medical surgical nursing 10th edition by ignatavicius workman - Copy.pdf

TEST BANK For Medical-Surgical Nursing
m m m m m




10th Edition Concepts for Interprofessional Collabo
m m m m m




rative Care, by Donna D. Ignatavicius,
m m m m m m




All chapters 1 – 69
m m m m

,Chapter 01: Overview of Professional Nursing Concepts for Medical-
m m m m m m m m



Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
m m m m m m




MULTIPLEmCHOICE


1. Amnewmnursemismworkingmwithmampreceptormonmammedical-
surgicalmunit.mThempreceptormadvisesmthemnewmnursemthatmwhichmismthemprioritymwhenmworkin
gmasmamprofessionalmnurse?
a. Attendingmtomholisticmclientmneeds
b. Ensuringmclientmsafety
c. Notmmakingmmedicationmerrors
d. Providingmclient-focusedmcare

CORRECTmANSWER:m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclientmsafetymismt
hempriority.mHealthmcaremerrorsmhavembeenmwidelymreportedmform25myears,mmanymofmwhichmres
ultminmclientminjury,mdeath,mandmincreasedmhealthmcaremcosts.mTheremaremseveralmnationalmandm
internationalmorganizationsmthatmhavemeithermrecommendedmormmandatedmsafetyminitiatives.
Everymnursemhasmthemresponsibilitymtomguardmthemclient’smsafety.mThemothermactionsmaremimpo
rtantmformqualitymnursing,mbutmtheymaremnotmasmvitalmasmprovidingmsafety.mNotmmakingmmedica
tionmerrorsmdoesmprovidemsafety,mbutmismtoomnarrowminmscopemtombemthembestmanswer.

DIF: Understanding
TOP:m IntegratedmProcess:mNursingmProcess:mInterventionmKEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControl


2. Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
surgicalmunit.mWhatminformationmdoesmthemnursemprovidemtombestmhelpmthemclientmpromot
emhismormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.

CORRECTmANSWER:m A

, Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,mencouraging
mthemclientmtombemactiveminmhismormhermhealthmcaremasmamsafetympartnermismthemmostmcritical.mT
hemothermactionsmaremverymlimitedminmscopemandmdomnotmprovidemthembroadmprotectionmthatmb
eingmactivemandminvolvedmdoes.

DIF: Understanding
TOP:mIntegratedmProcess:mTeaching/LearningmKEY:mClientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControl


3. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclient’smbloodmpress
uremwasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50mmmmHg.mWhatmactionmwouldm
themnursemtakemfirst?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymhealthmcaremprovider.
d. Repeatmthembloodmpressureminm15mminutes.

, CORRECTmANSWER:m A
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsmaremdeteriora
tingmbeforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclientmhasmmanifested
m amsignificantmchange,mthemnursemwouldmcallmthemRRT.mChangesminmbloodmpressure,mmentalmst
atus,mheartmrate,mtemperature,moxygenmsaturation,mandmlastm2mhours’murinemoutputmarempartic
ularlymsignificantmandmarempartmofmthemModifiedmEarlymWarningmSystemmguide.mDocumentatio
nmismvital,mbutmthemnursemmustmdommoremthanmdocument.mThemprimarymhealthmcaremproviderm
wouldmbemnotified,mbutmthismismnotmmoremimportantmthanmcallingmthemRRT.mThemclient’smbloodm
pressuremwouldmbemreassessedmfrequently,mbutmthemprioritymismgettingmthemrapidmcaremtomthem
client.

DIF: Applying
TOP:m IntegratedmProcess:mCommunicationmandmDocumentationmKEY:mRapidm
ResponsemTeamm(RRT),mClinicalmjudgment
MSC:m ClientmNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation


4. Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbymthemnurse
bestmdemonstratesmthismconcept?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare.
b. Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.

c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom.

CORRECTmANSWER:m A
Showingmrespectmformthemclientmandmfamily’smpreferencesmandmneedsmismessentialmtomensurema
m holisticmorm“whole-
person”mapproachmtomcare.mBymassessingmthemeffectmofmthemclient’smculturemonmhealthmcare,mth
ismnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotmdemonstratemthismcompetence.mSimplymtel
lingmthemclientmaboutmallmupcomingmtestsmismnotmprovidingmempoweringmeducation.mOrientingm
themclientmandmfamilymtomthemroommismanmimportantmsafetymmeasure,mbutmnotmdirectlymrelated
m tomdemonstratingmclient-centeredmcare.

DIF: Understanding
TOP:mIntegratedmProcess:mCulturemandmSpiritualitymKEY:m Client-centeredmcare,mCulture
MSC:m ClientmNeedsmCategory:mPsychosocialmIntegrity


5. Amclientmismgoingmtombemadmittedmformamscheduledmsurgicalmprocedure.mWhichmactionmdoe