TEST BANK IGNATAVICI US MEDICAL SURGICAL NUR SING 9TH EDITION (ALL CHA PTERS UPDATED) 1
3
8
13
20
32
38
44
50
56
62
68
76
83
94
103
109
116
122
138
147
152
157
167
174
179
196
213
220
226
233
245
256
269
278
287
298
310
317
327
331
343
353
364
374
380
394
397
403
410
415Table of Contents
Table of Contents
Chapter 01: Overview of Professional Nursing Concep ts for Medical-Surgical Nursing
Chapter 02: Overview of Health Concepts for Medical -Surgical Nursing
Chapter 03: Common Health Problems of Older Adults
Chapter 04: Assessment and Care of Patients with Pa in
Chapter 05: Genetic Concepts for Medical-Surgical N ursing
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems
Chapter 07: End-of-Life Care
Chapter 08: Concepts of Emergency and Trauma Nursin g
Chapter 09: Care of Patients with Common Environmen tal Emergencies
Chapter 10: Concepts of Emergency and Disaster Prep aredness
Chapter 11: Assessment and Care of Patients with Fl uid and Electrolyte Imbalances
Chapter 12: Assessment and Care of Patients with Ac id-Base Imbalances
Chapter 13: Infusion Therapy
Chapter 14: Care of Preoperative Patients
Chapter 15: Care of Intraoperative Patients
Chapter 16: Care of Postoperative Patients
Chapter 17: Inflammation and Immunity
Chapter 18: Care of Patients with Arthritis and Oth er Connective Tissue Diseases
Chapter 19: Care of Patients with HIV Disease
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity
Chapter 21: Cancer Development
Chapter 22: Care of Patients with Cancer
Chapter 23: Care of Patients with Infection
Chapter 24: Assessment of the Skin, Hair, and Nails
Chapter 25: Care of Patients with Skin Problems
Chapter 26: Care of Patients with Burns
Chapter 27: Assessment of the Respiratory System
Chapter 28: Care of Patients Requiring Oxygen Thera py or Tracheostomy
Chapter 29: Care of Patients with Noninfectious Upp er Respiratory Problems
Chapter 30: Care of Patients with Noninfectious Low er Respiratory Problems
Chapter 31: Care of Patients with Infectious Respir atory Problems
Chapter 32: Care of Critically Ill Patients with Re spiratory Problems
Chapter 33: Assessment of the Cardiovascular System
Chapter 34: Care of Patients with Dysrhythmias
Chapter 35: Care of Patients with Cardiac Problems
Chapter 36: Care of Patients with Vascular Problems
Chapter 37: Care of Patients with Shock
Chapter 38: Care of Patients with Acute Coronary Sy ndromes
Chapter 39: Assessment of the Hematologic System
Chapter 40: Care of Patients with Hematologic Probl ems
Chapter 41: Assessment of the Nervous System
Chapter 42: Care of Patients with Problems of the C NS: The Brain
Chapter 43: Care of Patients with Problems of the C NS: The Spinal Cord
Chapter 44: Care of Patients with Problems of the P eripheral Nervous System
Chapter 45: Care of Critically Ill Patients with Ne urologic Problems
Chapter 46: Assessment of the Eye and Vision
Chapter 47: Care of Patients with Eye and Vision Pr oblems
Chapter 48: Assessment and Care of Patients with Ea r and Hearing Problems
Chapter 49: Assessment of the Musculoskeletal Syste m
Chapter 50: Care of Patients with Musculoskeletal P roblemsTest Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 1
Downloaded by No One ()
lOMoARcPSD|4653974 424
435
441
445
454
461
471
481
489
497
506
512
520
527
549
557
568
575
587
591
598
605
614
618Chapter 51: Care of Patients with Musculoskeletal T rauma
Chapter 52: Assessment of the Gastrointestinal Syst em
Chapter 53: Care of Patients with Oral Cavity Probl ems
Chapter 54: Care of Patients with Esophageal Proble ms
Chapter 55: Care of Patients with Stomach Disorders
Chapter 56: Care of Patients with Noninflammatory I ntestinal Disorders
Chapter 57: Care of Patients with Inflammatory Inte stinal Disorders
Chapter 58: Care of Patients with Liver Problems
Chapter 59: Care of Patients with Problems of the B iliary System and Pancreas
Chapter 60: Care of Patients with Malnutrition: Und ernutrition and Obesity
Chapter 61: Assessment of the Endocrine System
Chapter 62: Care of Patients with Pituitary and Adr enal Gland Problems
Chapter 63: Care of Patients with Problems of the T hyroid and Parathyroid Glands
Chapter 64: Care of Patients with Diabetes Mellitus
Chapter 65: Assessment of the Renal/Urinary System
Chapter 66: Care of Patients with Urinary Problems
Chapter 67: Care of Patients with Kidney Disorders
