Lewis Ch.1 Med Surg Flashcards

Questions and Answers

Which response would be most appropriate for the nurse to make when the patient asks how the nurse's role is different from that of the doctor?

The role of the nurse is to administer medications and other treatments prescribed by your doctor.

The nurse's job is to help the doctor by collecting information and communicating any problems that occur.

In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health. (correct)

Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor.

Which statement about evidence-based practice guidelines is most accurate?

Recommendations are based on research, clinical expertise, and patient preferences. (correct)

Data are evaluated to show that the patient outcomes are consistently met.

Patient care is based on clinical judgment, experience, and traditions.

Inferences from clinical research studies are used as a guide.

Which statement indicates that the teaching about the nursing process was successful?

The nursing process is a scientific-based method of diagnosing the patient's health care problems.

The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans.

The nursing process is used primarily to explain nursing interventions to other health care professionals.

The nursing process is a problem-solving tool used to identify and treat patients' health care needs. (correct)

What should the nurse do next after a patient expresses discomfort about leaving their children with parents?

Gather more data about the patient's feelings about the child-care arrangements. Signup and view all the answers

Which nursing diagnosis is most appropriate for a patient with a pressure ulcer related to left-sided paralysis?

Impaired skin integrity related to altered circulation and pressure Signup and view all the answers

Which outcome would be most appropriate for a patient with deficient fluid volume related to excessive diaphoresis?

Patient has a balanced intake and output. Signup and view all the answers

What is the purpose of the evaluation phase of the nursing process?

To determine if interventions have been effective in meeting patient outcomes. Signup and view all the answers

What is the purpose of the assessment phase of the nursing process?

To obtain data with which to diagnose patient problems. Signup and view all the answers

Which nursing diagnosis statement is written correctly?

Ineffective coping related to response to biopsy test results. Signup and view all the answers

What components should the nurse include in the nursing diagnosis statement?

The problem with an etiology and the signs and symptoms of the problem. Signup and view all the answers

Which task is appropriate for the nurse to delegate to experienced unlicensed assistive personnel (UAP)?

Obtain the patient's blood pressure and pulse rate after ambulation. Signup and view all the answers

Which assignment would be inappropriate to delegate to a UAP?

Check for the presence of bowel sounds and flatulence by UAP. Signup and view all the answers

Which task is appropriate to delegate to a licensed practical/vocational nurse (LPN/LVN)?

Obtain bedside blood glucose on a patient before insulin administration. Signup and view all the answers

What activity should a nurse performing case management for a patient with a spinal cord injury focus on?

Coordinate the services that the patient receives in the hospital and at home. Signup and view all the answers

To which facility should the nurse arrange for the transfer of a patient needing continued nursing care and physical therapy after hip surgery?

A transitional care facility. Signup and view all the answers

Which task can a home care nurse delegate to a home health aide for a patient diagnosed with type 2 diabetes mellitus?

Help the patient with a daily bath and oral care. Signup and view all the answers

Which statement describes the impact of health care financing on quality care?

Payment for patient care is primarily based on clinical outcomes and patient satisfaction. Signup and view all the answers

What QSEN category is demonstrated when a nurse documents the patient's progress in the electronic health record?

Informatics and technology. Signup and view all the answers

Which factors should the nurse consider when deciding what actions to delegate to an LPN/LVN?

Stability of the patient. Signup and view all the answers

Which actions by the nurse promote safe delivery of medication care?

Checks lab test results before administering a diuretic. Signup and view all the answers

Put the statements in the correct order using the SBAR format for communication.

D = This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increased shortness of breath over the past hour. B = The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis, but urine output has been low. C = The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is 89%. Her condition is very unstable. A = The patient needs to be evaluated immediately and may need intubation and mechanical ventilation. Signup and view all the answers

Study Notes

Patient Care and Nursing Roles

Nursing plans of care involve patient collaboration to develop personalized health maintenance strategies.
The American Nurses Association (ANA) emphasizes the importance of nurse-patient partnerships in care planning.

Evidence-Based Practice (EBP)

EBP combines research evidence, clinical expertise, and patient preferences in care decisions.
Effective patient care relies on integrating current clinical guidelines and research findings.

Nursing Process Application

The nursing process is a systematic approach primarily aimed at identifying and treating patient health issues.
Assessment phases focus on gathering data to accurately diagnose patient needs.

Patient Assessment and Intervention

Gathering comprehensive information from patients helps formulate appropriate interventions before implementing care.
Accurate nursing diagnoses should articulate the patient's condition, etiology, and observable symptoms.

Patient Evaluation and Outcomes

Evaluation involves assessing the effectiveness of nursing interventions in achieving desired patient outcomes.
Measurable indicators, such as balanced intake and output, are crucial in assessing patient recovery status.

Task Delegation

Delegation should consider the appropriate scope of practice for unlicensed assistive personnel (UAP) and licensed practical/vocational nurses (LPN/LVN).
Nurses can delegate tasks like obtaining vital signs to qualified personnel, whereas assessment and education generally require registered nurses.

Case Management

Case managers coordinate care across various settings to ensure patient needs are met efficiently and effectively.
They serve as advocates for patients, facilitating communication and transitioning between different care levels.

Transitional Care Facilities

Ideal for patients needing rehabilitation before returning home, transitional care facilities provide continued care post-hospitalization.

Quality Care Initiatives

Healthcare financing increasingly links reimbursement to clinical outcomes and patient satisfaction metrics.
Nurses play a vital role in monitoring and ensuring quality care across the healthcare delivery spectrum.

Informatics and Technology Competence

Proficiency in electronic health record systems reflects a nurse's ability to document and communicate vital patient information effectively.

Safety Measures in Medication Administration

Proper protocols during medication administration include verifying patient identity using reliable methods, ensuring medications are labeled, and checking relevant lab results.
Following National Patient Safety Goals promotes safer healthcare practices and effective discharge planning.

SBAR Communication Framework

The SBAR (Situation-Background-Assessment-Recommendation) framework provides a structured method for communicating patient status changes to healthcare providers, facilitating timely interventions.

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Description

Test your knowledge with flashcards from Lewis Chapter 1 on Medical-Surgical Nursing. This quiz focuses on the roles and responsibilities of nurses in patient care and collaboration with doctors. It's an essential study tool to enhance understanding and application of nursing principles.