MedicalbnSurgicalbnNursingbn10thbnEditionbnIgnataviciusbnWorkmanbnTestbnBank
Medical Surgical Nursing 10th Edition Ignatavici
bn bn bn bn bn
us Workman Test Bank
bn bn bn
Chapterbn01:bnOverviewbnofbnProfessionalbnNursingbnConceptsbnforbnMedical-
SurgicalbnNursingbnIgnatavicius:bnMedical-SurgicalbnNursing,bn10thbnEdition
MULTIPLEbnCHOICE
1. Abnnewbnnursebnisbnworkingbnwithbnabnpreceptorbnonbnabnmedical-
surgicalbnunit.bnThebnpreceptorbnadvisesbnthenewbnnursebnthatbnwhichbnisbnthebnprioritybnwhenbnworkingb
nasbnabnprofessional bnnurse?
a. Attendingbntobnholisticbnclientbnneeds
b. Ensuringbnclientbnsafety
c. Notbnmakingbnmedicationbnerrors
d. Providingbnclient-focusedbncare
ANS:bnB
Allbnactionsbnarebnappropriatebnforbnthebnprofessionalbnnurse.bnHowever,bnensuringbnclientbnsafetybnisbn
thepriority.bnHealthbncarebnerrorsbnhavebnbeenbnwidelybnreportedbnforbn25bnyears,bnmanybnofbnwhichbnr
esultbninclientbninjury,bndeath,bnandbnincreasedbnhealthbncarebncosts.bnTherebnarebnseveralbnnationalbna
ndbninternationalbnorganizationsbnthatbnhavebneitherbnrecommendedbnorbnmandatedbnsafetybninitiati
ves.
Everybnnursebnhasbnthebnresponsibilitybntobnguardbnthebnclient‘sbnsafety.bnThebnotherbnactionsbnarebnimporta
ntbnforbnqualitybnnursing,bnbutbntheybnarebnnotbnasbnvitalbnasbnprovidingbnsafety.bnNotbnmakingbnmedicationbn
errorsdoesbnprovidebnsafety,b n butbnisbntoobnnarrowbninbnscopebntobnbebnthebnbestbnanswer.
DIF: Understanding
TOP:b n IntegratedbnProcess:bnNursingbnProcess:bnInterventionKEY:bnClientbnsafety
MSC:b n ClientbnNeedsbnCategory:bnSafebnandbnEffectivebnCarebnEnvironment:bnSafetybnandbnInfectionbnControl
2. Abnnursebnisbnorientingbnabnnewbnclientbnandbnfamilybntobnthebnmedical-
surgicalbnunit.bnWhatbninformationdoesbnthebnnursebnprovidebntobnbestbnhelpbnthebnclientbnpromote
bnhisbnorbnherbnownbnsafety?
a. Encouragebnthebnclientbnandbnfamilybntobnbebnactivebnpartners.
b. Havebnthebnclientbnmonitorbnhandbnhygienebninbncaregivers.
c. Offerbnthebnfamilybnthebnopportunitybntobnstaybnwithbnthebnclient.
d. Tellbnthebnclientbntobnalwaysbnwearbnhisbnorbnherbnarmband.
ANS:bnA
Eachbnactionbncouldbnbebnimportantbnforbnthebnclientbnorbnfamilybntobnperform.bnHowever,bnencouragingbnth
eclientbntobnbebnactivebninbnhisbnorbnherbnhealthbncarebnasbnabnsafetybnpartnerbnisbnthebnmostbncritical.bnThe
bnotherbnactionsbnarebnverybnlimitedb n inbnscopebnandbndobnnotbnprovidebnthebnbroadbnprotectionbnthatbn
beingbnactivebnandinvolvedbndoes.
