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, Medical Surgical Nursing 10th Edition Ignat
ju ju ju ju ju
avicius Workman Test Bank ju ju ju
Chapter 01: Overview of Professional Nursing Concepts for Medical-
ju ju ju ju ju ju ju ju
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
ju j u ju ju ju ju
MULTIPLEj u CHOICE
1. Ajunewjunursejuisjuworkingjuwithjuajupreceptorjuonjuajumedical-
surgicaljuunit.juThejupreceptorjuadvisesjuthej u newjunursejuthatjuwhichjuisjuthejupriorityjuwhenjuworkin
gjuasjuajuprofessionaljunurse?
a. Attendingjutojuholisticjuclientjuneeds
b. Ensuringjuclientjusafety
c. Notjumakingjumedicationjuerrors
d. Providingjuclient-focusedjucare
ANS:ju B
Alljuactionsjuarejuappropriatejuforjuthejuprofessionaljunurse.juHowever,juensuringjuclientjusafetyjuisjuthej u
priority.juHealthjucarejuerrorsjuhavejubeenjuwidelyjureportedjuforju25juyears,jumanyjuofjuwhichjuresultjuinj
u clientjuinjury,ju death,juandjuincreasedju healthjucareju costs.juThere juareju several junationalju andj u inter
nationaljuorganizationsjuthatjuhavejueitherjurecommendedjuorjumandatedjusafetyjuinitiatives.
Everyjunursejuhasjuthejuresponsibilityjutojuguardjuthejuclient’sjusafety.juThejuotherjuactionsjuarejuimportant
forjuqualityjunursing,jubutjutheyjuarejunotjuasjuvitaljuasjuprovidingjusafety.juNotjumakingjumedicationjuerror
sj u doesjuprovidejusafety,jubutjuisjutoojunarrowjuinjuscopejutojubejuthejubestjuanswer.
DIF:j u Understanding
TOP:j u IntegratedjuProcess:juNursingjuProcess:juInterventio
nj u KEY:juClientjusafety
MSC:j u ClientjuNeedsjuCategory:juSafejuandjuEffectivejuCarejuEnvironment:juSafetyjuandju InfectionjuControl
2. Ajunursejuisjuorientingjuajunewjuclientjuandjufamilyjutojuthejumedical-
surgicaljuunit.juWhatjuinformationj u doesjuthejunursejuprovidejutojubestjuhelpjuthejuclientjupromoteju
hisjuorjuherjuownjusafety?
a. Encouragejuthejuclientjuandjufamilyjutojubejuactivejupartners.
b. Havejuthejuclientjumonitorjuhandjuhygienejuinjucaregivers.
c. Offerjuthejufamilyjuthejuopportunityjutojustayjuwithjuthejuclient.
d. Telljuthejuclientjutojualwaysjuwearjuhisjuorjuherjuarmband.
ANS:ju A
Eachjuactionjucouldjubejuimportantjuforjuthejuclientjuorjufamilyjutojuperform.juHowever,juencouragingjuth
ej u clientjutojubejuactivejuinjuhisjuorjuherjuhealthjucarejuasjuajusafetyjupartnerjuisjuthejumostjucritical.juThejuo
therj u actionsjuarejuveryjulimitedjuinjuscopejuandjudojunotjuprovidejuthejubroadjuprotectionjuthatjubeingjuact
ivejuandj u involvedjudoes.
DIF:j u Understanding
TOP:juIntegratedjuProcess:juTeaching/Learning
KEY:juClientjusafety
j u
MSC:j u ClientjuNeedsjuCategory:juSafejuandjuEffectivejuCarejuEnvironment:juSafetyjuandju InfectionjuControl
3. Ajunursejuisjucaringjuforjuajupostoperativejuclientjuonjuthejusurgicaljuunit.juThejuclient’sjubloodjupress
urej u wasju142/76jummjuHgju30juminutesjuago,juandjunowjuisju88/50jummjuHg.juWhatjuactionjuwouldjuth
ejunursej u takejufirst?
a. CalljuthejuRapidjuResponsejuTeam.
b. Documentjuandjucontinuejutojumonitor.
c. Notifyjuthejuprimaryjuhealthjucarejuprovider.
d. Repeatjuthejubloodjupressurejuinju15juminutes.
