Test Bank Medical Surgical Nursing 10th Edition Ignatavicius Workman

10/31/23, 5:28 AM
mv mv Test bank - medical surgical nursing 10th edition ignatavicius workman-
mv mv mv mv mv mv mv mv mv



bte…

Medical Surgical Nursing 10th Edition m v m v m v m v




Ignatavicius Workman Test Bank
mv mv mv mv




Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
mv mv mv mv mv mv mv mv mv



Ignatavicius: Medical-Surgical Nursing, 10th Edition
mv mv mv mv mv




MULTIPLE CHOICE mv




1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
mv mv mv mv mv mv mv mv mv mv mv mv mv mv


the
mv m new nurse that which is the priority when working as a professional nurse?
v mv mv mv mv mv mv mv mv mv mv mv mv


a. Attending to holistic client needs mv mv mv mv


b. Ensuring client safety mv mv


c. Not making medication errors
mv mv mv


d. Providing client-focused care mv mv




ANS: B mv



All actions are appropriate for the professional nurse. However, ensuring client safety is the
mv mv mv mv mv mv mv mv mv mv mv mv mv



m priority. Health care errors have been widely reported for 25 years, many of which result
v mv mv mv mv mv mv mv mv mv mv mv mv mv mv



in client injury, death, and increased health care costs. There are several national and
mv m v mv mv mv mv mv mv mv mv mv mv mv mv



m international organizations that have either recommended or mandated safety initiatives.
v mv mv mv mv mv mv mv mv mv


Every nurse has the responsibility to guard the client’s safety. The other actions are
mv mv mv mv mv mv mv mv mv mv mv mv mv


important
mv



for quality nursing, but they are not as vital as providing safety. Not making medication
mv mv mv mv mv mv mv mv mv mv mv mv mv mv



errors does provide safety, but is too narrow in scope to be the best answer.
mv m v mv mv mv mv mv mv mv mv mv mv mv mv mv




DIF: Understanding m TOP: Integrated Process: Nursing Process:
v m v mv mv mv


Intervention KEY: Client safety
mv m v mv mv


MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
m v mv mv mv mv mv mv mv mv mv mv


Control
mv




2. A nurse is orienting a new client and family to the medical-surgical unit. What
mv mv mv mv mv mv mv mv mv mv mv mv mv



information does the nurse provide to best help the client promote his or her own
mv m v mv mv mv mv mv mv mv mv mv mv mv mv mv



safety?
mv


a. Encourage the client and family to be active partners. mv mv mv mv mv mv mv mv


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


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


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




ANS: A mv



Each action could be important for the client or family to perform. However, encouraging
mv mv mv mv mv mv mv mv mv mv mv mv mv



the client to be active in his or her health care as a safety partner is the most critical.
mv m v mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv



The other actions are very limited in scope and do not provide the broad protection that
mv mv m v mv mv mv mv mv mv mv mv mv mv mv mv mv



being active and involved does.
mv mv mv m v mv




DIF: Understanding m TOP: Integrated Process:
v mv mv


Teaching/Learning KEY: Client safety
mv m v mv mv


MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
m v mv mv mv mv mv mv mv mv mv mv


Control
mv




3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
mv mv mv mv mv mv mv mv mv mv mv mv mv mv



pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
mv m v mv mv mv mv mv mv mv mv mv mv mv mv mv mv



would the nurse take first?
mv mv mv m v mv


a. Call the Rapid Response Team. mv mv mv mv


b. Document and continue to monitor. mv mv mv mv


c. Notify the primary health care provider. mv mv mv mv mv


d. Repeat the blood pressure in 15 minutes. mv mv mv mv mv mv




Btestbanks.com




about:blank 1/594

,10/31/23, 5:28 AM
mv mv Test bank - medical surgical nursing 10th edition ignatavicius workman-
mv mv mv mv mv mv mv mv mv



bte…


ANS: A mv



The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
mv mv mv mv mv mv mv mv mv mv mv mv mv mv



m before they suffer either respiratory or cardiac arrest. Since the client has manifested a
v mv mv mv mv mv mv mv mv mv mv mv mv mv



m significant change, the nurse would call the RRT. Changes in blood pressure, mental
v mv mv mv mv mv mv mv mv mv mv mv mv



status, heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are
mv m v mv mv mv mv mv mv mv mv mv mv mv



particularly significant and are part of the Modified Early Warning System guide.
mv m v mv mv mv mv mv mv mv mv mv mv



