TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th edition by Donna D. Ignatavicius, Cherie R. Rebar, Nicole M. Heimgartner. ISBN:%ULTIMATE GUIDE FOR A+ GRADE ASSURED !!! NEWEST UPDATE!!!

TEST BANK FOR MEDICAL SURGICAL NURSING
CONCEPTS FOR CLINICAL JUDGEMENT AND
COLLABORATIVE CARE ELEVENTH EDITION BY
IGNATAVICIUS REBAR.
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TESTBANK

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TestBank-Medical-SurgicalNursing:ConceptsforInterprofessionalCollaborativeCare11e
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Chapter01:OverviewofProfessional NursingConceptsforMedical- ji ji ls ji




ji Surgical Nursing MULTIPLECHOICE ls ls ji




1. A nurse wishes toprovide client-
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centered careinallinteractions.Which action bythenursebestdemonstrates thisconcept
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?
a. Assesses forcultural influences affecting health care ji ji ls ji ji ji




b. Ensures that all theclients basic needs are met ji ls l sji ji ji l sj i ji ls




c. Tellsthe clientandfamily about allupcoming tests
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d. Thoroughlyorientstheclient and family totheroom ji ji ji ls ji ji ji




ANS: A ji




Competency in client- ji ls




focused care is demonstrated when the nurse focuses on communication, culture, respect co m
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passion, client education, and empowerment. By assessing the effect of the clients culture on
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health care, this nurse is practicing client-
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focused care.Providing for basic needs does not demonstrate thiscompetence.Simply tellin g
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the client about all upcoming testsis not providing empowering education.
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Orienting the clientand family to theroomis an important safety measure,but not directly re lat
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edtodemonstrating client-centered care.
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DIF:Understanding/Comprehension REF:3
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KEY:Patient- ji




centered care|culture MSC:Integrated Process:CaringN ls ji ls ji ls ji




OT:Client NeedsCategory:
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PsychosocialIntegrity


2. A nurseis caring fora postoperative clienton the surgicalunit.The clientsblood pressur e
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was 142/76 mm Hg 30 minutes ago,and now is 88/50mm Hg. What actionby the nursei s bes
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t?
a. Call theRapid Response Team. l s ji ji ji l s ji




b. Document andcontinueto monitor. l s ji ji ji ji




c. Notify the primary care provider. ji ji ji l sji




d. Repeatblood pressure measurement in 15minutes. ji ji ji ji ji ji




ANS: A ji




The purpose of the Rapid Response Team (RRT) is to intervene when clients arede
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terioratingbefore theysuffer eitherrespiratory or cardiac arrest.Since the clienthas manifes ted
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s asignificantchange,the nurse shouldcallthe RRT.Changes in bloodpressure,mental s tatus,
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i heart rate, and pain are particularly significant.
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TestBank-Medical-SurgicalNursing:ConceptsforInterprofessionalCollaborativeCare11e
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Documentationisvital,but the nursemustdo more thandocument. The primarycare p ro ji ji ls ls ji ji ji j i ji ji ls ji ls ji




vidershould be notified,but this is notthe priorityover calling the RRT. The clients blo odp
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ressureshould bereassessed frequently,butthe priority isgetting therapid care t othe c
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lient.


DIF:Applying/Application REF: 3
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KEY:RapidResponse Team(RRT)|medical emergencies ls ls ji




MSC:IntegratedProcess: ji ji




Communication and Documentation ji ji




NOT:ClientNeedsCategory:Physiological Integrity: Physiological Adaptation
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3. A nurseisorientinga newclient andfamilyto theinpatient unit.What informationdoe s t
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henurse provide tohelpthe client promote hisor herown safety?
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a. Encourage the client and family tobe active partners. ls ji l sji ji ji ji ji ji




b. Havethe clientmonitorhand hygiene incaregivers. ji l s ji ji ji ji l s ji ji




c. Offerthe family the opportunity to staywith the client.
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d. Tellthe clienttoalways wearhisorherarmband.
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ANS: A ji




Each action could be important for the client or family to perform. However,encour
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ji aging the client to be activeinhisorherhealthcare asa partneristhe most critical. Theother acti
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onsare verylimitedinscopeand donot provide thebroad protection that beingactive a nd i
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nvolved does. j i




DIF:
Understanding/Comprehension R ls j




EF: 3KEY:Patient safety
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