Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman
V V V
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
V V V V V V V V
Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
V V V V V V
MULTIPLE
VCHOICE
1. A Vnew Vnurse Vis Vworking Vwith Va Vpreceptor Von Va Vmedical-surgical Vunit. VThe Vpreceptor
Vadvises VtheVnew Vnurse Vthat Vwhich Vis Vthe Vpriority Vwhen Vworking Vas Va Vprofessional
Vnurse?
a. Attending Vto Vholistic Vclient Vneeds
b. Ensuring Vclient Vsafety
c. Not Vmaking Vmedication Verrors
d. Providing Vclient-focused Vcare
ANS: V B
All Vactions Vare Vappropriate Vfor Vthe Vprofessional Vnurse. VHowever, Vensuring Vclient
Vsafety Vis VtheV
priority. VHealth Vcare Verrors Vhave Vbeen Vwidely Vreported Vfor V25 Vyears,
Vmany Vof Vwhich Vresult VinV client Vinjury, Vdeath, Vand Vincreased Vhealth Vcare Vcosts. VThere
Vare Vseveral Vnational Vand Vinternational Vorganizations Vthat Vhave Veither Vrecommended Vor
Vmandated Vsafety Vinitiatives.
Every Vnurse Vhas Vthe Vresponsibility Vto Vguard Vthe Vclient‘s Vsafety. VThe Vother Vactions Vare
Vimportant Vfor Vquality Vnursing, Vbut Vthey Vare Vnot Vas Vvital Vas Vproviding Vsafety. VNot
Vmaking Vmedication Verrors V does Vprovide Vsafety, Vbut Vis Vtoo Vnarrow Vin Vscope Vto Vbe Vthe
Vbest Vanswer.
DIF: Understanding TOP: V Integrated VProcess: VNursing VProcess:
VInterventionV
KEY: V Client Vsafety
MSC: V Client VNeeds VCategory: VSafe Vand VEffective VCare VEnvironment: VSafety Vand VInfection
VControl
2. A Vnurse Vis Vorienting Va Vnew Vclient Vand Vfamily Vto Vthe Vmedical-surgical Vunit. VWhat
VinformationVdoes Vthe Vnurse Vprovide Vto Vbest Vhelp Vthe Vclient Vpromote Vhis Vor Vher Vown
Vsafety?
a. Encourage Vthe Vclient Vand Vfamily Vto Vbe Vactive Vpartners.
b. Have Vthe Vclient Vmonitor Vhand Vhygiene Vin Vcaregivers.
c. Offer Vthe Vfamily Vthe Vopportunity Vto Vstay Vwith Vthe Vclient.
d. Tell Vthe Vclient Vto Valways Vwear Vhis Vor Vher Varmband.
ANS: V A
Each Vaction Vcould Vbe Vimportant Vfor Vthe Vclient Vor Vfamily Vto Vperform. VHowever,
Vencouraging Vthe Vclient Vto Vbe Vactive Vin Vhis Vor Vher Vhealth Vcare Vas Va Vsafety Vpartner Vis
Vthe Vmost Vcritical. VThe Vother Vactions Vare Vvery Vlimited Vin Vscope Vand Vdo Vnot Vprovide Vthe
Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman Test
V V V V
Bank V
, Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman
V V V
Vbroad Vprotection Vthat Vbeing Vactive VandVinvolved Vdoes.
DIF: Understanding TOP: VIntegrated VProcess:
VTeaching/LearningV
KEY: V Client Vsafety
MSC: V Client VNeeds VCategory: VSafe Vand VEffective VCare VEnvironment: VSafety Vand VInfection
VControl
3. A Vnurse Vis Vcaring Vfor Va Vpostoperative Vclient Von Vthe Vsurgical Vunit. VThe Vclient‘s Vblood
Vpressure Vwas V142/76 Vmm VHg V30 Vminutes Vago, Vand Vnow Vis V88/50 Vmm VHg. VWhat
Vaction Vwould Vthe VnurseVtake Vfirst?
a. Call Vthe VRapid VResponse VTeam.
b. Document Vand Vcontinue Vto Vmonitor.
c. Notify Vthe Vprimary Vhealth Vcare Vprovider.
d. Repeat Vthe Vblood Vpressure Vin V15 Vminutes.
Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman Test
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Bank V
, Medical Surgical Nursing 10th
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EditionIgnatavicius Workman
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ANS: V A
The Vpurpose Vof Vthe VRapid VResponse VTeam V(RRT) Vis Vto Vintervene Vwhen Vclients Vare
VdeterioratingV before Vthey Vsuffer Veither Vrespiratory Vor Vcardiac Varrest. VSince Vthe Vclient Vhas
Vmanifested Va Vsignificant Vchange, Vthe Vnurse Vwould Vcall Vthe VRRT. VChanges Vin Vblood
Vpressure, Vmental Vstatus, Vheart Vrate, Vtemperature, Voxygen Vsaturation, Vand Vlast V2 Vhours‘
Vurine Voutput Vare Vparticularly Vsignificant Vand Vare Vpart Vof Vthe VModified VEarly VWarning
VSystem Vguide. VDocumentation Vis Vvital, Vbut Vthe Vnurse Vmust Vdo Vmore Vthan Vdocument.
VThe Vprimary Vhealth Vcare Vprovider Vwould Vbe Vnotified, Vbut Vthis Vis Vnot Vmore Vimportant
Vthan Vcalling Vthe VRRT. VThe Vclient‘s Vblood Vpressure Vwould Vbe Vreassessed Vfrequently, Vbut
Vthe Vpriority Vis Vgetting Vthe Vrapid Vcare Vto Vthe Vclient.
DIF: Applying TOP: V Integrated VProcess: VCommunication Vand
VDocumentationVKEY: V Rapid VResponse VTeam V(RRT), VClinical Vjudgment
MSC: V Client VNeeds VCategory: VPhysiological VIntegrity: VPhysiological VAdaptation
4. A Vnurse Vwishes Vto Vprovide Vclient-centered Vcare Vin Vall Vinteractions. VWhich Vaction Vby Vthe
Vnurse
best Vdemonstrates Vthis Vconcept?
a. Assesses Vfor Vcultural Vinfluences Vaffecting Vhealth Vcare.
b. Ensures Vthat Vall Vthe Vclient‘s Vbasic Vneeds Vare Vmet.
c. Tells Vthe Vclient Vand Vfamily Vabout Vall Vupcoming Vtests.
d. Thoroughly Vorients Vthe Vclient Vand Vfamily Vto Vthe Vroom.
ANS: V A
Showing Vrespect Vfor Vthe Vclient Vand Vfamily‘s Vpreferences Vand Vneeds Vis Vessential Vto
Vensure Va Vholistic Vor V―whole-person‖ Vapproach Vto Vcare. VBy Vassessing Vthe Veffect Vof Vthe
Vclient‘s Vculture VonVhealth Vcare, Vthis Vnurse Vis Vpracticing Vclient-focused Vcare. VProviding
Vfor Vbasic Vneeds Vdoes Vnot Vdemonstrate Vthis Vcompetence. VSimply Vtelling Vthe Vclient
Vabout Vall Vupcoming Vtests Vis Vnot Vproviding Vempowering Veducation. VOrienting Vthe Vclient
Vand Vfamily Vto Vthe Vroom Vis Van VimportantV safety Vmeasure, Vbut Vnot Vdirectly Vrelated Vto
Vdemonstrating Vclient-centered Vcare.
