lOMoARcPSD| 240
Test Bank For Medical-Surgical Nursing Concepts for
Inter professional Collaborative Care 10th Edition by
Donna Ignatavicius, 9780323612425, Chapter 1-69
Complete Questions and Answers A+
, lOMoARcPSD| 240
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
x x x x x x x x x
xIgnatavicius: Medical-Surgical Nursing, 10th Edition
x x x x
, lOMoARcPSD| 240
MULTIPLE xCHOICE
1. A xnew xnurse xis xworking xwith xa xpreceptor xon xa xmedical-surgical xunit. xThe xpreceptor xadvises
xthe xnew xnurse xthat xwhich xis xthe xpriority xwhen xworking xas xa xprofessional xnurse?
a. Attendingxto xholistic xclient xneeds
b. Ensuringxclient xsafety
c. Not xmaking xmedicationxerrors
d. Providingxclient-focused xcare
ANS: x B
All xactions xare xappropriate xfor xthe xprofessional xnurse. xHowever, xensuring xclient xsafety xis xthe
xpriority. xHealth xcare xerrors xhave xbeen xwidely xreported xfor x25 xyears, xmany xof xwhich xresult xin
xclient xinjury, xdeath, xand xincreased xhealth xcare xcosts. xThere xare xseveral xnational xand
xinternational xorganizations xthat xhave xeither xrecommended xor xmandated xsafety xinitiatives.
Every xnurse xhas xthe xresponsibility xto xguard xthe xclient9s xsafety. xThe xother xactions xare
ximportant xfor xquality xnursing, xbut xthey xare xnot xas xvital xas xproviding xsafety. xNot xmaking
xmedication xerrors xdoes xprovide xsafety, xbut xis xtoo xnarrow xin xscope xto xbe xthe xbest xanswer.
DIF: Understanding TOP: x Integrated xProcess: xNursingxProcess:
xIntervention xKEY: xClient xsafety
MSC: x Client x Needs xCategory: xSafe xand xEffective xCarexEnvironment: xSafety xand xInfection xControl
2. A xnurse xis xorienting xa xnew xclient xand xfamilyxto xthe xmedical-surgical xunit. xWhat
xinformation xdoes xthe xnurse xprovide xto xbest xhelp xthe xclient xpromote xhis xor xher xown
xsafety?
a. Encouragexthe xclient x and xfamilyxto xbe xactive xpartners.
b. Havexthe xclient xmonitor xhand xhygiene xin xcaregivers.
c. Offer xthe x familyxthe xopportunityxto x stayxwith xthe xclient.
d. Tellthe xclient xto xalways xwear xhis xor xher xarmband.
ANS: x A
Each xaction xcould xbe ximportant xfor xthe xclient xor xfamilyxto xperform. xHowever, xencouraging
xthe xclient xto xbe xactive xin xhis xor xher xhealth xcare xas xa xsafety xpartner xis xthe xmost xcritical. xThe
xother xactions xare xvery xlimited xin xscope xand xdo xnot xprovide xthe xbroad xprotection xthat xbeing
xactive xand xinvolved xdoes.
DIF: Understanding TOP:xIntegratedxProcess: xTeaching/Learning
xKEY: xClient xsafety
MSC: x Client x Needs xCategory: xSafe xand xEffective xCarexEnvironment: xSafety xand xInfection xControl
3. A xnurse xis xcaring xfor xa xpostoperative xclient xon xthe xsurgical xunit. xThe xclient9s xblood
xpressure xwas x142/76 xmm xHg x30 xminutes xago, xand xnow xis x88/50 xmm xHg. xWhat xaction
xwould xthe xnurse xtake xfirst?
a. Call xthe xRapid xResponse xTeam.
b. Document xand xcontinue xto xmonitor.
c. Notifyxthe xprimaryxhealth xcare xprovider.
d. Repeat xthe xblood xpressure xinx15 xminutes.
