Timby's Introductory Medical-Surgical Nursing 13th Edition Moreno Test Bank Questions And Correct Answers 2025 All Chapters Available

, ◦ Timby's Introductory Medical- y3ji y3ji


Surgical Nursing 13th Edition Moreno Test Bank
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Chapter 1 y3ji Concepts and Trends in Healthcare y3 j i y3 ji y3 j i y3 ji


◦ A new nurse is working with a preceptor on an inpatient medical-
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surgical unit. The preceptor advises the student that which is the priorit
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y when working as a professional nurse?
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◦ Attending to holistic client needs y3ji y3ji y3ji y3ji



◦ Ensuring client safety y3ji y3ji



◦ Not making medication errors
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◦
Providing client y3ji


-
focused care y3ji y3ji y3ji


ANS: B y3ji


◦ All actions are appropriate for the professional nurse. However,
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ensuring client safety is the priority. Up to 98,000 deaths result each
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year from errors in hospital care, according to the 2000 Institute of Medicine
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report. Many more clients have suffered injuries and less serious outcomes. Ev
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ery nurse has the responsibility to guard the clients safety.
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◦ DIF: Understanding/Comprehension REF: y3ji y3ji y3ji


2 KEY: Patient safety MSC: Integrated Process: Nursi
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ng Process: Intervention
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◦ NOT: Client Needs Category: Safe and Effective y3ji y3ji y3ji y3ji y3ji y3ji y3ji


Care Environment: Safety and Infection Control
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◦ A nurse is orienting a new client and family to the inpatient unit. W
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hat information does the nurse provide to help the client promote his
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or her own safety?
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◦ Encourage the client and family to be active partners.
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◦ Have the client monitor hand hygiene in caregivers.
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◦ Offer the family the opportunity to stay with the
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◦
Tell the client to always wear h y3ji y3ji y3ji y3ji y3ji y3ji


is or her armband. ANS: A y3ji y3ji y3ji y3ji y3ji


◦ Each action could be important for the client or family to perf y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji


orm. However, encouraging the client to be active in his or her health care
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as a partner is the most critical. The other actions are
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◦
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very limited in scope and do not provide the broad protecti y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji


on that being active and involved does.
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◦ DIF: Understanding/Comprehension REF: y3ji y3ji y3ji


3 KEY: Patient safety MSC: Integrated Process: Teach
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ing/ Learning y3ji


◦ NOT: Client Needs Category: Safe and Effective Care y3ji y3ji y3ji y3 ji y3j i y3j i y3j i

,Environment: Safety and Infection Control y3ji y3ji y3ji y3ji




◦ A nurse is caring for a postoperative client on the surgical unit. The clien
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ts blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50
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mm Hg. What action by the nurse is best?
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◦ Call the Rapid Response Team.
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◦ Document and continue to monitor. y3ji y3ji y3ji y3ji



◦ Notify the primary care provider.
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◦
Repeat blood pressure measureme y3ji y3ji y3ji


nt in 15 minutes. ANS: A y3ji y3ji y3ji y3ji y3ji


◦ The purpose of the Rapid Response Team (RRT) is to intervene y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji


when clients are deteriorating before they suffer either respiratory or cardiac arr
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est. Since the client has manifested a significant change, the nurse should call t
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he RRT. Changes in blood pressure, mental status, heart rate, and pain are parti
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cularly significant. Documentation is vital, but the nurse must do more than doc
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ument. The primary care provider should be notified, but this is not the priority
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over calling
y3ji the RRT. The clients blood pressure should be reassessed fre
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quently, but the priority is getting
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the rapid care to the client. y3ji y3ji y3ji y3ji y3ji




◦ DIF: Applying/Application REF: 3
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◦ KEY: Rapid Response Team (RR y3ji y3ji y3ji y3ji


T)| medical emergencies MSC: Integrated Proce
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ss:
Communication and Documentation y3ji y3ji


◦ NOT: Client Needs Category: Physiological Integrity: Physiological Adapta y3ji y3ji y3ji y3ji y3ji y3ji y3ji


tion
◦
◦ A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best d
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emonstrates this concept? y3ji y3ji


◦ Assesses for cultural influences affecting health care y3ji y3ji y3 j i y3 ji y3ji y3ji



◦ Ensures that all the clients basic needs are met
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◦ Tells the client and family about all upcoming tests
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◦
Thoroughly orients the client a y3ji y3ji y3ji y3ji


nd family to the room ANS: y3ji y3ji y3ji y3ji y3ji y3ji


A
◦ Competency in client- y3ji y3ji


focused care is demonstrated when the nurse focuses on communication, cul
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ture, respect, compassion, client education, and empowerment. By assessing
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the effect of the
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◦
◦ clients culture on health care, this nurse is practicing client- y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji y3ji


focused care. Providing for basic needs does not demonstrate this competence
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. Simply telling the client about all upcoming tests is not providing empowerin
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g education. Orienting the client and family to the room is an important safety
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measure, but not directly related to demonstrating client-centered care.
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, ◦ DIF: y3ji Understanding/Comprehension y3ji REF: 3
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