TEST BANK FOR MEDICAL
VJ VJ VJ
SURGICAL NURSING 9TH EDITION
VJ VJ VJ VJ
IGNAVATICIUS REVISED EDITION
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NEW!! VJ
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TEST BANK V J
FOR
JV
MEDICAL SURGICAL VJ
NURSING 9TH EDITION
VJ
V J
IGNAVATICIUS
V
J
Downloaded by: SuperA |
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VJ
Distribution of this document is illegal
VJ VJ VJ VJ VJ
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Chapter 1: Introduction to Medical-Surgical Nursing Practice
VJ VJ VJ VJ VJ VJ
Ignatavicius: Medical-Surgical Nursing, 9th Edition
JV VJ VJ VJ VJ
MULTIPLE CHOICE VJ
1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
preceptor advises the student that which is the priority when working as a professional
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
nurse?
JV
a. Attending to holistic client needs VJ VJ VJ VJ
b. Ensuring client safety VJ VJ
c. Not making medication errors VJ VJ VJ
d. Providing client-focused care VJ VJ
ANS: B V J
All actions are appropriate for the professional nurse. However, ensuring client safety is the
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
outcomes. Every nurse has the responsibility to guard the client’s safety.
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
DIF: Understanding/Comprehension REF: 2 KEY: Patient V J
safetyMSC: Integrated Process: Nursing Process: Intervention
VJ JV V J VJ VJ VJ VJ
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
V J VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Control
JV
2. A nurse is orienting a new client and family to the inpatient unit. What information does the
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
nurse provide to help the client promote his or her own safety?
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
a. Encourage the client and family to be active partners. VJ VJ VJ VJ VJ VJ VJ VJ
b. Have the client monitor hand hygiene in caregivers. VJ VJ VJ VJ VJ VJ VJ
c. Offer the family the opportunity to stay with the client.
VJ VJ VJ VJ VJ VJ VJ VJ VJ
d. Tell the client to always wear his or her armband.
VJ VJ VJ VJ VJ VJ VJ VJ VJ
ANS: A V J
Each action could be important for the client or family to perform. However, encouraging
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
the client to be active in his or her health care as a partner is the most critical. The other
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
actions are very limited in scope and do not provide the broad protection that being active
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
and involved does.
JV VJ VJ
DIF: Understanding/Comprehension REF: 3 KEY: Patient V J
safetyMSC: Integrated Process: Teaching/Learning
VJ JV V J VJ VJ
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
V J VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Control
JV
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
best?
JV
a. Call the Rapid Response Team. VJ VJ VJ VJ
b. Document and continue to monitor. VJ VJ VJ VJ
c. Notify the primary care provider. VJ VJ VJ VJ
d. Repeat blood pressure measurement in 15 minutes. VJ VJ VJ VJ VJ VJ
Downloaded by: SuperA | VJ VJ VJ
VJ
Distribution of this document is illegal VJ VJ VJ VJ VJ
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
ANS: A V J
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
manifested a significant change, the nurse should call the RRT. Changes in blood pressure,
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
mental status, heart rate, and pain are particularly significant. Documentation is vital, but the
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
nurse must do more than document. The primary care provider should be notified, but this is
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
not the priority over calling the RRT. The client’s blood pressure should be reassessed
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
frequently, but the priority is getting the rapid care to the client.
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical
VJ V J VJ VJ VJ VJ
emergencies
VJ
MSC: Integrated Process: Communication and Documentation
V J VJ VJ VJ VJ
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
V J VJ VJ VJ VJ VJ VJ
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
best demonstrates this concept?
JV VJ VJ VJ
a. Assesses for cultural influences affecting health care VJ VJ VJ VJ VJ VJ
b. Ensures that all the clients’ basic needs are met VJ VJ VJ VJ VJ VJ VJ VJ
c. Tells the client and family about all upcoming tests
VJ VJ VJ VJ VJ VJ VJ VJ
d. Thoroughly orients the client and family to the room VJ VJ VJ VJ VJ VJ VJ VJ
ANS: A V J
Competency in client-focused care is demonstrated when the nurse focuses on VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
communication, culture, respect, compassion, client education, and empowerment. By
VJ VJ VJ VJ VJ VJ VJ VJ VJ
assessing the effect of the client’s culture on health care, this nurse is practicing
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
client-focused care. Providing for basic needs does not demonstrate this competence. VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Simply telling the client about all upcoming tests is not providing empowering education.
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Orienting the client and family to the room is an important safety measure, but not directly
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
related to demonstrating client-centered care.
JV VJ VJ VJ VJ
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture
V MSC: Integrated Process: Caring
J VJ VJ V J VJ VJ
NOT: Client Needs Category: Psychosocial Integrity
JV V J VJ VJ VJ VJ
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
nurse explain is the most important thing the client can do to protect against errors?
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
a. Bring a list of all medications and what they are for.
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
b. Keep the doctor’s phone number by the telephone.VJ VJ VJ VJ VJ VJ VJ
c. Make sure all providers wash hands before entering the room.
VJ VJ VJ VJ VJ VJ VJ VJ VJ
d. Write down the name of each caregiver who comes in the room.
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
ANS: A V J
Medication errors are the most common type of health care mistake. The Joint
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Commission’s Speak Up campaign encourages clients to help ensure their safety. One
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
recommendation is for clients to know all their medications and why they take them. This
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
will help prevent medication errors.