, lOMoARcPSD| 240
ANS: x A
The xpurpose xofxthe xRapid xResponse xTeam x(RRT) xis xto xintervene xwhen xclients xare
xdeteriorating xbefore xthey xsuffer xeither xrespiratory xor xcardiac xarrest. xSince xthe xclient xhas
xmanifested xa xsignificant xchange, xthe xnurse xwould xcall xthe xRRT. xChanges xin xblood xpressure,
xmental xstatus, xheart xrate, xtemperature, xoxygen xsaturation, xand xlast x2 xhours9 xurine xoutput xare
xparticularly xsignificant xand xare xpart xof xthe xModified xEarly xWarning xSystem xguide.
xDocumentation xis xvital, xbut xthe xnurse xmust xdo xmore xthan xdocument. xThe xprimary xhealth
xcare xprovider xwould xbe xnotified, xbut xthis xis xnot xmore ximportant xthan xcalling xthe xRRT. xThe
xclient9s xblood xpressure xwould xbe xreassessed xfrequently, xbut xthe xpriority xis xgetting xthe xrapid
xcare xto xthe xclient.
DIF: Applying TOP: x Integrated xProcess: xCommunicationxand
xDocumentation xKEY: xRapid xResponse xTeam x(RRT), xClinical xjudgment
MSC: x Client xNeeds xCategory: xPhysiological xIntegrity: xPhysiological xAdaptation
4. Axnurse xwishes xto x provide xclient-centered xcare xin xall xinteractions. xWhich xaction xbythe xnurse
best xdemonstratesxthis xconcept?
a. Assesses xfor xculturalxinfluences xaffecting xhealth xcare.
b. Ensuresxthat xallxthe xclient9s xbasic xneeds xare xmet.
c. Tells xthe xclient xand x family xabout xallxupcoming xtests.
d. Thoroughlyxorients xthe xclient x and xfamilyxto xthe xroom.
ANS: x A
Showing xrespect xfor xthe xclient xand xfamily9s xpreferences xand xneeds xis xessential xto xensure xa
xholistic xor x<whole-person= xapproach xto xcare. xByassessing xthe xeffect xofthe xclient9s xculture xon
xhealth xcare, xthis xnurse xis xpracticing xclient-focused xcare. xProviding xfor xbasic xneeds xdoes xnot
xdemonstrate xthis xcompetence. xSimply xtelling xthe xclient xabout xall xupcoming xtests xis xnot
xproviding xempowering xeducation. xOrienting xthe xclient xand xfamilyxto xthe xroom xis xan ximportant
xsafety xmeasure, xbut xnot xdirectly xrelated xto xdemonstrating xclient-centered xcare.
DIF: Understanding TOP: xIntegrated xProcess: xCulture xand xSpirituality
xKEY: x Client-centered xcare, xCulture MSC: x Client xNeeds xCategory: xPsychosocial
xIntegrity
5. A xclient xis xgoing xto xbe xadmitted xfor xa xscheduled xsurgical xprocedure. xWhich xaction xdoes
xthe xnurse xexplain xis xthe xmost ximportant xthing xthe xclient xcan xdo xto xprotect xagainst
xerrors?
a. Bring xa xlist x of xall xmedications xand xwhat x theyxare xfor.
b. Keepxthe xprovider9s xphone xnumber xbythe xtelephone.
c. Makexsure xthat x all xproviders xwash xhands xbefore xentering xthe xroom.
d. Write xdown xthe xname xofxeach xcaregiver xwho x comes xin xthe xroom.
ANS: x A
Medication xreconciliation xis xa xformal xprocess xin xwhich xthe xclient9s xactualxcurrent xmedications
xare xcompared xto xthe xprescribed xmedications xat xthe xtime xof xadmission, xtransfer, xor
xdischarge. xThis xNational xclient xSafety xGoal xis ximportant xto xreduce xmedication xerrors. xThe
xclient xwould xnot xhave xto xbe xresponsible xfor xproviders xwashing xtheir xhands, xand xeven xif xthe
xclient xdoes xso, xthis xis xtoo xnarrow xto xbe xthe xmost ximportant xaction xto xprevent xerrors.
xKeeping xthe xprovider9s xphone xnumber xnearby xand xdocumenting xeveryone xwho xenters xthe
xroom xalso xdo xnot xguarantee xsafety.
