TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69  

TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69

,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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tm Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE tm




1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
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tm advises the new nurse that which is the priority when working as a professional
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tm nurse?
a. Attending to holistic client needs tm tm tm tm




b. Ensuring client safety tm tm




c. Not making medication errors
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d. Providing client-focused care tm tm




CORRECT ANSWER: B
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All actions are appropriate for the professional nurse. However, ensuring client safety is
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tm the priority. Health care errors have been widely reported for 25 years, many of
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tm which result in client injury, death, and increased health care costs. There are
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tm several national and international organizations that have either recommended or
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tm mandated safety initiatives. tm tm




Every nurse has the responsibility to guard the client’s safety. The other actions are
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tm important for quality nursing, but they are not as vital as providing safety. Not
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tm making medication errors does provide safety, but is too narrow in scope to be the
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tm best answer. tm




DIF: Understanding TOP: Integrated Process: Nursing Process:
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Intervention KEY: Client safety
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MSC: t m Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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2. A nurse is orienting a new client and family to the medical-surgical unit. What
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tm information does the nurse provide to best help the client promote his or her
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tm own safety? tm




a. Encourage the client and family to be active partners.
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b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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, d. Tell the client to always wear his or her armband.
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CORRECT ANSWER: A
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Each action could be important for the client or family to perform. However,
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tm encouraging the client to be active in his or her health care as a safety partner is
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tm the most critical. The other actions are very limited in scope and do not provide the
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tm broad protection that being active and involved does.
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DIF: Understanding TOP: Integrated Process:
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Teaching/Learning KEY: Client safety
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MSC: t m Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
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tm pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What
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tm action would the nurse take first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. tm tm tm tm




c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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, CORRECT ANSWER: A tm tm




The purpose of the Rapid Response Team (RRT) is to intervene when clients are
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tm deteriorating before they suffer either respiratory or cardiac arrest. Since the client
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tm has manifested a significant change, the nurse would call the RRT. Changes in blood
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tm pressure, mental status, heart rate, temperature, oxygen saturation, and last 2 hours’
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tm urine output are particularly significant and are part of the Modified Early Warning
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tm System guide. Documentation is vital, but the nurse must do more than document.
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tm The primary health care provider would be notified, but this is not more important
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tm than calling the RRT. The client’s blood pressure would be reassessed frequently, but
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tm the priority is getting the rapid care to the client.
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DIF: Applying TOP: Integrated Process: Communication and
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Documentation KEY: Rapid Response Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action by the
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tm nurse
best demonstrates this concept?
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a. Assesses for cultural influences affecting health care.
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b. Ensures that all the client’s basic needs are met.
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c. Tells the client and family about all upcoming tests.
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d. Thoroughly orients the client and family to the room. tm tm tm tm tm tm tm tm




CORRECT ANSWER: A tm tm




Showing respect for the client and family’s preferences and needs is essential to
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tm ensure a holistic or “whole-person” approach to care. By assessing the effect of the
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tm client’s culture on health care, this nurse is practicing client-focused care. Providing
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tm for basic needs does not demonstrate this competence. Simply telling the client
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tm about all upcoming tests is not providing empowering education. Orienting the client
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tm and family to the room is an important safety measure, but not directly related to
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tm demonstrating client-centered care. tm tm




DIF: Understanding TOP: Integrated Process: Culture and Spirituality
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tm KEY: t m Client-centered care, Culture tm tm MSC: t m Client Needs Category: Psychosocial
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Integrity
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5. A client is going to be admitted for a scheduled surgical procedure. Which action
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tm does the nurse explain is the most important thing the client can do to protect
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tm against errors? tm