, ◦ Timby's Introductory Medical- y3ji y3ji
Surgical Nursing 13th Edition Moreno Test Bank
y3ji y3ji y3ji y3ji y3ji y3ji
Chapter 1 y3ji Concepts and Trends in Healthcare y3 j i y3 ji y3 j i y3 ji
◦ A new nurse is working with a preceptor on an inpatient medical-
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
surgical unit. The preceptor advises the student that which is the priorit
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
y when working as a professional nurse?
y3ji y3ji y3ji y3ji y3ji y3ji
◦ Attending to holistic client needs y3ji y3ji y3ji y3ji
◦ Ensuring client safety y3ji y3ji
◦ Not making medication errors
y3ji y3ji y3ji
◦
Providing client y3ji
-
focused care y3ji y3ji y3ji
ANS: B y3ji
◦ All actions are appropriate for the professional nurse. However,
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y 3
ensuring client safety is the priority. Up to 98,000 deaths result each
j i y3ji y3 ji y3ji y3ji y3 ji y3ji y3ji y3ji y3 ji y3ji y3ji y3
year from errors in hospital care, according to the 2000 Institute of Medicine
ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y
report. Many more clients have suffered injuries and less serious outcomes. Ev
3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ery nurse has the responsibility to guard the clients safety.
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
◦ DIF: Understanding/Comprehension REF: y3ji y3ji y3ji
2 KEY: Patient safety MSC: Integrated Process: Nursi
y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ng Process: Intervention
y3ji y3ji
◦ NOT: Client Needs Category: Safe and Effective y3ji y3ji y3ji y3ji y3ji y3ji y3ji
Care Environment: Safety and Infection Control
y3ji y3ji y3ji y3ji y3ji
◦ A nurse is orienting a new client and family to the inpatient unit. W
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
hat information does the nurse provide to help the client promote his
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
or her own safety?
y3ji y3ji y3ji
◦ Encourage the client and family to be active partners.
y3ji y3ji y3ji y3ji y3 ji y3ji y3ji y3ji
◦ Have the client monitor hand hygiene in caregivers.
y3j i y3ji y3 ji y3ji y3ji y3j i y3ji
◦ Offer the family the opportunity to stay with the
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji client.
◦
Tell the client to always wear h y3ji y3ji y3ji y3ji y3ji y3ji
is or her armband. ANS: A y3ji y3ji y3ji y3ji y3ji
◦ Each action could be important for the client or family to perf y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
orm. However, encouraging the client to be active in his or her health care
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
as a partner is the most critical. The other actions are
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
◦
◦
very limited in scope and do not provide the broad protecti y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
on that being active and involved does.
y3ji y3ji y3ji y3ji y3ji y3ji
◦ DIF: Understanding/Comprehension REF: y3ji y3ji y3ji
3 KEY: Patient safety MSC: Integrated Process: Teach
y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ing/ Learning y3ji
◦ NOT: Client Needs Category: Safe and Effective Care y3ji y3ji y3ji y3 ji y3j i y3j i y3j i
,Environment: Safety and Infection Control y3ji y3ji y3ji y3ji
◦ A nurse is caring for a postoperative client on the surgical unit. The clien
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ts blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
mm Hg. What action by the nurse is best?
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
◦ Call the Rapid Response Team.
y3 j i y3ji y3ji y3ji
◦ Document and continue to monitor. y3ji y3ji y3ji y3ji
◦ Notify the primary care provider.