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, ANS:ju A
ThejupurposejuofjuthejuRapidjuResponsejuTeamju(RRT)juisjutojuintervenejuwhenjuclientsjuarejudeterioratin
gj u beforejutheyjusufferjueitherjurespiratoryjuorjucardiacjuarrest.juSincejuthejuclientjuhasjumanifestedjuaj
u significant juchange, jutheju nurseju wouldjucalljuthe juRRT.ju Changesjuinjublood jupressure,ju mentalju statu
s,j u heartjurate,jutemperature,juoxygenjusaturation,juandjulastju2juhours’juurinejuoutputjuarejuparticularl
yj u significantjuandjuarejupartjuofjuthejuModifiedjuEarlyjuWarningjuSystemjuguide.juDocumentationjuisju
vital,j u butjuthejunursejumustjudojumorejuthanjudocument.juThejuprimaryjuhealthjucarejuproviderjuwould
jubej u notified,ju but juthisjuisju notjumore juimportantjuthanjucallingjutheju RRT.ju The juclient’sju bloodju press
urej u wouldjubejureassessedjufrequently,jubutjuthejupriorityjuisjugettingjuthejurapidjucarejutojuthejuclient.
DIF:j u Applying
TOP:j u IntegratedjuProcess:juCommunicationjuandjuDocumentatio
nj u KEY:juRapidjuResponsejuTeamju(RRT),juClinicaljujudgment
MSC:j u Clientj u Needsj u Category:j u Physiologicalj u Integrity:j u Physiologicalj u Adaptation
4. Ajunursejuwishesjutojuprovidejuclient-centeredjucarejuinjualljuinteractions.juWhichjuactionjubyjuthejunurse
bestjudemonstratesjuthisjuconcept?
a. Assessesjuforjuculturaljuinfluencesjuaffectingjuhealthjucare.
b. Ensuresjuthatjualljuthejuclient’sjubasicjuneedsjuarejumet.
c. Tellsjuthejuclientjuandjufamilyjuaboutjualljuupcomingjutests.
d. Thoroughlyjuorientsjuthejuclientjuandjufamilyjutojuthejuroom.
ANS:ju A
Showingjurespectjuforjuthejuclientjuandjufamily’sjupreferencesjuandjuneedsjuisjuessentialjutojuensurejua
holisticjuorju―whole-
person‖juapproachjutojucare.juByjuassessingjuthejueffectjuofjuthejuclient’sjuculturejuonj u healthjucare,juthisj
unursejuisju practicing juclient-
focusedjucare.juProvidingjuforjubasicjuneedsjudoesjunotj u demonstratejuthisjucompetence.juSimplyjutel
lingjuthejuclientjuaboutjualljuupcomingjutestsjuisjunotj u providingjuempoweringjueducation.juOrientingju
thejuclientjuandjufamilyjutojuthejuroomjuisjuanjuimportantj u safetyjumeasure,jubutjunotjudirectlyjurelatedjutoj
udemonstrating ju client-centeredjucare.
DIF:j u Understanding
TOP:juIntegratedjuProcess:juCulturejuandjuSpiritualityj
u KEY:j u Client-centeredjucare,juCulture
MSC:j u ClientjuNeedsjuCategory:juPsychosocialjuIntegrit
y
5. Ajuclientjuisjugoingjutojubejuadmittedjuforjuajuscheduledjusurgicaljuprocedure.juWhichjuactionjudoesjuth
ej u nursejuexplainjuisjuthejumostjuimportantjuthingjuthejuclientjucanjudojutojuprotectjuagainstjuerrors
?
a. Bringjuajulistjuofjualljumedicationsjuandjuwhatjutheyjuarejufor.
b. Keepjuthejuprovider’sjuphonejunumberjubyjuthejutelephone.
c. Makejusurejuthatjualljuprovidersjuwashjuhandsjubeforejuenteringjuthejuroom.
d. Writejudownjuthejunamejuofjueachjucaregiverjuwhojucomesjuinjuthejuroom.
ANS:ju A
Medicationjureconciliationjuisjuajuformaljuprocessjuinjuwhichjuthejuclient’sjuactualjucurrentjumedications
j u arejucompared jutojutheju prescribedju medications juatjuthejutime juofjuadmission,jutransfer,juorjudischar
ge.j u ThisjuNationaljuclientjuSafetyjuGoaljuisjuimportantjutojureducejumedicationjuerrors.juThejuclientju
wouldj u notjuhavejutojubejuresponsiblejuforjuprovidersjuwashingjutheirjuhands,juandjuevenjuifjuthejuclient
judoesju so,
thisjuisjutoojunarrowjutojubejuthejumostjuimportantjuactionjutojupreventjuerrors.juKeepingjuthejuprovider’s
j u phone junumber junearby juand judocumentingjueveryone juwho juentersjuthe juroom jualso judojunot juguarante
ej u safety.
