Medical Surgical Nursing 11th Edition Concepts for Interprofessional Col-
laborative Care, by Donna D. Ignatavicius, All chapters 1 – 74
Study online at https://quizlet.com/_g9zpp9
1. Medical Surgical Nursing Medical Surgical Nursing
11th Edition by Donna D. Ignatavicius 11th Edition by Donna D. Ig-
natavicius
2. 1. A nurse wishes to provide client-centered care CORRECT ANSWER: A
in all interactions. Which action by the nurse best Competency in client-focused
demonstrates this concept? care is demonstrated when the
a. Assesses for cultural influences affecting health nurse focuses on communica-
care tion, culture, respect compassion,
b. Ensures that all the clients basic needs are met client education, and empower-
c. Tells the client and family about all upcoming ment. By assessing the effect of
tests the clients culture on health care,
d. Thoroughly orients the client and family to the this nurse is practicing client-fo-
room cused care. Providing for basic
needs does not demonstrate this
competence. Simply telling the
client about all upcoming tests is
not providing empowering edu-
cation. Orienting the client and
family to the room is an impor-
tant safety measure, but not di-
rectly related to demonstrating
client-centered care.
DIF: Understanding/Compre-
hension REF: 3
KEY: Patient-centered care| cul-
ture MSC: Integrated Process:
Caring NOT: Client Needs Cate-
gory: Psychosocial Integrity
3.
, Medical Surgical Nursing 11th Edition Concepts for Interprofessional Col-
laborative Care, by Donna D. Ignatavicius, All chapters 1 – 74
Study online at https://quizlet.com/_g9zpp9
1. A nurse is caring for a postoperative client on CORRECT ANSWER: A
the surgical unit. The clients blood pressure was The purpose of the Rapid Re-
142/76 mm Hg 30 minutes ago, and now is 88/50 sponse Team (RRT) is to inter-
mm Hg. What action by the nurse is best? vene when clients are deteriorat-
a. Call the Rapid Response Team. ing before they suffer either res-
b. Document and continue to monitor. piratory or cardiac arrest. Since
c. Notify the primary care provider. the client has manifested a sig-
d. Repeat blood pressure measurement in 15 min- nificant change, the nurse should
utes. call the RRT. Changes in blood
pressure, mental status, heart
rate, and pain are particularly
significant.
Documentation is vital, but the
nurse must do more than docu-
ment. The primary care provider
should be notified, but this is
not the priority over calling the
RRT. The clients blood pressure
should be reassessed frequent-
ly, but the priority is getting the
rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team
(RRT)| medical emergencies
MSC: Integrated Process: Com-
munication and Documentation
NOT: Client Needs Category:
Physiological Integrity: Physio-
logical Adaptation
4.
, Medical Surgical Nursing 11th Edition Concepts for Interprofessional Col-
laborative Care, by Donna D. Ignatavicius, All chapters 1 – 74
Study online at https://quizlet.com/_g9zpp9
1. A nurse is orienting a new client and family CORRECT ANSWER: A
to the inpatient unit. What information does the Each action could be important
nurse provide to help the client promote his or her for the client or family to perform.
own safety? However, encouraging the client
a. Encourage the client and family to be active to be active in his or her health
partners. care as a partner is the most crit-
b. Have the client monitor hand hygiene in care- ical. The other actions are very
givers. limited in scope and do not pro-
c. Offer the family the opportunity to stay with the vide the broad protection that
client. being active and involved does.
