,
,Medical-Surgical Nursing 11th Edition Ignatavicius
@X @X @X @X
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
@X @X @X @X @X @X @X @X @X @X
, MULTIPLE CHOICE @X
1. A new nurse is working with a preceptor on an inpatient medical-
@X @X @X @X @X @X @X @X @X @X @X
surgical unit. The preceptor advises the student that which is the priority w
@X @X @X @X @ X @X @X @X @X @X @X @X
hen working as a professional nurse?
@X @X @X @X @X
a. Attending to holistic client needs @X @X @X @X
b. Ensuring client safety @X @X
c. Not making medication errors
@X @X @X
d. Providing client-focused care @X @X
ANS: B @X
Rationale: All actions are appropriate for the professional nurse. However, ensu
@X @X @X @X @X @X @X @X @X @ X
ring client safety is the priority. Up to98,000 deaths result each year from erro
@ X @X @X @X @X @X @X @X @ X @X @X @X @X
rs in hospital care, according to the 2000 Institute of Medicine report. Many
@ X @ X @ X @X @X @X @X @ X @ X @ X @ X @X
@X more clients have suffered injuries and less serious outcomes. Every nurse ha
@X @X @X @X @X @X @ X @ X @ X @ X @ X
s the responsibility to guard the clients safety.
@ X @ X @ X @ X @ X @ X @ X
2. A nurse is orienting a new client and family to the inpatient unit. What inf
@X @X @X @X @X @X @X @X @X @X @X @X @X @X
ormation does the nurse provide to help the client promote his or her own
@X @X @X @X @ X @X @X @X @X @X @X @X @X @X
safety?
a. Encourage the client and family to be active partners.
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b. Have the client monitor hand hygiene in caregivers.
@X @X @X @X @X @X @X
c. Offer the family the opportunity to stay with the client.
@X @X @X @X @X @X @X @X @X
d. Tell the client to always wear his or her armband.
@X @X @X @X @X @X @X @X @X
CORRECT ANS: A @X @X
Rationale: Each action could be important for the client or family to perf
@X @ X @ X @ X @ X @ X @ X @ X @ X @ X @ X @ X
orm. However, encouraging the client to be active in his or her health care as a
@ X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
@X partner is the most critical. The other actions are very limited in scope and do
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not provide the broad protection that being active and involved does.
X @X @X @X @X @ X @ X @X @ X @ X @ X
3. A nurse is caring for a postoperative client on the surgical unit. The client
@X @X @X @X @X @X @X @X @X @X @X @X @X
s blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
@X @X @X @X @X @X @X @X @X @X @X @X @X @X
@X Hg. What action by the nurse is best?
@X @X @X @X @X @X @X
a. Call the Rapid Response Team.
@X @X @X @X
b. Document and continue to monitor. @X @X @X @X
c. Notify the primary care provider.
@X @X @X @X
d. Repeat blood pressure measurement in 15 minutes.
@X @X @X @X @X @X
,Medical-Surgical Nursing 11th Edition Ignatavicius
@X @X @X @X
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
@X @X @X @X @X @X @X @X @X @X
, MULTIPLE CHOICE @X
1. A new nurse is working with a preceptor on an inpatient medical-
@X @X @X @X @X @X @X @X @X @X @X
surgical unit. The preceptor advises the student that which is the priority w
@X @X @X @X @ X @X @X @X @X @X @X @X
hen working as a professional nurse?
@X @X @X @X @X
a. Attending to holistic client needs @X @X @X @X
b. Ensuring client safety @X @X
c. Not making medication errors
@X @X @X
d. Providing client-focused care @X @X
ANS: B @X
Rationale: All actions are appropriate for the professional nurse. However, ensu
@X @X @X @X @X @X @X @X @X @ X
ring client safety is the priority. Up to98,000 deaths result each year from erro
@ X @X @X @X @X @X @X @X @ X @X @X @X @X
rs in hospital care, according to the 2000 Institute of Medicine report. Many
@ X @ X @ X @X @X @X @X @ X @ X @ X @ X @X
@X more clients have suffered injuries and less serious outcomes. Every nurse ha
@X @X @X @X @X @X @ X @ X @ X @ X @ X
s the responsibility to guard the clients safety.
@ X @ X @ X @ X @ X @ X @ X
2. A nurse is orienting a new client and family to the inpatient unit. What inf
@X @X @X @X @X @X @X @X @X @X @X @X @X @X
ormation does the nurse provide to help the client promote his or her own
@X @X @X @X @ X @X @X @X @X @X @X @X @X @X
safety?
a. Encourage the client and family to be active partners.
@X @X @X @X @X @X @X @X
b. Have the client monitor hand hygiene in caregivers.
@X @X @X @X @X @X @X
c. Offer the family the opportunity to stay with the client.
@X @X @X @X @X @X @X @X @X
d. Tell the client to always wear his or her armband.
@X @X @X @X @X @X @X @X @X
CORRECT ANS: A @X @X
Rationale: Each action could be important for the client or family to perf
@X @ X @ X @ X @ X @ X @ X @ X @ X @ X @ X @ X
orm. However, encouraging the client to be active in his or her health care as a
@ X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
@X partner is the most critical. The other actions are very limited in scope and do
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @
not provide the broad protection that being active and involved does.
X @X @X @X @X @ X @ X @X @ X @ X @ X
3. A nurse is caring for a postoperative client on the surgical unit. The client
@X @X @X @X @X @X @X @X @X @X @X @X @X
s blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
@X @X @X @X @X @X @X @X @X @X @X @X @X @X
@X Hg. What action by the nurse is best?
@X @X @X @X @X @X @X
a. Call the Rapid Response Team.
@X @X @X @X
b. Document and continue to monitor. @X @X @X @X
c. Notify the primary care provider.
@X @X @X @X
d. Repeat blood pressure measurement in 15 minutes.
@X @X @X @X @X @X