10/31/23, Test bank - medical surgical c c c c c nursing 10th edition c c
c5:28
AM cignatavicius
workman-
Medical Surgical Nursing 10th c c b m b
Edition Ignatavicius Workman c c
Test Bankm
b b m b
Chapter 01: Overview of Professional Nursing Concepts for
c c c c c c c c c c c c c c c c Medical-
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
c c c c c c
MULTIPLE c CHOICE
1. A c new nurse is working with a preceptor on a medical-surgical
c c c c c c c c c
c unit. The preceptor advises the new nurse that which is the
c c c c c c c c c c
c priority when working as a professional nurse? c c c c c c
a. Attending to holistic client needs c c c c
b. Ensuring client safety c c
c. Not making medication errors c c c
d. Providing client-focused care c c
ANS: c B
All actions are appropriate
c for the professional nurse. bmHowever, c c c c c c c
ensuring client safety is the priority. Health care errors mhave been
c c c c c c c c c c c
widely
c reported for 25 years, many of which result
c in client c c c c c c c c c
minjury,
c death, and increased health care costs. There are
c several c c c c c c c c
national
c and international organizations that have either recommended
c c c c c c c
or mandated safetybminitiatives.
c c c
Every nurse has the responsibility bmto mguard
c the client’s safety. The c c c c c c c c c
other actions are important
c c c c
for quality nursing, but theybmarebmnotbmas vital as providing safety. Not making
c c c c c c c c c c
medication errors does provide b safety, but is too narrow in scope
c c c c c c c c c c c c
to be the best answer.
c c c c c
DIF: Understanding bTOP: bmIntegrated Process: Nursing Process: Intervention KEY: Client c c c c c c c c
safety
c
MSC: Client NeedsbmCategory: Safe
c and Effective Care Environment: Safety and c c c c c c c c
Infection Control
c c
2. A nursebmisbmorienting a new client and family to the medical-surgical
c c c c c c c c c c c c unit.
Whatbminformation does the nurse provide to best help the client c c c c c c c c c c promote
his c
bmor herbmownb safety?
c c c
a. Encourage the client and family to be active partners. c c c c c c c c
b. Havebmthe client monitor hand hygiene in caregivers. c c c c c c
c. Offer the family the opportunity to stay with the client. c c c c c c c c c
d. Tell the client to always wear his or her armband.
c c c c c c c c c
ANS: c A
Each action could be important for the client or family to perform.
c c c c c c c c c c c
However, encouraging the client to be active in his or her health
c c c c c c c c c c c c c care
as a safety
c c c
partner is the most critical. The other actions are very limited in
c c c c c c c c c c c
scope and do not provide the broad protection that being active
c c c c c c c c c c c
and involved does.
c c c
DIF: Understanding TOP: Integrated c
Process: Teaching/Learning KEY: Client safety
c c c c c
MSC: Client Needs Category: Safe and Effective
c c c c c c c c Care c Environment: c Safety c and
Infection Control
c c
3. A c nurse is caring for a postoperative client on the surgical
c c c c c c c c c c unit.
c The client’s blood pressure was 142/76 mm Hg 30 minutes
c c c c c c c c c c ago,
c and now is 88/50 mm Hg. What action would the nurse
c c c c c c c c c c c take
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1/593
,10/31/23, Test c bank c - medical surgical
c c c nursing 10th edition
c c
c5:28 c first? a.ignatavicius
c
c
Call the Rapid Response Team.
c c c c c
b. Document and continue to monitor.
c c c c
c. Notify the primary health care provider.
c c c c c
d. Repeat the blood pressure in 15 minutes.
c c c c c c
about:blank
2/593
,10/31/23, Test bank - medical surgical
c c c c c nursing 10th edition
c c
c5:28
AM cignatavicius
workman-
Btestbanks.com
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, 10/31/23, Test bank - medical surgical c c c c c nursing 10th edition c c
c5:28
AM cignatavicius
workman-
ANS: c A
The purpose of the Rapid Response Team (RRT) is to intervene
c c c c c c c c c c
c when clients are deteriorating before they suffer either respiratory or
c c c c c c c c c
c cardiac arrest. Since c c
the client has manifested a significant change, the nurse would call the
c c c c c c c c c c c
c RRT.
