TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, All 65 chapters Available, Complete Version

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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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MULTIPLE CHOICE #d




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demo
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nstrates this concept? #d #d




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 #d #d #d #d #d #d #d #d




CORRECT ANS: A #d #d




Rationale: Competency in client- #d #d #d




focused care is demonstrated when the nurse focuses on communication, culture, res
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pect compassion, client education, and empowerment. By assessing the effect of the
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clients culture on health care, this nurse is practicing client-
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#d focused care. Providing for basic needs does not demonstrate this competence. Simpl
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y 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
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directly 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 bl
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ood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. W
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hat action 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. #d #d #d #d




c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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CORRECT ANS: A #d #d




Rationale: The purpose of the Rapid Response Team (RRT) is to intervene
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when clients are deteriorating before they suffer either respiratory or cardiac arrest.
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#d Since the client has manifested a significant change, the nurse should call the RRT.
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d Changes in blood pressure, mental status, heart rate, and pain are particularly
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# d significant.