,DIF: Understanding
TOP:bnIntegratedbnProcess:bnTeaching/LearningbnKEY:bnClientbnsafety
MSC:b n ClientbnNeedsbnCategory:bnSafebnandbnEffectivebnCarebnEnvironment:bnSafetybnandbnInfectionbnControl
,MedicalbnSurgicalbnNursingbn10thbnEditionbnIgnataviciusbnWorkmanbnTestbnBank
3. Abnnursebnisbncaringbnforbnabnpostoperativebnclientbnonbnthebnsurgicalbnunit.bnThebnclient‘sbnbloodbnpressu
rebnwasbn142/76bnmmbnHgbn30bnminutesbnago,bnandbnnowbnisbn88/50bnmmbnHg.bnWhatbnactionbnwouldbnt
hebnnursetakebnfirst?
a. CallbnthebnRapidbnResponsebnTeam.
b. Documentbnandbncontinuebntobnmonitor.
c. Notifybnthebnprimarybnhealthbncarebnprovider.
d. Repeatbnthebnbloodbnpressurebninbn15bnminutes.
, MedicalbnSurgicalbnNursingbn10thbnEditionbnIgnataviciusbnWorkmanbnTestbnBank
ANS:bnA
ThebnpurposebnofbnthebnRapidbnResponsebnTeambn(RRT)bnisbntobnintervenebnwhenbnclientsbnarebndeterio
ratingbeforeb n theybnsufferbneitherbnrespiratorybnorbncardiacbnarrest.bnSincebnthebnclientbnhasbnmanifeste
dbnabnsignificantbnchange,bnthebnnursebnwouldbncallbnthebnRRT.bnChangesbninbnbloodbnpressure,bnmental
bnstatus,bnheartbnrate,bntemperature,bnoxygenbnsaturation,bnandbnlastbn2bnhours‘bnurinebnoutputbnarebnpar
ticularlybnsignificantbnandbnarebnpartbnofbnthebnModifiedbnEarlybnWarningbnSystembnguide.bnDocumentatio
nbnisbnvital,butbnthebnnursebnmustbndobnmorebnthanbndocument.bnThebnprimarybnhealthbncarebnproviderbnw
ouldbnbebnnotified,bnbutbnthisbnisbnnotbnmorebnimportantbnthanbncallingbnthebnRRT.bnThebnclient‘sbnbloodbn
pressurebnwouldbnbebnreassessedbnfrequently,bnbutbnthebnprioritybnisbngettingbnthebnrapidbncarebntobnthebn
client.
DIF: Applying
TOP:b n IntegratedbnProcess:bnCommunicationbnandbnDocumentationKEY:bnRapidbn
ResponsebnTeambn(RRT),bnClinicalbnjudgment
MSC:b n ClientbnNeedsbnCategory:bnPhysiologicalbnIntegrity:bnPhysiologicalbnAdaptation
4. Abnnursebnwishesbntobnprovidebnclient-centeredbncarebninbnallbninteractions.bnWhichbnactionbnbybnthebnnurse
bestbndemonstratesbnthisbnconcept?
a. Assessesbnforbnculturalbninfluencesbnaffectingbnhealthbncare.
b. Ensuresbnthatbnallbnthebnclient‘sbnbasicbnneedsbnarebnmet.
c. Tellsbnthebnclientbnandbnfamilybnaboutbnallbnupcomingbntests.
d. Thoroughlybnorientsbnthebnclientbnandbnfamilybntobnthebnroom.
ANS:bnA
Showingbnrespectbnforbnthebnclientbnandbnfamily‘sbnpreferencesbnandbnneedsbnisbnessentialbntobnensurebna
bnholisticbnor
―whole-
person‖bnapproachbntobncare.bnBybnassessingbnthebneffectbnofbnthebnclient‘sbnculturebnonhealthbncare,bnthisb
nnursebnisbnpracticingbnclient-
focusedbncare.bnProvidingbnforbnbasicbnneedsbndoesbnnotbndemonstratebnthisbncompetence.
Simplybntellingbnthebnclientbnaboutbnallbnupcomingbntestsbnisbnnotbnprovidingbnempoweringbneducation.bnO
rientingbnthebnclientbnandbnfamilybntobnthebnroombnisbnanbnimportantsafetybnmeasure,bnbutbnnotbndirectlybnr
elatedbntobndemonstratingbnclient-centeredbncare.
