TEST BANK FOR MEDICAL SURGICAL NURSING 8THEDITION IGNAVATI CIUS

SMedical-SurgicalvNursingv8thvEditionvIgnataviciusvTestvBank




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MEDICAL SURGICAL v




NURSING 8TH EDITIONIGNAVATI
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CIUS




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, Medical-SurgicalvNursingv8thvEditionvIgnataviciusvTestvBankl



Chapter 1: Introduction to Medical-
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Surgical Nursing PracticeIgnatavicius: Medical-
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Surgical Nursing, 8th Edition
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MULTIPLEvCHOICE

1. Avnewvnursevisvworkingvwithvavpreceptorvonvanvinpatientvmedical-
surgicalvunit.vThevpreceptorvadvisesvthevstudentvthatvwhichvisvthevpriorityvwhenvworking
vasvavprofessionalv
nurse?
a. Attendingvtovholisticvclientvneeds
b. Ensuringvclientvsafety
c. Notvmakingvmedicationverrors
d. Providingvclient-focusedvcare
ANS:v B
Allvactionsvarevappropriatevforvthevprofessionalvnurse.vHowever,vensuringvclientvsafetyvisvthevp
riority.vUpvtov98,000vdeathsvresultveachvyearvfromverrorsvinvhospitalvcare,vaccordingvtovthev200
0vInstitutevofvMedicinevreport.vManyvmorevclientsvhavevsufferedvinjuriesvandvlessvseriousvoutc
omes.vEveryvnursevhasvthevresponsibilityvtovguardvthevclient’svsafety.

DIF: Understanding/Comprehension REF: 2
KEY:v PatientvsafetyvMSC:v IntegratedvProcess:vNursingvProcess:vIntervention
NOT:v ClientvNeedsvCategory:vSafevandvEffectivevCarevEnvironment:vSafetyvandvInfectionvCont
rol

2. Avnursevisvorientingvavnewvclientvandvfamilyvtovthevinpatientvunit.vWhatvinformationvdoesvthevn
ursevprovidevtovhelpvthevclientvpromotevhisvorvhervownvsafety?
a. Encouragevthevclientvandvfamilyvtovbevactivevpartners.
b. Havevthevclientvmonitorvhandvhygienevinvcaregivers.
c. Offervthevfamilyvthevopportunityvtovstayvwithvthevclient.
d. Tellvthevclientvtovalwaysvwearvhisvorvhervarmband.
ANS:v A
Eachvactionvcouldvbevimportantvforvthevclientvorvfamilyvtovperform.vHowever,vencouragingvt
hevclientvtovbevactivevinvhisvorvhervhealthvcarevasvavpartnervisvthevmostvcritical.vThevothervacti
onsvarevveryvlimitedvinvscopevandvdovnotvprovidevthevbroadvprotectionvthatvbeingvactivevandvi
nvolvedvdoes.

DIF: Understanding/Comprehension REF: 3
KEY:v PatientvsafetyvMSC:v IntegratedvProcess:vTeaching/Learning
NOT:v ClientvNeedsvCategory:vSafevandvEffectivevCarevEnvironment:vSafetyvandvInfectionvCont
rol

3. Avnursevisvcaringvforvavpostoperativevclientvonvthevsurgicalvunit.vThevclient’svbloodvpressurev
wasv142/76vmmvHgv30vminutesvago,vandvnowvisv88/50vmmvHg.vWhatvactionvbyvthevnursevisvb
est?
a. CallvthevRapidvResponsevTeam.
b. Documentvandvcontinuevtovmonitor.
c. Notifyvthevprimaryvcarevprovider.
d. Repeatvbloodvpressurevmeasurementvinv15vminutes.

, Medical-SurgicalvNursingv8thvEditionvIgnataviciusvTestvBank



ANS:v A
ThevpurposevofvthevRapidvResponsevTeamv(RRT)visvtovintervenevwhenvclientsvarevdeteriorating
vbeforevtheyvsufferveithervrespiratoryvorvcardiacvarrest.vSincevthevclient vhasvmanifestedvavsignifi

cantvchange,vthevnursevshouldvcallvthevRRT.vChangesvinvbloodvpressure,vmentalvstatus,vheartvra
te,vandvpainvarevparticularlyvsignificant.vDocumentationvisvvital,vbutvthevnursevmustvdovmorevtha
nvdocument.vThevprimaryvcarevprovidervshouldvbevnotified,vbutvthisvisvnotvthevpriorityvovervcalli
ngvthevRRT.vThevclient’svbloodvpressurevshouldvbevreassessedvfrequently,vbutvthevpriorityvisvge
ttingvthevrapidvcarevtovthevclient.

DIF: Applying/Application REF:
3vKEY:v RapidvResponsevTeamv(RRT)|vmedicalveme
rgencies
MSC:v IntegratedvProcess:vCommunicationvandvDocumentation
NOT:v ClientvNeedsvCategory:vPhysiologicalvIntegrity:vPhysiologicalvAdaptation

4. Avnursevwishesvtovprovidevclient-
centeredvcarevinvallvinteractions.vWhichvactionvbyvthevnursevbestvdemonstratesvthisvconcept?
a. Assessesvforvculturalvinfluencesvaffectingvhealthvcare
b. Ensuresvthatvallvthevclients’vbasicvneedsvarevmet
c. Tellsvthevclientvandvfamilyvaboutvallvupcomingvtests
d. Thoroughlyvorientsvthevclientvandvfamilyvtovthevroom
ANS:v A
Competencyvinvclient-
focusedvcarevisvdemonstratedvwhenvthevnursevfocusesvonvcommunication,vculture,vrespe
ct,vcompassion,vclientveducation,vandvempowerment.vByvassessingvtheveffectvofvthevclien
t’svculturevonvhealthvcare,vthisvnursevisvpracticing
client-
focusedvcare.vProvidingvforvbasicvneedsvdoesvnotvdemonstratevthisvcompetence.vSimplyvtelli
ngvthevclientvaboutvallvupcomingvtestsvisvnotvprovidingvempoweringveducation.vOrientingvthe
vclient vandvfamilyvtovthevroomvisvanvimportant vsafetyvmeasure, vbutvnotvdirectlyvrelatedvtovdem

onstratingvclient-centeredvcare.