Changes in blood pressure, mental status, heart rate, temperature,
c c c c c c c c
c oxygen saturation, and last 2 hours’ urine output are particularly
c c c c c c c c c
c significant and are c c
part of the Modified Early Warning System guide. Documentation is
c c c c c c c c c
c vital, but the nurse must do more than document. The primary
c c c c c c c c c c
c health care provider would be notified, but this is not more
c c c c c c c c c c
c important than calling the RRT. The client’s blood pressure would c c c c c c c c c
c be reassessed frequently, but the priority is
c c c c c c
getting the rapid care to the client.
c c c c c c
DIF: Applying TOP: Integrated Process: Communication and c c c c c
Documentation KEY: Rapid Response Team (RRT), Clinical
c c c c c c c
judgment
c
MSC: Client Needs Category: Physiological Integrity: Physiological
c c c c c c c c Adaptation
4. A c nurse wishes to provide client-centered care in all interactions.
c c c c c c c c c Which
c action by the nurse best demonstrates this concept?
c c c c c c c
a. Assesses for cultural influences affecting health care. c c c c c c
b. Ensures that all the client’s basic needs are met.
c c c c c c c c
c. Tells the client and family about all upcomingbmtests.b
c c c c c c c c
d. Thoroughly orients the client and family to thebmroom. c c c c c c c
ANS: c A
Showing respect for the client and family’s b preferences and needs is
c c c c c c c c c c c
essential to ensure
c a holistic or “whole-person” b approach to
c care. c c c c c c c c c
By
c assessing the effect
c of the client’s culture on bmhealth b care, c c c c c c c c c c
this nurse is practicing clientfocused care. Providing for bmbasic b needs
c c c c c c c c c c c
does not demonstrate this competence.
c c c c c
Simply telling the client mabout mall
c upcoming tests is not c c c c c c c c
providing empowering
c education. Orienting mthe client and
c family c c c c c c
to
c the room c is an important safety bmmeasure, bmbut not directly c c c c c c c c c
related to demonstrating clientcentered care. b
c c c c c c
DIF: Understanding TOP: c Integrated c Process: Culture and c c
Spirituality KEY: bm Client-centered c c c c care, c Culture MSC: Client Needs Category: c c c
Psychosocial mIntegrity
c c
5. A clientbmis mgoingbmto be admitted for a scheduled surgical procedure. Which
c c c c c c c c c c
actionbmdoesbmthe nurse explain is the most important thing the client can c c c c c c c c c c
do
c
bmto protectbmagainst errors?
c c c
a. Bring ma list of all medications and what they are for.
c c c c c c c c c c
b. Keepbmthe provider’s phone number by the telephone. c c c c c c
c. Make sure that all providers wash hands before entering the room.
c c c c c c c c c c
d. Write down the name of each caregiver who comes in the room.
c c c c c c c c c c c
ANS: c A
Medication reconciliation is a formal process in which the client’s actual current
c c c c c c c c c c c
medications are compared to the prescribed medications at the time
c c c c c c c c c c
ofc
admission, transfer, or discharge. This National client Safety Goal is c c c c c c c c c
important to reduce medication errors. The client would not have to be
c c c c c c c c c c c c
responsible for providers washing their hands, and even if the client
c c c c c c c c c c c
does so, this is too
c c c c c
narrow to be the most important action to prevent errors. Keeping
c c c c c c c c c c
the provider’s phone number nearby and documenting everyone who
c c c c c c c c c
enters the room also do not guarantee safety.
