medical surgical nursing 10th edition by ignatavicius workman - Copy.pdf

TEST BANK For Medical-Surgical Nursing
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10th Edition Concepts for Interprofessional
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bc Collaborative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69
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,Chapter t01: tOverview tof tProfessional tNursing tConcepts tfor tMedical-Surgical tNursing
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bc Ignatavicius: tMedical-Surgical tNursing, t10th tEdition bc bc bc bc




MULTIPLEtCHOICE bc




1. A tnew tnurse tis tworking twith ta tpreceptor ton ta tmedical-surgical tunit. tThe tpreceptor tadvises
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bc the tnew tnurse tthat twhich tis tthe tpriority twhen tworking tas ta tprofessional tnurse?
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a. Attendingtto tholistic tclient tneeds bc bc bc bc




b. Ensuring tclient tsafety bc bc




c. Not tmakingtmedication terrors bc bc bc




d. Providingtclient-focused tcare bc bc




CORRECT tANSWER: t B bc b c




All tactions tare tappropriate tfor tthe tprofessional tnurse. tHowever, tensuring tclient tsafetytis tthe
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bc t priority. tHealth tcare terrors thave tbeen twidely treported tfor t25 tyears, tmanytof twhich tresult tin
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bc t client tinjury, tdeath, tand tincreased thealth tcare tcosts. tThere tare tseveral tnational tand
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bc t international torganizations tthat thave teither trecommended tor tmandated tsafety tinitiatives. bc bc bc bc bc bc bc bc bc




Every tnurse thas tthe tresponsibility tto tguard tthe tclient’s tsafety. tThe tother tactions tare
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bc t important tfor tquality tnursing, tbut tthey tare tnot tas tvital tas tproviding tsafety. tNot tmaking
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bc medication terrors tdoes tprovide tsafety, tbut tis ttoo tnarrow tin tscope tto tbe tthe tbest tanswer.
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DIF: Understanding TOP: t IntegratedtProcess:tNursingtProcess: b c bc c
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bc Intervention tKEY: tClient tsafety bc bc bc




MSC: t Client tNeeds tCategory:tSafe tandtEffectivetCaretEnvironment: tSafetytandtInfection tControl
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2. A tnurse tis torientingta tnew tclient tand tfamilytto tthe tmedical-surgical tunit. tWhat
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bc information tdoes tthe tnurse tprovide tto tbest thelp tthe tclient tpromote this tor ther town
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bc t safety?
a. Encouragetthe tclient tand tfamilytto tbe tactive tpartners. bc bc bc bc bc bc bc bc




b. Have tthe tclient tmonitor thand thygiene tin tcaregivers. bc bc bc bc bc bc bc




c. Offer tthe tfamilytthe topportunitytto tstaytwith tthe tclient. bc bc c
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d. Telltthe tclient tto talways twear this tor ther tarmband.
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CORRECT tANSWER: t A bc b c




Each taction tcould tbe timportant tfor tthe tclient tor tfamilytto tperform. tHowever, tencouraging
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, bc t the tclient tto tbe tactive tin this tor ther thealth tcare tas ta tsafety tpartner tis tthe tmost tcritical. tThe
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bc t other tactions tare tverytlimited tin tscope tand tdo tnot tprovide tthe tbroad tprotection tthat tbeing
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bc active tand tinvolved tdoes. bc bc bc




DIF: Understanding TOP:tIntegratedtProcess:tTeaching/Learning
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bc t KEY: tClient tsafety
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MSC: t Client tNeeds tCategory:tSafe tandtEffectivetCaretEnvironment: tSafetytandtInfection tControl
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3. A tnurse tis tcaring tfor ta tpostoperative tclient ton tthe tsurgical tunit. tThe tclient’s tblood
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bc t pressure twas t142/76 tmm tHg t30 tminutes tago, tand tnow tis t88/50 tmm tHg. tWhat taction
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bc t would tthe tnurse ttake tfirst? bc bc bc bc