DIF: Understanding/Comprehension REF: 3
KEY:v Patient-centeredvcare|vculture
MSC:v IntegratedvProcess:vCaringv
NOT:v ClientvNeedsvCategory:vPsychosocialvIntegrity

5. Avclientvisvgoingvtovbevadmittedvforvavscheduledvsurgicalvprocedure.vWhichvactionvdoesvthevn
ursevexplainvisvthevmostvimportantvthingvthevclientvcanvdovtovprotectvagainstverrors?
a. Bringvavlistvofvallvmedicationsvandvwhatvtheyvarevfor.
b. Keepvthevdoctor’svphonevnumbervbyvthevtelephone.
c. Makevsurevallvprovidersvwashvhandsvbeforeventeringvthevroom.
d. Writevdownvthevnamevofveachvcaregivervwhovcomesvinvthevroom.
ANS:v A
Medicationverrorsvarevthevmostvcommonvtypevofvhealthvcarevmistake.vThevJointvCommissio
n’svSpeakvUpvcampaignvencouragesvclientsvtovhelpvensurevtheirvsafety.vOnevrecommendatio
nvisvforvclientsvtovknowvallvtheirvmedicationsvandvwhyvtheyvtakevthem.vThisvwillvhelpvprevent
vmedicationverrors.




DIF: Applying/Application REF: 4
KEY:v SpeakvUpvcampaign|vpatientvsafety MSC:v IntegratedvProcess:vTeaching/Learning

, Medical-
SurgicalvNursingv8thvEditionvIgnataviciusvTestvBankl

NOT:v ClientvNeedsvCategory:vSafevandvEffectivevCarevEnvironment:vSafetyvandvInfectionvCont
rol

6. Whichvactionvbyvthevnursevworkingvwithvavclientvbestvdemonstratesvrespectvforvautonomy?
a. Asksvifvthevclientvhasvquestionsvbeforevsigningvavconsent
b. Givesvthevclientvaccuratevinformationvwhenvquestioned
c. Keepsvthevpromisesvmadevtovthevclientvandvfamily
d. Treatsvthevclientvfairlyvcomparedvtovothervclients
ANS:v A
Autonomyvisvself-
determination.vThevclientvshouldvmakevdecisionsvregardingvcare.vWhenvthevnursevobtainsvavsig
naturevonvthevconsentvform,vassessingvifvthevclientvstillvhasvquestionsvisvvital,vbecausevwithoutvf
ullvinformationvthevclientvcannotvpracticevautonomy.vGivingvaccuratevinformationvisvpracticing
vwithvveracity.vKeepingvpromisesvisvupholdingvfidelity. vTreatingvthevclient vfairlyvisvprovidingvs

ocialvjustice.

DIF: Applying/Application REF: 4
KEY:v Autonomy|vethicalvprinciples MSC:v IntegratedvProcess:vCaring
NOT:v ClientvNeedsvCategory:vSafevandvEffectivevCarevEnvironment:vManagementvofvCare

7. Avstudentvnursevasksvthevfacultyvtovexplainvbestvpracticesvwhenvcommunicatingvwithvavp
ersonvfromvthevlesbian,vgay,vbisexual,vtransgender,vandvqueer/questioningv(LGBTQ)vco
mmunity.vWhatvanswervbyvthevfacultyvisvmostvaccurate?
a. Avoidvembarrassingvthevclientvbyvaskingvquestions.
b. Don’tvmakevassumptionsvaboutvtheirvhealthvneeds.
c. MostvLGBTQvpeoplevdovnotvwantvtovsharevinformation.
d. Novdifferencesvexistvinvcommunicatingvwithvthisvpopulation.
ANS:v B
ManyvmembersvofvthevLGBTQvcommunityvhavevfacedvdiscriminationvfromvhealthvcarevprovi
dersvandvmayvbevreluctantvtovseekvhealthvcare.vThevnursevshouldvnevervmakevassumptionsvabo
utvthevneedsvofvmembersvofvthisvpopulation.vRather,vrespectfulvquestionsvarevappropriate.vIfvap
proachedvwithvsensitivity,vthevclientvwithvanyvhealthvcarevneedvisvmorevlikelyvtovanswervhonest
ly.

DIF: Understanding/Comprehension REF: 4
KEY:v LGBTQ|vdiversityvMSC:v IntegratedvProcess:vTeaching/Learning
NOT:v ClientvNeedsvCategory:vPsychosocialvIntegrity

8. Avnursevisvcallingvthevon-
callvphysicianvaboutvavclientvwhovhadvavhysterectomyv2vdaysvagovandvhasvpainvthatvisvunreliev
edvbyvthevprescribedvnarcoticvpainvmedication.vWhichvstatementvisvpartvofvthevSBARvformatvf
orvcommunication?
a. A:v“Ivwouldvlikevyouvtovordervavdifferentvpainvmedication.”
b. B:v“Thisvclientvhasvallergiesvtovmorphinevandvcodeine.”
c. R:v“Dr.vSmithvdoesn’tvlikevnonsteroidalvanti-inflammatoryvmeds.”
d. S:v“Thisvclientvhadvavvaginalvhysterectomyv2vdaysvago.”v
ANS:v B