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TEST BANK for Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition by Donna D. Ignatavicius

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TEST BANK for Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition by Donna D. Ignatavicius

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

1. Agnewgnursegisgworkinggwithgagpreceptorgongagmedical-
surgicalgunit.gThegpreceptorgadvisesgthegnewgnursegthatgwhichgisgthegprioritygwhengworkinggasgag
professionalgnurse?
a. Attendinggtogholisticgclientgneeds
b. Ensuringgclientgsafety
c. Notgmakinggmedicationgerrors
d. Providinggclient-focusedgcare
ANS:g B
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygisgthegpri
ority.gHealthgcaregerrorsghavegbeengwidelygreportedgforg25gyears,gmanygofgwhichgresultgingclientgi
njury,gdeath,gandgincreasedghealthgcaregcosts.gTheregaregseveralgnationalgandginternationalgorgan
izationsgthatghavegeithergrecommendedgorgmandatedgsafetyginitiatives.
Everygnurseghasgthegresponsibilitygtogguardgthegclient’sgsafety.gThegothergactionsgaregimportantgf
orgqualitygnursing,gbutgtheygaregnotgasgvitalgasgprovidinggsafety.gNotgmakinggmedicationgerrorsgd
oesgprovidegsafety,gbutgisgtoognarrowgingscopegtogbegthegbestganswer.

DIF: Understanding
TOP:g IntegratedgProcess:gNursinggProcess:gInterventiongKEY:gClientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl

2. Agnursegisgorientinggagnewgclientgandgfamilygtogthegmedical-
surgicalgunit.gWhatginformationgdoesgthegnursegprovidegtogbestghelpgthegclientgpromoteghisgorg
hergowngsafety?
a. Encouragegthegclientgandgfamilygtogbegactivegpartners.
b. Havegthegclientgmonitorghandghygienegingcaregivers.
c. Offergthegfamilygthegopportunitygtogstaygwithgthegclient.
d. Tellgthegclientgtogalwaysgwearghisgorghergarmband.
ANS:g A
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencouraginggthegc
lientgtogbegactiveginghisgorgherghealthgcaregasgagsafetygpartnergisgthegmostgcritical.gThegothergaction
sgaregveryglimitedgingscopegandgdognotgprovidegthegbroadgprotectiongthatgbeinggactivegandginvolve
dgdoes.

DIF: Understanding
TOP:gIntegratedgProcess:gTeaching/LearninggKEY:gClientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl

3. Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclient’sgbloodgpressuregw
asg142/76gmmgHgg30gminutesgago,gandgnowgisg88/50gmmgHg.gWhatgactiongwouldgthegnursegtak
egfirst?
a. CallgthegRapidgResponsegTeam.
b. Documentgandgcontinuegtogmonitor.
c. Notifygthegprimaryghealthgcaregprovider.
d. Repeatgthegbloodgpressureging15gminutes.


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, ANS:g A
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtogintervenegwhengclientsgaregdeterioratinggb
eforegtheygsuffergeithergrespiratorygorgcardiacgarrest.gSincegthegclientghasgmanifestedgagsignifican
tgchange,gthegnursegwouldgcallgthegRRT.gChangesgingbloodgpressure,gmentalgstatus,gheartgrate,gte
mperature,goxygengsaturation,gandglastg2ghours’gurinegoutputgaregparticularlygsignificantgandgareg
partgofgthegModifiedgEarlygWarninggSystemgguide.gDocumentationgisgvital,gbutgthegnursegmustgd
ogmoregthangdocument.gThegprimaryghealthgcaregprovidergwouldgbegnotified,gbutgthisgisgnotgmore
gimportantgthangcallinggthegRRT.gThegclient’sgbloodgpressuregwouldgbegreassessedgfrequently,gb

utgthegprioritygisggettinggthegrapidgcaregtogthegclient.

DIF: Applying
TOP:g IntegratedgProcess:gCommunicationgandgDocumentationgKEY:gRapidgR
esponsegTeamg(RRT),gClinicalgjudgment
MSC:g ClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation

4. Agnursegwishesgtogprovidegclient-centeredgcaregingallginteractions.gWhichgactiongbygthegnurse
bestgdemonstratesgthisgconcept?
a. Assessesgforgculturalginfluencesgaffectingghealthgcare.
b. Ensuresgthatgallgthegclient’sgbasicgneedsgaregmet.
c. Tellsgthegclientgandgfamilygaboutgallgupcominggtests.
d. Thoroughlygorientsgthegclientgandgfamilygtogthegroom.
ANS:g A
Showinggrespectgforgthegclientgandgfamily’sgpreferencesgandgneedsgisgessentialgtogensuregagholisti
cgorg“whole-
person”gapproachgtogcare.gBygassessinggthegeffectgofgthegclient’sgculturegonghealthgcare,gthisgnurs
egisgpracticinggclient-
focusedgcare.gProvidinggforgbasicgneedsgdoesgnotgdemonstrategthisgcompetence.gSimplygtellinggt
hegclientgaboutgallgupcominggtestsgisgnotgprovidinggempoweringgeducation.gOrientinggthegclientg
andgfamilygtogthegroomgisgangimportantgsafetygmeasure,gbutgnotgdirectlygrelatedgtogdemonstrating
gclient-centeredgcare.




DIF: Understanding
TOP:gIntegratedgProcess:gCulturegandgSpiritualitygKEY:g Client-centeredgcare,gCulture
MSC:g ClientgNeedsgCategory:gPsychosocialgIntegrity

5. Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiongdoesgthegn
ursegexplaingisgthegmostgimportantgthinggthegclientgcangdogtogprotectgagainstgerrors?
a. Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b. Keepgthegprovider’sgphonegnumbergbygthegtelephone.
c. Makegsuregthatgallgprovidersgwashghandsgbeforegenteringgthegroom.
d. Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.
ANS:g A
Medicationgreconciliationgisgagformalgprocessgingwhichgthegclient’sgactualgcurrentgmedicationsgar
egcomparedgtogthegprescribedgmedicationsgatgthegtimegofgadmission,gtransfer,gorgdischarge.gThisg
NationalgclientgSafetygGoalgisgimportantgtogreducegmedicationgerrors.gThegclientgwouldgnotghave
gtogbegresponsiblegforgprovidersgwashinggtheirghands,gandgevengifgthegclientgdoesgso,gthisgisgtoogna

rrowgtogbegthegmostgimportantgactiongtogpreventgerrors.gKeepinggthegprovider’sgphonegnumbergn
earbygandgdocumentinggeveryonegwhogentersgthegroomgalsogdognotgguaranteegsafety.

DIF: Applying
TOP:g IntegratedgProcess:gTeaching/LearninggKEY:gClientgs
afety,gInformatics
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl



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