Medical-Surgical Nursing Test Bank (11th Edition | Ignatavicius) – Complete NCLEX & HESI Review with Verified Answers, Clinical Rationales & Interprofessional Care Focus

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1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met
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c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room s$ s$ s$ s$ s$ s$ s$ s$




ANS: A s$




Competency in client- s$ s$




focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, client
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ed ucation, and empowerment. By assessing the effect of the clients culture on health care,
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$ practici ng client-focused care. Providing for basic needs does not demonstrate this competence.
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Simply telling the client about all upcoming tests is not providing empowering education. Orienting the clie
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nt and family to the room is an important safety measure, but not directly related to demonstrating client-
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- s$




centered care| culture MSC: Integrated Process: Caring NOT: Client N e
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eds Category: Psychosocial Integrity
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76
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mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. s$ s$ s$ s$




c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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