d. Tell the client to always wear his or her arm- DIF: Understanding/Compre-
band. hension REF: 3 KEY: Patient safe-
ty
MSC: Integrated Process: Teach-
ing/Learning
NOT: Client Needs Category: Safe
and Effective Care Environment:
Safety and Infection Control
5. To get this (TEST BANK for Medical-Surgical Nurs- To get this (TEST BANK for Med-
ing: Concepts for Clinical Judgment and Collabo- ical-Surgical Nursing: Concepts
rative Care for Clinical Judgment and Collab-
11th Edition by Donna D. Ignatavicius,) lick on this orative Care
link https://kuriam.gumroad.com/l/bnsupt 11th Edition by Donna
D. Ignatavicius,) lick on
this link https://kuriam.gum-
road.com/l/bnsupt
6. 1. A new nurse is working with a preceptor on CORRECT ANSWER: B
an inpatient medical-surgical unit. The preceptor All actions are appropriate for the
advises the student that which is the priority when professional nurse. However, en-
laborative Care, by Donna D. Ignatavicius, All chapters 1 – 74
Study online at https://quizlet.com/_g9zpp9
1. Medical Surgical Nursing Medical Surgical Nursing
11th Edition by Donna D. Ignatavicius 11th Edition by Donna D. Ig-
natavicius
2. 1. A nurse wishes to provide client-centered care CORRECT ANSWER: A
in all interactions. Which action by the nurse best Competency in client-focused
demonstrates this concept? care is demonstrated when the
a. Assesses for cultural influences affecting health nurse focuses on communica-
care tion, culture, respect compassion,
b. Ensures that all the clients basic needs are met client education, and empower-
c. Tells the client and family about all upcoming ment. By assessing the effect of
tests the clients culture on health care,
d. Thoroughly orients the client and family to the this nurse is practicing client-fo-
room cused care. Providing for basic
needs does not demonstrate this
competence. Simply telling the
client about all upcoming tests is
not providing empowering edu-
cation. Orienting the client and
family to the room is an impor-
tant safety measure, but not di-
rectly related to demonstrating
client-centered care.
DIF: Understanding/Compre-
hension REF: 3
KEY: Patient-centered care| cul-
ture MSC: Integrated Process:
Caring NOT: Client Needs Cate-
gory: Psychosocial Integrity
3.
, Medical Surgical Nursing 11th Edition Concepts for Interprofessional Col-
laborative Care, by Donna D. Ignatavicius, All chapters 1 – 74
Study online at https://quizlet.com/_g9zpp9
1. A nurse is caring for a postoperative client on CORRECT ANSWER: A
the surgical unit. The clients blood pressure was The purpose of the Rapid Re-
142/76 mm Hg 30 minutes ago, and now is 88/50 sponse Team (RRT) is to inter-
mm Hg. What action by the nurse is best? vene when clients are deteriorat-
a. Call the Rapid Response Team. ing before they suffer either res-
b. Document and continue to monitor. piratory or cardiac arrest. Since
c. Notify the primary care provider. the client has manifested a sig-
d. Repeat blood pressure measurement in 15 min- nificant change, the nurse should
utes. call the RRT. Changes in blood
pressure, mental status, heart
rate, and pain are particularly
significant.
Documentation is vital, but the
nurse must do more than docu-
ment. The primary care provider
should be notified, but this is
not the priority over calling the
RRT. The clients blood pressure
should be reassessed frequent-
ly, but the priority is getting the
rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team
(RRT)| medical emergencies
MSC: Integrated Process: Com-
munication and Documentation
NOT: Client Needs Category:
Physiological Integrity: Physio-
logical Adaptation
4.
, Medical Surgical Nursing 11th Edition Concepts for Interprofessional Col-
laborative Care, by Donna D. Ignatavicius, All chapters 1 – 74
Study online at https://quizlet.com/_g9zpp9
1. A nurse is orienting a new client and family CORRECT ANSWER: A
to the inpatient unit. What information does the Each action could be important
nurse provide to help the client promote his or her for the client or family to perform.
own safety? However, encouraging the client
a. Encourage the client and family to be active to be active in his or her health
partners. care as a partner is the most crit-
b. Have the client monitor hand hygiene in care- ical. The other actions are very
givers. limited in scope and do not pro-
c. Offer the family the opportunity to stay with the vide the broad protection that
client. being active and involved does.
d. Tell the client to always wear his or her arm- DIF: Understanding/Compre-
band. hension REF: 3 KEY: Patient safe-
ty
MSC: Integrated Process: Teach-
ing/Learning
NOT: Client Needs Category: Safe
and Effective Care Environment:
Safety and Infection Control
5. To get this (TEST BANK for Medical-Surgical Nurs- To get this (TEST BANK for Med-
ing: Concepts for Clinical Judgment and Collabo- ical-Surgical Nursing: Concepts
rative Care for Clinical Judgment and Collab-
11th Edition by Donna D. Ignatavicius,) lick on this orative Care
link https://kuriam.gumroad.com/l/bnsupt 11th Edition by Donna
D. Ignatavicius,) lick on
this link https://kuriam.gum-
road.com/l/bnsupt
6. 1. A new nurse is working with a preceptor on CORRECT ANSWER: B
an inpatient medical-surgical unit. The preceptor All actions are appropriate for the
advises the student that which is the priority when professional nurse. However, en-
