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Surgical Nursing,10th
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Edition, Donna D.
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Ignatavicius, Linda
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jWorkman, Cherie R. j j
Rebar, Nicole M.
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Heimgartnerj
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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Ignatavicius: Medical-Surgicalabirb.com/test
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MULTIPLE jCHOICE abirb.com/test
1. A jnew jnurse jis jworking jwith ja jpreceptor jon ja jmedical-surgical junit. jThe jpreceptor jadvises jthe
new jnurse jthat jwhich jis jthe jpriority jwhen jworking jas ja jprofessional jnurse?
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a. Attending jto jholistic jclient jneeds
b. Ensuring jclient jsafety
c. Not jmaking jmedication jerrors
d. Providing jclient-focused jcare j
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ANS: j B
All jactions jare jappropriate jfor jthe jprofessional jnurse. jHowever, jensuring jclient jsafety jis jthe
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jpriority. jHealth jcare jerrors jhave been j widely reported j for j25 jyears, jmany jof jwhich jresult jin
jclient jinjury, jdeath, jand jincreased jhealth jcare jcosts. jThere jare jseveral jnational jand
international jorganizations jthat jhave jeither jrecommended jor jmandated jsafety jinitiatives. jEvery
jnurse jhas jthe jresponsibility jto jguard jthe jclient’s jsafety. jThe jother jactions jare jimportant jfor
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jquality jnursing, jbut jthey jare jnot jas jvital jas jproviding jsafety. jNot jmaking jmedication jerrors jdoes
jprovide jsafety, jbut jis jtoo jnarrow jin jscope jto jbe jthe jbest janswer.
DIF: Understanding
jKEY: j Client jsafety
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T O P : j j Integrated jProcess: jNursing jProcess: jIntervention
MSC: j Client jNeeds jCategory: jSafe jand jEffective jCare jEnvironment: jSafety jand jInfection jControl
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2. A jnurse jis jorienting ja jnew jclient jand family to jt h e m e d i c a l - surgical junit. jWhat jinformation
does jthe jnurse jprovide jto jbest jhelp jthe jclient jpromote jhis jor jher jown jsafety?
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a. Encourage jthe jclient jand jfamily jto jbe jactive jpartners.
b. Have jthe jclient jmonitor jhand jhygiene jin jcaregivers.
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c. Offer jthe jfamily jthe jopportunity jto jstay jwith jthe jclient.
d. Tell jthe jclient jto jalways jwear jhis jor jher jarmband.
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j A
Each jaction jcould jbe jimportant jfor jthe jclient jor jfamily jto jperform. jHowever, jencouraging jthe
jclient jto jbe jactive jin jhis jor jher jhealth jcare jas ja jsafety jpartner jis jthe jmost jcritical. jThe jother
actions jare jvery jlimited jin jscope jand jdo jnot jprovide jthe jbroad jprotection jthat jbeing jactive jand
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DIF: Understanding TOP: j Integrated jProcess: jTeaching/Learning
KEY: j Client abirb.com/test
jsafety
MSC: j Client jNeeds jCategory: jSafe jand jEffective jCare jEnvironment: jSafety jand jInfection jControl
3. A jnurse jis jcaring jfor ja jpostoperative jclient jon jthe jsurgical junit. jThe jclient’s jblood jpressure
was j142/76 jmm jHg j30 jminutes ago, and now is 88/50 mm jHg. jWhat jaction jwould jthe jnurse
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take jfirst?
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a. Call jthe jRapid jResponse jTeam.
b. Document jand jcontinue jto jmonitor.
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c. Notify jthe jprimary jhealth jcare jprovider.
d. Repeat jthe jblood jpressure jin j15 jminutes.