DIF: Understanding TOP: VIntegrated VProcess: VCulture Vand VSpirituality
VKEY: V Client-centered Vcare, VCulture MSC: V Client VNeeds VCategory: VPsychosocial
VIntegrity
5. A Vclient Vis Vgoing Vto Vbe Vadmitted Vfor Va Vscheduled Vsurgical Vprocedure. VWhich Vaction
Vdoes VtheVnurse Vexplain Vis Vthe Vmost Vimportant Vthing Vthe Vclient Vcan Vdo Vto Vprotect
Vagainst Verrors?
a. Bring Va Vlist Vof Vall Vmedications Vand Vwhat Vthey Vare Vfor.
b. Keep Vthe Vprovider‘s Vphone Vnumber Vby Vthe Vtelephone.
c. Make Vsure Vthat Vall Vproviders Vwash Vhands Vbefore Ventering Vthe Vroom.
d. Write Vdown Vthe Vname Vof Veach Vcaregiver Vwho Vcomes Vin Vthe Vroom.
ANS: V A
Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman Test
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Bank V
, Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman
V V V
Medication Vreconciliation Vis Va Vformal Vprocess Vin Vwhich Vthe Vclient‘s Vactual Vcurrent
VmedicationsV are Vcompared Vto Vthe Vprescribed Vmedications Vat Vthe Vtime Vof Vadmission,
Vtransfer, Vor Vdischarge. VThis VNational Vclient VSafety VGoal Vis Vimportant Vto Vreduce
Vmedication Verrors. VThe Vclient Vwould Vnot Vhave Vto Vbe Vresponsible Vfor Vproviders
Vwashing Vtheir Vhands, Vand Veven Vif Vthe Vclient Vdoes Vso, Vthis Vis Vtoo Vnarrow Vto Vbe Vthe
Vmost Vimportant Vaction Vto Vprevent Verrors. VKeeping Vthe Vprovider‘s Vphone Vnumber
Vnearby Vand Vdocumenting Veveryone Vwho Venters Vthe Vroom Valso Vdo Vnot Vguarantee Vsafety.
DIF: Applying TOP: V Integrated VProcess:
VTeaching/LearningV
KEY: VClient Vsafety, VInformatics
MSC: V Client VNeeds VCategory: VSafe Vand VEffective VCare VEnvironment: VSafety Vand VInfection
VControl
Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman Test
V V V V
Bank
V
V V V
EditionIgnatavicius Workman
V V V
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
V V V V V V V V
Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
V V V V V V
MULTIPLE
VCHOICE
1. A Vnew Vnurse Vis Vworking Vwith Va Vpreceptor Von Va Vmedical-surgical Vunit. VThe Vpreceptor
Vadvises VtheVnew Vnurse Vthat Vwhich Vis Vthe Vpriority Vwhen Vworking Vas Va Vprofessional
Vnurse?
a. Attending Vto Vholistic Vclient Vneeds
b. Ensuring Vclient Vsafety
c. Not Vmaking Vmedication Verrors
d. Providing Vclient-focused Vcare
ANS: V B
All Vactions Vare Vappropriate Vfor Vthe Vprofessional Vnurse. VHowever, Vensuring Vclient
Vsafety Vis VtheV
priority. VHealth Vcare Verrors Vhave Vbeen Vwidely Vreported Vfor V25 Vyears,
Vmany Vof Vwhich Vresult VinV client Vinjury, Vdeath, Vand Vincreased Vhealth Vcare Vcosts. VThere
Vare Vseveral Vnational Vand Vinternational Vorganizations Vthat Vhave Veither Vrecommended Vor
Vmandated Vsafety Vinitiatives.
Every Vnurse Vhas Vthe Vresponsibility Vto Vguard Vthe Vclient‘s Vsafety. VThe Vother Vactions Vare
Vimportant Vfor Vquality Vnursing, Vbut Vthey Vare Vnot Vas Vvital Vas Vproviding Vsafety. VNot
Vmaking Vmedication Verrors V does Vprovide Vsafety, Vbut Vis Vtoo Vnarrow Vin Vscope Vto Vbe Vthe
Vbest Vanswer.
