Created By: A ff ff
Solution
Timby'sIntroductoryMedical-Surgical Nursing13th Edition f f ff f ff
ff by Moreno Test Bank A+ ff ff ff ff
Chapter 1 ff Concepts and Trends in Healthcare ff ff ff ff
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff advises the student that which is the priority when working as a professional nurse?
ff ff ff ff ff ff ff ff ff ff ff ff ff
Attending to holistic client needs ff ff ff ff
ff Ensuring client safety ff ff
Not making medication errors
ff ff ff
ff Providing client- focused care ANS: B pp ff ff ff ff
All actions are appropriate for the professional nurse. However, ensuring client safety is the
ff ff ff ff ff ff ff ff ff ff ff ff ff
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
2000 Institute of Medicine report. Many more clients have suffered injuries and less
ff ff ff ff ff ff ff ff ff ff ff ff ff
serious outcomes. Every nurse has the responsibility to guard the clients safety.
ff ff ff ff ff ff ff ff ff ff ff ff
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process:
ff ff ff ff ff ff ff ff ff
ff Nursing Process: Intervention ff ff
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
ff ff ff ff ff ff ff ff ff ff ff
ff Control
A nurse is orienting a new client and family to the inpatient unit. What information does the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff nurse provide to help the client promote his or her own safety?
ff ff ff ff ff ff ff ff ff ff ff
Encourage the client and family to be active partners.
ff ff ff ff ff ff ff ff
ff Have the client monitor hand hygiene in caregivers.
ff ff ff ff ff ff ff
ff Offer the family the opportunity to stay with the client.
ff ff ff ff ff ff ff ff ff
A+ Page 1 ff
,Created By: A ff ff
Solution
Tell the client to always wear his or her armband. ANS: A
ff ff ff ff ff ff ff ff ff ff ff
Each action could be important for the client or family to perform. However, encouraging the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff client to be active in his or her health care as a partner is the most critical. The other
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff actions are ff
◦
very limited in scope and do not provide the broad protection that being active and involved
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process:
ff ff ff ff ff ff ff ff ff
ff Teaching/ Learning ff
NOT: Client Needs Category: Safe and Effective Care
ff ff ff ff ff ff ff
Environment: Safety and Infection Control ff ff ff ff
A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
best? Call the Rapid Response Team.
ff ff ff ff ff ff
Document and continue to monitor. ff ff ff ff
ff Notify the primary care provider.
ff ff ff ff
Repeat blood pressure measurement in 15 minutes. ANS: A
ff ff ff ff ff ff ff ff
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
before they suffer either respiratory or cardiac arrest. Since the client has manifested a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
significant change, the nurse should call the RRT. Changes in blood pressure, mental status,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
more than document. The primary care provider should be notified, but this is not the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
A+ Page 2 ff
,Created By: A
ff ff
Solution
ff priority
A+ Page 3
ff
, Created By: A
ff ff
Solution
over calling
ff
A+ Page 4
ff
Solution
Timby'sIntroductoryMedical-Surgical Nursing13th Edition f f ff f ff
ff by Moreno Test Bank A+ ff ff ff ff
Chapter 1 ff Concepts and Trends in Healthcare ff ff ff ff
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff advises the student that which is the priority when working as a professional nurse?
ff ff ff ff ff ff ff ff ff ff ff ff ff
Attending to holistic client needs ff ff ff ff
ff Ensuring client safety ff ff
Not making medication errors
ff ff ff
ff Providing client- focused care ANS: B pp ff ff ff ff
All actions are appropriate for the professional nurse. However, ensuring client safety is the
ff ff ff ff ff ff ff ff ff ff ff ff ff
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
2000 Institute of Medicine report. Many more clients have suffered injuries and less
ff ff ff ff ff ff ff ff ff ff ff ff ff
serious outcomes. Every nurse has the responsibility to guard the clients safety.
ff ff ff ff ff ff ff ff ff ff ff ff
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process:
ff ff ff ff ff ff ff ff ff
ff Nursing Process: Intervention ff ff
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
ff ff ff ff ff ff ff ff ff ff ff
ff Control
A nurse is orienting a new client and family to the inpatient unit. What information does the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff nurse provide to help the client promote his or her own safety?
ff ff ff ff ff ff ff ff ff ff ff
Encourage the client and family to be active partners.
ff ff ff ff ff ff ff ff
ff Have the client monitor hand hygiene in caregivers.
ff ff ff ff ff ff ff
ff Offer the family the opportunity to stay with the client.
ff ff ff ff ff ff ff ff ff
A+ Page 1 ff
,Created By: A ff ff
Solution
Tell the client to always wear his or her armband. ANS: A
ff ff ff ff ff ff ff ff ff ff ff
Each action could be important for the client or family to perform. However, encouraging the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff client to be active in his or her health care as a partner is the most critical. The other
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff actions are ff
◦
very limited in scope and do not provide the broad protection that being active and involved
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ff does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process:
ff ff ff ff ff ff ff ff ff
ff Teaching/ Learning ff
NOT: Client Needs Category: Safe and Effective Care
ff ff ff ff ff ff ff
Environment: Safety and Infection Control ff ff ff ff
A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
best? Call the Rapid Response Team.
ff ff ff ff ff ff
Document and continue to monitor. ff ff ff ff
ff Notify the primary care provider.
ff ff ff ff
Repeat blood pressure measurement in 15 minutes. ANS: A
ff ff ff ff ff ff ff ff
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
before they suffer either respiratory or cardiac arrest. Since the client has manifested a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
significant change, the nurse should call the RRT. Changes in blood pressure, mental status,
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
more than document. The primary care provider should be notified, but this is not the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
A+ Page 2 ff
,Created By: A
ff ff
Solution
ff priority
A+ Page 3
ff
, Created By: A
ff ff
Solution
over calling
ff
A+ Page 4
ff
