TEST BANK FOR MEDICAL
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i SURGICAL NURSING 8TH EDITION
i i i
iIGNAVATICIUS
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TEST BANK i
FOR
i
MEDICAL SURGICAL i
NURSING 8TH EDITIONi
i
IGNAVATICIUS
i
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iMaterial
Chapter 1: Introduction to Medical-Surgical Nursing
i i i i i
PracticeIgnatavicius: Medical-Surgical Nursing, 8th Edition
i i i i i i
MULTIPLE iCHOICE
1. A inew inurse iis iworking iwith ia ipreceptor ion ian iinpatient imedical-surgical iunit. iThe
ipreceptor iadvises ithe istudent ithat iwhich iis ithe ipriority iwhen iworking ias ia
iprofessionalinurse?
a. Attending ito iholistic iclient ineeds
b. Ensuring iclient isafety
c. Not imaking imedication ierrors
d. Providing iclient-focused icare
ANS: i B
All iactions iare iappropriate ifor ithe iprofessional inurse. iHowever, iensuring iclient isafety iis
itheipriority. iUp ito i98,000 ideaths iresult ieach iyear i from ierrors iin ihospital icare, iaccording
ito ithe i2000 iInstitute iof iMedicine ireport. iMany imore iclients ihave isuffered iinjuries iand
iless iseriousioutcomes. iEvery inurse ihas ithe iresponsibility ito iguard ithe iclient’s isafety.
DIF: Understanding/Comprehension REF: 2 KEY: i Patient
isafetyiMSC: i Integrated iProcess: iNursing iProcess: iIntervention
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
2. A inurse iis iorienting ia inew iclient iand ifamily ito ithe iinpatient iunit. iWhat iinformation idoes
itheinurse iprovide ito ihelp ithe iclient ipromote ihis ior iher iown isafety?
a. Encourage ithe iclient iand ifamily ito ibe iactive ipartners.
b. Have ithe iclient imonitor ihand ihygiene iin icaregivers.
c. Offer ithe ifamily ithe iopportunity ito istay iwith ithe iclient.
d. Tell ithe iclient ito ialways iwear ihis ior iher iarmband.
ANS: i A
Each iaction icould ibe iimportant ifor ithe iclient ior ifamily ito iperform. iHowever,
iencouragingithe iclient ito ibe iactive iin ihis ior iher ihealth icare ias ia ipartner iis ithe imost
icritical. iThe iother iactions iare ivery ilimited iin iscope iand ido inot iprovide ithe ibroad
iprotection ithat ibeing iactiveiand iinvolved idoes.
DIF: Understanding/Comprehension REF: 3 KEY: i Patient
isafetyiMSC: i Integrated iProcess: iTeaching/Learning
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
3. A inurse iis icaring ifor ia ipostoperative iclient ion ithe isurgical iunit. iThe iclient’s iblood
ipressureiwas i142/76 imm iHg i30 iminutes iago, iand inow iis i88/50 imm iHg. iWhat iaction iby
ithe inurse iisibest?
a. Call ithe iRapid iResponse iTeam.
b. Document iand icontinue ito imonitor.
c. Notify ithe iprimary icare iprovider.
d. Repeat iblood ipressure imeasurement iin i15 iminutes.
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ANS: i A
The ipurpose iof ithe iRapid iResponse iTeam i(RRT) iis ito iintervene iwhen iclients iare
ideteriorating ibefore ithey isuffer ieither irespiratory ior icardiac iarrest. iSince ithe iclient ihas
imanifested ia isignificant ichange, ithe inurse i should icall ithe iRRT. iChanges iin iblood
ipressure, imental istatus, iheart irate, iand ipain iare iparticularly isignificant. iDocumentation iis
ivital, ibut itheinurse imust ido imore ithan idocument. i The iprimary icare iprovider ishould ibe
inotified, ibut ithis iisinot ithe ipriority iover icalling ithe iRRT. iThe iclient’s iblood ipressure
ishould ibe ireassessed ifrequently, ibut ithe ipriority iis igetting ithe irapid icare ito ithe iclient.
