqphysiological, qqsafety, qqand qqsocial qqneeds.

PTS: 1 CON: q q Patient-Centered qqCare

6. The qqnurseqqisqqplanningqqcareqqand qqsetting qqgoals qqfor qqaqqnewly qqadmittedqqpatient.qqWho qqshould qqthe qqnurse qqinclude qqwhen qqconducting qqthese qqnursing qqactions?
7. Patient
8. Nurse qqmanager
9. Hospitalqqchaplain
10. Patient’sqqhealthqqcareqqproviderqq(HCP) ANS: q q q q 1 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq4.qqIdentify qqtheqqroleqqofqqaqqlicensed qqpracticalqqnurse/licensed qqvocationalqqnurse qqisqqusing qqthe qqnursing qqprocess. Page: qq 6 Heading:qqPrioritize qqCare IntegratedqqProcess:qqCommunicationqqandqqDocumentation qqClient qqNeed: qqSECE—Management qqof qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqCommunication Difficulty:qqModerate Feedback (^1) Planning qqcare qqand qqsetting qqgoals qqis qqan qqaction qqperformed qqwith qqthe qqpatient. qqThe qqpatientqqmustqqbe qqin qqagreement qqwith qqthe qqplanqqfor qqitqqto qqbe qqsuccessful qqin qqmeeting qqthe qqdesired qqoutcomes. (^2) Theqqnurseqqmanager qqmayqqor qqmay qqnot qqbe qqaware qqof qqthe qqpatient’s qqcare qqneeds. (^3) Theqqhospitalqqchaplain qqmayqqnotqqbeqqawareqqof qqthe qqpatient’s qqneeds. (^4) The qqfocusqqof qqnursing qqcare qqisqqdifferentqqfrom qqthat qqof qqthe qqHCP. PTS: 1 CON: q q Communication
11. While qqcaring qqfor qqa qqpatient qq 4 qqhours qqafter qqa qqsurgical qqprocedure, qqthe qqLPN/LVN qqnotes qqserosanguineous qqdrainageqqon qqtheqqdressing.qqWhich qqstatementqqshouldqqtheqqnurse qquseqqto qqdocument qqthis qqfinding?
12. “Normalqqdrainageqqnoted.”
13. “Moderateqqdrainageqqrecentlyqqnoted.”
14. “Scantqqserosanguineousqqdrainage qqseenqqonqqdressing.”
15. “Pale qqpink qqdrainage qq 2 qqcm qqby qq 1 qqcm qqnoted qqon qqdressing.” ANS: q q q q 4 Chapter:qqChapterqq 1 qqCriticalqqThinking qqandqqthe qqNursingqqProcess qqObjective: qq6. qqDocument qqsubjective qqand qqobjective qqdata. Page: qq 5 Heading:qqDocumentationqqof qqData IntegratedqqProcess:qqCommunicationqqandqqDocumentation qqClient qqNeed: qqPHYS—Physiological qqAdaptation qqCognitive qqLevel: qqApplication qq[Applying] Concept:qqCommunication