JV VJ VJ VJ VJ
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
V J VJ VJ VJ VJ V J VJ VJ
Downloaded by: SuperA | VJ VJ VJ
VJ
Distribution of this document is illegal VJ VJ VJ VJ VJ
VJ VJ VJ
SURGICAL NURSING 9TH EDITION
VJ VJ VJ VJ
IGNAVATICIUS REVISED EDITION
V
J VJ VJ
NEW!! VJ
Downloaded by: SuperA | VJ VJ VJ
VJ
Distribution of this document is illegal
VJ VJ VJ VJ VJ
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
TEST BANK V J
FOR
JV
MEDICAL SURGICAL VJ
NURSING 9TH EDITION
VJ
V J
IGNAVATICIUS
V
J
Downloaded by: SuperA |
VJ VJ VJ
VJ
Distribution of this document is illegal
VJ VJ VJ VJ VJ
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 1: Introduction to Medical-Surgical Nursing Practice
VJ VJ VJ VJ VJ VJ
Ignatavicius: Medical-Surgical Nursing, 9th Edition
JV VJ VJ VJ VJ
MULTIPLE CHOICE VJ
1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
preceptor advises the student that which is the priority when working as a professional
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
nurse?
JV
a. Attending to holistic client needs VJ VJ VJ VJ
b. Ensuring client safety VJ VJ
c. Not making medication errors VJ VJ VJ
d. Providing client-focused care VJ VJ
ANS: B V J
All actions are appropriate for the professional nurse. However, ensuring client safety is the
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
outcomes. Every nurse has the responsibility to guard the client’s safety.
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
DIF: Understanding/Comprehension REF: 2 KEY: Patient V J
safetyMSC: Integrated Process: Nursing Process: Intervention
VJ JV V J VJ VJ VJ VJ
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
V J VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Control
JV
2. A nurse is orienting a new client and family to the inpatient unit. What information does the
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
nurse provide to help the client promote his or her own safety?
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
a. Encourage the client and family to be active partners. VJ VJ VJ VJ VJ VJ VJ VJ
b. Have the client monitor hand hygiene in caregivers. VJ VJ VJ VJ VJ VJ VJ
c. Offer the family the opportunity to stay with the client.
VJ VJ VJ VJ VJ VJ VJ VJ VJ
d. Tell the client to always wear his or her armband.
VJ VJ VJ VJ VJ VJ VJ VJ VJ
ANS: A V J
Each action could be important for the client or family to perform. However, encouraging
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
the client to be active in his or her health care as a partner is the most critical. The other
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
actions are very limited in scope and do not provide the broad protection that being active
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
and involved does.
JV VJ VJ
DIF: Understanding/Comprehension REF: 3 KEY: Patient V J
safetyMSC: Integrated Process: Teaching/Learning
VJ JV V J VJ VJ
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
V J VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Control
JV
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
best?
JV
a. Call the Rapid Response Team. VJ VJ VJ VJ
b. Document and continue to monitor. VJ VJ VJ VJ
c. Notify the primary care provider. VJ VJ VJ VJ
d. Repeat blood pressure measurement in 15 minutes. VJ VJ VJ VJ VJ VJ
Downloaded by: SuperA | VJ VJ VJ
VJ
Distribution of this document is illegal VJ VJ VJ VJ VJ
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
ANS: A V J
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
manifested a significant change, the nurse should call the RRT. Changes in blood pressure,
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
mental status, heart rate, and pain are particularly significant. Documentation is vital, but the
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
nurse must do more than document. The primary care provider should be notified, but this is
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
not the priority over calling the RRT. The client’s blood pressure should be reassessed
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
frequently, but the priority is getting the rapid care to the client.
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical
VJ V J VJ VJ VJ VJ
emergencies
VJ
MSC: Integrated Process: Communication and Documentation
V J VJ VJ VJ VJ
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
V J VJ VJ VJ VJ VJ VJ
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
best demonstrates this concept?
JV VJ VJ VJ
a. Assesses for cultural influences affecting health care VJ VJ VJ VJ VJ VJ
b. Ensures that all the clients’ basic needs are met VJ VJ VJ VJ VJ VJ VJ VJ
c. Tells the client and family about all upcoming tests
VJ VJ VJ VJ VJ VJ VJ VJ
d. Thoroughly orients the client and family to the room VJ VJ VJ VJ VJ VJ VJ VJ
ANS: A V J
Competency in client-focused care is demonstrated when the nurse focuses on VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
communication, culture, respect, compassion, client education, and empowerment. By
VJ VJ VJ VJ VJ VJ VJ VJ VJ
assessing the effect of the client’s culture on health care, this nurse is practicing
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
client-focused care. Providing for basic needs does not demonstrate this competence. VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Simply telling the client about all upcoming tests is not providing empowering education.
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Orienting the client and family to the room is an important safety measure, but not directly
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
related to demonstrating client-centered care.
JV VJ VJ VJ VJ
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture
V MSC: Integrated Process: Caring
J VJ VJ V J VJ VJ
NOT: Client Needs Category: Psychosocial Integrity
JV V J VJ VJ VJ VJ
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
nurse explain is the most important thing the client can do to protect against errors?
JV VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
a. Bring a list of all medications and what they are for.
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
b. Keep the doctor’s phone number by the telephone.VJ VJ VJ VJ VJ VJ VJ
c. Make sure all providers wash hands before entering the room.
VJ VJ VJ VJ VJ VJ VJ VJ VJ
d. Write down the name of each caregiver who comes in the room.
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
ANS: A V J
Medication errors are the most common type of health care mistake. The Joint
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
Commission’s Speak Up campaign encourages clients to help ensure their safety. One
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
recommendation is for clients to know all their medications and why they take them. This
VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ VJ
will help prevent medication errors.
JV VJ VJ VJ VJ
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
V J VJ VJ VJ VJ V J VJ VJ
Downloaded by: SuperA | VJ VJ VJ
VJ
Distribution of this document is illegal VJ VJ VJ VJ VJ
