Timby's Introductory Medical-Surgical Nursing 13th Edition Moreno Test Bank

Timby's Introductory Medical-Surgical Nursing 13th Edition Moreno Test BankChapter 1Concepts and Trends in Healthcare ◦A new nurse is working with a preceptor on an inpatient medical-surgical unit.The preceptor advises the student that which is the priority when working as aprofessional nurse?◦Attending to holistic client needs◦Ensuring client safety◦Not making medication errors◦Providing client-focused careANS: B◦All actions are appropriate for the professional nurse. However,ensuring client safety is the priority. Up to 98,000 deaths result each year from errorsin hospital care, according to the 2000 Institute of Medicine report. Many more clientshave suffered injuries and less serious outcomes. Every nurse has the responsibility toguard the clients safety. ◦DIF: Understanding/Comprehension REF:2KEY: Patient safety MSC: Integrated Process: NursingProcess: Intervention◦NOT: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control ◦A nurse is orienting a new client and family to the inpatient unit. Whatinformation does the nurse provide to help the client promote his or her ownsafety?◦Encourage the client and family to be active partners. ◦Have the client monitor hand hygiene in caregivers.◦Offer the family the opportunity to stay with the client. ◦Tell the client to always wear his or her armband. ANS: A◦ Each action could be important for the client or family to perform.However, encouraging the client to be active in his or her health care as a partner is the most critical. The other actions are◦◦very limited in scope and do not provide the broad protection that being active and involved does. ◦DIF: Understanding/Comprehension REF:3KEY: Patient safety MSC: Integrated Process: Teaching/Learning◦NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control ◦A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?◦Call the Rapid Response Team. ◦Document and continue to monitor. ◦Notify the primary care provider. ◦Repeat blood pressure measurement in 15 minutes. ANS: A◦The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do more than document. The primary careprovider should be notified, but this is not the priority over callingthe RRT. Theclients blood pressure should be reassessed frequently, but the priority is gettingtherapid care to the client.