Full Latest Updated Test Bank for Medical Surgical Nursing Concepts for Clinical Judgment and Collaborative Care, 11e (Eleventh Edition) by Donna D Ignatavicius All Chapters 1-74 Covered / Complete Nursing Exam Resource

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Chapter 01: Overview o Pro essional Nursing Concepts or Medical-Surgical Nursing
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MULTIPLE CHOICE v




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demonstrat
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es this concept?
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a. Assesses or cultural in luences a ecting health care vv v v v v vv v v




b. Ensures that all the clients basic needs are met v v v v v v v v




c. Tells the client and amily about all upcoming tests
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d. Thoroughly orients the client and amily to the room v v v v vv v v v




ANS: A v




Rationale: Competency in client- v v v




ocused care is demonstrated when the nurse ocuses on communication, culture, respect co
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mpassion, client education, and empowerment. By assessing the e ect o the clients culture
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on health care, this nurse is practicing client-
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vv ocused care. Providing or basic needs does not demonstrate this competence. Simply tellin
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g the client about all upcoming tests is not providing empowering education.
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Orienting the client and amily to the room is an important sa ety measure, but not directly r
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elated to demonstrating client-centered care.
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2. A nurse is caring or a postoperative client on the surgical unit. The clients blood pres
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sure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the
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nurse is best? v v




a. Call the Rapid Response Team. v v v v




b. Document and continue to monitor. v v v v




c. Noti y the primary care provider. v v v v v




d. Repeat blood pressure measurement in 15 minutes. v v v v v v




ANS: A v




Rationale: The purpose o the Rapid Response Team (RRT) is to intervene when client
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s are deteriorating be ore they su er either respiratory or cardiac arrest. Since the client has
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mani ested a signi icant change, the nurse should call the RRT. Changes in blood pressure,
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mental status, heart rate, and pain are particularly signi icant.
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