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ANN LINTON & ADRIANNE DILL - MATTESON
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pCOMPLETE, ELABORATED AND LATEST(TEST
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BANK) p
,Chapter 1: Introduction to Medical-Surgical Nursing
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Chapter 1: Introduction to Medical-Surgical Nursing
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Test Bank
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MULTIPLE CHOICE p
1. Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?
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a. Monitoring the client for changes in postoperative status such as wound
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infection
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b. Documenting all changes observed in the client and maintaining a p p p p p p p p p
postoperative flow sheet
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c. Notifying the physician of the client’s change in blood pressure from
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140 to 88 mm Hg systolic
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d. Notifying the physician of the client’s increase in restlessness after
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medication change
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ANS: C p
The Rapid Response Team (RRT) saves lives and decreases the risk for harm by providing care to
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clients before a respiratory or cardiac arrest occurs. Although the RRT does not replace the Code
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Team, which responds to client arrests, it intervenes rapidly for those who are beginning to decline
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clinically. It would be appropriate for the RRT to intervene when the client has experienced a 52-
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point drop in blood pressure. Monitoring the client’s postoperative status, maintaining a
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postoperative flow sheet, and notifying the physician of a change in the client’s status after a
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medication change would not be considered activities of the Rapid Response Team.
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DIF: Cognitive Level: Comprehension/Understanding REF: pp. 2-3
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TOP: Client Needs Category: Safe and Effective Care Environment (Management of Care—Collaboration with
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Interdisciplinary Team)
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, MSC: Integrated Process: Nursing Process (Assessment)
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