TEST BANK FOR MEDICAL
Il* Il* Il*
SURGICAL NURSING 8TH EDITION
Il* Il* Il*
IGNAVATICIUS
Il*
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Distribution of this document is illegal
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Il*
Il*
Il*
Il*
TEST BANK Il*
Il* Il*
FOR
Il*
MEDICAL SURGICAL Il* Il*
TH
Il*
NURSING 8 Il* EDITION Il*
Il*
IGNAVATICIUS
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Il* Il* Il* Il*
Distribution of this document is illegal
Il* Il* Il* Il* Il*
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Chapter 1: Introduction to Medical-Surgical Nursing Practice
Il* Il* Il* Il* Il* Il* Il*
Ignatavicius: Medical-Surgical Nursing, 8th Edition Il* Il* Il* Il* Il*
Il*
MULTIPLE CHOICE Il*
Il* Il*
1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
advises the student that which is the priority when working as a professional
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
nurse? Il*
a. Attending to holistic client needs Il* Il* Il* Il* Il*
b. Ensuring client safety Il* Il* Il*
c. Not making medication errors Il* Il* Il* Il*
d. Providing client-focused care
Il*
Il* Il* Il*
ANS: B Il* Il*
All actions are appropriate for the professional nurse. However, ensuring client safety is the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
outcomes. Every nurse has the responsibility to guard the client’s safety.
Il*
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
DIF: Understanding/Comprehension REF: 2
Il* KEY: Patient safety Il* Il* Il* Il* Il* Il*
MSC: Integrated Process: Nursing Process: Intervention Il* Il* Il* Il* Il* Il* Il*
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Control Il*
Il*
Il*
2. A nurse is orienting a new client and family to the inpatient unit. What information does the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
nurse provide to help the client promote his or her own safety? a. Encourage the client and
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
family to be active partners.
Il* Il* Il* Il* Il* Il*
b. Have the client monitor hand hygiene in caregivers. Il* Il* Il* Il* Il* Il* Il* Il*
c. Offer the family the opportunity to stay with the client. Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
d. Tell the client to always wear his or her armband.
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
ANS: A Il* Il*
Each action could be important for the client or family to perform. However, encouraging
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
the client to be active in his or her health care as a partner is the most critical. The other
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
actions are very limited in scope and do not provide the broad protection that being active
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
and involved does.
Il*
Il*
Il* Il* Il*
DIF: Understanding/Comprehension Il*REF: 3 KEY: Patient safety Il* Il* Il* Il* Il* Il*
MSC: Integrated Process: Teaching/Learning Il* Il* Il* Il* Il* Il*
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Control Il*
Il*
Il*
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
a. Call the Rapid Response Team. Il* Il* Il* Il* Il*
b. Document and continue to monitor. Il* Il* Il* Il* Il*
c. Notify the primary care provider. Il* Il* Il* Il* Il*
d. Repeat blood pressure measurement in 15 minutes. Il* Il* Il* Il* Il* Il* Il*
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Distribution of this document is illegal Il* Il* Il* Il* Il*
, Stuvia.com - The Marketplace to Buy and Sell your Study Material Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Il*
ANS: A Il* Il*
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
manifested a significant change, the nurse should call the RRT. Changes in blood pressure,
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
mental status, heart rate, and pain are particularly significant. Documentation is vital, but the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
nurse must do more than document. The primary care provider should be notified, but this is
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
not the priority over calling the RRT. The client’s blood pressure should be reassessed
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
frequently, but the priority is getting the rapid care to the client.
Il*
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
DIF: Applying/Application
Il* REF: 3 Il* Il* Il* Il* Il*
KEY: Rapid Response Team (RRT)| medical emergencies MSC:
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Integrated Process: Communication and Documentation
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NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
Il*
Il* Il* Il* Il* Il* Il* Il* Il*
Il* 4. A nurse wishes to provide client-centered care in all interactions. Which action by the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
nurse best demonstrates this concept?