1. Assessment
2. Nursing qqdiagnosis
3. Implementation
4. Evaluation ANS: q q q q 3 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq4.qqIdentify qqtheqqroleqqofqqaqqlicensed qqpracticalqqnurse/licensed qqvocationalqqnurse qqin qqusing qqthe qqnursing qqprocess. Page: qq 8 Heading:qqIdentifyqqInterventions IntegratedqqProcess:qqClinicalqqProblem-SolvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE qq– qqCoordination qqof qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Administeringqqmedication qqdoesqqnotqqdescribe qqassessment. (^2) Administeringqqmedication qqdoesqqnotqqdescribe qqnursing qqdiagnosis. (^3) Administeringqqmedicationqqdescribes qqtheqqimplementationqqprocess, qqsince qqan action qqisqqbeing qqtaken qqto qqhelp qqthe qqpatient qqmeet qqa qqdesired qqoutcome. (^4) Administeringqqmedicationqqdoes qqnotqqdescribeqqthe qqevaluationqqphaseqqofqqtheqqnursing qqprocess. PTS: 1 CON: q q Patient-Centered qqCare
5. The qqnurse qqisqqdeveloping qqanqqoutcomeqqfor qqa qqpatient qqwith qqexacerbation qqof qqasthma.qqWhich qqisqqthe qqmost qqappropriate qqoutcome qqfor qqthis qqpatient?
6. Theqqpatient qqwill qqnot qqexperience qqshortness qqof qqbreath.
7. Theqqpatient qqwill qqhave qqa qqrespiratory qqrate qqof qq 16 qqto qq 20 qqper qqminute.
8. Theqqpatient qqwillqqambulateqqwithout qqreportingqqshortness qqof qqbreath.
9. The qqpatient qqwill qqnot qqrequire qquse qqof qqan qqinhaler. ANS: q q q q 2 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq3. qqDescribeqqtheqqthinking qqthat qqoccursqqin qqeachqqstep qqof qqtheqqnursing qqprocess. qqPage: qq 8 Heading:qqEstablish qqOutcomes IntegratedqqProcess:qqClinicalqqProblem-solvingqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Thisqqisqqa qqvague qqoutcome qqand qqisqqnot qqmeasurable. (^2) Thisqqisqqa qqmeasurable qqoutcome qqand qqisqqnot qqvague. (^3) Thisqqisqqa qqvague qqoutcome qqand qqisqqnot qqmeasurable.

(^4) Thisqqisqqa qqvague qqoutcome qqand qqisqqnot qqmeasurable. PTS: 1 CON: q q Patient-Centered qqCare

11. The qqnurse qqsuspects qqa qqpatient qqis qqexperiencing qqadverse qqeffects qqto qqa qqnewly qqprescribed qqantihypertensive qqmedication.qqAfter qqbeing qqinformed qqthat qqthe qqeffects qqare qqexpected, qqthe qqnurse qqremainsqqconcernedqqandqqconductsqqanqqInternetqqsearchqqonqqtheqqpatient’sqqmanifestations.qqWhich qqcritical qqthinking qqbehavior qqdid qqthe qqnurse qqimplement?
12. Sense qqof qqjustice
13. Intellectualqqcourage
14. Intellectualqqempathy
15. Intellectualqqperseverance ANS: q q q q 4 Chapter: qqChapter qq 1 qqCritical qqThinking qqand qqthe qqNursing qqProcess qqObjective: qq2. qqDescribeqqattitudesqqandqqskills qqthatqqpromoteqqcriticalqqthinking. qqPage: qq 2 Heading:qqIntellectualqqPerseverance qqIntegrated qqProcess: qqCaring Client qqNeed: qqPsychosocial qqIntegrity qqCognitiveqqLevel:qqAnalysisqq[Analyzing] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Aqqsense qqof qqjustice qqexamines qqmotives qqwhen qqmaking qqdecisions. (^2) Intellectualqqcourageqqlooksqqatqqotherqqpointsqqofqqview, qqevenqqwhen qqtheqqnurseqqdoesqqnot qqagree qqwith qqthem. (^3) Intellectualqqempathy qqunderstands qqhowqqanother qqperson qqfeels qqwhen qqmaking decisions. (^4) Intellectualqqperseverance qqisqqnotqqgivingqqup. PTS: 1 CON: q q Patient-Centered qqCare
16. The qqnurseqqisqqidentifying qqoutcomes qqforqqaqqpatient qqwith qqfluid qqvolume qqdeficit.qqWhich qqoutcome qqshould qqthe qqnurse qquse qqto qqguide qqthis qqpatient’s qqcare?
17. Patient’sqqintakeqqwillqqbeqqmeasuredqqdaily.
18. Patient’sqqintakeqqwill qqbeqq3,000 qqmLqqdaily.
19. Fluids qqwill qqbe qqat qqthe qqbedside qqfor qqthe qqpatient.
20. Fluids qqthe qqpatient qqlikes qqwill qqbeqqat qqthe qqbedside. ANS: q q q q 2 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq3. qqDescribeqqtheqqthinking qqthat qqoccursqqin qqeachqqstep qqof qqtheqqnursing qqprocess. qqPage: qq 7 Heading:qqEstablish qqOutcomes IntegratedqqProcess:qqClinicalqqProblem-solvingqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplication qq[Applying]