DIF: Understanding
TOP:bnIntegratedbnProcess:bnCulturebnandbnSpiritualitybnKEY:bnClient-
centeredbncare,bnCulture
MSC:b n ClientbnNeedsbnCategory:bnPsychosocialbnIntegrity
5. Abnclientbnisbngoingbntobnbebnadmittedbnforbnabnscheduledbnsurgicalbnprocedure.bnWhichbnactionbnd
oesbnthenursebnexplainbnisbnthebnmostbnimportantbnthingbnthebnclientbncanbndobntobnprotectbnag
ainstbnerrors?
a. Bringbnabnlistbnofbnallbnmedicationsbnandbnwhatbntheybnarebnfor.
b. Keepbnthebnprovider‘sbnphonebnnumberbnbybnthebntelephone.
c. Makebnsurebnthatbnallbnprovidersbnwashbnhandsbnbeforebnenteringbnthebnroom.
d. Writebndownbnthebnnamebnofbneachbncaregiverbnwhobncomesbninbnthebnroom.
ANS:bnA
Medicationbnreconciliationbnisbnabnformalbnprocessbninbnwhichbnthebnclient‘sbnactualbncurrentbnmedication
sareb n comparedbntobnthebnprescribedbnmedicationsbnatbnthebntimebnofbnadmission,bntransfer,bnorbndisc
harge.bnThisbnNationalbnclientbnSafetybnGoalbnisbnimportantbntobnreducebnmedicationbnerrors.bnThebnclien
tbnwouldbnnotbnhavebntobnbebnresponsiblebnforbnprovidersbnwashingbntheirbnhands,bnandbnevenbnifbnthebncl
ientbndoesbnso,bnthisbnisbntoobnnarrowbntobnbebnthebnmostbnimportantbnactionbntobnpreventbnerrors.bnKeep
ingbnthebnprovider‘sbnphonebnnumberbnnearbybnandbndocumentingbneveryonebnwhobnentersbnthebnroo
mbnalsobndobnnotbnguaranteesafety.
DIF: Applying
TOP:bnIntegratedbnProcess:bnTeaching/LearningbnKEY:bnClie
Medical Surgical Nursing 10th Edition Ignatavici
bn bn bn bn bn
us Workman Test Bank
bn bn bn
Chapterbn01:bnOverviewbnofbnProfessionalbnNursingbnConceptsbnforbnMedical-
SurgicalbnNursingbnIgnatavicius:bnMedical-SurgicalbnNursing,bn10thbnEdition
MULTIPLEbnCHOICE
1. Abnnewbnnursebnisbnworkingbnwithbnabnpreceptorbnonbnabnmedical-
surgicalbnunit.bnThebnpreceptorbnadvisesbnthenewbnnursebnthatbnwhichbnisbnthebnprioritybnwhenbnworkingb
nasbnabnprofessional bnnurse?
a. Attendingbntobnholisticbnclientbnneeds
b. Ensuringbnclientbnsafety
c. Notbnmakingbnmedicationbnerrors
d. Providingbnclient-focusedbncare
ANS:bnB
Allbnactionsbnarebnappropriatebnforbnthebnprofessionalbnnurse.bnHowever,bnensuringbnclientbnsafetybnisbn
thepriority.bnHealthbncarebnerrorsbnhavebnbeenbnwidelybnreportedbnforbn25bnyears,bnmanybnofbnwhichbnr
esultbninclientbninjury,bndeath,bnandbnincreasedbnhealthbncarebncosts.bnTherebnarebnseveralbnnationalbna
ndbninternationalbnorganizationsbnthatbnhavebneitherbnrecommendedbnorbnmandatedbnsafetybninitiati
ves.
Everybnnursebnhasbnthebnresponsibilitybntobnguardbnthebnclient‘sbnsafety.bnThebnotherbnactionsbnarebnimporta
ntbnforbnqualitybnnursing,bnbutbntheybnarebnnotbnasbnvitalbnasbnprovidingbnsafety.bnNotbnmakingbnmedicationbn
errorsdoesbnprovidebnsafety,b n butbnisbntoobnnarrowbninbnscopebntobnbebnthebnbestbnanswer.
