TEST BANK for Medical Surgical Nursing Ignatavicius, 7th Edition by Linda Workman | | Complete Guide Chapters| Latest Test Bank 100% Verified Answers | LATEST

,MULTIPLE CHOICE k




Which action demonstrates that the nurse understands the purpose of the
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Rapid Response Team? k k k


a. Monitoring the client for changes in postoperative status such as
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wound infection k k


b. Documenting all changes observed in the client and maintaining a
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postoperative flow sheet k k k


c. Notifying the physician of the client‘s change in blood pressure from 140
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to 88 mm Hg systolic k k k k k


d. Notifying the physician of the client‘s increase in restlessness after
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medication change k k




The Joint Commission focuses on safety in health care. Which action by the
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nurse reflects The Joint Commission‘s main objective?
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a. Performing range-of-motion exercises on the client three times each day
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b. Ensuring that the client is eating 100% of the meals served to him or her
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c. Assessing the client‘s respirations when administering opioids
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d. Delegating to the nursing assistant to give the client a complete bath
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daily k

, Which action by the nurse shows an understanding of the principle of self-
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determination?
a. Allowing a postoperative client to decide to take medication with
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fruit juice rather than water k k k k k


b. Allowing a teenager to decide not to go to a clinic when there is
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evidence that she is having profuse vaginal bleeding
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c. Allowing a parent to decide not to proceed with a lifesaving
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operation for a 12-year-old client k k k k k


d. Allowing an older client with dementia to decide not to take cardiac
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medication throughout the shift k k k k




The nurse is initiating a series of teaching sessions with an older client.
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What is the nurse‘s highest-priority, client-centered action before beginning
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kthe session?
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a. Ensure that the client‘s family is present and will participate.
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b. Make certain that the client is wearing his glasses. k k k k k k k k


c. Have printed handouts ready to use during the session.
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d. Schedule the session for early evening after the client‘s meal.
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Which action best demonstrates the nurse using client-centered care
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, when planning a menu for a Vietnamese client who is newly diagnosed with
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diabetes? k


a. Asking the client what food he or she would eat on a standard
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diabetic menu k k


b. Asking family members to make selections for the client from a
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diabetic menu k k


c. Ordering a typical diabetic meal for the client and planning diet
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teaching k


d. Researching the Vietnamese culture before discussing diabetic meal
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planning k




The Institute for Healthcare Improvement (IHI) identified interventions to
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save client lives. Which actions are within the scope of nursing practice to
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improve quality of care?
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a. Insert a central line to give intravenous fluid to a dehydrated client.
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b. Use sterile technique when changing dressings on a new surgical site.
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c. Intubate a client whose oxygen saturation is 92%. k k k k k k k


d. Prescribe aspirin for a client who presents with an acute myocardial
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infarction k




Which action by the nurse demonstrates the best practice for nursing
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