Objective: qq4.qqIdentify qqtheqqroleqqofqqaqqlicensed qqpracticalqqnurse/licensed qqvocationalqqnurse qqin qqusing qqthe qqnursing qqprocess. Page: qq 22 Heading:qqRoleqqofqqtheqqLicensedqqPracticalqqNurse/LicensedqqVocationalqqNurse qqIntegrated qqProcess: qqClinical qqProblem-Solving qq(Nursing qqProcess) Client qqNeed: qqSECE: qqCoordinated qqCare qqCognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) The qqLPN/LVN qqassists qqthe qqRN qqwith qqcollecting qqdata, qqformulating qqnursing qqdiagnoses, qqandqqin qqdeterminingqqoutcomes qqand qqplanningqqcareqqto qqmeet qqpatient needs. (^2) The qqLPN/LVN qqassists qqthe qqRN qqwith qqcollecting qqdata, qqformulating qqnursing qqdiagnoses, qqandqqin qqdeterminingqqoutcomes qqand qqplanningqqcareqqto qqmeet qqpatient qqneeds. (^3) TheqqLPN/LVNqqindependentlyqqprovidesqqdirectqqpatientqqcare. (^4) The qqLPN/LVN qqassists qqthe qqRN qqwith qqcollecting qqdata, qqformulating qqnursing qqdiagnoses, qqandqqin qqdeterminingqqoutcomes qqand qqplanningqqcareqqto qqmeet qqpatient qqneeds. PTS: 1 CON: q q Patient-Centered qqCare

15. The qqLPN/LVN qqis qqreviewing qqa qqcare qqplan qqfor qqa qqpatient qqwho qqunderwent qqabdominal qqsurgery qq 2 qqhours qqago qqandqqhas qqa qqpriority qqnursing qqdiagnosis qqof qqacute qqpain.qqWhich qqinterventionqqshouldqqthe qqnurse qqimplement qqfirst?
16. Teachqqtheqqpatientqqhowqqtoqqsplintqqthe qqabdomenqqwhen qqcoughing.
17. Assist qqthe qqpatientqqwith qqearly qqambulation.
18. Encourageqqtheqqpatient qqto qqincreaseqqfluid qqintake.
19. Administerqqhydromorphoneqq(Dilaudid)qqper qqorder qqasqqneeded qqforqqpain. ANS: q q q q 4 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq7.qqPrioritize qqpatientqqcareqqactivities qqbased qqonqqthe qqMaslow qqhierarchy qqofqqhuman qqneeds. Page: qq 6 Heading:qqPrioritize qqCare IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqDifficult Feedback (^1) Splinting qqisqqimportant, qqbut qqif qqthe qqpatient qqisqqin qqpain, qqhe qqor qqshe qqwill qqnot qqlikely retainqqinformation. (^2) Earlyqqambulation qqisqqimportant, qqbutqqdoesqqnot qqaddress qqthe qqdiagnosisqqof qqacuteqqpain. (^3) Theqqpatient qqmay qqneed qqto qqincrease qqfluid qqintake, qqbut qqthisqqisqqnot qqa qqpriority

intervention. (^4) Theqqpatient qqhas qqa qqnursing qqdiagnosis qqof qqacute qqpain;qqthis qqintervention qqshould qqbe implementedqqfirst. PTS: 1 CON: q q Patient-Centered qqCare

