kz
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7% 7% 7% 7%
Want to earn $1.236
7% 7% 7% k
Distribution of this document is ille
z k z k z k z k z k z extra per year
k z k z
,
,
, OverviewofProfessional NursingConceptsforMedical- 7%
Surgical Nursing kz
MULTIPLE CHOICE k z
1. A nurse wishes to provide client-
kz k z kz kz kz kz
centered care in all interactions. Which action by the nurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care k z k z k z k z k z k z
b. Ensures that all the clients basic needs are met k z k z k z k z k z k z k z k z
c. Tells the client and family about all upcoming tests
k z k z k z k z k z k z k z k z
d. Thoroughly orients the client and family to the room k z k z k z k z k z k z k z k z
ANS: A k z
Competency in client- kz kz
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion,
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clien t ed ucation, and empowerment. By assessing the effect of the clients culture on health care,
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this nurse k z 7
is practici ng client-
k z k z kz k z
focused care. Providing for basic needs does not demonstrate this competence.
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Simply telling the client about all upcoming tests is not providing empowering education. Orienting the cl i
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
ent and family to the room is an important safety measure, but not directly related to demonstrating
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clie nt- centered care.
k z kz kz kz
DIF: Understanding/Comprehension REF:
k z k z k z
3 KEY: Patient-
kz kz
centered care| culture MSC: Integrated Process: Caring NOT: Client N e
kz kz kz kz kz kz kz kz 7% kz
eds Category: Psychosocial Integrity
kz kz kz
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
kz k z kz kz k z kz k z k z k z k z kz kz k z k z k z k z kz kz
142/7 6 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
kz kz k z k z k z kz k z k z k z k z k z k z k z kz k z k z k z k z k z
a. Call the Rapid Response Team. k z k z k z k z
b. Document and continue to monitor. k z k z k z k z
c. Notify the primary care provider. k z k z k z k z
d. Repeat blood pressure measurement in 15 minutes.
k z k z k z k z k z k z
ANS: A k z
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
k z k z k z k z k z k z k z k z k z k z k z k z k z
k deteriorati ng before they suffer either respiratory or cardiac arrest. Since the client has manifested
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a significant cha nge, the nurse s hould
k z k z kz kz kz kz kz kz
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are p kz kz kz kz kz k z kz kz k z kz kz kz kz k z
articularly significant. Documentation is vital, but the nurse must do more than document. The pri
k z k z k z k z k z k z k z k z k z k z k z k z k z k z
mary care provider should be no tified, but this is not the priority over calling the RRT. The clients
kz k z k z k z k z k z k z za k z k z k z k z k z k z k z k z k z k z
blood pres sure should be reassessed freq uently, but the priority is getting the rapid care to the
k z k z kz k z k z k z k z k z k z za k z k z k z k z k z k z k z k z k
zclient.
DIF: Applying/Application REF: 3
k z k z k z
KEY: Rapid Response Team (RRT)| medical emergencies
kz kz kz kz kz kz
M k
S C: Integrated Process: Communication and Documentation
z kz k z kz kz k z kz
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
k z k z k z k z k z k z k z
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse pr
kz k z kz kz kz k z kz kz k z kz k z k z kz k z kz k z kz kz kz
ovide to h elp the client promote his or her own safety?
kz k z k z k z k z k z k z k z k z k z
a. Encourage the client and family to be active partners. k z k z k z k z k z k z k z k z
b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
k z k z k z k z k z k z k z k z k z
d. Tell the client to always wear his or her armband.
k z k z k z k z k z k z k z k z k z
ANS: A k z
Each action could be important for the client or family to perform. However, enc
k z k z k z k z k z k z k z k z k z k z k z k z k z
ouraging th e client to be active in his or her health care as a partner is the most critical. The
k z kz k z k z k z k z k z k z k z k z k z k z k z k z k z k z k z k z za k z k
Downloaded by: Profkarl |
7% 7% 7% 7%
Want to earn $1.236
7% 7% 7% k
Distribution of this document is ille
z k z k z k z k z k z extra per year
k z k z
,
,
, OverviewofProfessional NursingConceptsforMedical- 7%
Surgical Nursing kz
MULTIPLE CHOICE k z
1. A nurse wishes to provide client-
kz k z kz kz kz kz
centered care in all interactions. Which action by the nurse best demonstrates this concept?
