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

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, Medical Surgical Nursing 11th Editi
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onIgnatavicius
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 11th Edition
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MULTIPLE CHOIC
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, 1. A new nurse is working with a preceptor on a medical-
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surgical unit. The preceptor advises the new nurse that which is the priority when wor
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king as a professional nurse?
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a. Attending to holistic client needs q@ q@ q@ q@


b. Ensuring client safety q@ q@


c. Not making medication errors
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d. Providing client-focused care q@ q@




ANS: B q@


All actions are appropriate for the professional nurse. However, ensuring client safety is
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q@the priority. Health care errors have been widely reported for 25 years, many of which
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q@result in client injury, death, and increased health care costs. There are several nation
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al and international organizations that have either recommended or mandated safety initiat
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ives.
Every nurse has the responsibility to guard the client’s safety. The other actions are im
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portant for quality nursing, but they are not as vital as providing safety. Not making med
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ication errors does provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding
TOP: Integrated Process: Nursing Process: Intervention KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Contr
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ol

2. A nurse is orienting a new client and family to the medical-
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surgical unit. What information does the nurse provide to best help the client promot
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e his or her own safety?
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a. Encourage the client and family to be active partners.
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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 q@


Each action could be important for the client or family to perform. However, encouragi
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ng the client to be active in his or her health care as a safety partner is the most criti
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cal. The other actions are very limited in scope and do not provide the broad protection t
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hat being active and involved does.
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DIF: Understanding
TOP: Integrated Process: Teaching/Learning KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Contr
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ol

3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pre
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ssure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action wo
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uld the nurse take first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. q@ q@ q@ q@


c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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