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

TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69

,Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLECHOICE ZXC




1. A new nurse is working with a preceptor on a medical-
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surgical unit. The preceptor advises the new nurse that which is the priority when working as a pr
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ofessional nurse? ZXC




a. Attendingto holistic client needs ZXC ZXC ZXC ZXC




b. Ensuring client safety ZXC ZXC




c. Not makingmedication errors ZXC ZXC ZXC




d. Providingclient-focused care ZXC ZXC




CORRECT ANSWER: B ZXC Z X C




All actions are appropriate for the professional nurse. However, ensuring client safetyis the priorit
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y. Health care errors have been widely reported for 25 years, manyof which result in client injury,
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death, and increased health care costs. There are several national and international organization
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s that have either recommended or mandated safety initiatives.
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Every nurse has the responsibility to guard the client’s safety. The other actions are important for
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qualitynursing, but they are not as vital as providing safety. Not making medication errors does pr
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ovide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding
TOP: IntegratedProcess:NursingProcess:Intervention KEY: Client safety
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MSC: Client Needs Category: SafeandEffective CareEnvironment: SafetyandInfection Control
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2. A nurse is orienting a new client and familyto the medical-
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surgical unit. What information does the nurse provide to best help the client promote his or h
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er own safety? ZXC ZXC




a. Encourage the client and familyto be active partners. ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




b. Have the client monitor hand hygiene in caregivers. ZXC ZXC ZXC ZXC ZXC ZXC ZXC




c. Offer the familythe opportunityto staywith the client. ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




d. Tellthe client to always wear his or her armband. ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




CORRECT ANSWER: A ZXC Z X C

, Each action could be important for the client or familyto perform. However, encouraging the clie
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nt to be active in his or her health care as a safety partner is the most critical. The other actions are
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verylimited in scope and do not provide the broad protection that being active and involved does.
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DIF: Understanding
TOP:IntegratedProcess:Teaching/Learning KEY: Client safety
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MSC: Client Needs Category: SafeandEffective CareEnvironment: SafetyandInfection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
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142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take first
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?
a. Call the Rapid ResponseTeam. ZXC ZXC ZXC ZXC




b. Document and continue to monitor. ZXC ZXC ZXC ZXC




c. Notifythe primaryhealth care provider. ZXC ZXC ZXC ZXC ZXC




d. Repeat the blood pressure in 15 minutes. ZXC ZXC ZXC ZXC ZXC ZXC

, CORRECT ANSWER: A ZXC Z X C




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating befo
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re they suffer either respiratory or cardiac arrest. Since the client has manifested a significant cha
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nge, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate, temperat
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ure, oxygen saturation, and last 2 hours’ urine output are particularly significant and are part of th
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e Modified Early Warning System guide. Documentation is vital, but the nurse must do more than
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document. The primary health care provider would be notified, but this is not more important th ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




an calling the RRT. The client’s blood pressure would be reassessed frequently, but the priority is
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getting the rapid care to the client. ZXC ZXC ZXC ZXC ZXC ZXC




DIF: Applying
TOP: IntegratedProcess:CommunicationandDocumentation KEY: Rapid Resp Z X C ZXC ZXC ZXC ZXC ZXC ZXC ZXC




onse Team (RRT), Clinical judgment ZXC ZXC ZXC ZXC




MSC: ClientNeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation
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4. Anurse wishes to provide client-centered care in all interactions. Which action bythe nurse
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best demonstrates this concept? ZXC ZXC ZXC




a. Assesses for cultural influences affecting health care. ZXC ZXC ZXC ZXC ZXC ZXC




b. Ensuresthat all the client’s basic needs are met. ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




c. Tells the client and family about all upcoming tests. ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




d. Thoroughlyorients the client and familyto the room. ZXC ZXC ZXC ZXC ZXC ZXC ZXC ZXC




CORRECT ANSWER: A ZXC Z X C




Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
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or “whole- ZXC




person” approach to care. Byassessing the effect of the client’s culture on health care, this nurse is
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practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply telling th
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e client about all upcoming tests is not providing empowering education. Orienting the client and f
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amilyto the room is an important safety measure, but not directly related to demonstrating client
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-centered care. ZXC




DIF: Understanding
TOP: Integrated Process: Culture and Spirituality KEY: Client-centered care, Culture
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MSC: ClientNeedsCategory:PsychosocialIntegrity Z X C ZXC ZXC ZXC ZXC




5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurs
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e explain is the most important thing the client can do to protect against errors?
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a. Bring a list of all medications and what theyare for. ZXC ZXC ZX C ZXC ZXC ZXC ZXC ZXC ZXC ZXC