TEST BANK FOR Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative Care, 5th Edition by Donna D. Ignatavicius and Nicole M. Heimgartner ISBN 9780323878265 COMPLETE GUIDE 100 VERIFIED A+

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Chapter 01: Overview of Professional Nursing Concepts for Medical-
J J J J J J J J

J J
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Surgical Nursing Ignatavicius: Medical-Surgical
J Nursing, 10th Edition
J J J




MULTIPLEJCHOICE abirb.com/test
1. AJnewJnurseJisJworkingJwithJaJpreceptorJonJaJmedical-
surgicalJunit.JTheJpreceptorJadvisesJtheJnewJnurseJthatJwhichJisJtheJpriorityJwhenJworkingJasJaJp
rofessionalJnurse? abirb.com/test
a. AttendingJtoJholisticJclientJneeds
b. EnsuringJclientJsafety
c. NotJmakingJmedicationJerrors
d. ProvidingJclient-focusedJcareJ
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ANS:J B
AllJactionsJareJappropriateJforJtheJprofessionalJnurse.JHowever,JensuringJclientJsafetyJisJtheJpri
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ority.JHealthJcareJerrorsJhave beenJ widely reportedJ forJ25Jyears,JmanyJofJwhichJresultJinJclient
Jinjury,Jdeath,JandJincreasedJhealthJcareJcosts.JThereJareJseveralJnationalJand

internationalJorganizationsJthatJhaveJeitherJrecommendedJorJmandatedJsafetyJinitiatives.JEveryJ
nurseJhasJtheJresponsibilityJtoJguardJtheJclient’sJsafety.JTheJotherJactionsJareJimportantJforJqualit
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yJnursing,JbutJtheyJareJnotJasJvitalJasJprovidingJsafety.JNotJmakingJmedicationJerrorsJdoesJprovid
eJsafety,JbutJisJtooJnarrowJinJscopeJtoJbeJtheJbestJanswer.

DIF:
Understanding
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T O P : J J IntegratedJProcess:JNursingJProcess:JIntervention

JKEY:J ClientJsafety

MSC:J ClientJNeedsJCategory:JSafeJandJEffectiveJCareJEnvironment:JSafetyJandJInfectionJControl

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2. AJnurseJisJorientingJaJnewJclientJand family toJt h e m e d i c a l -
surgicalJunit.JWhatJinformationJdoesJtheJnurseJprovideJtoJbestJhelpJtheJclientJpromoteJhisJorJherJo
wnJsafety?
a. EncourageJtheJclientJandJfamilyJtoJbeJactiveJpartners.
b. HaveJtheJclientJmonitorJhandJhygieneJinJcaregivers.
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c. OfferJtheJfamilyJtheJopportunityJtoJstayJwithJtheJclient.
d. TellJtheJclientJtoJalwaysJwearJhisJorJherJarmband.
ANS:J A abirb.com/test
EachJactionJcouldJbeJimportantJforJtheJclientJorJfamilyJtoJperform.JHowever,JencouragingJtheJclie
ntJtoJbeJactiveJinJhisJorJherJhealthJcareJasJaJsafetyJpartnerJisJtheJmostJcritical.JTheJother
actionsJareJveryJlimitedJinJscopeJandJdoJnotJprovideJtheJbroadJprotectionJthatJbeingJactiveJand
involvedJdoes. abirb.com/test
DIF: Understanding TOP:J IntegratedJProcess:JTeaching/Learning
KEY:J ClientJsafety abirb.com/test
MSC:J ClientJNeedsJCategory:JSafeJandJEffectiveJCareJEnvironment:JSafetyJandJInfectionJControl

3. AJnurseJisJcaringJforJaJpostoperativeJclientJonJtheJsurgicalJunit.JTheJclient’sJbloodJpressureJwasJ
142/76JmmJHgJ30Jminutes ago, and now is 88/50 mmJHg.JWhatJactionJwouldJtheJnurse
takeJfirst?
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a. CallJtheJRapidJResponseJTeam.
b. DocumentJandJcontinueJtoJmonitor.
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c. NotifyJtheJprimaryJhealthJcareJprovider.
d. RepeatJtheJbloodJpressureJinJ15Jminutes.


