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Test Bank Concepts For Interprofessional Collaborative Care 10Th Edition Ignatavicius Workman Rebar Heimargartner Medical Surgical Nursing,All Chapters Covered Graded A+.

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Chapter 1: Introduction to Medical-Surgical Nursing Practice Ignatavicius: Medical-Surgical Nursing,10th Edition MULTIPLE CHOICE 1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care ANS: B All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine report. Many more clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to guard the client’s safety. DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process: Nursing Process: Intervention NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control 2. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to help the client promote his or her own safety? a. Encourage the client and family to be active partners. b. Have the client monitor hand hygiene in caregivers. c. Offer the family the opportunity to stay with the client. d. Tell the client to always wear his or her armband. ANS: A Each action could be important for the client or family to perform. However, encouraging the client to be active in his or her health care as a partner is the most critical. The other actions are very limited in scope and do not provide the broad protection that being active and involved does. DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control 3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best? a. Call the Rapid Response Team. b. Document and continue to monitor. c. Notify the primary care provider. d. Repeat blood pressure measurement in 15 minutes. ANS: A The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do more than document. The primary care provider should be notified, but this is not the priority over calling the RRT. The client’s blood pressure should be reassessed frequently, but the priority is getting the rapid care to the client. DIF: Applying/Application REF: 3 KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation 4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensures that all the clients’ basic needs are met c. Tells the client and family about all upcoming tests d. Thoroughly orients the client and family to the room ANS: A Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect, compassion, client education, and empowerment. By assessing the effect of the client’s culture on health care, this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence. Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client and family to the room is an important safety measure, but not directly related to demonstrating client-centered care. DIF: Understanding/Comprehension REF: 3 KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs Category: Psychosocial Integrity 5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse explain is the most important thing the client can do to protect against errors? a. Bring a list of all medications and what they are for. b. Keep the doctor’s phone number by the telephone. c. Make sure all providers wash hands before entering the room. d. Write down the name of each caregiver who comes in the room. ANS: A Medication errors are the most common type of health care mistake. The Joint Commission’s Speak Up campaign encourages clients to help ensure their safety. One recommendation is for clients to know all their medications and why they take them. This will help prevent medication errors. DIF: Applying/Application REF: 4 KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning

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TEST BANK CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE
CARE 10TH EDITION IGNATAVICIUS
WORKMAN REBAR HEIMARGARTNER
MEDICAL SURGICAL NURSING,ALL
CHAPTERS COVERED GRADED A+.

,Chapter 1: Introduction to Medical-
q q q q


Surgical Nursing Practice Ignatavicius: Medical-
q q q q



Surgical Nursing,10th Edition
q q




MULTIPLEq CHOICE

1. Aqnewqnurseqisqworkingqwithqaqpreceptorqonqanqinpatientqmedical-
surgicalqunit.qTheqpreceptorqadvisesqtheqstudentqthatqwhichqisqtheqpriorityqwhenqworking
qasqaqprofessional qnurse?

a. Attendingqtoqholisticqclientqneeds
b. Ensuringqclientqsafety
c. Notqmakingqmedicationqerrors
d. Providingq client-focusedq care
ANS:q B
Allqactionsqareqappropriateqforqtheqprofessionalqnurse.qHowever,qensuringqclientqsafetyqisqtheqpri
ority.qUpqtoq98,000qdeathsqresultqeachqyearqfromqerrorsqinqhospitalqcare,qaccordingqtoqtheq2000qI
nstituteqofqMedicineqreport.qManyqmoreqclientsqhaveqsufferedqinjuriesqandqlessqseriousqoutcomes
.qEveryqnurseqhasqtheqresponsibilityqtoqguardqtheqclient‘sqsafety.

DIF: Understanding/Comprehension REF: 2
KEY:q Patientqsafetyq MSC:qIntegratedqProcess:qNursingqProcess:qIntervention
NOT:q ClientqNeedsqCategory:qSafeqandqEffectiveqCareqEnvironment:qSafetyqandqInfectionqCont
rol

2. Aqnurseqisqorientingqaqnewqclientqandqfamilyqtoqtheqinpatientqunit.qWhatqinformationqdoesqtheqn
urseqprovideqtoqhelpqtheqclientqpromoteqhisqorqherqownqsafety?
a. Encourageqtheqclientqandqfamilyqtoqbeqactiveqpartners.
b. Haveqtheqclientqmonitorqhandqhygieneqinqcaregivers.
c. Offerqtheqfamilyqtheqopportunityqtoqstayqwithqtheqclient.
d. Tellqtheqclientqtoqalwaysqwearqhisqorqherqarmband.
ANS:q A
Eachqactionqcouldqbeqimportantqforqtheqclientqorqfamilyqtoqperform.qHowever,qencouragingqthe
qclientqtoq beqactiveqinqhisqorqherqhealthqcareqasqaqpartnerqis qtheq mostq critical. qTheqotherqactionsq

areqveryqlimitedqinqscopeqandqdoqnotqprovideqtheqbroadqprotectionqthatqbeingqactiveqandqinvolv
edqdoes.

