abirb.com/test
WWW.NURSYLAB.COM
Chapter 01: Overview of Professional Nursing Concepts for Medical-
h h h h h h h h
h h
abirb.com/test
Surgical Nursing Ignatavicius: Medical-Surgical
h Nursing, 10th Edition
h h h
MULTIPLEhCHOICE abirb.com/test
1. Ahnewhnursehishworkinghwithhahpreceptorhonhahmedical-
surgicalhunit.hThehpreceptorhadviseshthehnewhnursehthathwhichhishthehpriorityhwhenhworkinghasha
hprofessionalhnurse? abirb.com/test
a. Attendinghtohholistichclienthneeds
b. Ensuringhclienthsafety
c. Nothmakinghmedicationherrors
abirb.com/test
d. Providinghclient-focusedhcareh
ANS:h B
Allhactionsharehappropriatehforhthehprofessionalhnurse.hHowever,hensuringhclienthsafetyhishthehp
abirb .com/tes t
riority.hHealthhcareherrorshhave beenh widely reportedh forh25hyears,hmanyhofhwhichhresulthinhcli
enthinjury,hdeath,handhincreasedhhealthhcarehcosts.hThereharehseveralhnationalhand
internationalhorganizationshthathhaveheitherhrecommendedhorhmandatedhsafetyhinitiatives.hEvery
hnursehhashthehresponsibilityhtohguardhthehclient’shsafety.hThehotherhactionsharehimportanthforhqua
abirb.com/test
lityhnursing,hbuththeyharehnothashvitalhashprovidinghsafety.hNothmakinghmedicationherrorshdoeshpro
videhsafety,hbuthishtoohnarrowhinhscopehtohbehthehbesthanswer.
DIF:
Understanding
abirb.c o m /test
T O P : h h IntegratedhProcess:hNursinghProcess:hIntervention
hKEY:h Clienthsafety
MSC:h ClienthNeedshCategory:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
abirb.com / t e s t
2. Ahnursehishorientinghahnewhclienthand family toht h e m e d i c a l -
surgicalhunit.hWhathinformationhdoeshthehnursehprovidehtohbesthhelphthehclienthpromotehhishorhher
hownhsafety?
a. Encouragehthehclienthandhfamilyhtohbehactivehpartners.
b. Havehthehclienthmonitorhhandhhygienehinhcaregivers.
abirb.com/test
c. Offerhthehfamilyhthehopportunityhtohstayhwithhthehclient.
d. Tellhthehclienthtohalwayshwearhhishorhherharmband.
ANS:h A abirb.com/test
Eachhactionhcouldhbehimportanthforhthehclienthorhfamilyhtohperform.hHowever,hencouraginghthehcl
ienthtohbehactivehinhhishorhherhhealthhcarehashahsafetyhpartnerhishthehmosthcritical.hThehother
actionsharehveryhlimitedhinhscopehandhdohnothprovidehthehbroadhprotectionhthathbeinghactivehand
involvedhdoes. abirb.com/test
DIF: Understanding TOP:h IntegratedhProcess:hTeaching/Learning
KEY:h Clienthsafety abirb.com/test
MSC:h ClienthNeedshCategory:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
3. Ahnursehishcaringhforhahpostoperativehclienthonhthehsurgicalhunit.hThehclient’shbloodhpressurehw
ash142/76hmmhHgh30hminutes ago, and now is 88/50 mmhHg.hWhathactionhwouldhthehnurse
takehfirst?
abirb.com/test
a. CallhthehRapidhResponsehTeam.
b. Documenthandhcontinuehtohmonitor.
abirb.com/test
c. Notifyhthehprimaryhhealthhcarehprovider.
d. Repeaththehbloodhpressurehinh15hminutes.
