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forMedical-Surgical Nursing Ignatavicius: Medical-
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Surgical Nursing, 11th Edition
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MULTIPLE v
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CHOICE
1. A new nurse is working with a preceptor on a
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bvmedical- surgical unit. The preceptor advises the b v b v b v b v b v b v
b vnewnurse that which is the priority when working as a
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bvprofessional nurse? b v
a. Attending to holistic client needs b v b v b v b v
b. Ensuring client safety b v b v
c. Not making medication errors b v b v b v
d. Providing client-focused care b v b v
ANS: B b v
All actions are appropriate for the professional
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nurse. However, ensuring client safety is the
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priority. Health care errors have been widely reported
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for 25 years, many of which result in client injury,
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death, and increased health care costs. There are
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several nationaland international organizations that
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have either recommended or mandated
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safety initiatives. bv
Every nurse has the responsibility to guard the
client’ssafety. The other actions are important
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bv v
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for quality nursing, but they are not as vital as
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providing safety. Not making medication errors
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doesprovide safety, but is too narrow in scope
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to be thebest answer.
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b b v
DIF: Understanding TOP: Integrated Process:
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Nursing Process: Intervention KEY: Client safety bv bv bv bv bv
MSC: iClient Needs Category: Safe and Effective
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Care Environment: Safety and Infection
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Control
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2. A nurse is orienting a new client and family
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b v to themedical-surgical unit. What information does
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bv the nurse provide to best help the client
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b v promote his or her own b v b v bv b v
, safety?
a. Encourage the client and family to be active partners.
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b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the
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client.
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d. Tell the client to always wear his or her armband.
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ANS: Ab v
Each action could be important for the client or family to
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, perform. However, encouraging the client to be b v b v b v b v b v b v
active inhis or her health care as a safety partner is the
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most critical. The other actions are very limited in
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scope and do not provide the broad protection that
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being active
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and involved does. b v b v
DIF: Understanding TOP: Integrated b v
Process:Teaching/Learning KEY: Client
b v v
b b v b v
bsafety
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MSC: Client Needs Category: Safe and Effective
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CareEnvironment: Safety and Infection Control
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3. A nurse is caring for a postoperative client on
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bvthesurgical unit. The client’s blood pressure was
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b v142/76mm Hg 30 minutes ago, and now is v
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b v88/50 mm Hg. b v b v
What action b v
would the nurse take first? b v b v b v b v
a. Call the Rapid Response Team. b v b v b v b v
b. Document and continue to monitor. b v b v b v b v
c. Notify the primary health care provider. b v b v b v b v b v
d. Repeat the blood pressure in 15 minutes. b v b v b v b v b v b v
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