Chapter 68: Care of Patients with Acute Kidney Inju ry and Chronic Kidney Disease
Chapter 69: Assessment of the Reproductive System
Chapter 70: Care of Patients with Breast Disorders
Chapter 71: Care of Patients with Gynecologic Probl ems
Chapter 72: Care of Patients with Male Reproductive Problems
Chapter 73: Care of Transgender Patients
Chapter 74: Care of Patients with Sexually Transmit ted DiseasesTest Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2
Downloaded by No One ()
lOMoARcPSD|4653974 Chapter 01: Overview of Professional Nursing Concep ts for Medical-
Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action by th e nurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on communicati on, culture, respect,
compassion, client education, and empowerment. By assessing the effect of the clients culture on health care,
this nurse is practicing client-focused care. Providing for basic needs does not demonstra te this competence.
Simply telling the client about all upcoming tests is not providing empowering education. Orien ting the client
and family to the room is an important safety measure, but not directly related to demonstr ating client-centered
care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients 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.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterio rating before they
suffer either respiratory or cardiac arrest. Since the client has manifest ed a significant change, the nurse should
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particu larly significant.
Documentation is vital, but the nurse must do more than document. The primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood pressure should be re assessed
frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. 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?
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 cl ient to be
active in his or her health care as a partner is the most critical. The other acti ons are very limited in scope and
do not provide the broad protection that being active and involved does.
DIF: Understanding/Comprehension REF: 3
KEY: Patient safetyTest Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3
Downloaded by No One ()
lOMoARcPSD|4653974
3
8
13
20
32
38
44
50
56
62
68
76
83
94
103
109
116
122
138
147
152
157
167
174
179
196
213
220
226
233
245
256
269
278
287
298
310
317
327
331
343
353
364
374
380
394
397
403
410
415Table of Contents
Table of Contents
Chapter 01: Overview of Professional Nursing Concep ts for Medical-Surgical Nursing
Chapter 02: Overview of Health Concepts for Medical -Surgical Nursing
Chapter 03: Common Health Problems of Older Adults
Chapter 04: Assessment and Care of Patients with Pa in
Chapter 05: Genetic Concepts for Medical-Surgical N ursing
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems
Chapter 07: End-of-Life Care
Chapter 08: Concepts of Emergency and Trauma Nursin g
Chapter 09: Care of Patients with Common Environmen tal Emergencies
Chapter 10: Concepts of Emergency and Disaster Prep aredness
Chapter 11: Assessment and Care of Patients with Fl uid and Electrolyte Imbalances
Chapter 12: Assessment and Care of Patients with Ac id-Base Imbalances
Chapter 13: Infusion Therapy
Chapter 14: Care of Preoperative Patients
Chapter 15: Care of Intraoperative Patients
Chapter 16: Care of Postoperative Patients
Chapter 17: Inflammation and Immunity
Chapter 18: Care of Patients with Arthritis and Oth er Connective Tissue Diseases
Chapter 19: Care of Patients with HIV Disease
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity
Chapter 21: Cancer Development
Chapter 22: Care of Patients with Cancer
Chapter 23: Care of Patients with Infection
Chapter 24: Assessment of the Skin, Hair, and Nails
Chapter 25: Care of Patients with Skin Problems
Chapter 26: Care of Patients with Burns
Chapter 27: Assessment of the Respiratory System
Chapter 28: Care of Patients Requiring Oxygen Thera py or Tracheostomy
Chapter 29: Care of Patients with Noninfectious Upp er Respiratory Problems
Chapter 30: Care of Patients with Noninfectious Low er Respiratory Problems
Chapter 31: Care of Patients with Infectious Respir atory Problems
Chapter 32: Care of Critically Ill Patients with Re spiratory Problems
Chapter 33: Assessment of the Cardiovascular System
Chapter 34: Care of Patients with Dysrhythmias
Chapter 35: Care of Patients with Cardiac Problems