WWW.NURSYLAB.COM
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,abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
ANS:h A
abirb.com/tes t
ThehpurposehofhthehRapidhResponse Team (RRT) isht o intervene hwhenhclientsharehdeterioratingh
beforehtheyhsufferheitherhrespiratoryhorhcardiacharrest.hSincehthehclienthhashmanifestedhahsignifica
nthchange,hthehnursehwouldhcallhthehRRT.hChangeshinhbloodhpressure,hmentalhstatus,hhearthrate,ht
emperature,hoxygenhsaturation,handhlasth2hhours’hurinehoutputharehparticularlyhsignificanthandhar
abirb.com/test
ehparthofhthehModifiedhEarlyhWarninghSystemhguide.hDocumentationhishvital,hbuththehnursehmusth
dohmorehthanhdocument.hThehprimaryhhealthhcarehproviderhwouldhbehnotified,hbuththishishnothmor
ehimportanththanhcallinghthehRRT.hThehclient’shbloodhpressurehwouldhbehreassessedhfrequently,hb
abirb.com/test
uththehpriorityhishgettinghthehrapidhcarehtohthehclient.
DIF: Applying
TOP:h IntegratedhProcess:hCommunicationhandhDocumentationhKEY:h RapidhR
abirb.com/test
esponsehTeamh(RRT),hClinicalhjudgment
MSC:h ClienthNeedshCategory:hPhysiologicalhIntegrity:hPhysiologicalhAdaptation
4. Ahnursehwisheshtohprovidehclient-centeredhcarehinhallhinteractions.hWhichhactionhbyhthehnurse
a birb.com/test
besthdemonstrateshthishconcep t?
a. Assesseshforhculturalhinfluenceshaffectinghhealthhcare.
b. Ensureshthathallhthehclient’shbasichneedsharehmet.
c. Tellshthehclienthandhfamilyhabouthallhupcominghtests.
abirb.com/test
d. Thoroughlyhorientshthehclienthandhfamilyhtohthehroom.
ANS:h A
Showinghrespecthforhthehclienthandhfamily’shpreferenceshandhneedshishessentialhtohensurehahholisti
chorh“whole- abirb.com/test
person”happroachhtohcare.hByhassessinghtheheffecthofhthehclient’shculturehonhhealthhcare,hthishnurs
ehishpracticinghclient-
focusedhcare.hProvidinghforhbasichneedshdoeshnothdemonstratehthishcompetence.hSimplyhtellinght
hehclienthabouthallhupcominghtestshishnot
abirb.com/test
providinghempoweringheducation. Orienting the clienth andhfamilyhtohthehroomhishanhimportanthsa
fetyhmeasure,hbuthnothdirectlyhrelatedhtohdemonstratinghclient-centeredhcare.
DIF: Understanding T O P : h h IntegratedhProcess:hCulturehandhSpirituality
abirb.c
KEY:h Client-centeredhcare,hCulture o Client
MSC: m /tNeeds
est Category: Psychosocial Integrity
h h h h h
5. Ahclienthishgoinghtohbehadmittedhforhahscheduledhsurgicalhprocedure.hWhichhactionhdoeshthehn
ursehexplainhishthehmosthimportanththinghthehclienthcanhdohtohprotecthagainstherrors?
abirb.com/test
a. Bringhahlisthofhallhmedicationshandhwhaththeyharehfor.
b. Keephthehprovider’shphonehnumberhbyhthehtelephone.
c. Makehsurehthathallhprovidershwashhhandshbeforehenteringhthehroom.
abirb.com/test
d. Writehdownhthehnamehofheachhcaregiverhwhohcomeshinhthehroom.
ANS:h A
Medicationhreconciliationhishahformalhprocesshinhwhichhthehclient’shactualhcurrenthmedicationshar
abirb.com/test
ehcomparedhtohthehprescribedhmedicationshaththehtimehofhadmission,htransfer,horhdischarge.hThish
NationalhclienthSafetyhGoalhishimportanthtohreducehmedicationherrors.hThehclienthwouldhnothhave
htohbehresponsiblehforhprovidershwashinghtheirhhands,handhevenhifhthehclienthdoeshso,hthishishtoohna
rrowhtohbehthehmosthimportanthactionhtohpreventherrors.hKeepinghthehprovider’shphonehnumberhn
abirb.com/test
earbyhandhdocumentingheveryonehwhohentershthehroomhalsohdohnothguaranteehsafety.
