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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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MULTIPLE CHOICE qe
1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demon
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strates this concept? qe qe
a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met
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c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room qe qe qe qe qe qe qe qe
CORRECT ANS: A qe qe
Rationale: Competency in client- qe qe qe
focused care is demonstrated when the nurse focuses on communication, culture, resp
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ect compassion, client education, and empowerment. By assessing the effect of the clie
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nts culture on health care, this nurse is practicing client-
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qe focused care. Providing for basic needs does not demonstrate this competence. Simply
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e 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 dir
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ectly related to demonstrating client-centered care.
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2. A nurse is caring for a postoperative client on the surgical unit. The clients bloo
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d pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What a
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ction 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. qe qe qe qe
c. Notify the primary care provider. qe qe qe qe
d. Repeat blood pressure measurement in 15 minutes.
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CORRECT ANS: A qe qe
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene wh
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en clients are deteriorating before they suffer either respiratory or cardiac arrest. Sin
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ce the client has manifested a significant change, the nurse should call the RRT. Chan
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ges in blood pressure, mental status, heart rate, and pain are particularly signif
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icant.