DIF: Applying/Application REF: 3
iKEY: i Rapid iResponse iTeam i(RRT)| imedical
iemergencies
MSC: i Integrated iProcess: iCommunication iand iDocumentation
NOT: i Client iNeeds iCategory: iPhysiological iIntegrity: iPhysiological iAdaptation
4. A inurse iwishes ito iprovide iclient-centered icare iin iall iinteractions. iWhich iaction iby ithe
inurseibest idemonstrates ithis iconcept?
a. Assesses ifor icultural iinfluences iaffecting ihealth icare
b. Ensures ithat iall ithe iclients’ ibasic ineeds iare imet
c. Tells ithe iclient iand ifamily iabout iall iupcoming itests
d. Thoroughly iorients ithe iclient iand ifamily ito ithe iroom
ANS: i A
Competency iin iclient-focused icare iis idemonstrated iwhen ithe inurse ifocuses ion
icommunication, iculture, irespect, icompassion, iclient ieducation, iand iempowerment.
iByiassessing ithe ieffect iof ithe iclient’s iculture ion ihealth icare, ithis inurse iis ipracticing
client-focused icare. iProviding ifor ibasic ineeds idoes inot idemonstrate ithis icompetence.
iSimply itelling ithe iclient iabout iall iupcoming itests iis inot iproviding iempowering
ieducation. iOrienting ithe iclient iand ifamily ito ithe i room iis ian iimportant isafety imeasure,
ibut inot idirectlyirelated ito idemonstrating iclient-centered icare.
DIF: Understanding/Comprehension REF: 3
KEY: i Patient-centered icare| iculture MSC: i Integrated iProcess:
iCaringiNOT: i Client iNeeds iCategory: iPsychosocial iIntegrity
5. A iclient iis igoing ito ibe iadmitted ifor ia ischeduled isurgical iprocedure. iWhich iaction idoes
itheinurse iexplain iis ithe imost iimportant ithing ithe iclient ican ido ito iprotect iagainst ierrors?
a. Bring ia ilist iof iall imedications iand iwhat ithey iare ifor.
b. Keep ithe idoctor’s iphone inumber iby ithe itelephone.
c. Make isure iall iproviders iwash ihands ibefore ientering ithe iroom.
d. Write idown ithe iname iof ieach icaregiver iwho icomes iin ithe iroom.
ANS: i A
Medication ierrors iare ithe imost icommon itype iof ihealth icare imistake. iThe iJoint
iCommission’s iSpeak iUp icampaign iencourages iclients ito ihelp iensure itheir isafety. iOne
irecommendation iis ifor iclients ito iknow iall itheir imedications iand iwhy ithey itake ithem.
iThisiwill ihelp iprevent imedication ierrors.
DIF: Applying/Application REF: 4
KEY: i Speak iUp icampaign| ipatient isafety MSC: i Integrated iProcess: iTeaching/Learning
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i i i
i SURGICAL NURSING 8TH EDITION
i i i
iIGNAVATICIUS
written by i
SuperA
www.stuvia.com
Downloaded iby: iSuperA i|
Distribution iof ithis idocument iis iillegal
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TEST BANK i
FOR
i
MEDICAL SURGICAL i
NURSING 8TH EDITIONi
i
IGNAVATICIUS
i
Downloaded iby: iSuperA i|
Distribution iof ithis idocument iis iillegal
, Stuvia.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy
iMaterial
Chapter 1: Introduction to Medical-Surgical Nursing
i i i i i
PracticeIgnatavicius: Medical-Surgical Nursing, 8th Edition
i i i i i i
MULTIPLE iCHOICE
1. A inew inurse iis iworking iwith ia ipreceptor ion ian iinpatient imedical-surgical iunit. iThe
ipreceptor iadvises ithe istudent ithat iwhich iis ithe ipriority iwhen iworking ias ia
iprofessionalinurse?
a. Attending ito iholistic iclient ineeds
b. Ensuring iclient isafety
c. Not imaking imedication ierrors
d. Providing iclient-focused icare
ANS: i B
All iactions iare iappropriate ifor ithe iprofessional inurse. iHowever, iensuring iclient isafety iis
itheipriority. iUp ito i98,000 ideaths iresult ieach iyear i from ierrors iin ihospital icare, iaccording
ito ithe i2000 iInstitute iof iMedicine ireport. iMany imore iclients ihave isuffered iinjuries iand
iless iseriousioutcomes. iEvery inurse ihas ithe iresponsibility ito iguard ithe iclient’s isafety.
DIF: Understanding/Comprehension REF: 2 KEY: i Patient
isafetyiMSC: i Integrated iProcess: iNursing iProcess: iIntervention
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
2. A inurse iis iorienting ia inew iclient iand ifamily ito ithe iinpatient iunit. iWhat iinformation idoes
itheinurse iprovide ito ihelp ithe iclient ipromote ihis ior iher iown isafety?
a. Encourage ithe iclient iand ifamily ito ibe iactive ipartners.
b. Have ithe iclient imonitor ihand ihygiene iin icaregivers.
c. Offer ithe ifamily ithe iopportunity ito istay iwith ithe iclient.
d. Tell ithe iclient ito ialways iwear ihis ior iher iarmband.