c c c c c c c c
about:blank
4/593
c5:28
AM cignatavicius
workman-
Medical Surgical Nursing 10th c c b m b
Edition Ignatavicius Workman c c
Test Bankm
b b m b
Chapter 01: Overview of Professional Nursing Concepts for
c c c c c c c c c c c c c c c c Medical-
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
c c c c c c
MULTIPLE c CHOICE
1. A c new nurse is working with a preceptor on a medical-surgical
c c c c c c c c c
c unit. The preceptor advises the new nurse that which is the
c c c c c c c c c c
c priority when working as a professional nurse? c c c c c c
a. Attending to holistic client needs c c c c
b. Ensuring client safety c c
c. Not making medication errors c c c
d. Providing client-focused care c c
ANS: c B
All actions are appropriate
c for the professional nurse. bmHowever, c c c c c c c
ensuring client safety is the priority. Health care errors mhave been
c c c c c c c c c c c
widely
c reported for 25 years, many of which result
c in client c c c c c c c c c
minjury,
c death, and increased health care costs. There are
c several c c c c c c c c
national
c and international organizations that have either recommended
c c c c c c c
or mandated safetybminitiatives.
c c c
Every nurse has the responsibility bmto mguard
c the client’s safety. The c c c c c c c c c
other actions are important
c c c c
for quality nursing, but theybmarebmnotbmas vital as providing safety. Not making
c c c c c c c c c c
medication errors does provide b safety, but is too narrow in scope
c c c c c c c c c c c c
to be the best answer.
c c c c c
DIF: Understanding bTOP: bmIntegrated Process: Nursing Process: Intervention KEY: Client c c c c c c c c
safety
c
MSC: Client NeedsbmCategory: Safe
c and Effective Care Environment: Safety and c c c c c c c c
Infection Control
c c
2. A nursebmisbmorienting a new client and family to the medical-surgical
c c c c c c c c c c c c unit.
Whatbminformation does the nurse provide to best help the client c c c c c c c c c c promote
his c
bmor herbmownb safety?
c c c
a. Encourage the client and family to be active partners. c c c c c c c c
b. Havebmthe client monitor hand hygiene in caregivers. c c c c c c
c. Offer the family the opportunity to stay with the client. c c c c c c c c c
d. Tell the client to always wear his or her armband.
c c c c c c c c c
ANS: c A
Each action could be important for the client or family to perform.
c c c c c c c c c c c
However, encouraging the client to be active in his or her health
c c c c c c c c c c c c c care
as a safety
c c c
partner is the most critical. The other actions are very limited in
c c c c c c c c c c c
scope and do not provide the broad protection that being active
c c c c c c c c c c c
and involved does.
c c c
DIF: Understanding TOP: Integrated c
Process: Teaching/Learning KEY: Client safety
c c c c c
MSC: Client Needs Category: Safe and Effective
c c c c c c c c Care c Environment: c Safety c and
Infection Control
c c
3. A c nurse is caring for a postoperative client on the surgical
c c c c c c c c c c unit.
c The client’s blood pressure was 142/76 mm Hg 30 minutes
c c c c c c c c c c ago,
c and now is 88/50 mm Hg. What action would the nurse
c c c c c c c c c c c take
about:blank
1/593
,10/31/23, Test c bank c - medical surgical
c c c nursing 10th edition
c c
c5:28 c first? a.ignatavicius
c
c
Call the Rapid Response Team.
c c c c c
b. Document and continue to monitor.
c c c c
c. Notify the primary health care provider.
c c c c c
d. Repeat the blood pressure in 15 minutes.
c c c c c c
about:blank
2/593
,10/31/23, Test bank - medical surgical
c c c c c nursing 10th edition
c c
c5:28
AM cignatavicius
workman-
Btestbanks.com
about:blank
3/593
, 10/31/23, Test bank - medical surgical c c c c c nursing 10th edition c c
c5:28
AM cignatavicius
workman-
ANS: c A
The purpose of the Rapid Response Team (RRT) is to intervene
c c c c c c c c c c
c when clients are deteriorating before they suffer either respiratory or
c c c c c c c c c
c cardiac arrest. Since c c
the client has manifested a significant change, the nurse would call the
c c c c c c c c c c c
c RRT.
