Medical Surgical Nursing 10th Edition CONCEPTS FOR INTERPROFESSIONAL COLLABORATIVE CARE Ignatavicius Workman Test Bank. Latest 2025 Update.

CONCEPTS FOR INTERPMedical Surgical Nursing 10th Edition Ignatavicius Workman Test Bank CONCEPTS FOR INTERPROFESSIONAL COLLABORATIVE CARE 2025 IGNATAVICIUS WORKMAN Table of Content Chapter 01: Overview of Professional Nursing Concepts for Nursing Page : 9 Chapter 02: Clinical Judgment and Systems Thinking Page : 14 Chapter 03: Overview of Health Concepts for Nursing Page : 20 Chapter 04: Common Health Problems of Older Adults Page : 29 Chapter 05: Assessment and Care of Patients With Pain Page : 41 Chapter 06: Concepts of Genetics and Genomics Page : 48 Chapter 07: Concepts of Rehabilitation for Chronic and Disabling Health Problems Page : 56 Chapter 08: Concepts of Care for Patients at End of Life Page : 63 Chapter 09: Concepts of Care for Perioperative Patients Page : 75 Chapter 10: Concepts of Emergency and Trauma Nursing Medical Page : 84 Chapter 11: Concepts of Care for Patients With Common Environmental Emergencies Page : 94 Chapter 12: Concepts of Disaster Preparedness -Surgical Nursing Page : 102 Chapter 13: Concepts of Fluid and Electrolyte Balance Page : 112 Chapter 14: Concepts of Acid–Base Balance Page : 120 Chapter 15: Concepts of Infusion Therapy -Surgical Nursing Page : 129 Chapter 16: Concepts of Inflammation and Immunity Page : 137 Chapter 17: Concepts of Care for Patients With HIV Disease Page : 147 Chapter 18: Concepts of Care for Patients With Hypersensitivity (Allergy) Page : 152 Chapter 19: Concepts of Cancer Development -Surgical Nursing Page : 157 Chapter 20: Concepts of Care for Patients With Cancer Page : 169 Chapter 21: Concepts of Care for Patients With Infection Page : 177 Chapter 22: Assessment of the Skin, Hair, and Nails Page : 183 Chapter 23: Concepts of Care for Patients With Skin Problems Page : 194 Chapter 24: Assessment of the Respiratory System Page : 202 Chapter 25: Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy Page : 209 Chapter 26: Concepts of Care for Patients With Noninfectious Upper Respiratory Problems Page : 217 Chapter 27: Concepts of Care for Patients With Noninfectious Lower Respiratory Problems Page : 231 Chapter 28: Concepts of Care for Patients With Infectious Respiratory Problems Page : 241 Chapter 29: Critical Care of Patients With Respiratory Emergencies Page : 252 Chapter 30: Assessment of the Cardiovascular System Page : 262 Chapter 31: Concepts of Care for Patients With Dysrhythmias Medical Page : 273 Chapter 32: Concepts of Care for Patients With Cardiac Problems Page : 286 Chapter 33: Concepts of Care for Patients With Vascular Problems Page : 300 Chapter 34: Critical Care of Patients With Shock Page : 308 Chapter 35: Critical Care of Patients With Acute Coronary Syndromes Page : 320 Chapter 36: Assessment of the Hematologic System Page : 325 Chapter 37: Concepts of Care for Patients With Hematologic Problems Page : 338 Chapter 38: Assessment of the Nervous System -Surgical Page : 348 Chapter 39: Concepts of Care for Patients With Problems of the Central Page : 360 Chapter 40: Concepts of Care for Patients With Problems of the Central Page : 370 Chapter 41: Critical Care of Patients With Neurologic Emergencies Page : 382 Chapter 42: Assessment and Care of Patients With Eye and Vision Problems Page : 390 Chapter 43: Assessment and Care of Patients With Ear and Hearing Problems Page : 397 Chapter 44: Assessment of the Musculoskeletal System Page : 402 Chapter 45: Concepts of Care for Patients With Musculoskeletal Problems Page : 409 Chapter 46: Concepts of Care for Patients With Arthritis and Total Joint Page : 420 Chapter 47: Concepts of Care for Patients With Musculoskeletal Trauma Page : 431 Chapter 48: Assessment of the Gastrointestinal System Page : 437 Chapter 49: Concepts of Care for Patients With Oral Cavity and Esophageal Page : 442 Chapter 50: Concepts of Care for of Patients With Stomach Disorders Page : 449 Chapter 51: Concepts of Care for Patients With Noninflammatory Intestinal Disorders Page : 451 local chapter of the United Ostomy Associations of America has resources for clients and Page : 459 Chapter 52: Concepts of Care for Patients With Inflammatory Intestinal Disorders Page : 468 Chapter 53: Concepts of Care for Patients With Liver Problems Page : 477 Chapter 54: Concepts of Care for Patients With Problems of the Biliary Page : 484 Chapter 55: Concepts of Care for Patients With Malnutrition Page : 491 Chapter 56: Assessment of the Endocrine System Page : 496 Chapter 57: Concepts of Care for Patients With Pituitary and Adrenal Gland Page : 502 Chapter 58: Concepts of Care for Patients With Problems of the Thyroid Page : 508 Chapter 59: Concepts of Care for Patients With Diabetes Mellitus Page : 524 Chapter 60: Assessment of the Renal/Urinary System Page : 531 Chapter 61: Concepts of Care for Patients With Urinary Problems Page : 541 Chapter 62: Concepts of Care for Patients with Kidney Disorders Page : 547 Chapter 63: Concepts of Care for Patients with Acute Kidney Injury and Page : 558 Chapter 64: Assessment of the Reproductive System Page : 562 Chapter 65: Concepts of Care for Patients with Breast Disorders Page : 569 Chapter 