Documentation is vital, but the nurse must do more than document. The primary health
mv mv mv m v mv mv mv mv mv mv mv mv mv mv



care provider would be notified, but this is not more important than calling the RRT.
mv mv mv mv m v mv mv mv mv mv mv mv mv mv mv



The client’s blood pressure would be reassessed frequently, but the priority is getting
mv mv mv mv m v mv mv mv mv mv mv mv mv



the rapid care to the client.
mv mv mv mv mv mv




DIF: Applying TOP: Integrated Process: Communication and
m v m v mv mv mv


Documentation KEY: Rapid Response Team (RRT), Clinical judgment
mv m v mv mv mv mv mv mv


MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
m v mv mv mv mv mv mv




4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
mv mv mv mv mv mv mv mv mv mv mv mv mv mv



best demonstrates this concept?
mv mv mv


a. Assesses for cultural influences affecting health care. mv mv mv mv mv mv


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


c. Tells the client and family about all upcoming tests.
mv mv mv mv mv mv mv mv


d. Thoroughly orients the client and family to the room. mv mv mv mv mv mv mv mv




ANS: A mv



Showing respect for the client and family’s preferences and needs is essential to ensure a
mv mv mv mv mv mv mv mv mv mv mv mv mv mv



holistic or “whole-person” approach to care. By assessing the effect of the client’s culture
mv mv mv mv mv mv mv mv mv mv mv mv mv



on health care, this nurse is practicing client-focused care. Providing for basic needs
mv m v mv mv mv mv mv mv mv mv mv mv mv



does not demonstrate this competence. Simply telling the client about all upcoming
mv mv m v mv mv mv mv mv mv mv mv mv



tests is not providing empowering education. Orienting the client and family to the room
mv mv mv m v mv mv mv mv mv mv mv mv mv mv



is an important safety measure, but not directly related to demonstrating client-centered
mv mv mv m v mv mv mv mv mv mv mv mv



care.
mv




DIF: Understanding m v TOP: Integrated Process: Culture and Spirituality
mv mv mv mv mv


m KEY: Client-centered care, Culture
v m v mv mv MSC: Client Needs Category: Psychosocial
m v mv mv mv


Integrity
mv




5. A client is going to be admitted for a scheduled surgical procedure. Which action does
mv mv mv mv mv mv mv mv mv mv mv mv mv mv



the nurse explain is the most important thing the client can do to protect against
mv m v mv mv mv mv mv mv mv mv mv mv mv mv mv



errors?
mv


a. Bring a list of all medications and what they are for. mv mv mv mv mv mv mv mv mv mv


b. Keep the provider’s phone number by the telephone. mv mv mv mv mv mv mv


c. Make sure that all providers wash hands before entering the room.
mv mv mv mv mv mv mv mv mv mv


d. Write down the name of each caregiver who comes in the room.
mv mv mv mv mv mv mv mv mv mv mv




ANS: A mv



Medication reconciliation is a formal process in which the client’s actual current medications
mv mv mv mv mv mv mv mv mv mv mv mv



m are compared to the prescribed medications at the time of admission, transfer, or
v mv mv mv mv mv mv mv mv mv mv mv mv



discharge. This National client Safety Goal is important to reduce medication errors.
mv m v mv mv mv mv mv mv mv mv mv mv



The client would not have to be responsible for providers washing their hands, and
mv mv mv m v mv mv mv mv mv mv mv mv mv mv



even if the client does so,
mv mv mv mv mv mv



this is too narrow to be the most important action to prevent errors. Keeping the
mv mv mv mv mv mv mv mv mv mv mv mv mv mv



provider’s phone number nearby and documenting everyone who enters the room also do
mv m v mv mv mv mv mv mv mv mv mv mv mv



not guarantee safety.
mv mv m v




DIF: Applying TOP: Integrated Process:
m v m v mv


Teaching/Learning KEY: Client safety, Informatics
mv m v mv mv mv


MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
m v mv mv mv mv mv mv mv mv mv mv


