Test Bank For Medical-Surgical Nursing Concepts for Inter professional Collaborative Care 10th Edition by Donna Ignatavicius, 9780323612425, Chapter 1-69 Complete Questions and Answers A+

TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69

,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition



MULTIPLE CHOICE


1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
the new nurse that which is the priority when working as a professional nurse?
a. Attending to holistic client needs

b. Ensuring client safety
c. Not making medication errors

d. Providing client-focused care

CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.

DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control


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

does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.

c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.

CORRECT ANSWER: 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 safety 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 TOP: Integrated Process: Teaching/Learning
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control


3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.

b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.

, CORRECT ANSWER: A m m




The purpose of the Rapid Response Team (RRT) is to intervene when clients are
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mdeteriorating before they suffer either respiratory or cardiac arrest. Since the client has
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mmanifested a significant change, the nurse would call the RRT. Changes in blood
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mpressure, mental status, heart rate, temperature, oxygen saturation, and last 2 hours’
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murine output are particularly significant and are part of the Modified Early Warning
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mSystem guide. Documentation is vital, but the nurse must do more than document. The
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mprimary health care provider would be notified, but this is not more important than
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mcalling the RRT. The client’s blood pressure would be reassessed frequently, but the
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mpriority is getting the rapid care to the client.
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DIF: Applying TOP: Integrated Process: Communication and
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Documentation KEY: Rapid Response Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
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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 client’s 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. m m m m m m m m




CORRECT ANSWER: A m m




Showing respect for the client and family’s preferences and needs is essential to ensure a
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mholistic or “whole-person” approach to care. By assessing the effect of the client’s
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mculture on health care, this nurse is practicing client-focused care. Providing for basic
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mneeds does not demonstrate this competence. Simply telling the client about all
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mupcoming tests is not providing empowering education. Orienting the client and family to
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mthe room is an important safety measure, but not directly related to demonstrating
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mclient-centered care. m




DIF: Understanding TOP: Integrated Process: Culture and Spirituality
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mKEY: Client-centered care, Culture
m m m MSC: Client Needs Category: Psychosocial
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mIntegrity


5. A client is going to be admitted for a scheduled surgical procedure. Which action
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mdoes the nurse explain is the most important thing the client can do to protect
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magainst errors? m




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