Test bank for medical surgical nursing 10th edition by ignatavicius workman all chapters 1-69

TEST BANK For Medical-Surgical Nursing
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10th Edition Concepts for Interprofessional Collabor
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ative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69
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,Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLEnCHOICE


1. Annewnnursenisnworkingnwithnanpreceptornonnanmedical-
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surgicalnunit.nThenpreceptornadvisesnthennewnnursenthatnwhichnisnthenprioritynwhennworkingnas
anprofessionalnnurse?
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a. Attendingntonholisticnclientnneeds
b. Ensuringnclientnsafety

c. Notnmakingnmedicationnerrors
d. Providingnclient-focusedncare

CORRECTnANSWER:n B
Allnactionsnarenappropriatenfornthenprofessionalnnurse.nHowever,nensuringnclientnsafetynisnthenp
riority.nHealthncarenerrorsnhavenbeennwidelynreportednforn25nyears,nmanynofnwhichnresultninncli
entninjury,ndeath,nandnincreasednhealthncarencosts.nTherenarenseveralnnationalnandninternation
alnorganizationsnthatnhaveneithernrecommendednornmandatednsafetyninitiatives.
Everynnursenhasnthenresponsibilityntonguardnthenclient’snsafety.nThenothernactionsnarenimportan
tnfornqualitynnursing,nbutntheynarennotnasnvitalnasnprovidingnsafety.nNotnmakingnmedicationnerro
rsndoesnprovidensafety,nbutnisntoonnarrowninnscopentonbenthenbestnanswer.

DIF: Understanding
TOP:n IntegratednProcess:nNursingnProcess:nInterventionnKEY:nClientnsafety
MSC:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControl


2. Annursenisnorientingnannewnclientnandnfamilyntonthenmedical-

surgicalnunit.nWhatninformationndoesnthennursenprovidentonbestnhelpnthenclientnpromotenhi
snornhernownnsafety?
a. Encouragenthenclientnandnfamilyntonbenactivenpartners.
b. Haventhenclientnmonitornhandnhygieneninncaregivers.

c. Offernthenfamilynthenopportunityntonstaynwithnthenclient.
d. Tellnthenclientntonalwaysnwearnhisnornhernarmband.

CORRECTnANSWER:n A

, Eachnactionncouldnbenimportantnfornthenclientnornfamilyntonperform.nHowever,nencouragingnthe
nclientntonbenactiveninnhisnornhernhealthncarenasnansafetynpartnernisnthenmostncritical.nThenotherna
ctionsnarenverynlimitedninnscopenandndonnotnprovidenthenbroadnprotectionnthatnbeingnactivenand
ninvolvedndoes.

DIF: Understanding
TOP:nIntegratednProcess:nTeaching/LearningnKEY:nClientnsafety
MSC:n ClientnNeedsnCategory:nSafenandnEffectivenCarenEnvironment:nSafetynandnInfectionnControl


3. Annursenisncaringnfornanpostoperativenclientnonnthensurgicalnunit.nThenclient’snbloodnpressuren
wasn142/76nmmnHgn30nminutesnago,nandnnownisn88/50nmmnHg.nWhatnactionnwouldnthennurs
entakenfirst?
a. CallnthenRapidnResponsenTeam.

b. Documentnandncontinuentonmonitor.
c. Notifynthenprimarynhealthncarenprovider.
d. Repeatnthenbloodnpressureninn15nminutes.

, CORRECTnANSWER:n A
ThenpurposenofnthenRapidnResponsenTeamn(RRT)nisntonintervenenwhennclientsnarendeterioratingn
beforentheynsufferneithernrespiratorynorncardiacnarrest.nSincenthenclientnhasnmanifestednansignif
icantnchange,nthennursenwouldncallnthenRRT.nChangesninnbloodnpressure,nmentalnstatus,nheartnr
ate,ntemperature,noxygennsaturation,nandnlastn2nhours’nurinenoutputnarenparticularlynsignifican
tnandnarenpartnofnthenModifiednEarlynWarningnSystemnguide.nDocumentationnisnvital,nbutnthenn
ursenmustndonmorenthanndocument.nThenprimarynhealthncarenprovidernwouldnbennotified,nbutnt
hisnisnnotnmorenimportantnthanncallingnthenRRT.nThenclient’snbloodnpressurenwouldnbenreassess
ednfrequently,nbutnthenprioritynisngettingnthenrapidncarentonthenclient.

DIF: Applying
TOP:n IntegratednProcess:nCommunicationnandnDocumentationnKEY:nRapidnRe
sponsenTeamn(RRT),nClinicalnjudgment
MSC:n ClientnNeedsnCategory:nPhysiologicalnIntegrity:nPhysiologicalnAdaptation


4. Annursenwishesntonprovidenclient-centeredncareninnallninteractions.nWhichnactionnbynthennurse
bestndemonstratesnthisnconcept?
a. Assessesnfornculturalninfluencesnaffectingnhealthncare.
b. Ensuresnthatnallnthenclient’snbasicnneedsnarenmet.
c. Tellsnthenclientnandnfamilynaboutnallnupcomingntests.
d. Thoroughlynorientsnthenclientnandnfamilyntonthenroom.

CORRECTnANSWER:n A
Showingnrespectnfornthenclientnandnfamily’snpreferencesnandnneedsnisnessentialntonensurenanhol
isticnorn“whole-
person”napproachntoncare.nBynassessingntheneffectnofnthenclient’snculturenonnhealthncare,nthisnn
ursenisnpracticingnclient-
focusedncare.nProvidingnfornbasicnneedsndoesnnotndemonstratenthisncompetence.nSimplyntellin
gnthenclientnaboutnallnupcomingntestsnisnnotnprovidingnempoweringneducation.nOrientingnthencli
entnandnfamilyntonthenroomnisnannimportantnsafetynmeasure,nbutnnotndirectlynrelatedntondemon
stratingnclient-centeredncare.

DIF: Understanding
TOP:nIntegratednProcess:nCulturenandnSpiritualitynKEY:n Client-centeredncare,nCulture
MSC:n ClientnNeedsnCategory:nPsychosocialnIntegrity


5. Anclientnisngoingntonbenadmittednfornanschedulednsurgicalnprocedure.nWhichnactionndoesnth
ennursenexplainnisnthenmostnimportantnthingnthenclientncanndontonprotectnagainstnerrors?
a. Bringnanlistnofnallnmedicationsnandnwhatntheynarenfor.