Chapter 1: Introduction to Medical-Surgical Nursing Answers / latest version / 2024/ 2025 Already passed

Chapter 1: Introduction to Medical-Surgical Nursing Answers / latest version / 2024/ 2025 Already passed A 78-year-old Mexican American client is admitted to the hospital for hypertension. His wife passed away 6 months ago, and his only child still lives in Mexico. Which intervention does the nurse use in dealing with this client following his admission? A. Assess the client for his use of folk medicine. B. Call the client's child and explain why his father needs him. C. Present all information on hypertension to the client in one teaching session. D. Provide a pamphlet on hypertension for initial education. - ANS -A. Assess the client for his use of folk medicine. Rationale A. Assessing the client's use of folk medicine will help determine his care. A nurse educator is instructing newly hired registered nurses about patient-centered care. Which competency categories are included in this content? Select all that apply. A. Attitudes B. Environments C. Judgments D. Knowledge E. Skills F. Values - ANS -A. Attitudes D. Knowledge E. Skills Rationale Knowledge, skills, and attitudes are the client-centered care competencies that are needed to ensure quality care. These characteristics, which were developed by the Institute of Medicine (IOM) and the Quality and Safety Education for Nurses (QSEN) groups, are the areas that are cited and enumerated by both groups. A delineation (and examples of each) of knowledge, skills, and attitudes constitutes competent nursing practice. A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? A. Hospitalized children with acute and chronic illnesses B. Hospitalized adults with acute and chronic illnesses C. Older adults in a nursing home D. Working adults in a corporate setting - ANS -B. Hospitalized adults with acute and chronic illnesses Rationale The scope of medical-surgical nursing, sometimes called adult health nursing, is to promote health and prevent illness or injury in clients from 18 to 100 years of age or older. The most common practice setting is the acute care hospital. A nurse is appointed to a hospital committee whose goal is to "improve nursing practice." Which areas of practice are included in the committee's task? Select all that apply. A. Attentiveness/surveillance of clients B. Mandatory reporting C. Medication administration D. Participation in professional organizations E. Prevention of errors or complications F. Teaching clients about their care regimens - ANS -A. Attentiveness/surveillance of clients B. Mandatory reporting C. Medication administration E. Prevention of errors or complications A nurse is asked to collaborate with others to implement an interdisciplinary (ID) plan of care for a client. Which health care team members are essential for the client's daily care regimen? Select all that apply. A. Anesthesiologist B. Case Manager C. Health Care Provider D. Occupational therapist - ANS -B. Case Manager C. Health Care Provider A nurse is using the concepts from SHARE (targeted solutions to ensure successful communication among care providers) to improve communication in a hospital setting. Which action indicates an understanding of these principles? A. Allowing various informed sources to contribute information B. Developing a standardized checklist form C. Encouraging the use of individualized methods of data transfer D. Minimizing input from the interdisciplinary team ("pit crew") - ANS -B. Developing a standardized checklist form Rationale B. The development and use of checklists allows for a more thorough inclusion of data, and in a more organized manner. A nurse is working in the intensive care unit. When does the nurse call the Rapid Response Team (RRT)? A. An 87-year-old client awakens mildly confused, then reorients quickly. B. A newly admitted client requests pain medication. C. A postoperative client's dressing has mild bloody drainage. D. A postoperative client's blood pressure suddenly drops. - ANS -D. A postoperative client's blood pressure suddenly drops. Rationale D. The RRT should be called whenever a client has a slow or sudden deterioration in clinical condition. A nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which ethical principle that guides nursing clinical decision making is demonstrated in this situation? A. Beneficence B. Justice C. Legality D. Self-determination - ANS -D. Self-determination Rationale D. Self-determination refers to the idea that clients are autonomous individuals capable of making informed decisions about their care. When the client is not capable of self-determination, the nurse is ethically obligated to protect the client as an advocate in the professional scope of practice. A nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which statement by the student indicates a correct understanding of the RRT member's purpose? A. "I will be caring for clients in the hospital." B. "I will be riding along in the hospital's ambulance." C. "I will be admitting clients to the hospital." D. "I will be observing code 'blue' resuscitations." - ANS -A. "I will be caring for clients in the hospital." Rationale A. Members of the RRT are critical care experts who are on site in the hospital and are available at any time. A nursing student is following a medical-surgical nurse and identifies a way to improve a procedure used for client care. What does the student nurse do next? A. Asks the nurse about the rationale for doing the procedure that way B. Corrects the medical-surgical nurse about the way the procedure should be done C. Goes to the charge nurse with the idea D. Places a note in the suggestion box - ANS -A. Asks the nurse about the rationale for doing the procedure that way Rationale A. Although all nurses are responsible for quality improvement, it is important to assess before implementing. Asking why something is done a certain way is a good form of assessment. A previously stable postoperative client on the medical-surgical unit now has a blood pressure of 88/40 and a heart rate of 124. After placing the client in Trendelenburg position, which of these actions should the nurse take next? A. Activate the Rapid Response Team. B. Call for a Code Blue. C. Determine the cause of the changes. D. Recheck the vital signs in 5 minutes. - ANS -A. Activate the Rapid Response Team. Bedside computers are an example of informatics used in health care primarily for which purpose? A. Documenting interdisciplinary care B. Enhancing collaboration and coordination of care C. Offering clients access to e-mail and the Internet D. Retrieving data for the evidence-based practice - ANS -A. Documenting interdisciplinary care Rationale A. The largest application of health care informatics is the growing trend of the use of electronic medical records (EMRs) for documenting interdisciplinary care. Computers may be located at the client's bedside or in the treatment room for ease of access. When developing a standardized plan of care for clients with a diagnosis of pneumonia, how does the nurse find the best information about providing optimal nursing care? A. Access a website that reports on randomized controlled studies on nursing care for clients with pneumonia. B. Research the most recent articles in nursing magazines that discuss care for clients with pneumonia.