DIF: Applying TOP: x IntegratedxProcess:xTeaching/Learning
xKEY: xClient xsafety, xInformatics
MSC: x Client x Needs xCategory: xSafe xand xEffective xCarexEnvironment: xSafety xand xInfection xControl
Test Bank For Medical-Surgical Nursing Concepts for
Inter professional Collaborative Care 10th Edition by
Donna Ignatavicius, 9780323612425, Chapter 1-69
Complete Questions and Answers A+
, lOMoARcPSD| 240
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
x x x x x x x x x
xIgnatavicius: Medical-Surgical Nursing, 10th Edition
x x x x
, lOMoARcPSD| 240
MULTIPLE xCHOICE
1. A xnew xnurse xis xworking xwith xa xpreceptor xon xa xmedical-surgical xunit. xThe xpreceptor xadvises
xthe xnew xnurse xthat xwhich xis xthe xpriority xwhen xworking xas xa xprofessional xnurse?
a. Attendingxto xholistic xclient xneeds
b. Ensuringxclient xsafety
c. Not xmaking xmedicationxerrors
d. Providingxclient-focused xcare
ANS: x B
All xactions xare xappropriate xfor xthe xprofessional xnurse. xHowever, xensuring xclient xsafety xis xthe
xpriority. xHealth xcare xerrors xhave xbeen xwidely xreported xfor x25 xyears, xmany xof xwhich xresult xin
xclient xinjury, xdeath, xand xincreased xhealth xcare xcosts. xThere xare xseveral xnational xand
xinternational xorganizations xthat xhave xeither xrecommended xor xmandated xsafety xinitiatives.
Every xnurse xhas xthe xresponsibility xto xguard xthe xclient9s xsafety. xThe xother xactions xare
ximportant xfor xquality xnursing, xbut xthey xare xnot xas xvital xas xproviding xsafety. xNot xmaking
xmedication xerrors xdoes xprovide xsafety, xbut xis xtoo xnarrow xin xscope xto xbe xthe xbest xanswer.
DIF: Understanding TOP: x Integrated xProcess: xNursingxProcess:
xIntervention xKEY: xClient xsafety
MSC: x Client x Needs xCategory: xSafe xand xEffective xCarexEnvironment: xSafety xand xInfection xControl
2. A xnurse xis xorienting xa xnew xclient xand xfamilyxto xthe xmedical-surgical xunit. xWhat
xinformation xdoes xthe xnurse xprovide xto xbest xhelp xthe xclient xpromote xhis xor xher xown
xsafety?
a. Encouragexthe xclient x and xfamilyxto xbe xactive xpartners.
b. Havexthe xclient xmonitor xhand xhygiene xin xcaregivers.
c. Offer xthe x familyxthe xopportunityxto x stayxwith xthe xclient.
d. Tellthe xclient xto xalways xwear xhis xor xher xarmband.
ANS: x A
Each xaction xcould xbe ximportant xfor xthe xclient xor xfamilyxto xperform. xHowever, xencouraging
xthe xclient xto xbe xactive xin xhis xor xher xhealth xcare xas xa xsafety xpartner xis xthe xmost xcritical. xThe
xother xactions xare xvery xlimited xin xscope xand xdo xnot xprovide xthe xbroad xprotection xthat xbeing
xactive xand xinvolved xdoes.
DIF: Understanding TOP:xIntegratedxProcess: xTeaching/Learning
xKEY: xClient xsafety
MSC: x Client x Needs xCategory: xSafe xand xEffective xCarexEnvironment: xSafety xand xInfection xControl
3. A xnurse xis xcaring xfor xa xpostoperative xclient xon xthe xsurgical xunit. xThe xclient9s xblood
xpressure xwas x142/76 xmm xHg x30 xminutes xago, xand xnow xis x88/50 xmm xHg. xWhat xaction
xwould xthe xnurse xtake xfirst?
a. Call xthe xRapid xResponse xTeam.
b. Document xand xcontinue xto xmonitor.
c. Notifyxthe xprimaryxhealth xcare xprovider.
d. Repeat xthe xblood xpressure xinx15 xminutes.