16. Whichqqcriticalqqthinkingqqtraitqqisqqdemonstrated qqwhenqqtheqqLPN/LVN qqisqqunsureqqof qqhowqqto qqperform qqa qqdressing qqchange qqand qqasks qqthe qqRN qqfor qqassistance?
17. Intellectualqqcourage
18. Intellectualqqintegrity
19. Intellectualqqhumility
20. Intellectualqqempathy ANS: q q q q 3 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq2. qqDescribeqqattitudesqqandqqskills qqthatqqpromoteqqgood qqcriticalqqthinking. qqPage: qq 2 Heading:qqIntellectual qqHumility IntegratedqqProcess:qqCommunicationqqandqqDocumentation qqClient qqNeed: qqPsychosocial qqIntegrity CognitiveqqLevel:qqComprehensionqq(Understanding) qqConcept: qqCommunication Difficulty:qqModerate Feedback (^1) Intellectualqqcourage qqallows qqtheqqnurse qqtoqqlook qqat qqother qqpoints qqof qqview qqeven qqif qqhe qqor qqshe qqdoes qqnot qqagree. (^2) Intellectualqqintegrity qqisqqholding qqoneself qqto qqthe qqsame qqlevel qqof qqstandards qqone expects qqothers qqto qqmeet. (^3) TheqqLPN/LVNqqisqqdemonstratingqqintellectualqqhumility,qqwhichqqisqqhavingqqthe qqability qqto qqask qqfor qqassistance qqwhen qqhe qqor qqshe qqis qqunsure. (^4) Intellectualqqempathy qqallowsqqthe qqnurse qqto qqputqqhimself qqor qqherself qqin qqthe qqpatient’s shoes. PTS: 1 CON: q q Communication
21. During qqmorning qqreport, qqtheqqLPN/LPN qqisqqassigned qqaqqgroup qqofqqpatients.qqWhich qqpatient qqshould qqthe qqLPN/LPN qqsee qqfirst?
22. Aqqpatientqqscheduled qqfor qqmagnetic qqresonanceqqimaging qq(MRI) qqdue qqto qqback qqpain
23. Aqqpatientqqreporting qqconstipation qqandqqstomach qqcramps
24. Aqq 2 - dayqqpostsurgical qqpatientqqreporting qqpain qqatqqa qqlevel qqof qq 6
25. Aqqpatientqqwith qqpneumonia qqwho qqisqqshort qqof qqbreath qqand qqanxious ANS: q q q q 4 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq7.qqPrioritize qqpatientqqcareqqactivities qqbased qqonqqthe qqMaslow qqhierarchy qqofqqhuman qqneeds. Page: qq 3 Heading:qqPrioritize qqCare

1. Administeringqqaqqmedication
2. Giving qqa qqback qqrub
3. Assessing qqa qqpatient
4. Teachingqqrelaxationqqtechniques ANS: q q q q 1 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq3. qqDescribeqqtheqqthinking qqthat qqoccursqqin qqeachqqstep qqof qqtheqqnursing qqprocess. qqPage: qq 6 Heading:qqNursing qqDiagnosis IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Administeringqqaqqmedicationqqrequiresqqanqqorder qqfromqqtheqqHCP,qqwhich qqmakesqqthis a qqcollaborativeqqaction. (^2) Giving qqa qqback qqrub qqisqqan qqindependent qqnursing qqaction. (^3) Assessing qqa qqpatient qqisqqan qqexampleqqof qqan qqindependent qqnursing qqaction. (^4) Teachingqqrelaxationqqtechniques qqisqqanqqexampleqqofqqan qqindependentqqnursingqqaction. PTS: 1 CON: q q Patient-Centered qqCare
5. TheqqLPN/LVNqqisqqreviewingqqnursingqqdiagnoses qqforqqaqqpatient.qqWhichqqdiagnosisqqshouldqqthe qqnurse qqreport qqto qqthe qqRN qqas qqincorrect?
6. Risk qqfor qqinjury
7. Heartqqfailure
8. Ineffectiveqqgasqqexchange
9. Activityqqintolerance ANS: q q q q 2 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq4.qqIdentify qqtheqqroleqqofqqaqqlicensed qqpracticalqqnurse/licensed qqvocationalqqnurse qqin qqusing qqthe qqnursing qqprocess. Page: qq 6 Heading:qqNursing qqDiagnosis IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Risk qqfor qqinjury qqisqqa qqnursing qqdiagnosis qqand qqdoesqqnot qqrequire qqcorrection. (^2) Heartqqfailureqqisqqa qqmedicalqqdiagnosis qqand qqrequires qqcorrection. (^3) Ineffectiveqqgas qqexchangeqqisqqa qqnursingqqdiagnosis qqand qqdoesqqnot qqrequire qqcorrection. (^4) Activityqqintolerance qqisqqaqqnursing qqdiagnosis qqand qqdoes qqnot qqrequire qqcorrection.

