Test Bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition by Donna D. Ignatavicius Chapter 1-69 |Complete Guide A+

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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
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Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE dw




1. A new nurse is working with a preceptor on a medical-
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surgical Vunit. VTheVpreceptor advises the new nurse that which is the priority
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when Vworking Vas VaVprofessional Vnurse?
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a. Attending to holistic client needs dw d w d w d w



b. Ensuring client safety dw d w



c. Not making medication errors d w dw d w



d. Providing client-focused care dw d w




ANS: d w B
All actions are appropriate for the professional nurse.
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However,VensuringVclientVsafetyVis the priority. Health care errors have been
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widely reported VforV25 Vyears, VmanyVof Vwhich result in client injury, death, and
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increased health care Vcosts. VThere VareVseveral Vnational and international
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organizations that have either Vrecommended Vor Vmandated Vsafety initiatives.
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Every nurse has the responsibility to Vguard the client‘s Vsafety. VThe Vother Vactions Vare
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important for quality nursing, but they are Vnot Vas vital Vas Vproviding Vsafety. VNot
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Vmaking medication
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be the best answer.
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DIF: Understanding TOP: Integrated Process: Nursing d w dw dw



Process: Intervention KEY: Client safety
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MSC: Client Needs Category:VSafeVandVEffective Care Environment: Safety and Infection
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Control
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2. A nurse is orientingVa Vnew Vclient and family to the medical-surgical unit.
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What information does the nurseVprovide to best help the client promote
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his or her own safety?
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a. Encourage the Vclient Vand family to be active partners. dw dw dw d w dw d w d w d w



b. Have theVclient Vmonitor hand hygiene in caregivers.
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c. OfferVtheVfamily the opportunity to stay with the client. dw dw d w dw d w dw d w d w



d. Tell theVclient to always wear his or her armband.
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ANS: V A dw dw



Each Vaction could be important for the client or family to perform.
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However, encouraging the client to be active in his or her health care
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as a safety partner is the most critical. The other actions are very limited
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in scope and do not provide the broad protection that being active and
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, d w involved does. d w




DIF: Understanding TOP: Integrated dw



Process: Teaching/Learning KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
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3. A nurse is caring for a postoperative client on the surgical unit. The
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client‘s blood pressure was 142/76 mm Hg 30 minutes ago, and now is
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88/50 mm Hg. What action would the nurse take first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. d w d w d w d w



c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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,Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative
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Care 10th

ANS: d w A
The purpose of the Rapid Response Team (RRT) is to intervene when
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clients are deteriorating before they suffer either respiratory or cardiac
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arrest. Since the client has manifested a significant change, the nurse
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would call the RRT. Changes in blood pressure, mental status, heart rate,
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temperature, oxygen saturation, and last 2 hours‘ urine output are
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particularly significant and are part of the Modified Early Warning System
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guide. Documentation is vital, but the nurse must do more than document.
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The primary health care provider would be notified, but this is not more
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important than calling the RRT. The client‘s blood pressure would be
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reassessed frequently, but the priority is getting the rapid care to the
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client.
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DIF: Applying TOP: Integrated Process: Communication and d w dw dw dw



Documentation KEY: Rapid Response Team (RRT), Clinical
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judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action by
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the nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care.
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b. Ensures that all the client‘s basic needs are met.
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c. Tells the client and family about all upcoming tests.
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d. Thoroughly orients the client and family to the room. dw d w d w d w d w dw d w d w




ANS: d w A
Showing respect for the client and family‘s preferences and needs is essential
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to ensure a holistic or ―whole-person‖ approach to care. By assessing the
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effect of the client‘s culture on health care, this nurse is practicing
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client-focused care. Providing for basic needs does not demonstrate this
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competence. Simply telling the client about all upcoming tests is not
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providing empowering education. Orienting the client and family to the room
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is an important safety measure, but not directly related to demonstrating
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client-centered care.
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DIF: Understanding TOP: Integrated Process: Culture and dw d w d w d w d w



Spirituality KEY: Client-centered care, Culture
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Category: Psychosocial Integrity
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5. A client is going to be admitted for a scheduled surgical procedure.
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Which action does the nurse explain is the most important thing
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the client can do to protect against errors?
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a. Bring a list of all medications and what they are for.
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b. Keep the provider‘s phone number by the telephone.
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c. Make sure that all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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ANS: d w A
Medication reconciliation is a formal process in which the client‘s actual
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current medications are compared to the prescribed medications at the time
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of admission, transfer, or discharge. This National client Safety Goal is
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important to reduce medication errors. The client would not have to be
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responsible for providers washing their hands, and even if the client does
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so, this is too narrow to be the most important action to prevent errors.
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Keeping the provider‘s phone number nearby and documenting everyone who
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enters the room also do not guarantee safety.
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DIF: Applying TOP: d w Integrated Process: dw

, Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative
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Teaching/Learning KEY: Client safety, Informatics
Care 10th d w d w d w d w



MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
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