, lOMoARcPSD| 240
ANS: x A
The xpurpose xofxthe xRapid xResponse xTeam x(RRT) xis xto xintervene xwhen xclients xare
xdeteriorating xbefore xthey xsuffer xeither xrespiratory xor xcardiac xarrest. xSince xthe xclient xhas
xmanifested xa xsignificant xchange, xthe xnurse xwould xcall xthe xRRT. xChanges xin xblood xpressure,
xmental xstatus, xheart xrate, xtemperature, xoxygen xsaturation, xand xlast x2 xhours9 xurine xoutput xare
xparticularly xsignificant xand xare xpart xof xthe xModified xEarly xWarning xSystem xguide.
xDocumentation xis xvital, xbut xthe xnurse xmust xdo xmore xthan xdocument. xThe xprimary xhealth
xcare xprovider xwould xbe xnotified, xbut xthis xis xnot xmore ximportant xthan xcalling xthe xRRT. xThe
xclient9s xblood xpressure xwould xbe xreassessed xfrequently, xbut xthe xpriority xis xgetting xthe xrapid
xcare xto xthe xclient.
DIF: Applying TOP: x Integrated xProcess: xCommunicationxand
xDocumentation xKEY: xRapid xResponse xTeam x(RRT), xClinical xjudgment
MSC: x Client xNeeds xCategory: xPhysiological xIntegrity: xPhysiological xAdaptation
4. Axnurse xwishes xto x provide xclient-centered xcare xin xall xinteractions. xWhich xaction xbythe xnurse
best xdemonstratesxthis xconcept?
a. Assesses xfor xculturalxinfluences xaffecting xhealth xcare.
b. Ensuresxthat xallxthe xclient9s xbasic xneeds xare xmet.
c. Tells xthe xclient xand x family xabout xallxupcoming xtests.
d. Thoroughlyxorients xthe xclient x and xfamilyxto xthe xroom.
ANS: x A
Showing xrespect xfor xthe xclient xand xfamily9s xpreferences xand xneeds xis xessential xto xensure xa
xholistic xor x<whole-person= xapproach xto xcare. xByassessing xthe xeffect xofthe xclient9s xculture xon
xhealth xcare, xthis xnurse xis xpracticing xclient-focused xcare. xProviding xfor xbasic xneeds xdoes xnot
xdemonstrate xthis xcompetence. xSimply xtelling xthe xclient xabout xall xupcoming xtests xis xnot
xproviding xempowering xeducation. xOrienting xthe xclient xand xfamilyxto xthe xroom xis xan ximportant
xsafety xmeasure, xbut xnot xdirectly xrelated xto xdemonstrating xclient-centered xcare.
DIF: Understanding TOP: xIntegrated xProcess: xCulture xand xSpirituality
xKEY: x Client-centered xcare, xCulture MSC: x Client xNeeds xCategory: xPsychosocial
xIntegrity
5. A xclient xis xgoing xto xbe xadmitted xfor xa xscheduled xsurgical xprocedure. xWhich xaction xdoes
xthe xnurse xexplain xis xthe xmost ximportant xthing xthe xclient xcan xdo xto xprotect xagainst
xerrors?
a. Bring xa xlist x of xall xmedications xand xwhat x theyxare xfor.
b. Keepxthe xprovider9s xphone xnumber xbythe xtelephone.
c. Makexsure xthat x all xproviders xwash xhands xbefore xentering xthe xroom.
d. Write xdown xthe xname xofxeach xcaregiver xwho x comes xin xthe xroom.
ANS: x A
Medication xreconciliation xis xa xformal xprocess xin xwhich xthe xclient9s xactualxcurrent xmedications
xare xcompared xto xthe xprescribed xmedications xat xthe xtime xof xadmission, xtransfer, xor
xdischarge. xThis xNational xclient xSafety xGoal xis ximportant xto xreduce xmedication xerrors. xThe
xclient xwould xnot xhave xto xbe xresponsible xfor xproviders xwashing xtheir xhands, xand xeven xif xthe
xclient xdoes xso, xthis xis xtoo xnarrow xto xbe xthe xmost ximportant xaction xto xprevent xerrors.
xKeeping xthe xprovider9s xphone xnumber xnearby xand xdocumenting xeveryone xwho xenters xthe
xroom xalso xdo xnot xguarantee xsafety.
DIF: Applying TOP: x IntegratedxProcess:xTeaching/Learning
xKEY: xClient xsafety, xInformatics
MSC: x Client x Needs xCategory: xSafe xand xEffective xCarexEnvironment: xSafety xand xInfection xControl
