TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius, Cherie R. Rebar& Nicole M. Heimgartner |ISBN: 9780323878265| Complete Guide 100% verified

Test Bank for Medical Surgical Nursing Concepts
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for Clinical Judgment and Collaborative Care 11th
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Edition (Donna d. Ignatavicius)
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All Chapters Completed
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,Chapter 01: Overview of Professional Nursing Concepts for hw hw hw hw hw hw hw




Medical-Surgical Nursing hw




MULTIPLE CHOICE hw




1. A nurse wishes to provide client-centered care in all interactions. Whichaction by
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hw the nurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met hw hw hw hw hw hw hw hw




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




ANSWER: A h w




Competency in client-focused care is demonstrated when the nurse focuses on communication,
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hw culture, respect compassion, client education, and empowerment. By assessing the effect of the
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hw clients culture on health care, this nurse is practicing client-focused care. Providing for basic needs
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hw does not demonstrate this competence. Simplytelling the client about all upcoming tests is not
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hw providing empowering education. hw hw




Orienting the client and family to the room is an important safety measure, but notdirectly related
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hw to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC: IntegratedProcess:
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Caring NOT: Client Needs Category:
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Psychosocial Integrity hw




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
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hw 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What actionby the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. hw hw hw hw

,c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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ANSWER: A


The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before
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hw they suffer either respiratory or cardiac arrest. Since the client hasmanifested a significant change, the
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hw nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are
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hw particularly significant. hw




Documentation is vital, but the nurse must do more than document. The primary care provider
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hw should be notified, but this is not the priority over calling the RRT. The clients blood pressure
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hw should be reassessed frequently, but the priority is getting the rapid care to the client.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical
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hw emergencies MSC: Integrated Process: hw hw hw




Communication and Documentation hw hw




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 informationdoes the
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hw 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. hw hw hw hw hw hw hw hw




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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ANSWER: A


Each action could be important for the client or family to perform. However, encouraging the
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hw client to be active in his or her health care as a partner is the mostcritical. The other actions are
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hw very limited in scope and do not provide the broad protection that being active and involved does.
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DIF:

, Understanding/ComprehensionREF:
3KEY: Patient safety
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