DIF:j u Applying
TOP:j u IntegratedjuProcess:juTeaching/Learnin
gj u KEY:juClientjusafety,juInformatics
MSC:j u ClientjuNeedsjuCategory:juSafejuandjuEffectivejuCarejuEnvironment:juSafetyjuandju InfectionjuControl
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, Btestbanks.com
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, Medical Surgical Nursing 10th Edition Ignat
ju ju ju ju ju
avicius Workman Test Bank ju ju ju
Chapter 01: Overview of Professional Nursing Concepts for Medical-
ju ju ju ju ju ju ju ju
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
ju j u ju ju ju ju
MULTIPLEj u CHOICE
1. Ajunewjunursejuisjuworkingjuwithjuajupreceptorjuonjuajumedical-
surgicaljuunit.juThejupreceptorjuadvisesjuthej u newjunursejuthatjuwhichjuisjuthejupriorityjuwhenjuworkin
gjuasjuajuprofessionaljunurse?
a. Attendingjutojuholisticjuclientjuneeds
b. Ensuringjuclientjusafety
c. Notjumakingjumedicationjuerrors
d. Providingjuclient-focusedjucare
ANS:ju B
Alljuactionsjuarejuappropriatejuforjuthejuprofessionaljunurse.juHowever,juensuringjuclientjusafetyjuisjuthej u
priority.juHealthjucarejuerrorsjuhavejubeenjuwidelyjureportedjuforju25juyears,jumanyjuofjuwhichjuresultjuinj
u clientjuinjury,ju death,juandjuincreasedju healthjucareju costs.juThere juareju several junationalju andj u inter
nationaljuorganizationsjuthatjuhavejueitherjurecommendedjuorjumandatedjusafetyjuinitiatives.
Everyjunursejuhasjuthejuresponsibilityjutojuguardjuthejuclient’sjusafety.juThejuotherjuactionsjuarejuimportant
forjuqualityjunursing,jubutjutheyjuarejunotjuasjuvitaljuasjuprovidingjusafety.juNotjumakingjumedicationjuerror
sj u doesjuprovidejusafety,jubutjuisjutoojunarrowjuinjuscopejutojubejuthejubestjuanswer.
DIF:j u Understanding
TOP:j u IntegratedjuProcess:juNursingjuProcess:juInterventio
nj u KEY:juClientjusafety
MSC:j u ClientjuNeedsjuCategory:juSafejuandjuEffectivejuCarejuEnvironment:juSafetyjuandju InfectionjuControl
2. Ajunursejuisjuorientingjuajunewjuclientjuandjufamilyjutojuthejumedical-
surgicaljuunit.juWhatjuinformationj u doesjuthejunursejuprovidejutojubestjuhelpjuthejuclientjupromoteju
hisjuorjuherjuownjusafety?
a. Encouragejuthejuclientjuandjufamilyjutojubejuactivejupartners.
b. Havejuthejuclientjumonitorjuhandjuhygienejuinjucaregivers.
c. Offerjuthejufamilyjuthejuopportunityjutojustayjuwithjuthejuclient.
d. Telljuthejuclientjutojualwaysjuwearjuhisjuorjuherjuarmband.
ANS:ju A
Eachjuactionjucouldjubejuimportantjuforjuthejuclientjuorjufamilyjutojuperform.juHowever,juencouragingjuth
ej u clientjutojubejuactivejuinjuhisjuorjuherjuhealthjucarejuasjuajusafetyjupartnerjuisjuthejumostjucritical.juThejuo
therj u actionsjuarejuveryjulimitedjuinjuscopejuandjudojunotjuprovidejuthejubroadjuprotectionjuthatjubeingjuact
ivejuandj u involvedjudoes.
DIF:j u Understanding
TOP:juIntegratedjuProcess:juTeaching/Learning
KEY:juClientjusafety
j u
MSC:j u ClientjuNeedsjuCategory:juSafejuandjuEffectivejuCarejuEnvironment:juSafetyjuandju InfectionjuControl
3. Ajunursejuisjucaringjuforjuajupostoperativejuclientjuonjuthejusurgicaljuunit.juThejuclient’sjubloodjupress
urej u wasju142/76jummjuHgju30juminutesjuago,juandjunowjuisju88/50jummjuHg.juWhatjuactionjuwouldjuth
ejunursej u takejufirst?
a. CalljuthejuRapidjuResponsejuTeam.
b. Documentjuandjucontinuejutojumonitor.
c. Notifyjuthejuprimaryjuhealthjucarejuprovider.
d. Repeatjuthejubloodjupressurejuinju15juminutes.