Chapter 36: Care of Patients with Vascular Problems
Chapter 37: Care of Patients with Shock
Chapter 38: Care of Patients with Acute Coronary Sy ndromes
Chapter 39: Assessment of the Hematologic System
Chapter 40: Care of Patients with Hematologic Probl ems
Chapter 41: Assessment of the Nervous System
Chapter 42: Care of Patients with Problems of the C NS: The Brain
Chapter 43: Care of Patients with Problems of the C NS: The Spinal Cord
Chapter 44: Care of Patients with Problems of the P eripheral Nervous System
Chapter 45: Care of Critically Ill Patients with Ne urologic Problems
Chapter 46: Assessment of the Eye and Vision
Chapter 47: Care of Patients with Eye and Vision Pr oblems
Chapter 48: Assessment and Care of Patients with Ea r and Hearing Problems
Chapter 49: Assessment of the Musculoskeletal Syste m
Chapter 50: Care of Patients with Musculoskeletal P roblemsTest Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 1
Downloaded by No One ()
lOMoARcPSD|4653974 424
435
441
445
454
461
471
481
489
497
506
512
520
527
549
557
568
575
587
591
598
605
614
618Chapter 51: Care of Patients with Musculoskeletal T rauma
Chapter 52: Assessment of the Gastrointestinal Syst em
Chapter 53: Care of Patients with Oral Cavity Probl ems
Chapter 54: Care of Patients with Esophageal Proble ms
Chapter 55: Care of Patients with Stomach Disorders
Chapter 56: Care of Patients with Noninflammatory I ntestinal Disorders
Chapter 57: Care of Patients with Inflammatory Inte stinal Disorders
Chapter 58: Care of Patients with Liver Problems
Chapter 59: Care of Patients with Problems of the B iliary System and Pancreas
Chapter 60: Care of Patients with Malnutrition: Und ernutrition and Obesity
Chapter 61: Assessment of the Endocrine System
Chapter 62: Care of Patients with Pituitary and Adr enal Gland Problems
Chapter 63: Care of Patients with Problems of the T hyroid and Parathyroid Glands
Chapter 64: Care of Patients with Diabetes Mellitus
Chapter 65: Assessment of the Renal/Urinary System
Chapter 66: Care of Patients with Urinary Problems
Chapter 67: Care of Patients with Kidney Disorders
Chapter 68: Care of Patients with Acute Kidney Inju ry and Chronic Kidney Disease
Chapter 69: Assessment of the Reproductive System
Chapter 70: Care of Patients with Breast Disorders
Chapter 71: Care of Patients with Gynecologic Probl ems
Chapter 72: Care of Patients with Male Reproductive Problems
Chapter 73: Care of Transgender Patients
Chapter 74: Care of Patients with Sexually Transmit ted DiseasesTest Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2
Downloaded by No One ()
lOMoARcPSD|4653974 Chapter 01: Overview of Professional Nursing Concep ts for Medical-
Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action by th e nurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on communicati on, culture, respect,
compassion, client education, and empowerment. By assessing the effect of the clients culture on health care,
this nurse is practicing client-focused care. Providing for basic needs does not demonstra te this competence.
Simply telling the client about all upcoming tests is not providing empowering education. Orien ting the client
and family to the room is an important safety measure, but not directly related to demonstr ating client-centered
care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients 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.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterio rating before they
suffer either respiratory or cardiac arrest. Since the client has manifest ed a significant change, the nurse should
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particu larly significant.
Documentation is vital, but the nurse must do more than document. The primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood pressure should be re assessed
frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. 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?
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 cl ient to be
active in his or her health care as a partner is the most critical. The other acti ons are very limited in scope and
do not provide the broad protection that being active and involved does.
DIF: Understanding/Comprehension REF: 3
KEY: Patient safetyTest Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3
Downloaded by No One ()
lOMoARcPSD|4653974
