TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius, Cherie R. Rebar& Nicole M. Heimgartner |ISBN: 9780323878265| Complete Solution Guide A+

TEST BANK FOR MEDICAL SURGICAL
.o .o .o .o




NURSING:CONCEPTS FOR CLINICAL JUDGEMENTAND
.o .o .o .o . o




COLLABORATIVECARE11TH EDITION IGNATAVICIUS
o
. .o
. o




TESTBANK

,Test Bank - Medical-Surgical Nursing: Concepts for 2

Chapter 01: Overview of Professional Nursing
. o Concepts for Medical-

Surgical NursingMULTIPLE CHOICE
.o .o .W .o




1. A nurse wishes to provide client-centered care in all
. o .o .o .o .o .o .o .o




.o interactions.Which .W . o action by .o . o the nurse .o . o bestdemonstrates this
.o concept?
a. Assesses . o for cultural influences . o . o affecting health care
b. Ensures that . o . o . o all the clients basic needs are met
c. Tells the client and . o . o . o family about all upcoming tests . o




d. Thoroughly orients the client . o and family to the room


ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on .o .o .o .o .o .o .o .o .o .o




.o communication, culture, respect compassion, client .o .o .o .o . o education, and
.o




.o empowerment.By .W . o assessing . o the . o effect of the clients culture .o .o .o on
. o health care, this .o .o nurse is practicing client- focused
.o .o .o




care.
Providing for basic needs does .o . o not
demonstrate this competence. Simply
.o .o .o .o telling the client about
all upcoming tests is notproviding empowering education. .o . o . o




Orienting the client and family to .o .o .o .o .o the room is an important safety
.o measure, butnot directly .W .o . o related . o to demonstrating client-centered
.o .o




.o care.


DIF: . o Understanding/Comprehension REF:
3KEY:
.o




Patient-centered care| culture MSC:
.o .o .o .o




IntegratedProcess: .W CaringNOT: Client Needs . o . o




Category:
Psychosocial
Integrity
.o




2. A nurse is caring for a postoperative client on the surgical
.o .o .o .o .o .o .o .o .o unit. The
clientsblood pressure was 142/76 mm
.o .W .o .o .o . o Hg 30 minutes ago, and
nowis .o . o 88/50 mm Hg. What action by the .o .o .o .o .o




nurse is best? .o .o




a. Call the . o Rapid Response Team. . o




b. Document . o and continue to . o . o monitor.

,c. Notify the
. o primary care provider.
d. Repeat blood . o pressure measurement in 15 minutes.

, Test Bank - Medical-Surgical Nursing: Concepts for 3

ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene . o . o




Test Bank - Medical-Surgical Nursing: Concepts for 4
when clients are deteriorating before they suffer either respiratory
.o .o .o .o .o .o .o .o or cardiac
arrest. Since .o . o the client has manifested .o .o . o a . o significant change, the .o nurse
.o should . o call the

Test Bank - Medical-Surgical Nursing: Concepts for 5
RRT. Changes in blood pressure, mental . o . o . o . o status, heart rate, and . o . o . o . o . o . o




pain areparticularly .o .W . o . o significant.

Test Bank - Medical-Surgical Nursing: Concepts for 6


Documentation . o is . o . o . o vital, . o . o . o but . o . o . o the . o . o . o nurse . o . o . o must . o . o




. o do . o . o . o more than .o document. . o The . o primary . o . o . o care . o . o




. o provider . o . o . o should . o . o . o be
notified, . o . o . o but . o . o . o this . o . o . o is . o . o . o not . o . o . o the priority . o . o . o over
. o calling . o . o the . o . o RRT. The .o . o . o clients . o . o blood . o . o pressure . o . o should . o




. o be reassessed .o frequently, but .o




.o the . o . o priority . o . o is . o . o . o getting . o . o the . o . o rapid . o care . o to . o the client. .o




DIF: Applying/Application REF: 3 . o . o




KEY: Rapid Response Team
(RRT)|
.o




medicalemergencies .W MSC:
Integrated Process: .o




. o Communication and
. o Documentation
NOT: Client Needs Category: . o Physiological Integrity: Physiological Adaptation


3. A nurse is orienting a new client and family to the inpatient
. o .o .o .o .o .o .o .o .o .o .o unit.
Whatinformation does the nurse provide to help the client promote his or
.o .o .o .o .o .o .o .o .o .o .o .o




. o her ownsafety? .o .W




a. Encourage the client and . o family to be active partners.
b. Have the client monitor . o hand hygiene in caregivers.
c. Offer the family the opportunity to . o . o . o stay with the client.