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Medical Surgical Nursing 10th EditionIgnat
k k k k k
avicius Workman Test Bank
k k k
Chapterk 01:k Overviewk ofk Professionalk Nursingk Conceptsk fork Medical-
Surgicalk NursingkIgnatavicius:kMedical-SurgicalkNursing,k10thkEdition
MULTIPLEkCHOICE
1. Aknewknursekiskworkingkwithkakpreceptorkonkakmedical-
surgicalkunit.kThekpreceptorkadvisesktheknewknursekthatkwhichkiskthekprioritykwhenkworking
kaskakprofessional knurse?
a. Attendingktokholistickclientkneeds
b. Ensuringkclientksafety
c. Notkmakingkmedicationkerrors
d. Providingkclient-focusedkcare
ANS:k B
Allkactionskarekappropriatekforkthekprofessionalknurse.kHowever,kensuringkclientksafetykis
kthekpriority.kHealthkcarekerrorskhavekbeenkwidelykreportedkfork25kyears,kmanykofkwhichkr
esultkinkclientkinjury,kdeath,kandkincreasedkhealthkcarekcosts.kTherekarekseveralknationalka
ndkinternational korganizationskthatkhavekeitherkrecommendedkorkmandatedksafetykinitiativ
es.
Everyknursekhaskthekresponsibilityktokguardkthekclient’sksafety.kThekotherkactionskarekimporta
nt
forkqualityknursing,kbutktheykareknotkaskvitalkaskprovidingksafety.kNotkmakingkmedicationker
rorskdoeskprovideksafety,kbutkisktooknarrowkinkscopektokbekthekbestkanswer.
DIF:kkk Understanding
TOP:kIntegratedkProcess:kNursingkProcess:kIntervention
kKEY:k Clientksafety
MSC:k ClientkNeedskCategory:kSafekandkEffectivekCarekEnvironment:kSafetykandkInfectionkControl
2. Aknursekiskorientingkaknewkclientkandkfamilyktokthekmedical-
surgicalkunit.kWhatkinformationkdoesktheknursekprovidektokbestkhelpkthekclientkpromotekh
iskorkherkownksafety?
a. Encouragekthekclientkandkfamilyktokbekactivekpartners.
b. Havekthekclientkmonitorkhandkhygienekinkcaregivers.
c. Offerkthekfamilykthekopportunityktokstaykwithkthekclient.
d. Tellkthekclientktokalwayskwearkhiskorkherkarmband.
ANS:k A
Eachkactionkcouldkbekimportantkforkthekclientkorkfamilyktokperform.kHowever,kencouraging
kthekclient ktokbekactivekinkhiskorkherkhealthkcarekaskaksafetykpartnerkiskthekmostkcritical.kTh
ekotherkactionskarekveryklimitedkinkscopekandkdoknotkprovidekthekbroadkprotectionkthatkbein
gkactivekandkinvolvedkdoes.
DIF:kkk Understanding
TOP:kIntegratedkProcess:kTeaching/Learnin
gkKEY:k Clientksafety
MSC:k ClientkNeedskCategory:kSafekandkEffectivekCarekEnvironment:kSafetykandkInfectionkControl
3. Aknursekiskcaringkforkakpostoperativekclientkonktheksurgicalkunit.kThekclient’skbloodkpress
urekwask142/76kmmkHgk30kminuteskago,kandknowkisk88/50kmmkHg.kWhatkactionkwouldkt
heknursektakekfirst?
a. CallkthekRapidkResponsekTeam.
b. Documentkandkcontinuektokmonitor.
c. Notifykthekprimarykhealthkcarekprovider.
d. Repeatkthekbloodkpressurekink15kminutes.