66: Concepts of Care for Patients With Gynecologic Problems Page : 576 Chapter 67: Concepts of Care for Clients With Male Reproductive Problems Page : 582 Chapter 68: Concepts of Care for Transgender Patients Page : 587 Chapter 69: Concepts of Care for Patients With Sexually Transmitted Infections Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the new nurse that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care >>ANS>> B All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Health care errors have been widely reported for 25 years, many of which result in client injury, death, and increased health care costs. There are several national and international organizations that have either recommended or mandated safety initiatives. Every nurse has the responsibility to guard the client’s safety. The other actions are important for quality nursing, but they are not as vital as providing safety. Not making medication errors does provide safety, but is too narrow in scope to be the best answer. 2. A nurse is orienting a new client and family to the medical-surgical unit. What information does the nurse provide to best help the client promote his or her own safety? a. Encourage the client and family to be active partners. b. Have the client monitor hand hygiene in caregivers. c. Offer the family the opportunity to stay with the client. d. Tell the client to always wear his or her armband. >>ANS>> A Each action could be important for the client or family to perform. However, encouraging the client to be active in his or her health care as a safety partner is the most critical. The other actions are very limited in scope and do not provide the broad protection that being active and involved does. 3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take first? a. Call the Rapid Response Team. b. Document and continue to monitor. c. Notify the primary health care provider. d. Repeat the blood pressure in 15 minutes. >>ANS>> A The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant and are part of the Modified Early Warning System guide. Documentation is vital, but the nurse must do more than document. The primary health care provider would be notified, but this is not more important than calling the RRT. The client’s blood pressure would be reassessed frequently, but the priority is getting the rapid care to the client. 4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? a. Assesses for cultural influences affecting health care. b. Ensures that all the client’s basic needs are met. c. Tells the client and family about all upcoming tests. d. Thoroughly orients the client and family to the room. >>ANS>> A Showing respect for the client and family’s preferences and needs is essential to ensure a holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on health care, this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence. Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client and family to the room is an important safety measure, but not directly related to demonstrating client-centered care. 5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse explain is the most important thing the client can do to protect against errors? a. Bring a list of all medications and what they are for. b. Keep the provider’s phone number by the telephone. c. Make sure that all providers wash hands before entering the room. d. Write down the name of each caregiver who comes in the room. >>ANS>> A Medication reconciliation is a formal process in which the client’s actual current medications are compared to the prescribed medications at the time of admission, transfer, or discharge. This National client Safety Goal is important to reduce medication errors. The client would not have to be responsible for providers washing their hands, and even if the client does so, this is too narrow to be the most important action to prevent errors. Keeping the provider’s phone number nearby and documenting everyone who enters the room also do not guarantee safety. , Informatics 6. Which action by the nurse working with a client best demonstrates respect for autonomy? a. Asks if the client has questions before signing a consent. b. Gives the client accurate information when questioned. c. Keeps the promises made to the client and family. d. Treats the client fairly compared to other clients. >>ANS>> A Autonomy is self-determination. The client would make decisions regarding care. When the nurse obtains a signature on the consent form, assessing if the client still has questions is vital, because without full information the client cannot practice autonomy. Giving accurate information is practicing with veracity. Keeping promises is upholding fidelity. Treating the client fairly is providing social justice. TOP: Integrated Process: Caring KEY: Ethics, Autonomy 7. A nurse asks a more seasoned colleague to explain best practices when communicating with a person from the lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ) community. What answer by the faculty is most accurate? a. Avoid embarrassing the client by asking questions. b. Don’t make assumptions about his or her health needs. c. Most LGBTQ people do not want to share information. d. No differences exist in communicating with this population. >>ANS>> B Many members of the LGBTQ community have faced discrimination from health care providers and may be reluctant to seek health care. The nurse would never make assumptions about the needs of members of this population. Rather, respectful questions are appropriate. If approached with sensitivity, the client with any health care need is more likely to answer honestly. 