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ANS:
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A jpurpose jof jthe jRapid jResponse Team (RRT) is jt o intervene jwhen jclients jare jdeteriorating
jThe
jbefore jthey jsuffer jeither jrespiratory jor jcardiac jarrest. jSince jthe jclient jhas jmanifested ja
jsignificant jchange, jthe jnurse jwould jcall jthe jRRT. jChanges jin jblood jpressure, jmental jstatus,
jheart jrate, jtemperature, joxygen jsaturation, jand jlast j2 jhours’ jurine joutput jare jparticularly
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jsignificant jand jare jpart jof jthe jModified jEarly jWarning jSystem jguide. jDocumentation jis jvital,
jbut jthe jnurse jmust jdo jmore jthan jdocument. jThe jprimary jhealth jcare jprovider jwould jbe
jnotified, jbut jthis jis jnot jmore jimportant jthan jcalling jthe jRRT. jThe jclient’s jblood jpressure
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jwould jbe jreassessed jfrequently, jbut jthe jpriority jis jgetting jthe jrapid jcare jto jthe jclient.
DIF: Applying TOP: j Integrated jProcess: jCommunication jand jDocumentation
jKEY: j Rapid jResponse jTeam j(RRT), jClinical jjudgment
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MSC: j Client jNeeds jCategory: jPhysiological jIntegrity: jPhysiological jAdaptation
4. A jnurse jwishes jto jprovide jclient-centered jcare jin jall jinteractions. jWhich jaction jby jthe jnurse
best jdemonstrates jthis jconcep t?a birb.com/test
a. Assesses jfor jcultural jinfluences jaffecting jhealth jcare.
b. Ensures jthat jall jthe jclient’s jbasic jneeds jare jmet.
c. Tells jthe jclient jand jfamily jabout jall jupcoming jtests.
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d. Thoroughly jorients jthe jclient jand jfamily jto jthe jroom.
ANS: j A
Showing jrespect jfor jthe jclient jand jfamily’s jpreferences jand jneeds jis jessential jto jensure ja
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jholistic jor j“whole-person” japproach jto jcare. jBy jassessing jthe jeffect jof jthe jclient’s jculture jon
jhealth jcare, jthis jnurse jis jpracticing jclient-focused jcare. jProviding jfor jbasic jneeds jdoes jnot
jdemonstrate jthis jcompetence. jSimply jtelling jthe jclient jabout jall jupcoming jtests jis jnot
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providing jempowering jeducation. Orienting the clientj and jfamily jto jthe jroom jis jan jimportant
jsafety jmeasure, jbut jnot jdirectly jrelated jto jdemonstrating jclient-centered jcare.
DIF: Understanding T OP : j j Integrated jProcess: jCulture jand jSpirituality
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KEY: j Client-centered jcare, jCulture om
MSC: /tNeeds
Client estCategory: Psychosocial Integrity
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5. A jclient jis jgoing jto jbe jadmitted jfor ja jscheduled jsurgical jprocedure. jWhich jaction jdoes jthe
nurse jexplain jis jthe jmost jimportant jthing jthe jclient jcan jdo jto jprotect jagainst jerrors?
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a.
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Bring ja jlist jof jall jmedications jand jwhat jthey jare jfor.
b. Keep jthe jprovider’s jphone jnumber jby jthe jtelephone.
c. Make jsure jthat jall jproviders jwash jhands jbefore jentering jthe jroom.
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Write jdown jthe jname jof jeach jcaregiver jwho jcomes jin jthe jroom.
ANS: j A
Medication jreconciliation jis ja jformal jprocess jin jwhich jthe jclient’s jactual jcurrent jmedications
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jare jcompared jto jthe jprescribed jmedications jat jthe jtime jof jadmission, jtransfer, jor jdischarge.
jThis jNational jclient jSafety jGoal jis jimportant jto jreduce jmedication jerrors. jThe jclient jwould
jnot jhave jto jbe jresponsible jfor jproviders jwashing jtheir jhands, jand jeven jif jthe jclient jdoes jso,
jthis jis jtoo jnarrow jto jbe jthe jmost jimportant jaction jto jprevent jerrors. jKeeping jthe jprovider’s
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jphone jnumber jnearby jand jdocumenting jeveryone jwho jenters jthe jroom jalso jdo jnot jguarantee
jsafety.
DIF: Applying TOP:
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Int eg rat e d Pr o ce ss: Te ac h in g/ Learning jKEY: j Client jsafety,
Informatics
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MSC: j Client jNeeds jCategory: jSafe jand jEffective jCare jEnvironment: jSafety jand jInfection jControl
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