TEST BANK For Medical Surgical Nursing 10th Edition by Ignatavicius, Workman, Rebar & Heimgartner, Verified Chapters 1 - 69, Complete Newest Version

TEST BANK For Medical-Surgical Nursing
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10th Edition Concepts forInterprofessional
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Collaborative Care, by DonnaD. Ignatavicius,
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All chapters1– 69
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,Chapter01:Overview ofProfessional NursingConceptsfor Medical-SurgicalNursing
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Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLECHOICE n




1. A new nurse is working with a preceptor on amedical-surgical unit. The preceptor advises the new
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nurse that which is the priority when working as a professional nurse?
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a. Attendingto holistic client needs n n n n




b. Ensuringclient safety n n




c. Not makingmedication errors n n n




d. Providingclient-focused care n n




CORRECT ANSWER: B n n




All actions are appropriateforthe professional nurse. However, ensuring client safetyis the
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priority. Health care errors have been widelyreported for 25 years, manyof which result in client
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injury, death, and increased health care costs. There are several national and international
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organizations that have either recommended or mandated safety initiatives.
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Every nurse has the responsibility to guard the client’s safety. The other actions are important for
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quality nursing, but they are not as vital as providing safety. Not making medication errors does
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provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding TOP: IntegratedProcess:NursingProcess:Intervention n n n n n




KEY: Client safety
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MSC: ClientNeedsCategory:SafeandEffectiveCareEnvironment:SafetyandInfectionControl
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2. A nurse is orientinga new client and familyto the medical-surgical unit. What information does
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the nurse provide to best help the client promote his or her own safety?
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a. Encouragethe client andfamilytobe active partners. n n n n n n n n




b. Havethe client monitor hand hygiene in caregivers. n n n n n n n




c. Offer the familythe opportunityto staywith the client. n n n n n n n n n




d. Tellthe client to always wear his orher armband. n n n n n n n n n




CORRECT ANSWER: A n n




Each action could be important for the client or familyto perform. However, encouraging the client
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to be active in his or her health care as a safety partner is the most critical. The other actions arevery
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, limited in scopeand do not provide the broad protection that being active and involved does.
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DIF: Understanding TOP:IntegratedProcess:Teaching/Learning
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nKEY: Client safety
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MSC: ClientNeedsCategory:SafeandEffectiveCareEnvironment:SafetyandInfectionControl
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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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142/76 mm Hg30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take first?
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a. Call the Rapid ResponseTeam.
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b. Document and continue to monitor. n n n n




c. Notifythe primaryhealth care provider.
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d. Repeat the blood pressure in15 minutes.
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, CORRECT ANSWER: A n n




Thepurpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant
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change, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate,
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temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant and are
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part of the Modified EarlyWarning System guide. Documentation is vital, but the nurse must do
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more than document. The primary health care provider would be notified, but this is not more
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important than calling the RRT. The client’s blood pressure would be reassessed frequently, but
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the priority is getting the rapid care to the client.
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DIF: Applying TOP: IntegratedProcess:CommunicationandDocumentation n n n n n




KEY: Rapid Response Team (RRT), Clinical judgment
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MSC: ClientNeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation
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4. Anurse wishes to provide client-centered carein all interactions. Which action bythe nurse
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bestdemonstrates this concept?
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a. Assessesfor cultural influences affectinghealth care. n n n n n n




b. Ensuresthat all the client’s basic needs are met. n n n n n n n n




c. Tellsthe client and family about all upcoming tests. n n n n n n n n




d. Thoroughlyorients the client and familyto the room. n n n n n n n n




CORRECT ANSWER: A n n




Showing respect for the client and family’s preferences and needs is essential to ensure a holistic or
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“whole-person” approach to care. Byassessingthe effect of the client’s culture on health care, this
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nurse is practicing 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 providingempowering
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education. Orientingthe client and familyto the room is an important safety measure, but not
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directly related to demonstrating client-centered care.
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DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY: n n n n n n




n Client-centered care, Culture n n MSC: ClientNeedsCategory:PsychosocialIntegrity n n n n n




5. A client is goingto be admitted fora scheduled surgical procedure. Which action does the nurse
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explain is the most important thing the client can do to protect against errors?
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a. Bringa list of all medications and what theyarefor. n n n n n n n n n n




b. Keep the provider’s phone number bythe telephone. n n n n n n n




c. Makesure that all providers wash hands before entering the room. n n n n n n n n n n




d. Writedown the name ofeach caregiver who comes in the room. n n n n n n n n n n n