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, ANS:ju A
ThejupurposejuofjuthejuRapidjuResponsejuTeamju(RRT)juisjutojuintervenejuwhenjuclientsjuarejudeterioratin
gj u beforejutheyjusufferjueitherjurespiratoryjuorjucardiacjuarrest.juSincejuthejuclientjuhasjumanifestedjuaj
u significant juchange, jutheju nurseju wouldjucalljuthe juRRT.ju Changesjuinjublood jupressure,ju mentalju statu
s,j u heartjurate,jutemperature,juoxygenjusaturation,juandjulastju2juhours’juurinejuoutputjuarejuparticularl
yj u significantjuandjuarejupartjuofjuthejuModifiedjuEarlyjuWarningjuSystemjuguide.juDocumentationjuisju
vital,j u butjuthejunursejumustjudojumorejuthanjudocument.juThejuprimaryjuhealthjucarejuproviderjuwould
jubej u notified,ju but juthisjuisju notjumore juimportantjuthanjucallingjutheju RRT.ju The juclient’sju bloodju press
urej u wouldjubejureassessedjufrequently,jubutjuthejupriorityjuisjugettingjuthejurapidjucarejutojuthejuclient.
DIF:j u Applying
TOP:j u IntegratedjuProcess:juCommunicationjuandjuDocumentatio
nj u KEY:juRapidjuResponsejuTeamju(RRT),juClinicaljujudgment
MSC:j u Clientj u Needsj u Category:j u Physiologicalj u Integrity:j u Physiologicalj u Adaptation
4. Ajunursejuwishesjutojuprovidejuclient-centeredjucarejuinjualljuinteractions.juWhichjuactionjubyjuthejunurse
bestjudemonstratesjuthisjuconcept?
a. Assessesjuforjuculturaljuinfluencesjuaffectingjuhealthjucare.
b. Ensuresjuthatjualljuthejuclient’sjubasicjuneedsjuarejumet.
c. Tellsjuthejuclientjuandjufamilyjuaboutjualljuupcomingjutests.
d. Thoroughlyjuorientsjuthejuclientjuandjufamilyjutojuthejuroom.
ANS:ju A
Showingjurespectjuforjuthejuclientjuandjufamily’sjupreferencesjuandjuneedsjuisjuessentialjutojuensurejua
holisticjuorju―whole-
person‖juapproachjutojucare.juByjuassessingjuthejueffectjuofjuthejuclient’sjuculturejuonj u healthjucare,juthisj
unursejuisju practicing juclient-
focusedjucare.juProvidingjuforjubasicjuneedsjudoesjunotj u demonstratejuthisjucompetence.juSimplyjutel
lingjuthejuclientjuaboutjualljuupcomingjutestsjuisjunotj u providingjuempoweringjueducation.juOrientingju
thejuclientjuandjufamilyjutojuthejuroomjuisjuanjuimportantj u safetyjumeasure,jubutjunotjudirectlyjurelatedjutoj
udemonstrating ju client-centeredjucare.
DIF:j u Understanding
TOP:juIntegratedjuProcess:juCulturejuandjuSpiritualityj
u KEY:j u Client-centeredjucare,juCulture
MSC:j u ClientjuNeedsjuCategory:juPsychosocialjuIntegrit
y
5. Ajuclientjuisjugoingjutojubejuadmittedjuforjuajuscheduledjusurgicaljuprocedure.juWhichjuactionjudoesjuth
ej u nursejuexplainjuisjuthejumostjuimportantjuthingjuthejuclientjucanjudojutojuprotectjuagainstjuerrors
?
a. Bringjuajulistjuofjualljumedicationsjuandjuwhatjutheyjuarejufor.
b. Keepjuthejuprovider’sjuphonejunumberjubyjuthejutelephone.
c. Makejusurejuthatjualljuprovidersjuwashjuhandsjubeforejuenteringjuthejuroom.
d. Writejudownjuthejunamejuofjueachjucaregiverjuwhojucomesjuinjuthejuroom.
ANS:ju A
Medicationjureconciliationjuisjuajuformaljuprocessjuinjuwhichjuthejuclient’sjuactualjucurrentjumedications
j u arejucompared jutojutheju prescribedju medications juatjuthejutime juofjuadmission,jutransfer,juorjudischar
ge.j u ThisjuNationaljuclientjuSafetyjuGoaljuisjuimportantjutojureducejumedicationjuerrors.juThejuclientju
wouldj u notjuhavejutojubejuresponsiblejuforjuprovidersjuwashingjutheirjuhands,juandjuevenjuifjuthejuclient
judoesju so,
thisjuisjutoojunarrowjutojubejuthejumostjuimportantjuactionjutojupreventjuerrors.juKeepingjuthejuprovider’s
j u phone junumber junearby juand judocumentingjueveryone juwho juentersjuthe juroom jualso judojunot juguarante
ej u safety.
DIF:j u Applying
TOP:j u IntegratedjuProcess:juTeaching/Learnin
gj u KEY:juClientjusafety,juInformatics
MSC:j u ClientjuNeedsjuCategory:juSafejuandjuEffectivejuCarejuEnvironment:juSafetyjuandju InfectionjuControl
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