Changes in blood pressure, mental status, heart rate, temperature,
c c c c c c c c
c oxygen saturation, and last 2 hours’ urine output are particularly
c c c c c c c c c
c significant and are c c
part of the Modified Early Warning System guide. Documentation is
c c c c c c c c c
c vital, but the nurse must do more than document. The primary
c c c c c c c c c c
c health care provider would be notified, but this is not more
c c c c c c c c c c
c important than calling the RRT. The client’s blood pressure would c c c c c c c c c
c be reassessed frequently, but the priority is
c c c c c c
getting the rapid care to the client.
c c c c c c
DIF: Applying TOP: Integrated Process: Communication and c c c c c
Documentation KEY: Rapid Response Team (RRT), Clinical
c c c c c c c
judgment
c
MSC: Client Needs Category: Physiological Integrity: Physiological
c c c c c c c c Adaptation
4. A c nurse wishes to provide client-centered care in all interactions.
c c c c c c c c c Which
c action by the nurse best demonstrates this concept?
c c c c c c c
a. Assesses for cultural influences affecting health care. c c c c c c
b. Ensures that all the client’s basic needs are met.
c c c c c c c c
c. Tells the client and family about all upcomingbmtests.b
c c c c c c c c
d. Thoroughly orients the client and family to thebmroom. c c c c c c c
ANS: c A
Showing respect for the client and family’s b preferences and needs is
c c c c c c c c c c c
essential to ensure
c a holistic or “whole-person” b approach to
c care. c c c c c c c c c
By
c assessing the effect
c of the client’s culture on bmhealth b care, c c c c c c c c c c
this nurse is practicing clientfocused care. Providing for bmbasic b needs
c c c c c c c c c c c
does not demonstrate this competence.
c c c c c
Simply telling the client mabout mall
c upcoming tests is not c c c c c c c c
providing empowering
c education. Orienting mthe client and
c family c c c c c c
to
c the room c is an important safety bmmeasure, bmbut not directly c c c c c c c c c
related to demonstrating clientcentered care. b
c c c c c c
DIF: Understanding TOP: c Integrated c Process: Culture and c c
Spirituality KEY: bm Client-centered c c c c care, c Culture MSC: Client Needs Category: c c c
Psychosocial mIntegrity
c c
5. A clientbmis mgoingbmto be admitted for a scheduled surgical procedure. Which
c c c c c c c c c c
actionbmdoesbmthe nurse explain is the most important thing the client can c c c c c c c c c c
do
c
bmto protectbmagainst errors?
c c c
a. Bring ma list of all medications and what they are for.
c c c c c c c c c c
b. Keepbmthe provider’s phone number by the telephone. c c c c c c
c. Make sure that all providers wash hands before entering the room.
c c c c c c c c c c
d. Write down the name of each caregiver who comes in the room.
c c c c c c c c c c c
ANS: c A
Medication reconciliation is a formal process in which the client’s actual current
c c c c c c c c c c c
medications are compared to the prescribed medications at the time
c c c c c c c c c c
ofc
admission, transfer, or discharge. This National client Safety Goal is c c c c c c c c c
important to reduce medication errors. The client would not have to be
c c c c c c c c c c c c
responsible for providers washing their hands, and even if the client
c c c c c c c c c c c
does so, this is too
c c c c c
narrow to be the most important action to prevent errors. Keeping
c c c c c c c c c c
the provider’s phone number nearby and documenting everyone who
c c c c c c c c c
enters the room also do not guarantee safety.
c c c c c c c c
about:blank
4/593