PTS: 1 CON: q q Patient-Centered qqCare

21. TheqqLPN/LVN qqisqqcaring qqfor qqaqqgroup qqof qqpatients.qqWhich qqpatient qqshould qqthe qqnurseqqassess qqfirst?
    1. Aqqpatient qqwith qqan qqoxygen qqsaturation qqlevel qqof qq96% qqon qqroom qqair
    2. Aqqpatientqqwho qqhas qqa qqblood qqpressure qqof qq 208 /114 qqmm qqHg
    3. Aqqpatient qqwho qqreports qqa qqpain qqlevel qqof qq 7 qqon qqa qqscale qqof qq 0 qqto qq 10
    4. Aqqpatientqqwith qqaqqtemperature qqof qq100.2°F ANS: q q q q 2 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective:qq7.qqPrioritize qqpatientqqcareqqactivities qqbased qqonqqthe qqMaslow qqhierarchy qqofqqhuman qqneeds. Page: qq 7 Heading:qqPrioritize qqCare IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqDifficult Feedback (^1) An qqoxygen qqsaturation qqof qq96% qqisqqnotqqtoo qqconcerning.qqThis qqisqqnotqqthe qqhighest qqpriority. (^2) Aqqblood qqpressure qqof qq208/114 qqmm qqHg qqisqqvery qqhigh qqand qqshould qqbe qqaddressed immediately.qqThisqqpatientqqshouldqqbe qqseenqqfirst. (^3) Thisqqpatient qqis qqin qqpain qqand qqshould qqbe qqseen, qqbut qqisqqnot qqasqqhigh qqof qqa qqpriorityqqasqqthe qqpatient qqwith qqhypertension. (^4) Thisqqpatient qqhas qqa qqlow-grade qqtemperature, qqwhich qqisqqnot qqa qqpriority. PTS: 1 CON: q q Patient-Centered qqCare
22. The qqLPN/LVN qqisqqcaringqqforqqaqqpatientqqwho qqbeginsqqtoqqexhibit qqshortnessqqofqqbreathqqandqqchest qqpain. qqWhich qqaction qqshould qqthe qqnurse qqtake qqfirst?
    1. Administerqqmedication qqasqqordered.
    2. Notify qqthe qqRN.
    3. Documentqqtheqqfindingsqqinqqtheqqchart.
    4. Reposition qqtheqqpatient. ANS: q q q q 2 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq7.qqPrioritize qqpatientqqcareqqactivities qqbased qqonqqthe qqMaslow qqhierarchy qqofqqhuman qqneeds. Page: qq 3 Heading:qqPrioritize qqCare IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqAnalysisqq[Analyzing] qqConcept: qqPatient-Centered qqCare

