Stuvia.com$@-
The Marketplace to Buy and Sell your Study Material
Downloaded$@by:$@Profkarl$@|$@ Want$@to$@earn$@$1.236
Distribution$@of$@this$@document$@is$@ extra$@per$@yea
illegal r?
,
,
, Overview of Professional Nursing Concepts for Medical- $@ $@ $@ $@ $@ $@
Surgical Nursing
$@ $@
MULTIPLE CHOICE $@
1. A nurse wishes to provide client-
$@ $@ $@ $@ $@
centered care in all interactions. Which action by the nurse best demonstrates this concept?
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ za $@ $@
a. Assesses for cultural influences affecting health care
$@ $@ $@ $@ $@ $@
b. Ensures that all the clients basic needs are met
$@ $@ $@ $@ $@ $@ $@ $@
c. Tells the client and family about all upcoming tests
$@ $@ $@ $@ $@ $@ $@ $@
d. Thoroughly orients the client and family to the room
$@ $@ $@ $@ $@ $@ $@ $@
ANS: A $@
Rationale
Competency in client- $@ $@
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion,
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $ @ $
@client ed ucation, and empowerment. By assessing the effect of the clients culture on health care,
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $ @ $
@ this nurse is practici ng client-
$ @ $ @ $ @ $@ $ @
focused care. Providing for basic needs does not demonstrate this competence.
$ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @
Simply telling the client about all upcoming tests is not providing empowering education. Orienting
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
the client and family to the room is an important safety measure, but not directly related to demon
$@ $@ $@ $@ $@ $@ $@ $@ z$ @ $@ $@ $@ $@ za $@ $@ $@
strating client- centered care.
$@ $@ $@
DIF: Understanding/Comprehension REF: 3
$ @ $ @ $ @
KEY: Patient-
$@ $@
centered care| culture MSC: Integrated Process: Caring NOT: Client
$@ $@ $@ $@ $@ $@ $@ $@ $
@N eeds Category: Psychosocial Integrity
$@ $@ $@ $@
2. 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?
za $@ $@ $@ za $@ $@ $@ $@ $@ $@ $@ za $@ $@ $@ $@ $@
a. Call the Rapid Response Team.
$@ $@ $@ $@
b. Document and continue to monitor. $@ $@ $@ $@
c. Notify the primary care provider.
$@ $@ $@ $@
d. Repeat blood pressure measurement in 15 minutes.
$@ $@ $@ $@ $@ $@
ANS: A $@
Rationale
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteri
$ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @
orating before they suffer either respiratory or cardiac arrest. Since the client has manifested a sign
$ @ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
ificant change, the nurse s hould call the RRT. Changes in blood pressure, mental status, heart rat
$@ $@ $@ $@ $@ $ @ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
e, and pain are particularly significant. Documentation is vital, but the nurse must do more than do
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
cument. The primary care provider should be no tified, but this is not the priority over calling the
$@ $@ $@ $@ $@ $@ $@ $@ $@ za $@ $@ $@ $@ $@ $@ $@ $@
RRT. The clients blood pressure should be reassessed freq uently, but the priority is getting the rapi
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ za $@ $@ $@ $@ $@
d care to the client.
$@ $@ $@ $@
DIF: Applying/Application REF: 3
$@ $@ $@
KEY: Rapid Response Team (RRT)| medical emergencies
$@ $@ $@ $@ $@ $@ $ @
MS C: Integrated Process: Communication and Documentati
$@ $@ $@ $@ $@ za
on
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
$@ $@ $@ $@ $@ $@ $@
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse p
$@ $@ $@ za $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
rovide to h elp the client promote his or her own safety?
$@ $ @ $@ $@ $@ $@ $@ $@ $@ $@ z$ @
a. Encourage the client and family to be active partners.
$@ $@ $@ $@ $@ $@ $@ $@
b. Have the client monitor hand hygiene in caregivers.
$@ $@ za$@ $@ $@ $@ $@
c. Offer the family the opportunity to stay with the client.
$@ $@ $@ $@ $@ $@ $@ $@ $@
d. Tell the client to always wear his or her armband.
