,lOMoARcPSD| 24005964
,lOMoARcPSD| 24005964
, lOMoARcPSD| 24005964
Medical Surgical Nursing 10th Edition
Ignatavicius Workman Test Bank
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLECHOICE
1. Anewnurseisworkingwithapreceptoronamedical-
surgicalunit.Thepreceptoradvisesthenewnursethatwhichistheprioritywhenworkingasaprofessi
onalnurse?
a. Attendingtoholisticclientneeds
b. Ensuringclientsafety
c. Notmakingmedicationerrors
d. Providingclient-focusedcare
ANS:B
Allactionsareappropriatefortheprofessionalnurse.However,ensuringclientsafetyisthepriority.
Healthcareerrorshavebeenwidelyreportedfor25years,manyofwhichresultinclientinjury,death
,andincreasedhealthcarecosts.Thereareseveralnationalandinternationalorganizationsthathave
eitherrecommendedormandatedsafetyinitiatives.
Everynursehastheresponsibilitytoguardtheclient9ssafety.Theotheractionsareimportantforqualit
ynursing,buttheyarenotasvitalasprovidingsafety.Notmakingmedicationerrorsdoesprovidesafet
y,butistoonarrowinscopetobethebestanswer.
DIF: Understanding
TOP:IntegratedProcess:NursingProcess:InterventionKEY:Clientsafety
MSC:ClientNeedsCategory:SafeandEffectiveCareEnvironment:SafetyandInfectionControl
2. Anurseisorientinganewclientandfamilytothemedical-
surgicalunit.Whatinformationdoesthenurseprovidetobesthelptheclientpromotehisorherowns
afety?
a. Encouragetheclientandfamilytobeactivepartners.
b. Havetheclientmonitorhandhygieneincaregivers.
c. Offerthefamilytheopportunitytostaywiththeclient.
d. Telltheclienttoalwayswearhisorherarmband.
ANS:A
Eachactioncouldbeimportantfortheclientorfamilytoperform.However,encouragingtheclienttob
eactiveinhisorherhealthcareasasafetypartneristhemostcritical.Theotheractionsareverylimitedin
scopeanddonotprovidethebroadprotectionthatbeingactiveandinvolveddoes.
DIF: Understanding
TOP:IntegratedProcess:Teaching/LearningKEY:Clientsafety
MSC:ClientNeedsCategory:SafeandEffectiveCareEnvironment:SafetyandInfectionControl
3. Anurseiscaringforapostoperativeclientonthesurgicalunit.Theclient9sbloodpressurewas142/7
6mmHg30minutesago,andnowis88/50mmHg.Whatactionwouldthenursetakefirst?
a. CalltheRapidResponseTeam.
b. Documentandcontinuetomonitor.
c. Notifytheprimaryhealthcareprovider.
d. Repeatthebloodpressurein15minutes.