Il* Il* Il* Il* Il* Il*
a. Assesses for cultural influences affecting health care Il* Il* Il* Il* Il* Il* Il*
b. Ensures that all the clients’ basic needs are met Il* Il* Il* Il* Il* Il* Il* Il* Il*
c. Tells the client and family about all upcoming tests Il* Il* Il* Il* Il* Il* Il* Il* Il*
d. Thoroughly orients the client and family to the room
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il*
ANS: A Il* Il*
Competency in client-focused care is demonstrated when the nurse focuses on Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
communication, culture, respect, compassion, client education, and empowerment. By
Il* Il* Il* Il* Il* Il* Il* Il* Il*
assessing the effect of the client’s culture on health care, this nurse is practicing client-
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
focused care. Providing for basic needs does not demonstrate this competence. Simply
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
telling the client about all upcoming tests is not providing empowering education. Orienting
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
the client and family to the room is an important safety measure, but not directly related to
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
demonstrating client-centered care.
Il*
Il*
Il* Il* Il*
DIF: Understanding/Comprehension Il* REF: 3 Il* Il* Il* Il*
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
Il* Il* Il* Il* Il* Il* Il* Il* Il*
Needs Category: Psychosocial Integrity
Il*
Il*
Il* Il* Il* Il*
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
explain is the most important thing the client can do to protect against errors? a. Bring a list of
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
all medications and what they are for.
Il* Il* Il* Il* Il* Il* Il* Il*
b. Keep the doctor’s phone number by the telephone. Il* Il* Il* Il* Il* Il* Il* Il*
c. Make sure all providers wash hands before entering the room. Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
d. Write down the name of each caregiver who comes in the room.
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
ANS: A Il* Il*
Medication errors are the most common type of health care mistake. The Joint Commission’s
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Speak Up campaign encourages clients to help ensure their safety. One recommendation is
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
for clients to know all their medications and why they take them. This will help prevent
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
medication errors.
Il*
Il*
Il* Il*
DIF: Applying/Application
Il* REF: 4 Il* Il* Il* Il* Il*
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Control
Il*
Il*
Il*
Downloaded by: SuperA | Il* Il* Il* Il*
Distribution of this document is illegal Il* Il* Il* Il* Il*
Il* Il* Il*
SURGICAL NURSING 8TH EDITION
Il* Il* Il*
IGNAVATICIUS
Il*
Downloaded by: SuperA |
Il* Il* Il* Il*
Distribution of this document is illegal
Il* Il* Il* Il* Il*
, Stuvia.com - The Marketplace to Buy and Sell your Study Materia l
Il*
Il*
Il*
Il*
TEST BANK Il*
Il* Il*
FOR
Il*
MEDICAL SURGICAL Il* Il*
TH
Il*
NURSING 8 Il* EDITION Il*
Il*
IGNAVATICIUS
Downloaded by: SuperA |
Il* Il* Il* Il*
Distribution of this document is illegal
Il* Il* Il* Il* Il*
, Stuvia.com - The Marketplace to Buy and Sell your Study Material Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Chapter 1: Introduction to Medical-Surgical Nursing Practice
Il* Il* Il* Il* Il* Il* Il*
Ignatavicius: Medical-Surgical Nursing, 8th Edition Il* Il* Il* Il* Il*
Il*
MULTIPLE CHOICE Il*
Il* Il*
1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
advises the student that which is the priority when working as a professional
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
nurse? Il*
a. Attending to holistic client needs Il* Il* Il* Il* Il*
b. Ensuring client safety Il* Il* Il*
c. Not making medication errors Il* Il* Il* Il*
d. Providing client-focused care
Il*
Il* Il* Il*
ANS: B Il* Il*
All actions are appropriate for the professional nurse. However, ensuring client safety is the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
outcomes. Every nurse has the responsibility to guard the client’s safety.
Il*
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
DIF: Understanding/Comprehension REF: 2
Il* KEY: Patient safety Il* Il* Il* Il* Il* Il*
MSC: Integrated Process: Nursing Process: Intervention Il* Il* Il* Il* Il* Il* Il*
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Control Il*
Il*
Il*
2. A nurse is orienting a new client and family to the inpatient unit. What information does the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
nurse provide to help the client promote his or her own safety? a. Encourage the client and
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
family to be active partners.
Il* Il* Il* Il* Il* Il*
b. Have the client monitor hand hygiene in caregivers. Il* Il* Il* Il* Il* Il* Il* Il*
c. Offer the family the opportunity to stay with the client. Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
d. Tell the client to always wear his or her armband.
