Test Bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition by Donna D. Ignatavicius Chapter 1-69 |Complete Guide 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


A new nurse is working with a preceptor on a medical-
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surgical unit. The preceptor advises the new nurse that which is the priority when working as a p
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rofessional nurse? hf




a. Attending to holistic client needs hf hf hf hf




b. Ensuring client safety hf hf




c. Not making medication errors hf hf hf




d. Providing client-focused care hf hf




ANSWER: B hfhfh f




All actions are appropriate for the professional nurse. However, ensuring client safety is the pr
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iority. Health care errors have been widely reported for 25 years, many of which result in clien
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t injury, death, and increased health care costs. There are several national and international o
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rganizations that have either recommended or mandated safety initiatives.hf hf hf hf hf hf hf hf




Every nurse has the responsibility to guard the client’s safety. The other actions are importan
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t for quality nursing, but they are not as vital as providing safety. Not making medication error
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s does provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding
TOP: Integrated Process: Nursing Process: Intervention KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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2. A nurse is orienting a new client and family to the medical-
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surgical unit. What information does the nurse provide to best help the client promote his
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f or her own safety?
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a. Encourage the client and family to be active partners. hf hf hf hf hf hf hf hf




b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANSWER: A hfhfh f

, Each action could be important for the client or family to perform. However, encouraging the
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client to be active in his or her health care as a safety partner is the most critical. The other ac
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tions are very limited in scope and do not provide the broad protection that being active and i
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nvolved does. hf




DIF: Understanding
TOP: Integrated Process: Teaching/Learning KEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
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was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
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take first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. hf hf hf hf




c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes. hf hf hf hf hf hf

, ANSWER: A hfhfh f




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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before they suffer either respiratory or cardiac arrest. Since the client has manifested a signifi
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cant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart ra
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te, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant
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and are part of the Modified Early Warning System guide. Documentation is vital, but the nur
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se must do more than document. The primary health care provider would be notified, but thi
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s is not more important than calling the RRT. The client’s blood pressure would be reassessed
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frequently, but the priority is getting the rapid care to the client. hf hf hf hf hf hf hf hf hf hf hf




DIF: Applying
TOP: Integrated Process: Communication and Documentation KEY: Rapid Re
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sponse Team (RRT), Clinical judgment hf hf hf hf




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?hf hf hf




a. Assesses for cultural influences affecting health care. hf hf hf hf hf hf




b. Ensures that all the client’s basic needs are met. hf hf hf hf hf hf hf hf




c. Tells the client and family about all upcoming tests. hf hf hf hf hf hf hf hf




d. Thoroughly orients the client and family to the room. hf hf hf hf hf hf hf hf




ANSWER: A hfhfh f




Showing respect for the client and family’s preferences and needs is essential to ensure a holi
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stic or “whole- hf hf




person” approach to care. By assessing the effect of the client’s culture on health care, this nu
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rse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply telling
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hf the client about all upcoming tests is not providing empowering education. Orienting the clie
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nt and family to the room is an important safety measure, but not directly related to demonst
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rating client-centered care. hf hf




DIF: Understanding
TOP: Integrated Process: Culture and Spirituality KEY: Client-centered care, Culture
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MSC: Client Needs Category: Psychosocial Integrity
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5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
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f nurse explain is the most important thing the client can do to protect against errors?
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a. Bring a list of all medications and what they are for. hf hf hf hf hf hf hf hf hf hf