ANS: i A
Each iaction icould ibe iimportant ifor ithe iclient ior ifamily ito iperform. iHowever,
iencouragingithe iclient ito ibe iactive iin ihis ior iher ihealth icare ias ia ipartner iis ithe imost
icritical. iThe iother iactions iare ivery ilimited iin iscope iand ido inot iprovide ithe ibroad
iprotection ithat ibeing iactiveiand iinvolved idoes.
DIF: Understanding/Comprehension REF: 3 KEY: i Patient
isafetyiMSC: i Integrated iProcess: iTeaching/Learning
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
3. A inurse iis icaring ifor ia ipostoperative iclient ion ithe isurgical iunit. iThe iclient’s iblood
ipressureiwas i142/76 imm iHg i30 iminutes iago, iand inow iis i88/50 imm iHg. iWhat iaction iby
ithe inurse iisibest?
a. Call ithe iRapid iResponse iTeam.
b. Document iand icontinue ito imonitor.
c. Notify ithe iprimary icare iprovider.
d. Repeat iblood ipressure imeasurement iin i15 iminutes.
Downloaded iby: iSuperA i|
Distribution iof ithis idocument iis iillegal
, Stuvia.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy
iMaterial
ANS: i A
The ipurpose iof ithe iRapid iResponse iTeam i(RRT) iis ito iintervene iwhen iclients iare
ideteriorating ibefore ithey isuffer ieither irespiratory ior icardiac iarrest. iSince ithe iclient ihas
imanifested ia isignificant ichange, ithe inurse i should icall ithe iRRT. iChanges iin iblood
ipressure, imental istatus, iheart irate, iand ipain iare iparticularly isignificant. iDocumentation iis
ivital, ibut itheinurse imust ido imore ithan idocument. i The iprimary icare iprovider ishould ibe
inotified, ibut ithis iisinot ithe ipriority iover icalling ithe iRRT. iThe iclient’s iblood ipressure
ishould ibe ireassessed ifrequently, ibut ithe ipriority iis igetting ithe irapid icare ito ithe iclient.
DIF: Applying/Application REF: 3
iKEY: i Rapid iResponse iTeam i(RRT)| imedical
iemergencies
MSC: i Integrated iProcess: iCommunication iand iDocumentation
NOT: i Client iNeeds iCategory: iPhysiological iIntegrity: iPhysiological iAdaptation
4. A inurse iwishes ito iprovide iclient-centered icare iin iall iinteractions. iWhich iaction iby ithe
inurseibest idemonstrates ithis iconcept?
a. Assesses ifor icultural iinfluences iaffecting ihealth icare
b. Ensures ithat iall ithe iclients’ ibasic ineeds iare imet
c. Tells ithe iclient iand ifamily iabout iall iupcoming itests
d. Thoroughly iorients ithe iclient iand ifamily ito ithe iroom
ANS: i A
Competency iin iclient-focused icare iis idemonstrated iwhen ithe inurse ifocuses ion
icommunication, iculture, irespect, icompassion, iclient ieducation, iand iempowerment.
iByiassessing ithe ieffect iof ithe iclient’s iculture ion ihealth icare, ithis inurse iis ipracticing
client-focused icare. iProviding ifor ibasic ineeds idoes inot idemonstrate ithis icompetence.
iSimply itelling ithe iclient iabout iall iupcoming itests iis inot iproviding iempowering
ieducation. iOrienting ithe iclient iand ifamily ito ithe i room iis ian iimportant isafety imeasure,
ibut inot idirectlyirelated ito idemonstrating iclient-centered icare.
DIF: Understanding/Comprehension REF: 3
KEY: i Patient-centered icare| iculture MSC: i Integrated iProcess:
iCaringiNOT: i Client iNeeds iCategory: iPsychosocial iIntegrity
5. A iclient iis igoing ito ibe iadmitted ifor ia ischeduled isurgical iprocedure. iWhich iaction idoes
itheinurse iexplain iis ithe imost iimportant ithing ithe iclient ican ido ito iprotect iagainst ierrors?
a. Bring ia ilist iof iall imedications iand iwhat ithey iare ifor.
b. Keep ithe idoctor’s iphone inumber iby ithe itelephone.
c. Make isure iall iproviders iwash ihands ibefore ientering ithe iroom.
d. Write idown ithe iname iof ieach icaregiver iwho icomes iin ithe iroom.
ANS: i A
Medication ierrors iare ithe imost icommon itype iof ihealth icare imistake. iThe iJoint
iCommission’s iSpeak iUp icampaign iencourages iclients ito ihelp iensure itheir isafety. iOne
irecommendation iis ifor iclients ito iknow iall itheir imedications iand iwhy ithey itake ithem.
iThisiwill ihelp iprevent imedication ierrors.
DIF: Applying/Application REF: 4
KEY: i Speak iUp icampaign| ipatient isafety MSC: i Integrated iProcess: iTeaching/Learning
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