24. Aqqnurseqqapproaches qqaqqperson qqinqqa qqrestaurantqqwho qqappears qqto qqbeqqexperiencingqqrespiratory qqdistress. qqWhich qqaction qqshould qqthe qqnurse qqperform qqfirst?
25. Diagnose qqthe qqproblem.
26. Assist qqthe qqperson qqto qqlie qqdown.
27. Gather qqdata qqfrom qqother qqpeople.
28. Collectqqdataqqabout qqtheqqperson’sqqcondition. ANS: q q q q 4 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq3. qqDescribeqqtheqqthinking qqthat qqoccursqqin qqeachqqstep qqof qqtheqqnursing qqprocess. qqPage: qq 7 Heading:qqSubjective qqData IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplicationqq(Applying) qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Diagnosing qqtheqqproblem qqwould qqoccur qqafterqqcollectingqqdata. (^2) Assisting qqtheqqpersonqqto qqlieqqdown qqisqqimplementing qqan qqaction qqto qqaddress qqthe qqproblem. (^3) Theqqnurse qqcan qqcollect qqdata qqfrom qqother qqpeople qqif qqnecessary. (^4) Theqqfirstqqstep qqinqqtheqqnursing qqprocess qqisqqtoqqcollectqqdata, qqandqqtheqqpatient qqshould qqcome qqfirst. PTS: 1 CON: q q Patient-Centered qqCare
29. The qqnurseqqisqqreviewingqqnursing qqdiagnoses.qqWhichqqisqqanqqexampleqqofqqaqqcorrectly qqwritten qqnursing qqdiagnosis?
30. Acuteqqpain qqrelatedqqto qqtissueqqtraumaqqasqqevidenced qqbyqqfacial qqgrimacingqqand qqrating qqpain qqat qqa qqlevel qqof qq 9 qqon qqa qq 0 - to- 10 qqscale
31. Painqqrelated qqto qqappendicitis qqasqqevidenced qqby qqmoaning qqand qqguarding
32. Acute qqpain qqrelated qqto qqguarding qqabdomenqqand qqrating qqpain qqat qqa qqlevel qqof qq 9 qqon qqa qq 0 - to- 10 qqscale
33. Pain qqasqqevidenced qqby qqstatusqqpostsurgical qqprocedure ANS: q q q q 1 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq3. qqDescribeqqtheqqthinking qqthat qqoccursqqin qqeachqqstep qqof qqtheqqnursing qqprocess. qqPage: qq 6 Heading:qqNursing qqDiagnosis IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqAnalysisqq[Analyzing] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback

(^1) Thisqqisqqaqqwell-written qqthree-partqqnursing qqdiagnosis qqthatqqincludes qqtheqqetiology qqand qqsigns qqand qqsymptoms. (^2) Thisqqisqqa qqmedical qqdiagnosis, qqnot qqa qqnursing qqdiagnosis. (^3) Thisqqnursing qqdiagnosis qqisqqmissing qqcorrect qqetiology. (^4) Thisqqisqqa qqmedical qqdiagnosis qqand qqisqqalso qqmissing qqcorrect qqsignsqqand qqsymptoms. PTS: 1 CON: q q Patient-Centered qqCare

26. After qqidentifying qqnursing qqdiagnoses qqthe qqnurse qqplans qqoutcomes qqfor qqa qqpatient qqwith qqgastroesophageal qqrefluxqqdisease.qqWhichqqoutcomeqqshouldqqthe qqnurseqquseqqtoqqevaluateqqthis qqpatient’s qqcare?
27. The qqpatient qqwill qqhave qqlessqqheartburn.
28. The qqpatient qqwill qqsleep qqthrough qqthe qqnight.
29. Theqqpatient’sqqesophagealqqburningqqwillqqresolveqq 30 qqminutesqqafterqqtakingqqoral qqantacids.
30. Theqqpatient qqwill qqstateqqthatqqburning qqonly qqoccurs qqwhen qqeatingqqfoodsqqhighqqin qqacid qqcontent. ANS: q q q q 3 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq3. qqDescribeqqtheqqthinking qqthat qqoccursqqin qqeachqqstep qqof qqtheqqnursing qqprocess. qqPage: qq 8 Heading:qqNursing qqDiagnosis IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqAnalysisqq[Analyzing] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback (^1) Outcomesqqshouldqqnot qqbeqqvagueqqor qqopen qqtoqqinterpretation,qqandqqshould qquse qqsubjective qqwords qqsuch qqas qq normal, qqlarge, qqsmall, qq or qq moderate. (^2) Sleepingqqthrough qqthe qqnight qqmay qqor qqmay qqnot qqbe qqassociated qqwith qqthe qqpatient’s problem. (^3) Outcomesqqshouldqqbe qqmeasurable, qqrealisticqqfor qqtheqqpatient, qqandqqhaveqqan qqappropriate qqtime qqframe qqfor qqachievement. (^4) Stating qqthat qqthe qqburning qqonly qqoccurs qqwith qqeating qqfoodsqqhigh qqin qqacid qqcontent qqisqqa patient qqstatementqqthat qqcould qqbe qqused qqfor qqsubjectiveqqdata qqcollection. PTS: 1 CON: q q Patient-Centered qqCare MULTIPLEqqRESPONSE
31. After qqcollectingqqdata,qqtheqqnurseqqidentifiesqqdiagnosesqqtoqqguide qqtheqqpatient’s qqcare.qqWhich qqdiagnoses qqdid qqthe qqnurse qqdocument qqcorrectly? qq(Select qqall qqthat qqapply.)
32. Diabetes
33. Acute qqpain
34. Pancreatitis

