z . z . z . z . z . z .
forMedical-Surgical Nursing Ignatavicius: Medical-Surgical
z . z. z. z. z.
Nursing, 11th Edition
z. z . z .
MULTIPLE z.
CHOICE
1. A new nurse is working with a preceptor on a medical-
z. z. z. z. z. z. z. z. z. z. z.
z surgical unit. The preceptor advises the newnurse
. z . z . z . z . z . z . z.
that which is the priority when working as a professional
z. z. z. z. z. z. z. z. z. z.
z nurse? .
a. Attending to holistic client needs z . z . z . z .
b. Ensuring client safety z . z .
c. Not making medication errors z . z . z .
d. Providing client-focused care z . z .
ANS: B z .
All actions are appropriate for the professional
z . z . z . z . z . z .
nurse. However, ensuring client safety is the priority.
z . z. z . z . z . z . z . z .
Health care errors have been widely reported for 25 years,
z . z. z. z. z. z. z. z. z. z.
many of which result in client injury, death, and increased
z. z. z. z. z. z. z. z. z. z.
health care costs. There are several nationaland
z . z . z . z . z . z . z . z.
international organizations that have either recommended
z. z. z. z. z. z.
or mandated
z . z .
safety initiatives. z.
Every nurse has the responsibility to guard the
client’ssafety. The other actions are important
z . z . z . z . z . z . z .
z . z. z . z . z . z . z .
for quality nursing, but they are not as vital as providing
z. z. z. z. z. z. z. z. z. z.
safety. Not making medication errors doesprovide
z . z . z . z . z . z . z.
safety, but is too narrow in scope to be thebest
z . z . z . z . z . z . z . z . z . z . z.
answer.
z .
DIF: Understanding TOP: Integrated Process: z. z. z. z. z . z. z. z. z. z . z . z .
Nursing Process: Intervention KEY: Client safety z. z. z. z. z.
MSC: iClient Needs Category: Safe and Effective Care
z. z. z. z. z. z. z. z.
zEnvironment: Safety and Infection Control
. z . z . z . z .
2. A nurse is orienting a new client and family to
z . z . z . z . z . z . z . z . z .
z themedical-surgical unit. What information does the
. z. z . z . z. z . z .
z. nurse provide to best help the client promote his z . z . z . z . z . z . z . z .
z or her own
. z. z .
, safety?
a. Encourage the client and family to be active partners. z . z . z . z . z . z . z . z .
b. Have the client monitor hand hygiene in caregivers.
z . z . z . z . z . z . z .
c. Offer the family the opportunity to stay with the client.
z . z . z . z . z . z . z . z . z .
d. Tell the client to always wear his or her armband.
z . z . z . z . z . z . z . z . z .
ANS: A
z .
Each action could be important for the client or family to
z . z . z . z . z . z . z . z . z . z .
, perform. However, encouraging the client to be active z . z . z . z . z . z . z .
zinhis or her health care as a safety partner is the most critical.
. z. z. z. z. z. z. z. z. z. z. z. z. z. z.
zThe other actions are very limited in scope and do not
. z . z . z . z . z . z . z . z . z. z .
zprovide the broad protection that being active
. z . z . z . z . z . z .
and involved does.
z . z .
DIF: Understanding TOP: Integrated z .
zProcess:Teaching/Learning KEY: Client safety
. z. z . z . z .
MSC: Client Needs Category: Safe and Effective
z . z . z . z . z . z .
CareEnvironment: Safety and Infection Control
z . z. z . z . z . z .
3. A nurse is caring for a postoperative client on thesurgical
z. z. z. z. z. z. z. z. z. z.
z unit. The client’s blood pressure was 142/76mm
. z . z . z . z . z . z . z.
z Hg 30 minutes ago, and now is 88/50 mm Hg.
. z . z . z . z . z . z . z . z . z .
What action z .
would the nurse take first? z . z . z . z .
a. Call the Rapid Response Team. z . z . z . z .
b. Document and continue to monitor. z . z . z . z .
c. Notify the primary health care provider. z . z . z . z . z .
d. Repeat the blood pressure in 15 minutes. z . z . z . z . z . z .
Btestbanks.com