kz kz kz kz kz kz kz kz kz kz kz kz kz
a. Assesses for cultural influences affecting health care k z k z k z k z k z k z
b. Ensures that all the clients basic needs are met k z k z k z k z k z k z k z k z
c. Tells the client and family about all upcoming tests
k z k z k z k z k z k z k z k z
d. Thoroughly orients the client and family to the room k z k z k z k z k z k z k z k z
ANS: A k z
Competency in client- kz kz
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion,
k z k z k z k z k z k z k z k z k z k z k z k z k z
clien t ed ucation, and empowerment. By assessing the effect of the clients culture on health care,
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this nurse k z 7
is practici ng client-
k z k z kz k z
focused care. Providing for basic needs does not demonstrate this competence.
k z k z k z k z k z k z k z k z k z k z
Simply telling the client about all upcoming tests is not providing empowering education. Orienting the cl i
kz kz kz kz kz kz kz kz kz kz kz kz kz kz kz k z
ent and family to the room is an important safety measure, but not directly related to demonstrating
k z k z k z k z k z k z k z k z k z k z k z 7% kz k z k z k z
clie nt- centered care.
k z kz kz kz
DIF: Understanding/Comprehension REF:
k z k z k z
3 KEY: Patient-
kz kz
centered care| culture MSC: Integrated Process: Caring NOT: Client N e
kz kz kz kz kz kz kz kz 7% kz
eds Category: Psychosocial Integrity
kz kz kz
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
kz k z kz kz k z kz k z k z k z k z kz kz k z k z k z k z kz kz
142/7 6 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
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a. Call the Rapid Response Team. k z k z k z k z
b. Document and continue to monitor. k z k z k z k z
c. Notify the primary care provider. k z k z k z k z
d. Repeat blood pressure measurement in 15 minutes.
k z k z k z k z k z k z
ANS: A k z
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
k z k z k z k z k z k z k z k z k z k z k z k z k z
k deteriorati ng before they suffer either respiratory or cardiac arrest. Since the client has manifested
z kz k z k z kz kz k z k z kz k z k z kz k z kz k z
a significant cha nge, the nurse s hould
k z k z kz kz kz kz kz kz
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are p kz kz kz kz kz k z kz kz k z kz kz kz kz k z
articularly significant. Documentation is vital, but the nurse must do more than document. The pri
k z k z k z k z k z k z k z k z k z k z k z k z k z k z
mary care provider should be no tified, but this is not the priority over calling the RRT. The clients
kz k z k z k z k z k z k z za k z k z k z k z k z k z k z k z k z k z
blood pres sure should be reassessed freq uently, but the priority is getting the rapid care to the
k z k z kz k z k z k z k z k z k z za k z k z k z k z k z k z k z k z k
zclient.
DIF: Applying/Application REF: 3
k z k z k z
KEY: Rapid Response Team (RRT)| medical emergencies
kz kz kz kz kz kz
M k
S C: Integrated Process: Communication and Documentation
z kz k z kz kz k z kz
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
k z k z k z k z k z k z k z
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse pr
kz k z kz kz kz k z kz kz k z kz k z k z kz k z kz k z kz kz kz
ovide to h elp the client promote his or her own safety?
kz k z k z k z k z k z k z k z k z k z
a. Encourage the client and family to be active partners. k z k z k z k z k z k z k z k z
b. Have the client monitor hand hygiene in caregivers.
k z k z k z k z k z k z k z
c. Offer the family the opportunity to stay with the client.
k z k z k z k z k z k z k z k z k z
d. Tell the client to always wear his or her armband.
k z k z k z k z k z k z k z k z k z
ANS: A k z
Each action could be important for the client or family to perform. However, enc
k z k z k z k z k z k z k z k z k z k z k z k z k z
ouraging th e client to be active in his or her health care as a partner is the most critical. The
k z kz k z k z k z k z k z k z k z k z k z k z k z k z k z k z k z k z za k z k