y3j i y3ji y3ji y3ji
◦
Repeat blood pressure measureme y3ji y3ji y3ji
nt in 15 minutes. ANS: A y3ji y3ji y3ji y3ji y3ji
◦ The purpose of the Rapid Response Team (RRT) is to intervene y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
when clients are deteriorating before they suffer either respiratory or cardiac arr
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
est. Since the client has manifested a significant change, the nurse should call t
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
he RRT. Changes in blood pressure, mental status, heart rate, and pain are parti
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
cularly significant. Documentation is vital, but the nurse must do more than doc
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ument. The primary care provider should be notified, but this is not the priority
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
over calling
y3ji the RRT. The clients blood pressure should be reassessed fre
y3ji y 3 j i y3ji y3ji y 3 j i y3ji y3ji y3ji y3ji y3ji y3ji
quently, but the priority is getting
y3ji y3ji y3ji y3ji y3ji
the rapid care to the client. y3ji y3ji y3ji y3ji y3ji
◦ DIF: Applying/Application REF: 3
y3ji y3ji y3ji
◦ KEY: Rapid Response Team (RR y3ji y3ji y3ji y3ji
T)| medical emergencies MSC: Integrated Proce
y3ji y3ji y3ji y3ji y3ji
ss:
Communication and Documentation y3ji y3ji
◦ NOT: Client Needs Category: Physiological Integrity: Physiological Adapta y3ji y3ji y3ji y3ji y3ji y3ji y3ji
tion
◦
◦ A nurse wishes to provide client-
y3ji y3ji y3ji y3ji y3ji
centered care in all interactions. Which action by the nurse best d
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
emonstrates this concept? y3ji y3ji
◦ Assesses for cultural influences affecting health care y3ji y3ji y3 j i y3 ji y3ji y3ji
◦ Ensures that all the clients basic needs are met
y3 ji y3 ji y3 ji y3 ji y3 j i y3 ji y3 ji y3ji
◦ Tells the client and family about all upcoming tests
y3 ji y3 ji y3 j i y3 j i y3 j i y3 j i y3 j i y3ji
◦
Thoroughly orients the client a y3ji y3ji y3ji y3ji
nd family to the room ANS: y3ji y3ji y3ji y3ji y3ji y3ji
A
◦ Competency in client- y3ji y3ji
focused care is demonstrated when the nurse focuses on communication, cul
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ture, respect, compassion, client education, and empowerment. By assessing
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
the effect of the
y3ji y3ji y3ji
◦
◦ clients culture on health care, this nurse is practicing client- y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
focused care. Providing for basic needs does not demonstrate this competence
y3ji y3ji y3ji y3ji y 3 j i y3ji y3ji y3ji y3ji y3ji
. Simply telling the client about all upcoming tests is not providing empowerin
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
g education. Orienting the client and family to the room is an important safety
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
measure, but not directly related to demonstrating client-centered care.
y3ji y3ji y3ji y3ji y 3 j i y3ji y3ji y3ji y 3 j i
, ◦ DIF: y3ji Understanding/Comprehension y3ji REF: 3
y3ji
Surgical Nursing 13th Edition Moreno Test Bank
y3ji y3ji y3ji y3ji y3ji y3ji
Chapter 1 y3ji Concepts and Trends in Healthcare y3 j i y3 ji y3 j i y3 ji
◦ A new nurse is working with a preceptor on an inpatient medical-
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
surgical unit. The preceptor advises the student that which is the priorit
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
y when working as a professional nurse?
y3ji y3ji y3ji y3ji y3ji y3ji
◦ Attending to holistic client needs y3ji y3ji y3ji y3ji
◦ Ensuring client safety y3ji y3ji
◦ Not making medication errors
y3ji y3ji y3ji
◦
Providing client y3ji
-
focused care y3ji y3ji y3ji
ANS: B y3ji
◦ All actions are appropriate for the professional nurse. However,
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y 3
ensuring client safety is the priority. Up to 98,000 deaths result each
j i y3ji y3 ji y3ji y3ji y3 ji y3ji y3ji y3ji y3 ji y3ji y3ji y3
year from errors in hospital care, according to the 2000 Institute of Medicine
ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y
report. Many more clients have suffered injuries and less serious outcomes. Ev
3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ery nurse has the responsibility to guard the clients safety.
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
◦ DIF: Understanding/Comprehension REF: y3ji y3ji y3ji
2 KEY: Patient safety MSC: Integrated Process: Nursi
y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ng Process: Intervention
y3ji y3ji
◦ NOT: Client Needs Category: Safe and Effective y3ji y3ji y3ji y3ji y3ji y3ji y3ji
Care Environment: Safety and Infection Control
y3ji y3ji y3ji y3ji y3ji
◦ A nurse is orienting a new client and family to the inpatient unit. W
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
hat information does the nurse provide to help the client promote his
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
or her own safety?
y3ji y3ji y3ji
◦ Encourage the client and family to be active partners.
y3ji y3ji y3ji y3ji y3 ji y3ji y3ji y3ji
◦ Have the client monitor hand hygiene in caregivers.
y3j i y3ji y3 ji y3ji y3ji y3j i y3ji
◦ Offer the family the opportunity to stay with the
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji client.