Control
mv




about:blank 2/594

,10/31/23, 5:28 AM
mv mv Test bank - medical surgical nursing 10th edition ignatavicius workman-
mv mv mv mv mv mv mv mv mv



bte… Btestbanks.com




about:blank 3/594

, 10/31/23, 5:28 AM
mv mv Test bank - medical surgical nursing 10th edition ignatavicius workman-
mv mv mv mv mv mv mv mv mv



bte…



6. Which action by the nurse working with a client best demonstrates respect for autonomy?
mv mv mv mv mv mv mv mv mv mv mv mv mv


a. Asks if the client has questions before signing a consent.
mv mv mv mv mv mv mv mv mv


b. Gives the client accurate information when questioned.
mv mv mv mv mv mv


c. Keeps the promises made to the client and family. mv mv mv mv mv mv mv mv


d. Treats the client fairly compared to other clients. mv mv mv mv mv mv mv




ANS: A mv



Autonomy is self-determination. The client would make decisions regarding care. When
mv mv mv mv mv mv mv mv mv mv



the nurse obtains a signature on the consent form, assessing if the client still has questions
mv m v mv mv mv mv mv mv mv mv mv mv mv mv mv mv



is vital, because without full information the client cannot practice autonomy. Giving
mv mv m v mv mv mv mv mv mv mv mv mv



accurate information is practicing with veracity. Keeping promises is upholding fidelity.
mv m v mv mv mv mv mv mv mv mv mv



Treating the client fairly is providing social justice.
mv mv m v mv mv mv mv mv




DIF: Applying TOP: Integrated Process: Caring
m v KEY: Ethics, Autonomy m v mv mv mv mv


m MSC: Client Needs Category: Safe and Effective Care Environment: Management
v m v mv mv mv mv mv mv mv mv


of Care
mv mv




7. A nurse asks a more seasoned colleague to explain best practices when communicating with
mv mv mv mv mv mv mv mv mv mv mv mv mv



a
mv person from the lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ)
m v mv mv mv mv mv mv mv mv mv


m community. What answer by the faculty is most accurate?
v mv mv mv mv mv mv mv mv


a. Avoid embarrassing the client by asking questions. mv mv mv mv mv mv


b. Don’t make assumptions about his or her health needs.mv mv mv mv mv mv mv mv


c. Most LGBTQ people do not want to share information.
mv mv mv mv mv mv mv mv


d. No differences exist in communicating with this population.
mv mv mv mv mv mv mv




ANS: B mv



Many members of the LGBTQ community have faced discrimination from health care
mv mv mv mv mv mv mv mv mv mv mv



m providers and may be reluctant to seek health care. The nurse would never make
v mv mv mv mv mv mv mv mv mv mv mv mv mv



assumptions about the needs of members of this population. Rather, respectful questions
mv m v mv mv mv mv mv mv mv mv mv mv



are appropriate. If approached with sensitivity, the client with any health care need is
mv mv mv m v mv mv mv mv mv mv mv mv mv mv



more likely to answer honestly.
mv mv mv mv m v




DIF: Understanding m v TOP: Integrated Process: Teaching/Learning
mv mv mv


KEY: Health care disparities, LGBTQ
m v mv mv mv MSC: Client Needs Category: Psychosocial Integrity
m v mv mv mv mv




8. A nurse is calling the on-call health care provider about a client who had a hysterectomy
mv mv mv mv mv mv mv mv mv mv mv mv mv mv mv


2 days ago and has pain that is unrelieved by the prescribed opioid pain
mv m v mv mv mv mv mv mv mv mv mv mv mv mv



medication. Which statement comprises the background portion of the SBAR
mv mv m v mv mv mv mv mv mv mv


format for communication?
mv mv mv


a. “I would like you to order a different pain medication.”
mv mv mv mv mv mv mv mv mv


b. “This client has allergies to morphine and codeine.”
mv mv mv mv mv mv mv


c. “Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds.”
mv mv mv mv mv mv


d. “This client had a vaginal hysterectomy 2 days ago.”
mv mv mv mv mv mv mv mv




ANS: B mv




Btestbanks.com




about:blank 4/594