TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, 2024/2025 All chapters 1 - 74

TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74

,
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, Chapter 01: Overview of Professional Nursing Concepts for Medical- CV CV CV CV CV CV CV CV




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MULTIPLE CHOICE C V




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




b. Ensures that all the clients basic needs are met CV CV CV CV C V CV CV CV




c. Tells the client and family about all upcoming tests CV CV CV CV CV C V CV C V




d. Thoroughly orients the client and family to the room CV CV CV C V CV C V C V CV




CORRECT ANSWER: A CV C V




Competency in client- CV CV




focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, clienteducation
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,andempowerment.Byassessingtheeffectoftheclients cultureonhealthcare, this nurseispracticing client-
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focused care. Providing for basicneedsdoesnotdemonstrate thiscompetence. Simplytellingtheclientaboutallupco
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mingtestsisnotprovidingempoweringeducation.Orientingtheclient and family to the room is an important safety me
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asure, but not directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- CV




centered care| culture MSC: Integrated Process: Caring NOT: Client Nee CV CV CV CV CV CV CV CV CV




ds Category: Psychosocial Integrity
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm Hg 30 mi
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nutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
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a. Call the Rapid Response Team. CV CV C V CV




b. Document and continue to monitor. CV CV CV C V




c. Notify the primary care provider. CV CV CV CV




d. Repeat blood pressure measurement in 15 minutes. CV C V CV C V CV C V




CORRECT ANSWER: A CV C V




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer eit
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her respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should call the RRT. Cha
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nges in blood pressure, mental status, heart rate, and pain are particularly significant.
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Documentationisvital,butthenursemustdomorethandocument.Theprimarycareprovidershouldbe notified, VC VC VC VC VC VC VC VC VC VC VC VC VC VC VC VC CV C




V but this is not the priority over calling the RRT. The clients blood pressure should be reassessed frequently, but the
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V priority is getting the rapid care to the client. CV CV CV CV CV CV CV CV




DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical emergencies MSC:
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Integrated Process: Communication and Documentation CV CV CV CV