Lewis Med-Surg Ch 1 Flashcards
Bridge to Nclex Examination
- An example of a nursing activity that best reflects the American Nurses Association’s definition of nursing is
a. treating dysrhythmias that occur in a patient in the coronary care unit.
b. diagnosing a patient with a feeding tube as being at risk for aspiration.
c. setting up protocols for treating patients in the emergency department.
d. offering antianxiety drugs to a patient with a disturbed sleep pattern.
Answer: ?
Bridge to Nclex Examination
- A nurse working on the medical-surgical unit at an urban hospital would like to become certified in medical-surgical nursing. The nurse knows that this process would most likely require
a. a bachelor’s degree in nursing.
b. formal education in advanced nursing practice.
c. experience for a specific period in medical-surgical nursing.
d. membership in a medical-surgical nursing specialty organization.
Answer: ?
- The nurse is assigned to care for a newly admitted patient. Number in order the steps for using the nursing process to prioritize care. (Number 1 is the first step, and number 5 is the last step.)
___ Evaluate whether the plan was effective.
___ Identify any health problems.
___ Collect patient information.
___ Carry out the plan.
___ Decide a plan of action.
- The nurse is assigned to care for a newly admitted patient. Number in order the steps for using the nursing process to prioritize care. (Number 1 is the first step, and number 5 is the last step.)
___ Evaluate whether the plan was effective.
___ Identify any health problems.
___ Collect patient information.
___ Carry out the plan.
___ Decide a plan of action.
Bridge to Nclex Examination
- Using the SBAR format, number in order the steps for how the nurse would communicate information with the provider. (Number 1 is the first step, and number 4 is the last step.)
____ “I would like you to order an IV medication and come evaluate the patient as soon as possible.”
____ “This is Nurse M.H. I am calling from the unit because your patient, D.R., has a new onset of atrial fibrillation.”
____ “The atrial fibrillation started about 10 minutes ago. The heart rate is 124; BP 90/60. The patient is experiencing dizziness.”
____ “D.R., who is 2 days postoperative for a bowel resection for diverticulitis, has a history of mitral valve disease.”
Bridge to Nclex Examination
- Using the SBAR format, number in order the steps for how the nurse would communicate information with the provider. (Number 1 is the first step, and number 4 is the last step.)
____ “I would like you to order an IV medication and come evaluate the patient as soon as possible.”
____ “This is Nurse M.H. I am calling from the unit because your patient, D.R., has a new onset of atrial fibrillation.”
____ “The atrial fibrillation started about 10 minutes ago. The heart rate is 124; BP 90/60. The patient is experiencing dizziness.”
____ “D.R., who is 2 days postoperative for a bowel resection for diverticulitis, has a history of mitral valve disease.”
Bridge to Nclex Examination
- The nurse is caring for a diabetic patient in the ambulatory surgical unit who has undergone wound debridement. Which task is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
a. Check the patient’s vital signs.
b. Assess the patient’s pain level.
c. Palpate the patient’s pedal pulses.
d. Monitor the patient’s IV catheter site.
- The nurse is caring for a diabetic patient in the ambulatory surgical unit who has undergone wound debridement. Which task is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?
a. Check the patient’s vital signs.
b. Assess the patient’s pain level.
c. Palpate the patient’s pedal pulses.
d. Monitor the patient’s IV catheter site.
Bridge to Nclex Examination
- The nurse’s role in addressing the National Patient Safety Goals established by The Joint Commission includes (select all that apply)
a. answering all patient monitoring alarms promptly.
b. memorizing all the rules published by The Joint Commission.
c. obtaining a correct list of the patient’s medications on admission.
d. encouraging patients to be actively involved in their own health care.
e. using side rails and alarm systems as necessary to prevent patient falls.
Bridge to Nclex Examination
- The nurse’s role in addressing the National Patient Safety Goals established by The Joint Commission includes (select all that apply)
a. answering all patient monitoring alarms promptly.
b. memorizing all the rules published by The Joint Commission.
c. obtaining a correct list of the patient’s medications on admission.
d. encouraging patients to be actively involved in their own health care.
e. using side rails and alarm systems as necessary to prevent patient falls.
Bridge to Nclex Examination
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Advantages of using informatics in health care delivery are (select all that apply)
a. reduced need for nurses in acute care.
b. increased patient anonymity and confidentiality.
c. the ability to achieve and maintain high standards of care.
d. access to standard plans of care for many health problems.
e. improved communication of the patient’s health status to the health care team.
Bridge to Nclex Examination
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Advantages of using informatics in health care delivery are (select all that apply)
a. reduced need for nurses in acute care.
b. increased patient anonymity and confidentiality.
c. the ability to achieve and maintain high standards of care.
d. access to standard plans of care for many health problems.
e. improved communication of the patient’s health status to the health care team.
Bridge to Nclex Examination
- When using evidence-based practice, the nurse
a. must use clinical practice guidelines developed by national health agencies.
b. should use findings from randomized controlled trials to plan care for all patient problems.
c. uses clinical decision making and judgment to decide what evidence is appropriate for a specific clinical situation.
d. analyzes the relationship of nursing interventions to patient outcomes to discover evidence for patient interventions.
Bridge to Nclex Examination
- When using evidence-based practice, the nurse
a. must use clinical practice guidelines developed by national health agencies.
b. should use findings from randomized controlled trials to plan care for all patient problems.
c. uses clinical decision making and judgment to decide what evidence is appropriate for a specific clinical situation.
d. analyzes the relationship of nursing interventions to patient outcomes to discover evidence for patient interventions.