DIF: Understanding TOP: V Integrated VProcess: VNursing VProcess:
VInterventionV
KEY: V Client Vsafety
MSC: V Client VNeeds VCategory: VSafe Vand VEffective VCare VEnvironment: VSafety Vand VInfection
VControl
2. A Vnurse Vis Vorienting Va Vnew Vclient Vand Vfamily Vto Vthe Vmedical-surgical Vunit. VWhat
VinformationVdoes Vthe Vnurse Vprovide Vto Vbest Vhelp Vthe Vclient Vpromote Vhis Vor Vher Vown
Vsafety?
a. Encourage Vthe Vclient Vand Vfamily Vto Vbe Vactive Vpartners.
b. Have Vthe Vclient Vmonitor Vhand Vhygiene Vin Vcaregivers.
c. Offer Vthe Vfamily Vthe Vopportunity Vto Vstay Vwith Vthe Vclient.
d. Tell Vthe Vclient Vto Valways Vwear Vhis Vor Vher Varmband.
ANS: V A
Each Vaction Vcould Vbe Vimportant Vfor Vthe Vclient Vor Vfamily Vto Vperform. VHowever,
Vencouraging Vthe Vclient Vto Vbe Vactive Vin Vhis Vor Vher Vhealth Vcare Vas Va Vsafety Vpartner Vis
Vthe Vmost Vcritical. VThe Vother Vactions Vare Vvery Vlimited Vin Vscope Vand Vdo Vnot Vprovide Vthe
Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman Test
V V V V
Bank V
, Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman
V V V
Vbroad Vprotection Vthat Vbeing Vactive VandVinvolved Vdoes.
DIF: Understanding TOP: VIntegrated VProcess:
VTeaching/LearningV
KEY: V Client Vsafety
MSC: V Client VNeeds VCategory: VSafe Vand VEffective VCare VEnvironment: VSafety Vand VInfection
VControl
3. A Vnurse Vis Vcaring Vfor Va Vpostoperative Vclient Von Vthe Vsurgical Vunit. VThe Vclient‘s Vblood
Vpressure Vwas V142/76 Vmm VHg V30 Vminutes Vago, Vand Vnow Vis V88/50 Vmm VHg. VWhat
Vaction Vwould Vthe VnurseVtake Vfirst?
a. Call Vthe VRapid VResponse VTeam.
b. Document Vand Vcontinue Vto Vmonitor.
c. Notify Vthe Vprimary Vhealth Vcare Vprovider.
d. Repeat Vthe Vblood Vpressure Vin V15 Vminutes.
Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman Test
V V V V
Bank V
, Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman
V V V
ANS: V A
The Vpurpose Vof Vthe VRapid VResponse VTeam V(RRT) Vis Vto Vintervene Vwhen Vclients Vare
VdeterioratingV before Vthey Vsuffer Veither Vrespiratory Vor Vcardiac Varrest. VSince Vthe Vclient Vhas
Vmanifested Va Vsignificant Vchange, Vthe Vnurse Vwould Vcall Vthe VRRT. VChanges Vin Vblood
Vpressure, Vmental Vstatus, Vheart Vrate, Vtemperature, Voxygen Vsaturation, Vand Vlast V2 Vhours‘
Vurine Voutput Vare Vparticularly Vsignificant Vand Vare Vpart Vof Vthe VModified VEarly VWarning
VSystem Vguide. VDocumentation Vis Vvital, Vbut Vthe Vnurse Vmust Vdo Vmore Vthan Vdocument.
VThe Vprimary Vhealth Vcare Vprovider Vwould Vbe Vnotified, Vbut Vthis Vis Vnot Vmore Vimportant
Vthan Vcalling Vthe VRRT. VThe Vclient‘s Vblood Vpressure Vwould Vbe Vreassessed Vfrequently, Vbut
Vthe Vpriority Vis Vgetting Vthe Vrapid Vcare Vto Vthe Vclient.