DIF: Understanding
TOP:b n IntegratedbnProcess:bnNursingbnProcess:bnInterventionKEY:bnClientbnsafety
MSC:b n ClientbnNeedsbnCategory:bnSafebnandbnEffectivebnCarebnEnvironment:bnSafetybnandbnInfectionbnControl
2. Abnnursebnisbnorientingbnabnnewbnclientbnandbnfamilybntobnthebnmedical-
surgicalbnunit.bnWhatbninformationdoesbnthebnnursebnprovidebntobnbestbnhelpbnthebnclientbnpromote
bnhisbnorbnherbnownbnsafety?
a. Encouragebnthebnclientbnandbnfamilybntobnbebnactivebnpartners.
b. Havebnthebnclientbnmonitorbnhandbnhygienebninbncaregivers.
c. Offerbnthebnfamilybnthebnopportunitybntobnstaybnwithbnthebnclient.
d. Tellbnthebnclientbntobnalwaysbnwearbnhisbnorbnherbnarmband.
ANS:bnA
Eachbnactionbncouldbnbebnimportantbnforbnthebnclientbnorbnfamilybntobnperform.bnHowever,bnencouragingbnth
eclientbntobnbebnactivebninbnhisbnorbnherbnhealthbncarebnasbnabnsafetybnpartnerbnisbnthebnmostbncritical.bnThe
bnotherbnactionsbnarebnverybnlimitedb n inbnscopebnandbndobnnotbnprovidebnthebnbroadbnprotectionbnthatbn
beingbnactivebnandinvolvedbndoes.
,DIF: Understanding
TOP:bnIntegratedbnProcess:bnTeaching/LearningbnKEY:bnClientbnsafety
MSC:b n ClientbnNeedsbnCategory:bnSafebnandbnEffectivebnCarebnEnvironment:bnSafetybnandbnInfectionbnControl
,MedicalbnSurgicalbnNursingbn10thbnEditionbnIgnataviciusbnWorkmanbnTestbnBank
3. Abnnursebnisbncaringbnforbnabnpostoperativebnclientbnonbnthebnsurgicalbnunit.bnThebnclient‘sbnbloodbnpressu
rebnwasbn142/76bnmmbnHgbn30bnminutesbnago,bnandbnnowbnisbn88/50bnmmbnHg.bnWhatbnactionbnwouldbnt
hebnnursetakebnfirst?
a. CallbnthebnRapidbnResponsebnTeam.
b. Documentbnandbncontinuebntobnmonitor.
c. Notifybnthebnprimarybnhealthbncarebnprovider.
d. Repeatbnthebnbloodbnpressurebninbn15bnminutes.
, MedicalbnSurgicalbnNursingbn10thbnEditionbnIgnataviciusbnWorkmanbnTestbnBank
ANS:bnA
ThebnpurposebnofbnthebnRapidbnResponsebnTeambn(RRT)bnisbntobnintervenebnwhenbnclientsbnarebndeterio
ratingbeforeb n theybnsufferbneitherbnrespiratorybnorbncardiacbnarrest.bnSincebnthebnclientbnhasbnmanifeste
dbnabnsignificantbnchange,bnthebnnursebnwouldbncallbnthebnRRT.bnChangesbninbnbloodbnpressure,bnmental
bnstatus,bnheartbnrate,bntemperature,bnoxygenbnsaturation,bnandbnlastbn2bnhours‘bnurinebnoutputbnarebnpar
ticularlybnsignificantbnandbnarebnpartbnofbnthebnModifiedbnEarlybnWarningbnSystembnguide.bnDocumentatio
nbnisbnvital,butbnthebnnursebnmustbndobnmorebnthanbndocument.bnThebnprimarybnhealthbncarebnproviderbnw
ouldbnbebnnotified,bnbutbnthisbnisbnnotbnmorebnimportantbnthanbncallingbnthebnRRT.bnThebnclient‘sbnbloodbn
pressurebnwouldbnbebnreassessedbnfrequently,bnbutbnthebnprioritybnisbngettingbnthebnrapidbncarebntobnthebn
client.
