TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, All chapters 1 - 74

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TEST BANK FOR MEDICAL SURGICAL
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pdl NURSING:CONCEPTS FOR CLINICAL pdl pdl




pdl JUDGEMENT AND pdl p d l COLLABORATIVE CARE 11TH pdl pdl




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EDITION IGNATAVICIUS pdl pdl p d l




TEST BANK pdl

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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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pdl MULTIPLE CHOICE pdl




1. A nurse wishes to provide client-centered care in all interactions.
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pdl Which action by the nurse bestdemonstrates this concept?
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a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients 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 pdl pdl pdl pdl pdl p dl pdl pdl




ANS: A pdl




Competency in client-focused care is demonstrated when the nurse focuses on
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pdl communication, culture, respect compassion, client education, and empowerment. pdl pdl pdl pdl pdl pdl pdl




pdl By assessing the effect of the clients culture on health care, this nurse is practicing
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pdl 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 providing
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pdl empowering education. pdl




Orienting the client and family to the room is an important safety measure, but not
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pdl directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC: Integrated
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pdl Process: CaringNOT: Client Needs Category:
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Psychosocial Integrity pdl




2. A nurse is caring for a postoperative client on the surgical unit. The clients
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pdl blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg.
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pdl What action by the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. pdl pdl pdl pdl




c. Notify the primary care provider. pdl pdl pdl pdl




d. Repeat blood pressure measurement in 15 minutes.
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ANS: A pdl




The p d l purpose p d l of p d l the p d l Rapid p d l Response p d l Team p d l (RRT) p d l is p d l to p d l intervene
p d l when p d l clients p d l are deteriorating before they suffer either respiratory or cardiac
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pdl arrest. Since the client has manifested a significant change, the nurse should call
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
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the RRT. Changes in blood pressure,
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p d l are p d l particularly p d l significant.

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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
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Documentation is vital, but the nurse must do pdl pdl pdl pdl pdl pdl pdl p d l more p d l than document. The pdl pdl




pdl primary care provider should be notified, but this is not the priority over calling
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pdl the RRT. The clients
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pdl the p d l priority p d l is getting
pdl p d l the rapid care to the client.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical
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pdl emergencies MSC: Integrated Process: pdl pdl pdl




Communication and Documentation pdl pdl




NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What
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pdl information does the nurse provide to help the client promote his or her own
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pdl safety?
a. Encourage the client and family to be active partners. pdl pdl pdl pdl pdl pdl pdl pdl




b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: A pdl




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


DIF:
Understanding/Comprehension
REF: 3KEY: Patient safety
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