Table of content
Chapter 1. Overview of Professional Nursing Concepts for Medical-Surgical
Nursing
Chapter 2. Clinical Judgment and Systems Thinking
Chapter 3. Overview of Health Concepts for Medical-Surgical Nursing
Chapter 4. Concepts of Care for Older Adults
Chapter 5. Concepts of Care for Transgender and Non-Binary Patients
Chapter 6. Assessment and Concepts of Care for Patients with Pain
Chapter 7. Concepts of Rehabilitation for Chronic and Disabling Health Conditions
Chapter 8. Concepts of Care for Patients at End-of-Life
Chapter 9. Concepts of Care for Perioperative Patients
Chapter 10. Concepts of Emergency and Trauma Nursing
Chapter 11. Concepts of Care for Patients with Common Environmental
Emergencies
Chapter 12. Concepts of Disaster Preparedness
Chapter 13. Concepts of Fluid and Electrolyte Balance and Imbalance
Chapter 14. Concepts of Acid-Base Balance and Imbalance
Chapter 15. Concepts of Infusion Therapy
Chapter 16. Concepts of Inflammation and Immunity
Chapter 17. Concepts of Care for Patients with Allergy and Immunity Conditions
Chapter 18. Concepts of Care for Patients with Cancer
Chapter 19. Concepts of Care for Patients with Infection
Chapter 20. Assessment of the Skin, Hair, and Nails
Chapter 21. Concepts of Care for Patients with Conditions of the Skin, Hair, and
Nails
Chapter 22. Assessment of the Respiratory System
Chapter 23. Concepts of Care for Patients with Noninfectious Upper Respiratory
Conditions
Chapter 24. Concepts of Care for Patients with Noninfectious Lower Respiratory
Conditions
Chapter 25. Concepts of Care for Patients with Infectious Respiratory Conditions
Chapter 26. Critical Care of Patients with Respiratory Emergencies
Chapter 27. Assessment of the Cardiovascular System
Chapter 28. Concepts of Care for Patients with Dysrhythmias
Chapter 29. Concepts of Care for Patients with Cardiac Conditions
Chapter 30. Concepts of Care for Patients with Vascular Conditions
Chapter 31. Critical Care of Patients with Shock
,Table of content
Chapter 32. Critical Care of Patients with Acute Coronary Syndromes
Chapter 33. Assessment of the Hematologic System
Chapter 34. Concepts of Care for Patients with Hematologic Conditions
Chapter 35. Assessment of the Nervous System
Chapter 36. Concepts of Care for Patients with Conditions of the Central Nervous
System: The Brain
Chapter 37. Concepts of Care for Patients with Conditions of the Central Nervous
System: The Spinal Cord
Chapter 38. Critical Care of Patients with Neurologic Emergencies
Chapter 39. Assessment and Concepts of Care for Patients with Eye and Vision
Conditions
Chapter 40. Assessment and Concepts of Care for Patients with Ear and Hearing
Conditions
Chapter 41. Assessment of the Musculoskeletal System
Chapter 42. Concepts of Care for Patients with Musculoskeletal Conditions
Chapter 43. Concepts of Care for Patients with Arthritis and Total Joint
Arthroplasty
Chapter 44. Concepts of Care for Patients with Musculoskeletal Trauma
Chapter 45. Assessment of the Gastrointestinal System
Chapter 46. Concepts of Care for Patients with Oral Cavity and Esophageal
Conditions
Chapter 47. Concepts of Care for Patients with Stomach Conditions
Chapter 48. Concepts of Care for Patients with Noninflammatory Intestinal
Conditions
Chapter 49. Concepts of Care for Patients with Inflammatory Intestinal Conditions
Chapter 50. Concepts of Care for Patients with Liver Conditions
Chapter 51. Concepts of Care for Patients with Conditions of the Biliary System
and Pancreas
Chapter 52. Concepts of Care for Patients with Malnutrition: Undernutrition and
Obesity
Chapter 53. Assessment of the Endocrine System
Chapter 54. Concepts of Care for Patients with Pituitary and Adrenal Gland
Conditions
Chapter 55. Concepts of Care for Patients with Conditions of the Thyroid and
Parathyroid Glands
,Table of content
Chapter 56. Concepts of Care for Patients with Diabetes Mellitus
Chapter 57. Assessment of the Renal/Urinary System
Chapter 58. Concepts of Care for Patients with Urinary Conditions
Chapter 59. Concepts of Care for Patients with Kidney Conditions
Chapter 60. Concepts of Care for Patients with Acute Kidney Injury and Chronic
Kidney Disease
Chapter 61. Assessment of the Reproductive System
Chapter 62. Concepts of Care for Patients with Breast Conditions
Chapter 63. Concepts of Care for Patients with Gynecologic Conditions
Chapter 64. Concepts of Care for Patients with Male Reproductive Conditions
Chapter 65. Concepts of Care for Patients with Sexually Transmitted Infections
, uytrews
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing Ignatavicius: Medical-Surgical Nursing, 11th 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
ANS: 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.
ANS: 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.