◦
Tell the client to always wear h y3ji y3ji y3ji y3ji y3ji y3ji
is or her armband. ANS: A y3ji y3ji y3ji y3ji y3ji
◦ Each action could be important for the client or family to perf y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
orm. However, encouraging the client to be active in his or her health care
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
as a partner is the most critical. The other actions are
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
◦
◦
very limited in scope and do not provide the broad protecti y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
on that being active and involved does.
y3ji y3ji y3ji y3ji y3ji y3ji
◦ DIF: Understanding/Comprehension REF: y3ji y3ji y3ji
3 KEY: Patient safety MSC: Integrated Process: Teach
y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ing/ Learning y3ji
◦ NOT: Client Needs Category: Safe and Effective Care y3ji y3ji y3ji y3 ji y3j i y3j i y3j i
,Environment: Safety and Infection Control y3ji y3ji y3ji y3ji
◦ A nurse is caring for a postoperative client on the surgical unit. The clien
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ts blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
mm Hg. What action by the nurse is best?
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
◦ Call the Rapid Response Team.
y3 j i y3ji y3ji y3ji
◦ Document and continue to monitor. y3ji y3ji y3ji y3ji
◦ Notify the primary care provider.
y3j i y3ji y3ji y3ji
◦
Repeat blood pressure measureme y3ji y3ji y3ji
nt in 15 minutes. ANS: A y3ji y3ji y3ji y3ji y3ji
◦ The purpose of the Rapid Response Team (RRT) is to intervene y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
when clients are deteriorating before they suffer either respiratory or cardiac arr
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
est. Since the client has manifested a significant change, the nurse should call t
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
he RRT. Changes in blood pressure, mental status, heart rate, and pain are parti
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
cularly significant. Documentation is vital, but the nurse must do more than doc
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ument. The primary care provider should be notified, but this is not the priority
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
over calling
y3ji the RRT. The clients blood pressure should be reassessed fre
y3ji y 3 j i y3ji y3ji y 3 j i y3ji y3ji y3ji y3ji y3ji y3ji
quently, but the priority is getting
y3ji y3ji y3ji y3ji y3ji
the rapid care to the client. y3ji y3ji y3ji y3ji y3ji
◦ DIF: Applying/Application REF: 3
y3ji y3ji y3ji
◦ KEY: Rapid Response Team (RR y3ji y3ji y3ji y3ji
T)| medical emergencies MSC: Integrated Proce
y3ji y3ji y3ji y3ji y3ji
ss:
Communication and Documentation y3ji y3ji
◦ NOT: Client Needs Category: Physiological Integrity: Physiological Adapta y3ji y3ji y3ji y3ji y3ji y3ji y3ji
tion
◦
◦ A nurse wishes to provide client-
y3ji y3ji y3ji y3ji y3ji
centered care in all interactions. Which action by the nurse best d
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
emonstrates this concept? y3ji y3ji
◦ Assesses for cultural influences affecting health care y3ji y3ji y3 j i y3 ji y3ji y3ji
◦ Ensures that all the clients basic needs are met
y3 ji y3 ji y3 ji y3 ji y3 j i y3 ji y3 ji y3ji
◦ Tells the client and family about all upcoming tests
y3 ji y3 ji y3 j i y3 j i y3 j i y3 j i y3 j i y3ji
◦
Thoroughly orients the client a y3ji y3ji y3ji y3ji
nd family to the room ANS: y3ji y3ji y3ji y3ji y3ji y3ji
A
◦ Competency in client- y3ji y3ji
focused care is demonstrated when the nurse focuses on communication, cul
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
ture, respect, compassion, client education, and empowerment. By assessing
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
the effect of the
y3ji y3ji y3ji
◦
◦ clients culture on health care, this nurse is practicing client- y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
focused care. Providing for basic needs does not demonstrate this competence
y3ji y3ji y3ji y3ji y 3 j i y3ji y3ji y3ji y3ji y3ji
. Simply telling the client about all upcoming tests is not providing empowerin
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
g education. Orienting the client and family to the room is an important safety
y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji
measure, but not directly related to demonstrating client-centered care.
y3ji y3ji y3ji y3ji y 3 j i y3ji y3ji y3ji y 3 j i
, ◦ DIF: y3ji Understanding/Comprehension y3ji REF: 3
y3ji
