medical surgical nursing 10th edition by ignatavicius workman - Copy.pdf

TEST BANK For Medical-Surgical Nursing
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10th Edition Concepts for Interprofessional
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t
g Collaborative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69
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,Chapter t01: tOverview tof tProfessional tNursing tConcepts tfor tMedical-Surgical tNursing
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t
g Ignatavicius: tMedical-Surgical tNursing, t10th tEdition g g g g




MULTIPLE tCHOICE g




1. A tnew tnurse tis tworking twith ta tpreceptor ton ta tmedical-surgical tunit. tThe tpreceptor tadvises
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t
g the tnew tnurse tthat twhich tis tthe tpriority twhen tworking tas ta tprofessional tnurse?
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a. Attending tto tholistic tclient tneeds g g g g




b. Ensuring tclient tsafety g g




c. Not tmaking tmedication terrors g g g




d. Providing tclient-focused tcare g g




CORRECT tANSWER: t B
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All tactions tare tappropriate tfor tthe tprofessional tnurse. tHowever, tensuring tclient tsafety tis tthe
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t
g priority. tHealth tcare terrors thave tbeen twidely treported tfor t25 tyears, tmany tof twhich tresult
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t
g in tclient tinjury, tdeath, tand tincreased thealth tcare tcosts. tThere tare tseveral tnational tand
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t
g international torganizations tthat thave teither trecommended tor tmandated tsafety tinitiatives.
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Every tnurse thas tthe tresponsibility tto tguard tthe tclient’s tsafety. tThe tother tactions tare
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t
g important tfor tquality tnursing, tbut tthey tare tnot tas tvital tas tproviding tsafety. tNot tmaking
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t
g medication terrors tdoes tprovide tsafety, tbut tis ttoo tnarrow tin tscope tto tbe tthe tbest tanswer.
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DIF: Understanding TOP: t Integrated tProcess: tNursing tProcess:
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t
g Intervention tKEY: tClient tsafety g g g




MSC: t Client tNeeds tCategory: tSafe tand tEffective tCare tEnvironment: tSafety tand tInfection tControl
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2. A tnurse tis torienting ta tnew tclient tand tfamily tto tthe tmedical-surgical tunit. tWhat
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t
g information tdoes tthe tnurse tprovide tto tbest thelp tthe tclient tpromote this tor ther town
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t
g safety?
a. Encourage tthe tclient tand tfamily tto tbe tactive tpartners. g g g g g g g g




b. Have tthe tclient tmonitor thand thygiene tin tcaregivers.
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c. Offer tthe tfamily tthe topportunity tto tstay twith tthe tclient.
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d. Tell tthe tclient tto talways twear this tor ther tarmband.
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CORRECT tANSWER: t A
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Each taction tcould tbe timportant tfor tthe tclient tor tfamily tto tperform. tHowever, tencouraging
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, t
g the tclient tto tbe tactive tin this tor ther thealth tcare tas ta tsafety tpartner tis tthe tmost tcritical. tThe
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t
g other tactions tare tvery tlimited tin tscope tand tdo tnot tprovide tthe tbroad tprotection tthat tbeing
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t
g active tand tinvolved tdoes.
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DIF: Understanding TOP: tIntegrated tProcess: tTeaching/Learning
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t
g KEY: tClient tsafety
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MSC: t Client tNeeds tCategory: tSafe tand tEffective tCare tEnvironment: tSafety tand tInfection tControl
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3. A tnurse tis tcaring tfor ta tpostoperative tclient ton tthe tsurgical tunit. tThe tclient’s tblood
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t
g pressure twas t142/76 tmm tHg t30 tminutes tago, tand tnow tis t88/50 tmm tHg. tWhat taction
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t
g would tthe tnurse ttake tfirst?
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a. Call tthe tRapid tResponse tTeam.
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b. Document tand tcontinue tto tmonitor. g g g g




c. Notify tthe tprimary thealth tcare tprovider.
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d. Repeat tthe tblood tpressure tin t15 tminutes. g g g g g g

, CORRECT tANSWER: t A g g




The tpurpose tof tthe tRapid tResponse tTeam t(RRT) tis tto tintervene twhen tclients tare
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t
g deteriorating tbefore tthey tsuffer teither trespiratory tor tcardiac tarrest. tSince tthe tclient thas
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t
g manifested ta tsignificant tchange, tthe tnurse twould tcall tthe tRRT. tChanges tin tblood tpressure,
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t
g mental tstatus, theart trate, ttemperature, toxygen tsaturation, tand tlast t2 thours’ turine toutput
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t
g are tparticularly tsignificant tand tare tpart tof tthe tModified tEarly tWarning tSystem tguide.
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t
g Documentation tis tvital, tbut tthe tnurse tmust tdo tmore tthan tdocument. tThe tprimary thealth g g g g g g g g g g g g g




t
g care tprovider twould tbe tnotified, tbut tthis tis tnot tmore timportant tthan tcalling tthe tRRT. tThe
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t
g client’s tblood tpressure twould tbe treassessed tfrequently, tbut tthe tpriority tis tgetting tthe trapid
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t
g care tto tthe tclient.
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DIF: Applying TOP: t Integrated tProcess: tCommunication tand
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t
g Documentation tKEY: tRapid tResponse tTeam t(RRT), tClinical tjudgment g g g g g g g




MSC: t Client tNeeds tCategory: tPhysiological tIntegrity: tPhysiological tAdaptation
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4. A tnurse twishes tto tprovide tclient-centered tcare tin tall tinteractions. tWhich taction tbytthe tnurse
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best tdemonstrates tthis tconcept?
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a. Assesses tfor tcultural tinfluences taffecting thealth tcare. g g g g g g




b. Ensures tthat tall tthe tclient’s tbasic tneeds tare tmet. g g g g g g g g




c. Tells tthe tclient tand tfamily tabout tall tupcoming ttests.
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d. Thoroughly torients tthe tclient tand tfamily tto tthe troom. g g g g g g g g




CORRECT tANSWER: t A g g




Showing trespect tfor tthe tclient tand tfamily’s tpreferences tand tneeds tis tessential tto tensure ta
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t
g holistic tor t“whole-person” tapproach tto tcare. tBy tassessing tthe teffect tof tthe tclient’s tculture
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t
g on thealth tcare, tthis tnurse tis tpracticing tclient-focused tcare. tProviding tfor tbasic tneeds tdoes
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t
g not tdemonstrate tthis tcompetence. tSimply ttelling tthe tclient tabout tall tupcoming ttests tis tnot
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t
g providing tempowering teducation. tOrienting tthe tclient tand tfamily tto tthe troom tis tan
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t
g important tsafety tmeasure, tbut tnot tdirectly trelated tto tdemonstrating tclient-centered tcare.
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DIF: Understanding TOP: tIntegrated tProcess: tCulture tand tSpirituality
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t
g KEY: t Client-centered tcare, tCulture
g g g MSC: t Client tNeeds tCategory: tPsychosocial tIntegrity
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5. A tclient tis tgoing tto tbe tadmitted tfor ta tscheduled tsurgical tprocedure. tWhich taction tdoes
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t
g the tnurse texplain tis tthe tmost timportant tthing tthe tclient tcan tdo tto tprotect tagainst
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t
g errors?
a. Bring ta tlist tof tall tmedications tand twhat tthey tare tfor.
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b. Keep tthe tprovider’s tphone tnumber tby tthe ttelephone.
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