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ANS:J A
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TheJpurposeJofJtheJRapidJResponse Team (RRT) isJt o intervene JwhenJclientsJareJdeterioratingJb
eforeJtheyJsufferJeitherJrespiratoryJorJcardiacJarrest.JSinceJtheJclientJhasJmanifestedJaJsignificantJ
change,JtheJnurseJwouldJcallJtheJRRT.JChangesJinJbloodJpressure,JmentalJstatus,JheartJrate,Jtemp
erature,JoxygenJsaturation,JandJlastJ2Jhours’JurineJoutputJareJparticularlyJsignificantJandJareJpartJ
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ofJtheJModifiedJEarlyJWarningJSystemJguide.JDocumentationJisJvital,JbutJtheJnurseJmustJdoJmor
eJthanJdocument.JTheJprimaryJhealthJcareJproviderJwouldJbeJnotified,JbutJthisJisJnotJmoreJimport
antJthanJcallingJtheJRRT.JTheJclient’sJbloodJpressureJwouldJbeJreassessedJfrequently,JbutJtheJprio
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rityJisJgettingJtheJrapidJcareJtoJtheJclient.

DIF: Applying
TOP:J IntegratedJProcess:JCommunicationJandJDocumentationJKEY:J RapidJRe
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sponseJTeamJ(RRT),JClinicalJjudgment
MSC:J ClientJNeedsJCategory:JPhysiologicalJIntegrity:JPhysiologicalJAdaptation

4. AJnurseJwishesJtoJprovideJclient-centeredJcareJinJallJinteractions.JWhichJactionJbyJtheJnurse
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bestJdemonstratesJthisJconcep t?
a. AssessesJforJculturalJinfluencesJaffectingJhealthJcare.
b. EnsuresJthatJallJtheJclient’sJbasicJneedsJareJmet.
c. TellsJtheJclientJandJfamilyJaboutJallJupcomingJtests.
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d. ThoroughlyJorientsJtheJclientJandJfamilyJtoJtheJroom.
ANS:J A
ShowingJrespectJforJtheJclientJandJfamily’sJpreferencesJandJneedsJisJessentialJtoJensureJaJholisticJ
orJ“whole- abirb.com/test
person”JapproachJtoJcare.JByJassessingJtheJeffectJofJtheJclient’sJcultureJonJhealthJcare,JthisJnurseJi
sJpracticingJclient-
focusedJcare.JProvidingJforJbasicJneedsJdoesJnotJdemonstrateJthisJcompetence.JSimplyJtellingJth
eJclientJaboutJallJupcomingJtestsJisJnot
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providingJempoweringJeducation. Orienting the clientJ andJfamilyJtoJtheJroomJisJanJimportantJsaf
etyJmeasure,JbutJnotJdirectlyJrelatedJtoJdemonstratingJclient-centeredJcare.

DIF: Understanding T O P : J J IntegratedJProcess:JCultureJandJSpirituality
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KEY:J Client-centeredJcare,JCulture o Client
MSC: m /tNeeds
est Category: Psychosocial Integrity
J J J J J




5. AJclientJisJgoingJtoJbeJadmittedJforJaJscheduledJsurgicalJprocedure.JWhichJactionJdoesJtheJnu
rseJexplainJisJtheJmostJimportantJthingJtheJclientJcanJdoJtoJprotectJagainstJerrors?
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a. BringJaJlistJofJallJmedicationsJandJwhatJtheyJareJfor.
b. KeepJtheJprovider’sJphoneJnumberJbyJtheJtelephone.
c. MakeJsureJthatJallJprovidersJwashJhandsJbeforeJenteringJtheJroom.
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d. WriteJdownJtheJnameJofJeachJcaregiverJwhoJcomesJinJtheJroom.
ANS:J A
MedicationJreconciliationJisJaJformalJprocessJinJwhichJtheJclient’sJactualJcurrentJmedicationsJareJ
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comparedJtoJtheJprescribedJmedicationsJatJtheJtimeJofJadmission,Jtransfer,JorJdischarge.JThisJNat
ionalJclientJSafetyJGoalJisJimportantJtoJreduceJmedicationJerrors.JTheJclientJwouldJnotJhaveJtoJbeJ
responsibleJforJprovidersJwashingJtheirJhands,JandJevenJifJtheJclientJdoesJso,JthisJisJtooJnarrowJtoJ
beJtheJmostJimportantJactionJtoJpreventJerrors.JKeepingJtheJprovider’sJphoneJnumberJnearbyJandJ
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documentingJeveryoneJwhoJentersJtheJroomJalsoJdoJnotJguaranteeJsafety.
DIF: Applying
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TOP:J Int eg rat e d Pr o ce ss: Te ac h in g/ Learning JKEY:J ClientJs
afety,JInformatics
MSC:J ClientJNeedsJCategory:JSafeJandJEffectiveJCareJEnvironment:JSafetyJandJInfectionJControl

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