DIF: Applying
a b ir b .c o m / t e s t
TOP:h Int eg rat e d Pr o ce ss: Te ac h in g/ Learning hKEY:h Clienths
afety,hInformatics
MSC:h ClienthNeedshCategory:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
WWW.NURSYLAB.COM
Chapter 01: Overview of Professional Nursing Concepts for Medical-
h h h h h h h h
h h
abirb.com/test
Surgical Nursing Ignatavicius: Medical-Surgical
h Nursing, 10th Edition
h h h
MULTIPLEhCHOICE abirb.com/test
1. Ahnewhnursehishworkinghwithhahpreceptorhonhahmedical-
surgicalhunit.hThehpreceptorhadviseshthehnewhnursehthathwhichhishthehpriorityhwhenhworkinghasha
hprofessionalhnurse? abirb.com/test
a. Attendinghtohholistichclienthneeds
b. Ensuringhclienthsafety
c. Nothmakinghmedicationherrors
abirb.com/test
d. Providinghclient-focusedhcareh
ANS:h B
Allhactionsharehappropriatehforhthehprofessionalhnurse.hHowever,hensuringhclienthsafetyhishthehp
abirb .com/tes t
riority.hHealthhcareherrorshhave beenh widely reportedh forh25hyears,hmanyhofhwhichhresulthinhcli
enthinjury,hdeath,handhincreasedhhealthhcarehcosts.hThereharehseveralhnationalhand
internationalhorganizationshthathhaveheitherhrecommendedhorhmandatedhsafetyhinitiatives.hEvery
hnursehhashthehresponsibilityhtohguardhthehclient’shsafety.hThehotherhactionsharehimportanthforhqua
abirb.com/test
lityhnursing,hbuththeyharehnothashvitalhashprovidinghsafety.hNothmakinghmedicationherrorshdoeshpro
videhsafety,hbuthishtoohnarrowhinhscopehtohbehthehbesthanswer.
DIF:
Understanding
abirb.c o m /test
T O P : h h IntegratedhProcess:hNursinghProcess:hIntervention
hKEY:h Clienthsafety
MSC:h ClienthNeedshCategory:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
abirb.com / t e s t
2. Ahnursehishorientinghahnewhclienthand family toht h e m e d i c a l -
surgicalhunit.hWhathinformationhdoeshthehnursehprovidehtohbesthhelphthehclienthpromotehhishorhher
hownhsafety?
a. Encouragehthehclienthandhfamilyhtohbehactivehpartners.
b. Havehthehclienthmonitorhhandhhygienehinhcaregivers.
abirb.com/test
c. Offerhthehfamilyhthehopportunityhtohstayhwithhthehclient.
d. Tellhthehclienthtohalwayshwearhhishorhherharmband.
ANS:h A abirb.com/test
Eachhactionhcouldhbehimportanthforhthehclienthorhfamilyhtohperform.hHowever,hencouraginghthehcl
ienthtohbehactivehinhhishorhherhhealthhcarehashahsafetyhpartnerhishthehmosthcritical.hThehother
actionsharehveryhlimitedhinhscopehandhdohnothprovidehthehbroadhprotectionhthathbeinghactivehand
involvedhdoes. abirb.com/test
DIF: Understanding TOP:h IntegratedhProcess:hTeaching/Learning
KEY:h Clienthsafety abirb.com/test
MSC:h ClienthNeedshCategory:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
3. Ahnursehishcaringhforhahpostoperativehclienthonhthehsurgicalhunit.hThehclient’shbloodhpressurehw
ash142/76hmmhHgh30hminutes ago, and now is 88/50 mmhHg.hWhathactionhwouldhthehnurse
takehfirst?
abirb.com/test
a. CallhthehRapidhResponsehTeam.
b. Documenthandhcontinuehtohmonitor.
abirb.com/test
c. Notifyhthehprimaryhhealthhcarehprovider.
d. Repeaththehbloodhpressurehinh15hminutes.