DIF: Understanding/Comprehension REF: 3
KEY:q Patientqsafetyq MSC:q IntegratedqProcess:qTeaching/Learning
NOT:q ClientqNeedsqCategory:qSafeqandqEffectiveqCareqEnvironment:qSafetyqandqInfectionqCont
rol

3. Aqnurseqisqcaringqforqaqpostoperativeqclientqonqtheqsurgicalqunit.qTheqclient‘sqbloodqpressureq
wasq142/76qmmqHgq30qminutesqago,qandqnowqisq88/50qmmqHg.qWhatqactionqbyqtheqnurseqisqb
est?
a. CallqtheqRapidqResponseqTeam.
b. Documentqandqcontinueqtoqmonitor.
c. Notifyqtheqprimaryqcareqprovider.
d. Repeatqbloodqpressureqmeasurementqinq15qminutes.

, ANS:q A
TheqpurposeqofqtheqRapidqResponseqTeamq(RRT)qisqtoqinterveneqwhenqclientsqareqdeterioratin
gqbeforeqtheyqsufferqeitherqrespiratoryqorqcardiacqarrest.qSinceqtheqclientqhasqmanifestedqaqsign
ificantqchange,qtheqnurseqshouldqcallqtheqRRT.qChangesqinqbloodqpressure,qmentalqstatus,qhear
tqrate,qandqpainqareqparticularlyqsignificant.qDocumentationqisqvital,qbutqtheqnurseqmustqdoqmore
qthanqdocument.qTheqprimary qcareqproviderqshould qbeqnotified,qbutqthisqisqnotq theqpriority qoverq

callingqtheqRRT.qTheqclient‘sqbloodqpressureqshouldqbeqreassessedqfrequently,qbutqtheqpriority
qisqgetting qtheqrapid qcareqtoqtheq client.




DIF: Applying/Application REF:
3qKEY:q RapidqResponseqTeamq(RRT)|qmedicalqeme
rgencies
MSC:q Integratedq Process:q Communicationq andq Documentation
NOT:q Clientq Needsq Category:q Physiologicalq Integrity:q Physiologicalq Adaptation

4. Aqnurseqwishesqtoqprovideqclient-
centeredqcareqinqallqinteractions.qWhichqactionqbyqtheqnurseqbestqdemonstratesqthisqconcept?
a. Assessesq forq culturalq influencesq affectingq healthq care
b. Ensuresqthatqallqtheqclients‘qbasicqneedsqareqmet
c. Tellsqtheqclientqandqfamilyqaboutqallqupcomingqtests
d. Thoroughlyqorientsqtheqclientqandqfamilyqtoqtheqroom
ANS:q A
Competencyqinqclient-
focusedqcareqisqdemonstratedqwhenqtheqnurseqfocusesqonqcommunication,qculture,qrespect,qco
mpassion,qclientqeducation,qandqempowerment.qByqassessingqtheqeffectqofqtheqclient‘sqcultureq
onqhealthqcare,qthisqnurseqisqpracticing
client-
focusedqcare.qProvidingqforqbasicqneedsqdoesqnotqdemonstrateqthisqcompetence.qSimplyqtellin
gqtheqclientqaboutqallqupcomingqtestsqisqnotqprovidingqempoweringqeducation.qOrientingqtheqcl
ientqandqfamilyqtoqtheqroomqisqanqimportantqsafetyqmeasure,qbutqnotqdirectlyqrelatedqtoqdemons
tratingqclient-centeredqcare.

DIF: Understanding/Comprehension REF: 3
KEY:q Patient-centeredqcare|qculture
MSC:qIntegratedqProcess:qCaringq
NOT:q ClientqNeedsqCategory:qPsychosocialqIntegrity

5. Aqclientqisqgoingqtoqbeqadmittedqforqaqscheduledqsurgicalqprocedure.qWhichqactionqdoesqtheq
nurseqexplainqisqtheqmostqimportantqthingqtheqclientqcanqdoqtoqprotectqagainstqerrors?
a. Bringqaqlistqofqallqmedicationsqandqwhatqtheyqareqfor.
b. Keepqtheqdoctor‘sqphoneqnumberqbyqtheqtelephone.
c. Makeqsureqallqprovidersqwashqhandsqbeforeqenteringqtheqroom.
d. Writeqdownqtheqnameqofqeachqcaregiverqwhoqcomesqinqtheqroom.
ANS:q A
Medicationqerrorsqareqtheqmostqcommonqtypeqofqhealthqcareqmistake.qTheqJointqCommission‘
sqSpeakqUpqcampaignqencouragesqclientsqtoqhelpqensureqtheirqsafety.qOneqrecommendationqis
qforqclientsqtoqknowqallqtheirqmedications qandqwhyqtheyqtakeqthem.qThisq willq helpqpreventq medi

cationqerrors.

