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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b Collaborative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69
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,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE b




1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
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b new nurse that which is the priority when working as a professional nurse?
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a. Attending to holistic client needs b b b b




b. Ensuring client safety b b




c. Not making medication errors b b b




d. Providing client-focused care b b




CORRECT ANSWER: B b b




All actions are appropriate for the professional nurse. However, ensuring client safety is the
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b priority. Health care errors have been widely reported for 25 years, many of which result in client
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b injury, death, and increased health care costs. There are several national and international
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b organizations that have either recommended or mandated safety initiatives. b b b b b b b b




Every nurse has the responsibility to guard the client’s safety. The other actions are important
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b for quality nursing, but they are not as vital as providing safety. Not making medication errors
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b does provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
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b KEY: Client safety b b




MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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2. A nurse is orienting a new client and family to the medical-surgical unit. What information
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b does the nurse provide to best help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. b b b b b b b b




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




c. Offer the family the opportunity to stay with the client. b b b b b b b b b




d. Tell the client to always wear his or her armband.b b b b b b b b b




CORRECT ANSWER: A b b




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




DIF: Understanding TOP: Integrated Process: Teaching/Learning
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b KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection 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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b142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take
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b first?
a. Call the Rapid Response Team.
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b. Document and continue to monitor. b b b b




c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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, CORRECT ANSWER: A b b




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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b before they suffer either respiratory or cardiac arrest. Since the client has manifested a
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b significant change, the nurse would call the RRT. Changes in blood pressure, mental status,
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b heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
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b significant and are part of the Modified Early Warning System guide. Documentation is vital, but
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b the nurse must do more than document. The primary health care provider would be notified,
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b but this is not more important than calling the RRT. The client’s blood pressure would be
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b reassessed frequently, but the priority is getting the rapid care to the client.
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DIF: Applying TOP: Integrated Process: Communication and Documentation
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b KEY: Rapid Response Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care. b b b b b b




b. Ensures that all the client’s basic needs are met. b b b b b b b b




c. Tells the client and family about all upcoming tests.
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d. Thoroughly orients the client and family to the room. b b b b b b b b




CORRECT ANSWER: A b b




Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
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or “whole-person” approach to care. By assessing the effect of the client’s culture on health
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b care, this nurse is practicing client-focused care. Providing for basic needs does not
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b demonstrate this competence. Simply telling the client about all upcoming tests is not providing
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empowering education. Orienting the client and family to the room is an important safety
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b measure, but not directly related to demonstrating client-centered care.
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DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY:
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b Client-centered care, Culture b b MSC: Client Needs Category: Psychosocial Integrity b b b b b




5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
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b nurse 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 they are for.
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b. Keep the provider’s phone number by the telephone.
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c. Make sure that all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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