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ANS:k A
ThekpurposekofkthekRapidkResponsekTeamk(RRT)kisktokintervenekwhenkclientskarekdeteriora
tingkbeforektheyksufferkeitherkrespiratorykorkcardiackarrest.kSincekthekclientkhaskmanifestedk
aksignificantkchange,ktheknursekwouldkcallkthekRRT.kChangeskinkbloodkpressure,kmentalksta
tus,kheartkrate,ktemperature,koxygenksaturation,kandklastk2khours’kurinekoutputkarekparticular
lyksignificantkandkarekpartkofkthekModifiedkEarlykWarningkSystemkguide.kDocumentationki
skvital,kbutktheknursekmustkdokmorekthankdocument.kThekprimarykhealthkcarekproviderkwoul
dkbeknotified,kbutkthiskisknotkmorekimportantkthankcallingkthekRRT.kThekclient’skbloodkpres
surekwouldkbekreassessedkfrequently,kbutkthekprioritykiskgettingkthekrapidkcarektokthekclient.
DIF:kkk Applying
TOP:k IntegratedkProcess:kCommunicationkandkDocumentati
onkKEY:k RapidkResponsekTeamk(RRT),kClinicalkjudgment
MSC:k ClientkNeedskCategory:kPhysiologicalkIntegrity:kPhysiologicalkAdaptation
4. Aknursekwishesktokprovidekclient-centeredkcarekinkallkinteractions.kWhichkactionkbyktheknurse
bestkdemonstrateskthiskconcept?
a. Assesseskforkculturalkinfluenceskaffectingkhealthkcare.
b. Ensureskthatkallkthekclient’skbasickneedskarekmet.
c. Tellskthekclientkandkfamilykaboutkallkupcomingktests.
d. Thoroughlykorientskthekclientkandkfamilyktokthekroom.
ANS:k A
Showingkrespectkforkthekclientkandkfamily’skpreferenceskandkneedskiskessentialktokensureka
kholistickork“whole-
person”kapproachktokcare.kBykassessingkthekeffectkofkthekclient’skculturekonkhealthkcare,kthi
sknursekiskpracticingkclient-
focusedkcare.kProvidingkforkbasickneedskdoesknotkdemonstratekthiskcompetence.kSimplykte
llingkthekclientkaboutkallkupcomingktestskisknotkprovidingkempoweringkeducation.kOrientin
gkthekclientkandkfamilyktokthekroomkiskankimportantksafetykmeasure,kbutknotkdirectlykrelate
dktokdemonstratingkclient-centeredkcare.
DIF:kkk Understanding
TOP:kIntegratedkProcess:kCulturekandkSpiritualityk
KEY:k Client-centeredkcare,kCulture
MSC:k ClientkNeedskCategory:kPsychosocialkIntegri
ty
5. Akclientkiskgoingktokbekadmittedkforkakscheduledksurgicalkprocedure.kWhichkactionkdoes
ktheknursekexplainkiskthekmostkimportant kthingkthekclientkcankdoktokprotect kagainst kerror
s?
a. Bringkaklistkofkallkmedicationskandkwhatktheykarekfor.
b. Keepkthekprovider’skphoneknumberkbykthektelephone.
c. Makeksurekthatkallkproviderskwashkhandskbeforekenteringkthekroom.
d. Writekdownktheknamekofkeachkcaregiverkwhokcomeskinkthekroom.
ANS:k A
Medicationkreconciliationkiskakformalkprocesskinkwhichkthekclient’skactualkcurrentkmedicati
onskarekcomparedktokthekprescribedkmedicationskatkthektimekofkadmission,ktransfer,korkdisc
harge.kThiskNationalkclientkSafetykGoalkiskimportantktokreducekmedicationkerrors.kThekclie
ntkwouldknotkhavektokbekresponsiblekforkproviderskwashingktheirkhands,kandkevenkifkthekcl
ientkdoeskso,kthiskisktooknarrowktokbekthekmostkimportantkactionktokpreventkerrors.kKeepin
gkthekprovider’skphoneknumberknearbykandkdocumentingkeveryonekwhokenterskthekroomka
lsokdoknotkguaranteeksafety.
DIF:kkk Applying
TOP:k IntegratedkProcess:kTeaching/Learnin
gkKEY:k Clientksafety,kInformatics
MSC:k ClientkNeedskCategory:kSafekandkEffectivekCarekEnvironment:kSafetykandkInfectionkControl
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