TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, Nicole M. Heimgartner ISBN: 978-0323878265 COMPLETE GUIDE 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

ddqq




TEST BANK FOR MEDICAL SURGICAL
ddqq ddqq ddqq ddqq ddqq




NURSING:CONCEPTS FOR CLINICAL
ddqq ddqq ddqq




JUDGEMENT AND
ddqq ddqq d d q q COLLABORATIVE CARE ddqq




11TH
ddqq
d d q q

EDITION IGNATAVICIUS ddqq ddqq d d q q




TEST BANK ddqq

, ddqq




Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq 2
11e
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqMULTIPLE CHOICE ddqq




1. A nurse wishes to provide client-centered care in all interactions.
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqWhich action by the nurse bestdemonstrates this concept?
ddqq ddqq ddqq ddqq ddqq ddqq ddqq




a. Assesses for cultural influences affecting health care
d dqq ddqq ddqq dd qq ddqq ddqq




b. Ensures that all the clients basic needs are met
ddqq ddqq ddqq ddqq d dq q d dq q ddqq ddqq




c. Tells the client and family about all upcoming tests
ddqq ddqq dd qq ddqq ddqq ddqq ddqq ddqq




d. Thoroughly orients the client ddqq ddqq ddqq ddqq and family to the room
ddqq ddqq ddqq ddqq




ANS: A ddqq




Competency in client-focused care is demonstrated when the nurse focuses on
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqcommunication, culture, respect compassion, client education, and ddqq ddqq ddqq ddqq ddqq ddqq




ddqqempowerment. By assessing the effect of the clients culture on health care,
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqthis nurse is practicing client- focused care. Providing for basic needs does
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqnot demonstrate this competence. Simply telling the client about all upcoming
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqtests is not providing empowering education.
ddqq ddqq ddqq ddqq ddqq




Orienting the client and family to the room is an important safety measure,
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqbut not directly related to demonstrating client-centered care.
ddqq ddqq ddqq ddqq ddqq ddqq ddqq




DIF: Understanding/Comprehension REF: 3
ddqq ddqq d d qq




KEY: Patient-centered care| culture MSC:
ddqq ddqq ddqq ddqq




ddqqIntegrated Process: CaringNOT: Client Needs ddqq ddqq ddqq ddqq




ddqqCategory:
Psychosocial Integrity ddqq




2. A nurse is caring for a postoperative client on the surgical unit. The
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqclients blood pressure wasddqq ddqq ddqq ddqq 142/76 mm Hg 30 minutes ago, and now is
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqq88/50 mm Hg. What action by the nurse is best?
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




a. Call the Rapid ddqq ddqq ddqq Response Team. ddqq




b. Document and continue to monitor. d d qq ddqq ddqq ddqq




c. Notify the primary care provider.
ddqq ddqq dd qq ddqq




d. Repeat blood pressure measurement in 15 minutes.
ddqq dd qq ddqq ddqq ddq q ddqq




ANS: A ddqq




The d d q q purpose d d q q of d d q q the d d q q Rapid d d q q Response d d q q Team d d q q (RRT) d d q q is d d q q to
d d q q intervene d d q q when d d q q clients d d q q are deteriorating before they suffer either
ddqq ddqq ddqq ddqq ddqq

, ddqq




Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq 3
respiratory or cardiac arrest. Since the client has manifested a significant
11e
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqqchange, the nurse should call the RRT. Changes in blood pressure,
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq d d q q mental
d d q q status, d d q q heart d d q q rate, d d q q and d d q q pain d d q q are d d q q particularly d d q q significant.

, ddqq




Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq 4
11e

Documentation is vital, but the nurse must do ddqq ddqq ddqq ddqq ddqq ddqq ddqq d d q q more d d q q than document. ddqq




ddqq The primary care provider should be notified, but this is not the priority
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqq over calling the RRT. The clients
ddqq ddqq ddqq ddqq ddqq d d q q blood pressure should ddqq ddqq d d q q be reassessedddqq




d d q q frequently, but the ddqq ddqq d d q q priority d d q q is getting ddqq d d q q the rapid care to the client.
ddqq ddqq ddqq ddqq ddqq




DIF: Applying/Application REF: 3
ddqq ddqq ddqq




KEY: Rapid Response Team (RRT)| medical
ddqq ddqq ddqq ddqq ddqq




ddqq emergencies MSC: Integrated Process: ddqq ddqq ddqq




Communication and Documentation ddqq ddqq




NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
ddqq ddqq ddqq ddqq d dqq ddqq ddqq




3. A nurse is orienting a new client and family to the inpatient unit. What
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqq information does the nurse provide ddqq ddqq ddqq ddqq d d q q to help the client promote his or her
ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqq own safety? ddqq




a. Encourage the client and family to be active partners.
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




b. Have the client monitor hand hygiene in caregivers.
ddqq d dqq d d qq ddqq ddqq ddqq ddqq




c. Offer the family the opportunity to stay with the client.
ddqq ddqq ddq q ddqq ddqq ddqq ddqq ddqq ddqq




d. Tell the client to always wear his or her armband.
ddqq d dqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ANS: A ddqq




Each d d q q action d d q q could d d q q be d d q q important d d q q for d d q q the d d q q client d d q q or d d q q family d d q q to
d d q q perform. d d q q However, encouraging the client to be active in his or her health
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqq care as a partner is the most critical. The other actions are very limited in
ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq ddqq




ddqq scope and do not provide the broad protection
ddqq ddqq ddqq ddqq ddqq ddqq ddqq d d q q that d d q q being active ddqq d d q q and
d d q q involved d d q q does.


DIF:
Understanding/Comprehension
ddqq REF: 3KEY: Patient safety
ddqq ddqq ddqq