TEST BANK MEDICAL - SURGICAL NURSING, 10TH EDITION, IGNATAVICIUS EXAM QUESTIONS) & COMPLETE 100% CORRECT ANSWERS WITH RATIONALES WELL EXPLAINED AND VERIFIED BY EXPERTS AND GRADED A+ 2024 LATEST UPDATE ALREADY PASSED!!!!!!!!! WITH 100% GUARANTEED SUCCESS

TEST BANK MEDICAL - SURGICAL NURSING, 10TH EDITION, IGNATAVICIUS EXAM QUESTIONS) & COMPLETE 100% CORRECT ANSWERS WITH RATIONALES WELL EXPLAINED AND VERIFIED BY EXPERTS AND GRADED A+ 2024 LATEST UPDATE ALREADY PASSED!!!!!!!!! WITH 100% GUARANTEED SUCCESS AFTER DOWNLOAD (ALL YOU NEED TO PASS YOUR EXAMS) A nurse working on a cardiac unit delegated taking vital signs to an experienced assistive personnel (AP). Four hours later, the nurse notes that the client’s blood pressure taken by the AP was much higher than previous readings, and the client’s mental status has changed. What action by the nurse would most likely have prevented this negative outcome? a. Determining if the AP knew how to take blood pressure Double-checking the AP by taking another blood pressure Providing more appropriate supervision of the AP Taking the blood pressure instead of delegating the task ANS: C Supervision is one of the five rights of delegation and includes directing, evaluating, and following up on delegated tasks. The nurse would either have asked the AP about the vital signs or instructed the AP to report them right away. An experienced AP would know how to take vital signs and the nurse would not have to assess this at this point. Double-checking the work defeats the purpose of delegation. Vital signs are within the scope of practice for a AP and are permissible to delegate. The only appropriate answer is that the nurse did not provide adequate instruction to the AP. DIF: Analyzing TOP: Integrated Process: Communication and Documentation KEY: Teamwork and collaboration, Delegation MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care A newly graduated nurse in the hospital states that because of being so new, participation in quality improvement (QI) projects is not wise. What response by the precepting nurse is best? a. “All staff nurses are required to participate in quality improvement here.” “Even being new, you can implement activities designed to improve care.” “It’s easy to identify what indicators would be used to measure quality.” “You should ask to be assigned to the research and quality committee.” ANS: B The preceptor would try to reassure the nurse that implementing QI measures is not out of line for a newly licensed nurse. Simply stating that all nurses are required to participate does not help the nurse understand how that is possible and is dismissive. Identifying indicators of quality is not an easy, quick process and would not be the best place to suggest a new nurse to start. Asking to be assigned to the QI committee does not give the nurse information about how to implement QI in daily practice. DIF: Applying TOP: Integrated Process: Communication and Documentation KEY: Systems thinking, Quality improvement MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care A nurse is talking with a co-worker who is moving to a new state and needs to find new employment there. What advice by the nurse is best? Ask the hospitals there about standard nurse–client ratios. Choose the hospital that has the newest technology. Find a hospital that has achieved Magnet status. Work in a facility affiliated with a medical or nursing school. ANS: C