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
ANS: A Il* Il*
Each action could be important for the client or family to perform. However, encouraging
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
the client to be active in his or her health care as a partner is the most critical. The other
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
actions are very limited in scope and do not provide the broad protection that being active
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
and involved does.
Il*
Il*
Il* Il* Il*
DIF: Understanding/Comprehension Il*REF: 3 KEY: Patient safety Il* Il* Il* Il* Il* Il*
MSC: Integrated Process: Teaching/Learning Il* Il* Il* Il* Il* Il*
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Control Il*
Il*
Il*
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
a. Call the Rapid Response Team. Il* Il* Il* Il* Il*
b. Document and continue to monitor. Il* Il* Il* Il* Il*
c. Notify the primary care provider. Il* Il* Il* Il* Il*
d. Repeat blood pressure measurement in 15 minutes. Il* Il* Il* Il* Il* Il* Il*
Downloaded by: SuperA | Il* Il* Il* Il*
Distribution of this document is illegal Il* Il* Il* Il* Il*
, Stuvia.com - The Marketplace to Buy and Sell your Study Material Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Il*
ANS: A Il* Il*
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
manifested a significant change, the nurse should call the RRT. Changes in blood pressure,
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
mental status, heart rate, and pain are particularly significant. Documentation is vital, but the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
nurse must do more than document. The primary care provider should be notified, but this is
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
not the priority over calling the RRT. The client’s blood pressure should be reassessed
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
frequently, but the priority is getting the rapid care to the client.
Il*
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
DIF: Applying/Application
Il* REF: 3 Il* Il* Il* Il* Il*
KEY: Rapid Response Team (RRT)| medical emergencies MSC:
Il* Il* Il* Il* Il* Il* Il* Il*
Integrated Process: Communication and Documentation
Il* Il* Il* Il* Il* Il* Il*
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
Il*
Il* Il* Il* Il* Il* Il* Il* Il*
Il* 4. A nurse wishes to provide client-centered care in all interactions. Which action by the
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
nurse best demonstrates this concept?
Il* Il* Il* Il* Il* Il*
a. Assesses for cultural influences affecting health care Il* Il* Il* Il* Il* Il* Il*
b. Ensures that all the clients’ basic needs are met Il* Il* Il* Il* Il* Il* Il* Il* Il*
c. Tells the client and family about all upcoming tests Il* Il* Il* Il* Il* Il* Il* Il* Il*
d. Thoroughly orients the client and family to the room
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il*
ANS: A Il* Il*
Competency in client-focused care is demonstrated when the nurse focuses on Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
communication, culture, respect, compassion, client education, and empowerment. By
Il* Il* Il* Il* Il* Il* Il* Il* Il*
assessing the effect of the client’s culture on health care, this nurse is practicing client-
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
focused care. Providing for basic needs does not demonstrate this competence. Simply
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
telling the client about all upcoming tests is not providing empowering education. Orienting
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
the client and family to the room is an important safety measure, but not directly related to
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
demonstrating client-centered care.
Il*
Il*
Il* Il* Il*
DIF: Understanding/Comprehension Il* REF: 3 Il* Il* Il* Il*
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
Il* Il* Il* Il* Il* Il* Il* Il* Il*
Needs Category: Psychosocial Integrity
Il*
Il*
Il* Il* Il* Il*
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
explain is the most important thing the client can do to protect against errors? a. Bring a list of
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
all medications and what they are for.
Il* Il* Il* Il* Il* Il* Il* Il*
b. Keep the doctor’s phone number by the telephone. Il* Il* Il* Il* Il* Il* Il* Il*
c. Make sure all providers wash hands before entering the room. Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
d. Write down the name of each caregiver who comes in the room.
Il*
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
ANS: A Il* Il*
Medication errors are the most common type of health care mistake. The Joint Commission’s
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Speak Up campaign encourages clients to help ensure their safety. One recommendation is
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
for clients to know all their medications and why they take them. This will help prevent
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
medication errors.
Il*
Il*
Il* Il*
DIF: Applying/Application
Il* REF: 4 Il* Il* Il* Il* Il*
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Il* Il* Il* Il* Il* Il* Il* Il* Il* Il* Il*
Control
Il*
Il*
Il*
Downloaded by: SuperA | Il* Il* Il* Il*
Distribution of this document is illegal Il* Il* Il* Il* Il*