treatqqmedicalqqproblems.

2. (^) Diabetes,qqdehydration,qqandqqhyperglycemiaqqareqqmedicalqqproblems.qqTheqqnurse qqassists qqwith qqmedical qqdiagnoses; qqhowever, qqthe qqnurse qqdoes qqnot qqdiagnose qqand treatqqmedicalqqproblems. 3. Deficient qqfluidqqvolumeqqandqqrisk qqfor qqfalls qqare qqnursing qqdiagnoses qqrelatedqqto qqthe qqpatient’s qqsymptoms qqand qqcondition. 4. Diabetes,qqdehydration,qqandqqhyperglycemiaqqareqqmedicalqqproblems.qqTheqqnurse qqassists qqwith qqmedical qqdiagnoses; qqhowever, qqthe qqnurse qqdoes qqnot qqdiagnose qqand treatqqmedicalqqproblems. 5. Deficient qqfluidqqvolumeqqandqqrisk qqfor qqfalls qqare qqnursing qqdiagnoses qqrelatedqqto qqthe qqpatient’s qqsymptoms qqand qqcondition. PTS: 1 CON: q q Patient-Centered qqCare

3. The qqnurseqqidentifies qqtheqqdiagnosisqqpotentialqqfor qqineffective qqgasqqexchangeqqasqqappropriateqqfor qqa qqpatient qqwith qqpneumonia. qqWhich qqindependent qqnursing qqactions qqshould qqthe qqnurse qqplan qqforqqthis qqproblem? qq(Select qqall qqthat qqapply.)
4. Apply qqoxygen qq 2 qqlitersqqper qqnasal qqcannula.
5. Turn qqand qqrepositionqqin qqbed qqevery qq 2 qqhours.
6. Coach qqto qqdeep-breathe qqand qqcough qqevery qqhour.
7. Administerqqintramuscularqqantibiotic qqmedication.
8. Encourage qqto qqdrink qq 240 qqmLqqof qqfluid qqevery qq 2 qqhours. ANS: q q q q 2, qq3, qq 5 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq3. qqDescribeqqtheqqthinking qqthat qqoccursqqin qqeachqqstep qqof qqtheqqnursing qqprocess. qqPage: qq 6 Heading:qqNursing qqDiagnosis IntegratedqqProcess:qqClinicalqqProblem-SolvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback 1. InterventionsqqthatqqneedqqanqqHCP’sqqorderqqinclude qqadministeringqqoxygenqqand medication.qqTheseqqareqqcollaborative qqinterventions. 2. Independentqqnursing qqactionsqqare qqthoseqqthat qqcan qqbe qqimplementedqqwithoutqqan qqHCP’s qqorder. 3. Independentqqnursing qqactions qqare qqthoseqqthat qqcan qqbe qqimplemented qqwithout qqan HCP’sqqorder. 4. InterventionsqqthatqqneedqqanqqHCP’sqqorderqqincludeqqadministeringqqoxygenqqand qqmedication. qqThese qqare qqcollaborative qqinterventions. 5. Independentqqnursing qqactions qqare qqthoseqqthat qqcan qqbe qqimplemented qqwithout qqan HCP’sqqorder. PTS: 1 CON: q q Patient-Centered qqCare