DIF: Applying TOP: V Integrated VProcess: VCommunication Vand
VDocumentationVKEY: V Rapid VResponse VTeam V(RRT), VClinical Vjudgment
MSC: V Client VNeeds VCategory: VPhysiological VIntegrity: VPhysiological VAdaptation
4. A Vnurse Vwishes Vto Vprovide Vclient-centered Vcare Vin Vall Vinteractions. VWhich Vaction Vby Vthe
Vnurse
best Vdemonstrates Vthis Vconcept?
a. Assesses Vfor Vcultural Vinfluences Vaffecting Vhealth Vcare.
b. Ensures Vthat Vall Vthe Vclient‘s Vbasic Vneeds Vare Vmet.
c. Tells Vthe Vclient Vand Vfamily Vabout Vall Vupcoming Vtests.
d. Thoroughly Vorients Vthe Vclient Vand Vfamily Vto Vthe Vroom.
ANS: V A
Showing Vrespect Vfor Vthe Vclient Vand Vfamily‘s Vpreferences Vand Vneeds Vis Vessential Vto
Vensure Va Vholistic Vor V―whole-person‖ Vapproach Vto Vcare. VBy Vassessing Vthe Veffect Vof Vthe
Vclient‘s Vculture VonVhealth Vcare, Vthis Vnurse Vis Vpracticing Vclient-focused Vcare. VProviding
Vfor Vbasic Vneeds Vdoes Vnot Vdemonstrate Vthis Vcompetence. VSimply Vtelling Vthe Vclient
Vabout Vall Vupcoming Vtests Vis Vnot Vproviding Vempowering Veducation. VOrienting Vthe Vclient
Vand Vfamily Vto Vthe Vroom Vis Van VimportantV safety Vmeasure, Vbut Vnot Vdirectly Vrelated Vto
Vdemonstrating Vclient-centered Vcare.
DIF: Understanding TOP: VIntegrated VProcess: VCulture Vand VSpirituality
VKEY: V Client-centered Vcare, VCulture MSC: V Client VNeeds VCategory: VPsychosocial
VIntegrity
5. A Vclient Vis Vgoing Vto Vbe Vadmitted Vfor Va Vscheduled Vsurgical Vprocedure. VWhich Vaction
Vdoes VtheVnurse Vexplain Vis Vthe Vmost Vimportant Vthing Vthe Vclient Vcan Vdo Vto Vprotect
Vagainst Verrors?
a. Bring Va Vlist Vof Vall Vmedications Vand Vwhat Vthey Vare Vfor.
b. Keep Vthe Vprovider‘s Vphone Vnumber Vby Vthe Vtelephone.
c. Make Vsure Vthat Vall Vproviders Vwash Vhands Vbefore Ventering Vthe Vroom.
d. Write Vdown Vthe Vname Vof Veach Vcaregiver Vwho Vcomes Vin Vthe Vroom.
ANS: V A
Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman Test
V V V V
Bank V
, Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman
V V V
Medication Vreconciliation Vis Va Vformal Vprocess Vin Vwhich Vthe Vclient‘s Vactual Vcurrent
VmedicationsV are Vcompared Vto Vthe Vprescribed Vmedications Vat Vthe Vtime Vof Vadmission,
Vtransfer, Vor Vdischarge. VThis VNational Vclient VSafety VGoal Vis Vimportant Vto Vreduce
Vmedication Verrors. VThe Vclient Vwould Vnot Vhave Vto Vbe Vresponsible Vfor Vproviders
Vwashing Vtheir Vhands, Vand Veven Vif Vthe Vclient Vdoes Vso, Vthis Vis Vtoo Vnarrow Vto Vbe Vthe
Vmost Vimportant Vaction Vto Vprevent Verrors. VKeeping Vthe Vprovider‘s Vphone Vnumber
Vnearby Vand Vdocumenting Veveryone Vwho Venters Vthe Vroom Valso Vdo Vnot Vguarantee Vsafety.
DIF: Applying TOP: V Integrated VProcess:
VTeaching/LearningV
KEY: VClient Vsafety, VInformatics
MSC: V Client VNeeds VCategory: VSafe Vand VEffective VCare VEnvironment: VSafety Vand VInfection
VControl
Medical Surgical Nursing 10th
V V V
EditionIgnatavicius Workman Test
V V V V
Bank
V