DIF: Applying
TOP:b n IntegratedbnProcess:bnCommunicationbnandbnDocumentationKEY:bnRapidbn
ResponsebnTeambn(RRT),bnClinicalbnjudgment
MSC:b n ClientbnNeedsbnCategory:bnPhysiologicalbnIntegrity:bnPhysiologicalbnAdaptation
4. Abnnursebnwishesbntobnprovidebnclient-centeredbncarebninbnallbninteractions.bnWhichbnactionbnbybnthebnnurse
bestbndemonstratesbnthisbnconcept?
a. Assessesbnforbnculturalbninfluencesbnaffectingbnhealthbncare.
b. Ensuresbnthatbnallbnthebnclient‘sbnbasicbnneedsbnarebnmet.
c. Tellsbnthebnclientbnandbnfamilybnaboutbnallbnupcomingbntests.
d. Thoroughlybnorientsbnthebnclientbnandbnfamilybntobnthebnroom.
ANS:bnA
Showingbnrespectbnforbnthebnclientbnandbnfamily‘sbnpreferencesbnandbnneedsbnisbnessentialbntobnensurebna
bnholisticbnor
―whole-
person‖bnapproachbntobncare.bnBybnassessingbnthebneffectbnofbnthebnclient‘sbnculturebnonhealthbncare,bnthisb
nnursebnisbnpracticingbnclient-
focusedbncare.bnProvidingbnforbnbasicbnneedsbndoesbnnotbndemonstratebnthisbncompetence.
Simplybntellingbnthebnclientbnaboutbnallbnupcomingbntestsbnisbnnotbnprovidingbnempoweringbneducation.bnO
rientingbnthebnclientbnandbnfamilybntobnthebnroombnisbnanbnimportantsafetybnmeasure,bnbutbnnotbndirectlybnr
elatedbntobndemonstratingbnclient-centeredbncare.
DIF: Understanding
TOP:bnIntegratedbnProcess:bnCulturebnandbnSpiritualitybnKEY:bnClient-
centeredbncare,bnCulture
MSC:b n ClientbnNeedsbnCategory:bnPsychosocialbnIntegrity
5. Abnclientbnisbngoingbntobnbebnadmittedbnforbnabnscheduledbnsurgicalbnprocedure.bnWhichbnactionbnd
oesbnthenursebnexplainbnisbnthebnmostbnimportantbnthingbnthebnclientbncanbndobntobnprotectbnag
ainstbnerrors?
a. Bringbnabnlistbnofbnallbnmedicationsbnandbnwhatbntheybnarebnfor.
b. Keepbnthebnprovider‘sbnphonebnnumberbnbybnthebntelephone.
c. Makebnsurebnthatbnallbnprovidersbnwashbnhandsbnbeforebnenteringbnthebnroom.
d. Writebndownbnthebnnamebnofbneachbncaregiverbnwhobncomesbninbnthebnroom.
ANS:bnA
Medicationbnreconciliationbnisbnabnformalbnprocessbninbnwhichbnthebnclient‘sbnactualbncurrentbnmedication
sareb n comparedbntobnthebnprescribedbnmedicationsbnatbnthebntimebnofbnadmission,bntransfer,bnorbndisc
harge.bnThisbnNationalbnclientbnSafetybnGoalbnisbnimportantbntobnreducebnmedicationbnerrors.bnThebnclien
tbnwouldbnnotbnhavebntobnbebnresponsiblebnforbnprovidersbnwashingbntheirbnhands,bnandbnevenbnifbnthebncl
ientbndoesbnso,bnthisbnisbntoobnnarrowbntobnbebnthebnmostbnimportantbnactionbntobnpreventbnerrors.bnKeep
ingbnthebnprovider‘sbnphonebnnumberbnnearbybnandbndocumentingbneveryonebnwhobnentersbnthebnroo
mbnalsobndobnnotbnguaranteesafety.
DIF: Applying
TOP:bnIntegratedbnProcess:bnTeaching/LearningbnKEY:bnClie