WWW.NURSYLAB.COM
abirb.com/test
,abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
ANS:h A
abirb.com/tes t
ThehpurposehofhthehRapidhResponse Team (RRT) isht o intervene hwhenhclientsharehdeterioratingh
beforehtheyhsufferheitherhrespiratoryhorhcardiacharrest.hSincehthehclienthhashmanifestedhahsignifica
nthchange,hthehnursehwouldhcallhthehRRT.hChangeshinhbloodhpressure,hmentalhstatus,hhearthrate,ht
emperature,hoxygenhsaturation,handhlasth2hhours’hurinehoutputharehparticularlyhsignificanthandhar
abirb.com/test
ehparthofhthehModifiedhEarlyhWarninghSystemhguide.hDocumentationhishvital,hbuththehnursehmusth
dohmorehthanhdocument.hThehprimaryhhealthhcarehproviderhwouldhbehnotified,hbuththishishnothmor
ehimportanththanhcallinghthehRRT.hThehclient’shbloodhpressurehwouldhbehreassessedhfrequently,hb
abirb.com/test
uththehpriorityhishgettinghthehrapidhcarehtohthehclient.
DIF: Applying
TOP:h IntegratedhProcess:hCommunicationhandhDocumentationhKEY:h RapidhR
abirb.com/test
esponsehTeamh(RRT),hClinicalhjudgment
MSC:h ClienthNeedshCategory:hPhysiologicalhIntegrity:hPhysiologicalhAdaptation
4. Ahnursehwisheshtohprovidehclient-centeredhcarehinhallhinteractions.hWhichhactionhbyhthehnurse
a birb.com/test
besthdemonstrateshthishconcep t?
a. Assesseshforhculturalhinfluenceshaffectinghhealthhcare.
b. Ensureshthathallhthehclient’shbasichneedsharehmet.
c. Tellshthehclienthandhfamilyhabouthallhupcominghtests.
abirb.com/test
d. Thoroughlyhorientshthehclienthandhfamilyhtohthehroom.
ANS:h A
Showinghrespecthforhthehclienthandhfamily’shpreferenceshandhneedshishessentialhtohensurehahholisti
chorh“whole- abirb.com/test
person”happroachhtohcare.hByhassessinghtheheffecthofhthehclient’shculturehonhhealthhcare,hthishnurs
ehishpracticinghclient-
focusedhcare.hProvidinghforhbasichneedshdoeshnothdemonstratehthishcompetence.hSimplyhtellinght
hehclienthabouthallhupcominghtestshishnot
abirb.com/test
providinghempoweringheducation. Orienting the clienth andhfamilyhtohthehroomhishanhimportanthsa
fetyhmeasure,hbuthnothdirectlyhrelatedhtohdemonstratinghclient-centeredhcare.
DIF: Understanding T O P : h h IntegratedhProcess:hCulturehandhSpirituality
abirb.c
KEY:h Client-centeredhcare,hCulture o Client
MSC: m /tNeeds
est Category: Psychosocial Integrity
h h h h h
5. Ahclienthishgoinghtohbehadmittedhforhahscheduledhsurgicalhprocedure.hWhichhactionhdoeshthehn
ursehexplainhishthehmosthimportanththinghthehclienthcanhdohtohprotecthagainstherrors?
abirb.com/test
a. Bringhahlisthofhallhmedicationshandhwhaththeyharehfor.
b. Keephthehprovider’shphonehnumberhbyhthehtelephone.
c. Makehsurehthathallhprovidershwashhhandshbeforehenteringhthehroom.
abirb.com/test
d. Writehdownhthehnamehofheachhcaregiverhwhohcomeshinhthehroom.
ANS:h A
Medicationhreconciliationhishahformalhprocesshinhwhichhthehclient’shactualhcurrenthmedicationshar
abirb.com/test
ehcomparedhtohthehprescribedhmedicationshaththehtimehofhadmission,htransfer,horhdischarge.hThish
NationalhclienthSafetyhGoalhishimportanthtohreducehmedicationherrors.hThehclienthwouldhnothhave
htohbehresponsiblehforhprovidershwashinghtheirhhands,handhevenhifhthehclienthdoeshso,hthishishtoohna
rrowhtohbehthehmosthimportanthactionhtohpreventherrors.hKeepinghthehprovider’shphonehnumberhn
abirb.com/test
earbyhandhdocumentingheveryonehwhohentershthehroomhalsohdohnothguaranteehsafety.
DIF: Applying
a b ir b .c o m / t e s t
TOP:h Int eg rat e d Pr o ce ss: Te ac h in g/ Learning hKEY:h Clienths
afety,hInformatics
MSC:h ClienthNeedshCategory:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
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WWW.NURSYLAB.COM
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