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Chapter 1. Overview of Professional Nursing Concepts for Medical-Surgical
Nursing
Chapter 2. Clinical Judgment and Systems Thinking
Chapter 3. Overview of Health Concepts for Medical-Surgical Nursing
Chapter 4. Concepts of Care for Older Adults
Chapter 5. Concepts of Care for Transgender and Non-Binary Patients
Chapter 6. Assessment and Concepts of Care for Patients with Pain
Chapter 7. Concepts of Rehabilitation for Chronic and Disabling Health Conditions
Chapter 8. Concepts of Care for Patients at End-of-Life
Chapter 9. Concepts of Care for Perioperative Patients
Chapter 10. Concepts of Emergency and Trauma Nursing
Chapter 11. Concepts of Care for Patients with Common Environmental
Emergencies
Chapter 12. Concepts of Disaster Preparedness
Chapter 13. Concepts of Fluid and Electrolyte Balance and Imbalance
Chapter 14. Concepts of Acid-Base Balance and Imbalance
Chapter 15. Concepts of Infusion Therapy
Chapter 16. Concepts of Inflammation and Immunity
Chapter 17. Concepts of Care for Patients with Allergy and Immunity Conditions
Chapter 18. Concepts of Care for Patients with Cancer
Chapter 19. Concepts of Care for Patients with Infection
Chapter 20. Assessment of the Skin, Hair, and Nails
Chapter 21. Concepts of Care for Patients with Conditions of the Skin, Hair, and
Nails
Chapter 22. Assessment of the Respiratory System
Chapter 23. Concepts of Care for Patients with Noninfectious Upper Respiratory
Conditions
Chapter 24. Concepts of Care for Patients with Noninfectious Lower Respiratory
Conditions
Chapter 25. Concepts of Care for Patients with Infectious Respiratory Conditions
Chapter 26. Critical Care of Patients with Respiratory Emergencies
Chapter 27. Assessment of the Cardiovascular System
Chapter 28. Concepts of Care for Patients with Dysrhythmias
Chapter 29. Concepts of Care for Patients with Cardiac Conditions
Chapter 30. Concepts of Care for Patients with Vascular Conditions
Chapter 31. Critical Care of Patients with Shock
,Table of content
Chapter 32. Critical Care of Patients with Acute Coronary Syndromes
Chapter 33. Assessment of the Hematologic System
Chapter 34. Concepts of Care for Patients with Hematologic Conditions
Chapter 35. Assessment of the Nervous System
Chapter 36. Concepts of Care for Patients with Conditions of the Central Nervous
System: The Brain
Chapter 37. Concepts of Care for Patients with Conditions of the Central Nervous
System: The Spinal Cord
Chapter 38. Critical Care of Patients with Neurologic Emergencies
Chapter 39. Assessment and Concepts of Care for Patients with Eye and Vision
Conditions
Chapter 40. Assessment and Concepts of Care for Patients with Ear and Hearing
Conditions
Chapter 41. Assessment of the Musculoskeletal System
Chapter 42. Concepts of Care for Patients with Musculoskeletal Conditions
Chapter 43. Concepts of Care for Patients with Arthritis and Total Joint
Arthroplasty
Chapter 44. Concepts of Care for Patients with Musculoskeletal Trauma
Chapter 45. Assessment of the Gastrointestinal System
Chapter 46. Concepts of Care for Patients with Oral Cavity and Esophageal
Conditions
Chapter 47. Concepts of Care for Patients with Stomach Conditions
Chapter 48. Concepts of Care for Patients with Noninflammatory Intestinal
Conditions
Chapter 49. Concepts of Care for Patients with Inflammatory Intestinal Conditions
Chapter 50. Concepts of Care for Patients with Liver Conditions
Chapter 51. Concepts of Care for Patients with Conditions of the Biliary System
and Pancreas
Chapter 52. Concepts of Care for Patients with Malnutrition: Undernutrition and
Obesity
Chapter 53. Assessment of the Endocrine System
Chapter 54. Concepts of Care for Patients with Pituitary and Adrenal Gland
Conditions
Chapter 55. Concepts of Care for Patients with Conditions of the Thyroid and
Parathyroid Glands
,Table of content
Chapter 56. Concepts of Care for Patients with Diabetes Mellitus
Chapter 57. Assessment of the Renal/Urinary System
Chapter 58. Concepts of Care for Patients with Urinary Conditions
Chapter 59. Concepts of Care for Patients with Kidney Conditions
Chapter 60. Concepts of Care for Patients with Acute Kidney Injury and Chronic
Kidney Disease
Chapter 61. Assessment of the Reproductive System
Chapter 62. Concepts of Care for Patients with Breast Conditions
Chapter 63. Concepts of Care for Patients with Gynecologic Conditions
Chapter 64. Concepts of Care for Patients with Male Reproductive Conditions
Chapter 65. Concepts of Care for Patients with Sexually Transmitted Infections
, uytrews
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing Ignatavicius: Medical-Surgical Nursing, 11th 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
ANS: 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.
ANS: 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.
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uytrew extra per year?