8. A nurse is calling the on-call health care provider about a client who had a hysterectomy 2 days ago and has pain that is unrelieved by the prescribed opioid pain medication. Which statement comprises the background portion of the SBAR format for communication? a. “I would like you to order a different pain medication.” b. “This client has allergies to morphine and codeine.” c. “Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds.” d. “This client had a vaginal hysterectomy 2 days ago.” >>ANS>> B SBAR is a recommended form of communication, and the acronym stands for Situation, Background, Assessment, and Recommendation. Appropriate background information includes allergies to medications the on-call health care provider might order. Situation describes what is happening right now that must be communicated; the client’s surgery 2 days ago would be considered background. Assessment would include an analysis of the client’s problem; none of the options has assessment information. Asking for a different pain medication is a recommendation. Recommendation is a statement of what is needed or what outcome is desired. KEY: Teamwork and collaboration, SBAR 9. A nurse working on a cardiac unit delegated taking vital signs to an experienced assistive personnel (AP). Four hours later, the nurse notes that the client’s blood pressure taken by the AP was much higher than previous readings, and the client’s mental status has changed. What action by the nurse would most likely have prevented this negative outcome? a. Determining if the AP knew how to take blood pressure b. Double-checking the AP by taking another blood pressure c. Providing more appropriate supervision of the AP d. Taking the blood pressure instead of delegating the task >>ANS>> C Supervision is one of the five rights of delegation and includes directing, evaluating, and following up on delegated tasks. The nurse would either have asked the AP about the vital signs or instructed the AP to report them right away. An experienced AP would know how to take vital signs and the nurse would not have to assess this at this point. Double-checking the work defeats the purpose of delegation. Vital signs are within the scope of practice for a AP and are permissible to delegate. The only appropriate answer is that the nurse did not provide adequate instruction to the AP. DIF: Analyzing KEY: Teamwork and collaboration, Delegation 10. A newly graduated nurse in the hospital states that because of being so new, participation in quality improvement (QI) projects is not wise. What response by the precepting nurse is best? a. “All staff nurses are required to participate in quality improvement here.” b. “Even being new, you can implement activities designed to improve care.” c. “It’s easy to identify what indicators would be used to measure quality.” d. “You should ask to be assigned to the research and quality committee.” >>ANS>> B The preceptor would try to reassure the nurse that implementing QI measures is not out of line for a newly licensed nurse. Simply stating that all nurses are required to participate does not help the nurse understand how that is possible and is dismissive. Identifying indicators of quality is not an easy, quick process and would not be the best place to suggest a new nurse to start. Asking to be assigned to the QI committee does not give the nurse information about how to implement QI in daily practice. KEY: Systems thinking, Quality improvement 11. A nurse is talking with a co-worker who is moving to a new state and needs to find new employment there. What advice by the nurse is best? a. Ask the hospitals there about standard nurse–client ratios. b. Choose the hospital that has the newest technology. c. Find a hospital that has achieved Magnet status. d. Work in a facility affiliated with a medical or nursing school. >>ANS>> C Client Magnet status is awarded by The Joint Commission (TJC) and certifies that nurses can demonstrate how best current evidence guides their practice. New technology doesn’t necessarily mean that the hospital is safe. Affiliation with a health profession school has several advantages, but safety is most important. MULTIPLE RESPONSE 1. A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency. Which areas would the manager assess to determine if the nursing staff demonstrate competency according to the Institute of Medicine (IOM) report Health Professions Education: A Bridge to Quality? (Select all that apply.) a. Collaborating with an interprofessional team b. Implementing evidence-based care c. Providing family-focused care d. Routinely using informatics in practice e. Using quality improvement in client care f. Formalizing systems thinking when implementing care >>ANS>> A, B, D, E The IOM report lists five broad core competenROFESSIONAL COLLABORATIVE CARE