DIF: Applying/Application REF: 4
KEY:q SpeakqUpqcampaign|qpatientqsafety MSC:q IntegratedqProcess:qTeaching/Learning

, NOT:q ClientqNeedsqCategory:qSafeqandqEffectiveqCareqEnvironment:qSafetyqandqInfectionqCont
rol

6. Whichqactionqbyqtheqnurseqworkingqwithqaqclientqbestqdemonstratesqrespectqforqautonomy?
a. Asksqifqtheqclientqhasqquestionsqbeforeqsigningqaqconsent
b. Givesq theq clientq accurateq informationq whenq questioned
c. Keepsqtheqpromisesqmadeqtoqtheqclientqandqfamily
d. Treatsqtheqclientqfairlyqcomparedqtoqotherqclients
ANS:q A
Autonomyqisqself-
determination.qTheqclientqshouldqmakeqdecisionsqregardingqcare.qWhenqtheqnurseqobtainsqaqsig
natureqonqtheqconsentqform,qassessingqifqtheqclientqstillqhasqquestionsqisqvital,qbecauseqwithoutq
fullqinformationqtheqclientqcannotqpracticeqautonomy.qGivingqaccurateqinformationqisqpracticin
gqwithqveracity.qKeepingqpromisesqisqupholdingqfidelity.qTreatingqtheqclientqfairlyqisqproviding
qsocialqjustice.




DIF: Applying/Application REF: 4
KEY:q Autonomy|qethicalqprinciples MSC:q IntegratedqProcess:qCaring
NOT:q ClientqNeedsqCategory:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare

7. Aqstudentqnurseqasksqtheqfacultyqtoqexplainqbestqpracticesqwhenqcommunicatingqwithqaq
personqfromqtheqlesbian,qgay,qbisexual,qtransgender,qandqqueer/questioningq(LGBTQ)q
community.qWhatqanswerqbyqtheqfacultyqisqmostqaccurate?
a. Avoidqembarrassingqtheqclientqbyqaskingqquestions.
b. Don‘tqmakeqassumptions qaboutqtheirqhealthqneeds.
c. MostqLGBTQqpeopleqdoqnotqwantqtoqshareqinformation.
d. Noqdifferencesqexistqinqcommunicatingqwithqthisqpopulation.
ANS:q B
ManyqmembersqofqtheqLGBTQqcommunityqhaveqfacedqdiscriminationqfromqhealthqcareqprovi
dersqandqmayqbeqreluctantqtoqseekqhealthqcare.qTheqnurseqshouldqneverqmakeqassumptionsqabo
utqtheqneedsqofqmembersqofqthisqpopulation.qRather,qrespectfulqquestionsqareqappropriate.qIfqap
proachedqwithqsensitivity,qtheqclientqwithqanyqhealthqcareqneedqisqmoreqlikelyqtoqanswerqhones
tly.

DIF: Understanding/Comprehension REF: 4
KEY:q LGBTQ|qdiversityqMSC:q IntegratedqProcess:qTeaching/Learning
NOT:q ClientqNeedsqCategory:qPsychosocialqIntegrity

8. Aqnurseqisqcallingqtheqon-
callqphysicianqaboutqaqclientqwhoqhadqaqhysterectomyq2qdaysqagoqandqhasqpainqthatqisqunreliev
edqbyqtheqprescribedqnarcoticqpainqmedication.qWhichqstatementqisqpartqofqtheqSBARqformatqf
orqcommunication?
a. A:q―Iqwouldqlikeqyouqtoqorderqaqdifferentqpainqmedication.‖
b. B:q―Thisqclientqhasqallergiesqtoqmorphineqandqcodeine.‖
c. R:q―Dr.qSmithqdoesn‘tqlikeqnonsteroidalqanti-inflammatoryqmeds.‖
d. S:q―Thisqclientqhadqaqvaginalqhysterectomyq2qdaysqago.‖q
ANS:q B

Connected book
 image
Donna D Ignatavicius, MS RN CNE Anef, M Linda Workman, PhD RN Faan, Cherie Rebar, PhD MBA RN Coi, Nicole M Heimgartner, Dnp RN Coi Medical-Surgical Nursing
Publisher: Unknown ISBN: 9780323612425 Edition: Unknown

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