a. Call tthe tRapid tResponsetTeam. bc bc bc bc




b. Document tand tcontinue tto tmonitor. bc bc bc bc




c. Notifytthe tprimarythealth tcare tprovider. bc bc bc bc bc




d. Repeat tthe tblood tpressure tin t15 tminutes. bc bc bc bc bc bc

, CORRECT tANSWER: t A bc b c




The tpurpose tof tthe tRapid tResponse tTeam t(RRT) tis tto tintervene twhen tclients tare tdeteriorating
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bc t before tthey tsuffer teither trespiratory tor tcardiac tarrest. tSince tthe tclient thas tmanifested ta
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bc t significant tchange, tthe tnurse twould tcall tthe tRRT. tChanges tin tblood tpressure, tmental tstatus, bc bc bc bc bc bc bc bc bc bc bc bc bc




bc t heart trate, ttemperature, toxygen tsaturation, tand tlast t2 thours’ turine toutput tare tparticularly
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bc t significant tand tare tpart tof tthe tModified tEarly tWarning tSystem tguide. tDocumentation tis bc bc bc bc bc bc bc bc bc bc bc bc




bc t vital, tbut tthe tnurse tmust tdo tmore tthan tdocument. tThe tprimary thealth tcare tprovider twould
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bc t be tnotified, tbut tthis tis tnot tmore timportant tthan tcalling tthe tRRT. tThe tclient’s tblood tpressure
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bc t would tbe treassessed tfrequently, tbut tthe tpriority tis tgetting tthe trapid tcare tto tthe tclient.
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DIF: Applying TOP: t IntegratedtProcess:tCommunicationtand b c bc bc bc




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b Documentation tKEY: tRapid tResponse tTeam t(RRT), tClinical tjudgment bc bc bc bc bc bc bc




MSC: t ClienttNeedstCategory:tPhysiologicaltIntegrity:tPhysiologicaltAdaptation
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4. Atnurse twishes tto tprovide tclient-centered tcaretin tall tinteractions. tWhich taction tbytthe tnurse
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best tdemonstrates tthis tconcept?
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a. Assesses tfor tcultural tinfluences taffecting thealth tcare. bc bc bc bc bc bc




b. Ensurestthat tall tthe tclient’s tbasic tneeds tare tmet. bc bc bc bc bc bc bc bc




c. Tells tthe tclient tand tfamily tabout tall tupcoming ttests. bc bc bc bc bc bc bc bc




d. Thoroughlytorients tthe tclient tand tfamilytto tthe troom. bc bc bc bc bc c
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CORRECT tANSWER: t A bc b c




Showing trespect tfor tthe tclient tand tfamily’s tpreferences tand tneeds tis tessential tto tensure ta
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bc t holistic tor t“whole-person” tapproach tto tcare. tBytassessing tthe teffect tof tthe tclient’s tculture
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bc ton thealth tcare, tthis tnurse tis tpracticing tclient-focused tcare. tProviding tfor tbasic tneeds tdoes
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bc t not tdemonstrate tthis tcompetence. tSimply ttelling tthe tclient tabout tall tupcoming ttests tis tnot
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bc t providingtempoweringteducation. tOrientingtthe tclient tand tfamilytto tthe troom tis tan bc bc bc bc bc bc bc bc bc bc bc bc




bc timportant tsafety tmeasure, tbut tnot tdirectly trelated tto tdemonstrating tclient-centered tcare. bc bc bc bc bc bc bc bc bc bc




DIF: Understanding TOP: tIntegrated tProcess: tCulture tand tSpirituality bc bc bc bc bc




bc t KEY: b c t Client-centered tcare, tCulture bc bc MSC: t ClienttNeedstCategory:tPsychosocialtIntegrity b c c
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5. A tclient tis tgoing tto tbe tadmitted tfor ta tscheduled tsurgical tprocedure. tWhich taction tdoes
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bc tthe tnurse texplain tis tthe tmost timportant tthing tthe tclient tcan tdo tto tprotect tagainst
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bc t errors?
a. Bring ta tlist tof tall tmedications tand twhat ttheytare tfor. bc bc bc bc bc bc bc bc bc bc




b. Keep tthe tprovider’s tphone tnumber tbytthe ttelephone. bc bc bc bc bc bc bc




c. Make tsure tthat tall tproviders twash thands tbefore tentering tthe troom. bc bc bc bc bc bc bc bc bc bc