TEST BANK FOR MEDICAL-SURGICAL NURSING CONCEPTS FOR INTERPROFESSIONAL COLLABORATIVE CARE 9TH EDITION BY IGNATAVICIUS AND WORKMAN

Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
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Edition by IGNATAVICIUS
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TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR INTER
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PROFFESSIONAL COLLABORATIVE CARE 9TH EDITIONIGNAT
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AVICIUS ALL CHAPTERS.
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,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
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Edition by IGNATAVICIUS vl vl




Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
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MULTIPLE CHOICE vl




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by thenurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health carevl vl vl vl vl vl




b. Ensures that all the clients basic needs are metvl vl vl vl vl vl vl vl




c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room vl vl vl vl vl vl vl vl




ANS: A vl




Competency in client- vl vl




focused care is demonstrated when the nursefocuses on communication, culture, respect compas
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sion, client education, and empowerment. By assessing the effect of the clients culture on health
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care, this nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply telling the
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vl client about all upcoming tests isnot providing empowering education.
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Orienting the client andfamily to theroom is animportantsafetymeasure,
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butnotdirectlyrelatedtodemonstratingclient-centered care. vl




DIF: Understanding/Comprehension REF: 3
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KEY: Patient- vl




centered care| culture MSC: Integrated Process: Caring NOT: Client NeedsCategory: Psychosoci
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al Integrity
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure
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was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. vl vl vl vl




c. Notify the primary care provider. vl vl vl vl




d. Repeat blood pressure measurement in 15 minutes.
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,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
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Edition by IGNATAVICIUS vl vl




ANS: A vl




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterioratingbef
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ore they suffereitherrespiratoryorcardiacarrest.
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Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood vl vl vl vl vl vl vl vl




pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital, b
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ut the nursemust do more than document. The primary care provider should be notified, but thisis
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vl not the priority over calling the RRT. The clients blood pressure should
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be reassessed frequently, but the priority is getting the rapid care to theclient.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:Com
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munication and Documentation vl vl




NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What information doe
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sthe nurse provide to help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. vl vl vl vl vl vl vl vl




b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: A vl




Each action could be important for the client or family to perform. However, encouraging the clie
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nt to be active in his or her health care as a partner is the most critical. The other actions are very l
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imited in scope and do not provide the broad protection that being active and involveddoes.
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DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
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, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
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Edition by IGNATAVICIUS vl vl




MSC: Integrated Process: Teaching/Learning
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infectio
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nControl
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4. A new nurse is working with a preceptor on an inpatientmedical-
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surgical unit. The preceptor advises the student that which is the priority when working as a
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professionalnurse?
a. Attending to holistic client needs vl vl vl vl




b. Ensuring client safety vl vl




c. Not making medication errors
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d. Providing client-focused care vl vl




ANS: B vl




All actions are appropriate for the professional nurse. However, ensuring client safety is the priori
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ty. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000 Institut
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e of Medicine report. Many more clients have suffered injuries and less serious outcomes.Every nu
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rse has the responsibility to guard the clients safety.
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DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
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MSC: Integrated Process: Nursing Process: Intervention
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control


5. A client is going to be admitted for a scheduled surgical procedure. Which action does
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the nurse explain is the most important thing the client can do to protect againsterrors?
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a. Bring a list of all medications and what they are for.
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b. Keep the doctors phone number by the telephone.
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c. Make sure all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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ANS: A vl