$@ $@ $@ $@ $@ $@ $@ $@ $@
ANS: A $@
Rationale
The Marketplace to Buy and Sell your Study Material
Downloaded$@by:$@Profkarl$@|$@ Want$@to$@earn$@$1.236
Distribution$@of$@this$@document$@is$@ extra$@per$@yea
illegal r?
,
,
, Overview of Professional Nursing Concepts for Medical- $@ $@ $@ $@ $@ $@
Surgical Nursing
$@ $@
MULTIPLE CHOICE $@
1. A nurse wishes to provide client-
$@ $@ $@ $@ $@
centered care in all interactions. Which action by the nurse best demonstrates this concept?
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ za $@ $@
a. Assesses for cultural influences affecting health care
$@ $@ $@ $@ $@ $@
b. Ensures that all the clients basic needs are met
$@ $@ $@ $@ $@ $@ $@ $@
c. Tells the client and family about all upcoming tests
$@ $@ $@ $@ $@ $@ $@ $@
d. Thoroughly orients the client and family to the room
$@ $@ $@ $@ $@ $@ $@ $@
ANS: A $@
Rationale
Competency in client- $@ $@
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion,
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $ @ $
@client ed ucation, and empowerment. By assessing the effect of the clients culture on health care,
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $ @ $
@ this nurse is practici ng client-
$ @ $ @ $ @ $@ $ @
focused care. Providing for basic needs does not demonstrate this competence.
$ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @
Simply telling the client about all upcoming tests is not providing empowering education. Orienting
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
the client and family to the room is an important safety measure, but not directly related to demon
$@ $@ $@ $@ $@ $@ $@ $@ z$ @ $@ $@ $@ $@ za $@ $@ $@
strating client- centered care.
$@ $@ $@
DIF: Understanding/Comprehension REF: 3
$ @ $ @ $ @
KEY: Patient-
$@ $@
centered care| culture MSC: Integrated Process: Caring NOT: Client
$@ $@ $@ $@ $@ $@ $@ $@ $
@N eeds Category: Psychosocial Integrity
$@ $@ $@ $@
2. 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?
za $@ $@ $@ za $@ $@ $@ $@ $@ $@ $@ za $@ $@ $@ $@ $@
a. Call the Rapid Response Team.
$@ $@ $@ $@
b. Document and continue to monitor. $@ $@ $@ $@
c. Notify the primary care provider.
$@ $@ $@ $@
d. Repeat blood pressure measurement in 15 minutes.
$@ $@ $@ $@ $@ $@
ANS: A $@
Rationale
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteri
$ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @ $ @
orating before they suffer either respiratory or cardiac arrest. Since the client has manifested a sign
$ @ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
ificant change, the nurse s hould call the RRT. Changes in blood pressure, mental status, heart rat
$@ $@ $@ $@ $@ $ @ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
e, and pain are particularly significant. Documentation is vital, but the nurse must do more than do
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
cument. The primary care provider should be no tified, but this is not the priority over calling the
$@ $@ $@ $@ $@ $@ $@ $@ $@ za $@ $@ $@ $@ $@ $@ $@ $@
RRT. The clients blood pressure should be reassessed freq uently, but the priority is getting the rapi
$@ $@ $@ $@ $@ $@ $@ $@ $@ $@ za $@ $@ $@ $@ $@
d care to the client.
$@ $@ $@ $@
DIF: Applying/Application REF: 3
$@ $@ $@
KEY: Rapid Response Team (RRT)| medical emergencies
$@ $@ $@ $@ $@ $@ $ @
MS C: Integrated Process: Communication and Documentati
$@ $@ $@ $@ $@ za
on
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
$@ $@ $@ $@ $@ $@ $@
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse p
$@ $@ $@ za $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@ $@
rovide to h elp the client promote his or her own safety?
$@ $ @ $@ $@ $@ $@ $@ $@ $@ $@ z$ @
a. Encourage the client and family to be active partners.
$@ $@ $@ $@ $@ $@ $@ $@
b. Have the client monitor hand hygiene in caregivers.
$@ $@ za$@ $@ $@ $@ $@
c. Offer the family the opportunity to stay with the client.
$@ $@ $@ $@ $@ $@ $@ $@ $@
d. Tell the client to always wear his or her armband.
$@ $@ $@ $@ $@ $@ $@ $@ $@
ANS: A $@
Rationale
