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INTRODUCTORY MEDICAL-SURGICAL NURSING
13TH EDITION BY TIMBY SMITH TEST BANK
Questions 1–720 with detailed rationales| ISBN-978-1975172237 | Latest
Verified Review | 100% Pass Guaranteed | Graded A+
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1. A new nurse is working with a preceptor on an inpatient medical-surgical
unit. The preceptor advises the student 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
Explanation: All actions are appropriate for the professional nurse. However,
ensuring client safety is the priority. Up to 98,000 deaths result each year from
errors in hospital care, according to the 2000 Institute of Medicine report. Many
more clients have suffered injuries and less serious outcomes. Every nurse has
the responsibility to guard the client's safety .
2. A nurse is orienting a new client and family to the inpatient unit. What
information does the nurse provide to help the client promote his or her
own safety?
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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
Explanation: 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 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 .
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 by the nurse is best?
A. Call the Rapid Response Team.
B. Document and continue to monitor.
C. Notify the primary care provider.
D. Repeat blood pressure measurement in 15 minutes.
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Correct Answer: A
Explanation: The significant drop in blood pressure indicates potential
hemodynamic instability or shock. The Rapid Response Team should be
activated immediately for this acute change in condition. Documenting and
monitoring (B) delays necessary intervention. Notifying the provider (C) may be
appropriate but the RRT can provide immediate bedside evaluation. Repeating
the measurement (D) wastes critical time .
4. A nurse wishes to provide client-centered care in all interactions. Which
action by the nurse best demonstrates this concept?
A. Assesses for cultural influences affecting health care.
B. Ensures that all the client's basic needs are met.
C. Tells the client and family about all their care and treatment options.
D. Competency in client-focused care.
Correct Answer: A
Explanation: Competency in client-focused care is demonstrated when the
nurse focuses on communication, culture, respect, compassion, client education,
INTRODUCTORY MEDICAL-SURGICAL NURSING
13TH EDITION BY TIMBY SMITH TEST BANK
Questions 1–720 with detailed rationales| ISBN-978-1975172237 | Latest
Verified Review | 100% Pass Guaranteed | Graded A+
, 2
1. A new nurse is working with a preceptor on an inpatient medical-surgical
unit. The preceptor advises the student 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
Explanation: All actions are appropriate for the professional nurse. However,
ensuring client safety is the priority. Up to 98,000 deaths result each year from
errors in hospital care, according to the 2000 Institute of Medicine report. Many
more clients have suffered injuries and less serious outcomes. Every nurse has
the responsibility to guard the client's safety .
2. A nurse is orienting a new client and family to the inpatient unit. What
information does the nurse provide to help the client promote his or her
own safety?
, 3
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
Explanation: 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 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 .
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 by the nurse is best?
A. Call the Rapid Response Team.
B. Document and continue to monitor.
C. Notify the primary care provider.
D. Repeat blood pressure measurement in 15 minutes.
, 4
Correct Answer: A
Explanation: The significant drop in blood pressure indicates potential
hemodynamic instability or shock. The Rapid Response Team should be
activated immediately for this acute change in condition. Documenting and
monitoring (B) delays necessary intervention. Notifying the provider (C) may be
appropriate but the RRT can provide immediate bedside evaluation. Repeating
the measurement (D) wastes critical time .
4. A nurse wishes to provide client-centered care in all interactions. Which
action by the nurse best demonstrates this concept?
A. Assesses for cultural influences affecting health care.
B. Ensures that all the client's basic needs are met.
C. Tells the client and family about all their care and treatment options.
D. Competency in client-focused care.
Correct Answer: A
Explanation: Competency in client-focused care is demonstrated when the
nurse focuses on communication, culture, respect, compassion, client education,