TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th edition by Donna D. Ignatavicius ISBN: 978-0323878265 COMPLETE GUIDE WITH RATIONALES 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!!!

TEST BANK FOR MEDICAL SURGICAL NURSING:
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CONCEPTS FOR CLINICAL JUDGEMENT AND COL
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LABORATIVE CARE 11TH EDITION IGNATAVICIUS
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TEST BANK +i

,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing MULTIPLE CHOICE +i +i +i




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demons
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trates this concept? +i +i




a. Assesses for cultural influences affecting health care+i +i +i +i +i +i




b. Ensures that all the clients basic needs are met +i +i +i +i +i +i +i +i




c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room +i +i +i +i +i +i +i +i




ANS: A +i


Rationale
Competency in client- +i +i




focused care is demonstrated when the nurse focuses on communication, culture, respe
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ct compassion, client education, and empowerment. By assessing the effect of the client
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s culture on health care, this nurse is practicing client-
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+i focused care. Providing for basic needs does not demonstrate this competence. Simply
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telling the client about all upcoming tests is not providing empowering education.
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Orienting the client and family to the room is an important safety measure, but not dire
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ctly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- +i




centered care| culture MSC: Integrated Process: Caring
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NOT: Client Needs Category: +i +i +i




Psychosocial Integrity +i




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
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+i pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What acti
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on by the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. +i +i +i +i




c. Notify the primary care provider. +i +i +i +i




d. Repeat blood pressure measurement in 15 minutes.
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ANS: A +i


Rationale

,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
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The purpose of the Rapid Response Team (RRT) is to intervene when clients
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are deteriorating before they suffer either respiratory or cardiac arrest. Since the client
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has manifested a significant change, the nurse should call the RRT. Changes in blood p
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ressure, mental status, heart rate, and pain are particularly significant.
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, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
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Documentation is vital, but the nurse must do more than document. The primary+i +i +i +i +i +i +i + i + i +i +i +i +i




care provider should be notified, but this is not the priority over calling the RRT. T
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he clients blood pressure should be reassessed frequently, but the priority is
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i getting the rapid care to the client.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical emergenci
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es MSC: Integrated Process:
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Communication and Documentation +i +i




NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What informatio
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n does the nurse provide to help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. +i +i +i +i +i +i +i +i




b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: A +i


Rationale
Each action could be important for the client or family to perform. However,
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encouraging the client to be active in his or her health care as a partner is the most criti
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cal. The other actions are very limited in scope and do not provide the broad protectio
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n that being active and involved does.
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DIF:
Understanding/Comprehension +i




REF: 3KEY: Patient safety
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