4. The qqnurseqqisqqplanningqqoutcomes qqfor qqaqqpatient qqwith qqacute qqpain qqwho qqisqqexhibitingqqtachypnea qqand qqhypertension. qqWhich qqoutcomes qqshould qqbe qqincluded qqin qqthe qqpatient’s qqcare?
5. Patientqqwill qqrate qqpain qqat qqa qqlevelqqof qq 2 qqon qqa qq 0 - to- 10 qqscale qq 30 qqminutes qqafter qqreceiving qqMorphine.
6. Patientqqwill qqambulate qqwithout qqpain.
7. Patientqqwill qqnot qqexhibit qqsignsqqor qqsymptoms qqof qqpain.
8. Patientqqwill qqmaintain qqrespiratoryqqrateqqbetween qq 16 qqand qq20.
9. Patient’sqqbloodqqpressureqqwill qqremainqqwithinqqnormalqqlimits. ANS: q q q q 1, qq 4 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq3. qqDescribeqqtheqqthinking qqthat qqoccursqqin qqeachqqstep qqof qqtheqqnursing qqprocess. qqPage: qq 6 Heading:qqEstablish qqOutcomes IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcessqq(NursingqqProcess) qqClient qqNeed: qqSECE: qqCoordinated qqCare CognitiveqqLevel:qqApplicationqq[Applying] qqConcept: qqPatient-Centered qqCare qqDifficulty: qqModerate Feedback 1. This qqisqqa qqmeasurable qqandqqspecific qqoutcome. 2. Thisqqisqqnot qqa qqmeasurable qqoutcome qqand qqisqqtoo qqvague. 3. Thisqqisqqnot qqa qqmeasurable qqoutcome qqand qqisqqvague. 4. This qqisqqa qqmeasurable qqandqqspecific qqoutcome. 5. Thisqqoutcome qqisqqnotqqspecific qqand qqisqqnot qqmeasurable.qqThe qqnurse qqshould qqdefine normalqqlimits. PTS: 1 CON: q q Patient-Centered qqCare ORDERED qqRESPONSE
10. The qqnurse qqisqqcaring qqfor qqa qqgroup qqof qqpatients. qqPlace qqin qqorder qqtheqqpatients qqthe qqnurse qqshould qqsee qqfrom qqhighest qqto qqlowest qqpriority qq(1 qqto qq5). 1.qqAqqpatientqqwho qqunderwent qqabdominalqqsurgery qqyesterdayqqand qqreports qqaqqpain qqlevel qqof qq 5 qqon qqa qq 0 - to- 10 qqscale
11. Aqqpatientqqwith qqdeepqqvein qqthrombosis qq(DVT) qqwho qqreports qqshortness qqof qqbreath
12. Aqqpatientqqawaitingqqeducation qqfrom qqthe qqdiabetes qqeducator
13. Aqqpatientqqwith qqeczema qqwho qqreports qqitching
14. Aqqpatientqqwho qqreports qqnausea qqafter qqchemotherapy ANS: 2, qq1, qq5, qq4, qq 3 Chapter:qqChapter qq 1 qqCriticalqqThinking qqand qqthe qqNursing qqProcess Objective: qq7.qqPrioritize qqpatientqqcareqqactivities qqbased qqonqqthe qqMaslow qqhierarchy qqofqqhuman qqneeds. Page: qq 6 Heading:qqPrioritize qqCare IntegratedqqProcess:qqClinicalqqProblem-solvingqqProcess qq(Nursing qqProcess)