TEST BANK FOR MEDICAL SURGICAL NURSING AN INTEGRATED APPROACH, 3RD EDITION: WHITE

Chapter 1—Role of Medical Surgical Nursing MULTIPLE CHOICE 1. The skill of providing care to a client in an order where the sicker client is seen first is called: a. sequencing c. ordering of care b. prioritization d. scheduling ANS: B Planning client care involves prioritization. The nurse reviews all clients who need care and determines which client ne eds to be seen or cared for first. Different methods assist the nurse in prioritizing care. These methods could include following the rule of AB C (airway, breathing, circulation). Another method would be using Maslow’s hierarchy of needs and asking oneself which client has the greatest need that should be met first. PTS: 1 DIF: Comprehension REF: White (2013) 2. A nurse has just received shift report from the night nurse. One of the clients needs to have a dressing changed at 0800. Another client has had trouble breathing overnight and has been put on oxygen via nasal cannula. A third client has a test scheduled in the radiology suite in the afternoon. And, a fourth client is requesting pain medication. Which client should the nurse see first on her rounds as she begins her shift? a. client with an 0800 dressing change c. client with a scheduled test b. client with a respiratory condition d. client requesting pain medication ANS: B The nurse would begin her rounds with the client who has had respiratory problems overnight. Based upon the A-B-C prioritization (airway, breathing, circulation), the nurse would want to see the client on oxygen therapy first to assess the client’s breathing and respiratory status. PTS: 1 DIF: Application REF: White (2013) 3. Asking another nurse for advice on how to prioritize a client’s care is called: a. collaboration c. scheduling b. inquiring d. decision-making ANS: A Working with other members of the healthcare to determine the best method to provide client care is an example of collaboration. It is often helpful to “think out loud” with another healthcare team member. PTS: 1 DIF: Comprehension REF: White (2013) 4. A nurse has been caring for a client with an IV and the shift is about to end. The IV bag is scheduled to run out 1.5 hours into the next nurse’s shift. The offgoing nurse should do which of the following prior to the end of her shift? a. hang a new IV bag b. tell the nurse a new bag will be needed c. ask client to call nurse for empty IV d. have a replacement bag ready ANS: D When a client’s IV bag will run out within the first two hours of the oncoming shift, the offgoing nurse should have a replacement bag available for the next nurse to hang. PTS: 1 DIF: Application REF: White (2013) 5. Which of these statements is TRUE? a. Discharge planning begins upon admission. b. Discharge planning begins the day before discharge. c. Discharge planning occurs on the day of discharge. d. Discharge planning occurs on the day before discharge. ANS: A Discharge planning begins at admission. Starting discharge planning early allows time for assessment of the client’s home situation, and family support which can affect the discharge plan. PTS: 1 DIF: Comprehension REF: White (2013) 6. The process of taking information that has been uncovered and clarified, and systematically processing it to find an acceptable resolution to the problem, is called: a. critical thinking c. data clarification b. data collection d. problem solving ANS: D Problem solving is the process of taking information that has been uncovered and clarified, and systematically processing it to find an acceptable resolution to problems. To problem solve, data must be gathered, organized, analyzed, and conclusions must be drawn. When problem solving, the individual continues to ask questions throughout the process. Asking questions clarifies data in an attempt to obtain accurate information. PTS: 1 DIF: Comprehension REF: White (2013)