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The Marketplace to Buy and Sell your Study Material
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Downloaded by: Profkarl |
9% 9% 9% 9% Want to earn $1.236
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Distribution of this document is ille
9% 9% 9% 9% 9% extra per year
9% 9%
gal ?
,
,
, Overview of Professional Nursing Concepts for Medical- 9% 9% 9% 9% 9% 9%
Surgical Nursing
9% 9%
MULTIPLE CHOICE 9 %
1. A nurse wishes to provide client-
9% 9% 9% 9% 9%
centered care in all interactions. Which action by the nurse best demonstrates this concept?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% za 9% 9%
a. Assesses for cultural influences affecting health care
9% 9% 9% 9% 9% 9%
b. Ensures that all the clients basic needs are met
9% 9% 9% 9% 9% 9% 9% 9%
c. Tells the client and family about all upcoming tests
9% 9% 9% 9% 9% 9% 9% 9%
d. Thoroughly orients the client and family to the room 9% 9% 9% 9% 9% 9% 9% 9%
ANS: A 9%
Competency in client- 9% 9%
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, clien
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9 % 9%
t ed ucation, and empowerment. By assessing the effect of the clients culture on health care,
9% 9% 9% 9% this nurse 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9 % 9 % 9 % 9
%is practici ng client-
9 % 9% 9 %
focused care. Providing for basic needs does not demonstrate this competence.
9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 %
Simply telling the client about all upcoming tests is not providing empowering education. Orienting the cl
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ient and family to the room is an important safety measure, but not directly related to demonstrating clie
9% 9% 9% 9% 9% 9% 9% z9 % 9% 9% 9% 9% za 9% 9% 9% 9%
nt- centered care.
9% 9%
DIF: Understanding/Comprehension REF: 3
9 % 9 % 9 % 9%
KEY: Patient- 9%
centered care| culture MSC: Integrated Process: Caring NOT: Client N
9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
eeds Category: Psychosocial Integrity
9% 9% 9%
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/7
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
6 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
za 9% 9% 9% za 9% 9% 9% 9% 9% 9% 9% za 9% 9% 9% 9% 9%
a. Call the Rapid Response Team.
9% 9% 9% 9%
b. Document and continue to monitor. 9% 9% 9% 9%
c. Notify the primary care provider. 9% 9% 9% 9%
d. Repeat blood pressure measurement in 15 minutes.
9% 9% 9% 9% 9% 9%
ANS: A 9%
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorati
9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 %
ng before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant cha
9 % 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
nge, the nurse s hould call the RRT. Changes in blood pressure, mental status, heart rate, and pain are
9% 9% 9% 9% 9 % 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
particularly significant. Documentation is vital, but the nurse must do more than document. The primary
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
care provider should be no tified, but this is not the priority over calling the RRT. The clients blood pres
9% 9% 9% 9% 9% 9% za 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
sure should be reassessed freq uently, but the priority is getting the rapid care to the client.
9% 9% 9% 9% 9% 9% za 9% 9% 9% 9% 9% 9% 9% 9% 9%
DIF: Applying/Application REF: 3
9% 9% 9%
KEY: Rapid Response Team (RRT)| medical emergencies M
9% 9% 9% 9% 9% 9% 9 %
S C: Integrated Process: Communication and Documentation
9% 9% 9% 9% 9% za
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
9% 9% 9% 9% 9% 9% 9%
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide
9% 9% 9% za 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%to h elp the client promote his or her own safety?
9 % 9% 9% 9% 9% 9% 9% 9% 9% z9 %
a. Encourage the client and family to be active partners.
9% 9% 9% 9% 9% 9% 9% 9%
b. Have the client monitor hand hygiene in caregivers.
9% 9% za9% 9% 9% 9% 9%
c. Offer the family the opportunity to stay with the client.
9% 9% 9% 9% 9% 9% 9% 9% 9%
d. Tell the client to always wear his or her armband.
9% 9% 9% 9% 9% 9% 9% 9% 9%
ANS: A 9%
Each action could be important for the client or family to perform. However, encouraging th
9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 %
e client to be active in his or her health care as a partner is the most critical. The other actions are ver
9 % 9 % 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% za 9% 9% 9% 9% 9%
y limited in scope a nd do not provide the broad protection that being active and involved does.
9% 9% 9% 9% 9% 9 % 9% za 9% 9% 9% 9% 9% 9% 9% 9% 9%
DIF: Understanding/Comprehension REF: 3 KE
9% 9% 9% 9%
9%
The Marketplace to Buy and Sell your Study Material
9% 9% 9% 9% 9% 9% 9% 9% 9%
Downloaded by: Profkarl |
9% 9% 9% 9% Want to earn $1.236
9% 9% 9%
Distribution of this document is ille
9% 9% 9% 9% 9% extra per year
9% 9%
gal ?
,
,
, Overview of Professional Nursing Concepts for Medical- 9% 9% 9% 9% 9% 9%
Surgical Nursing
9% 9%
MULTIPLE CHOICE 9 %
1. A nurse wishes to provide client-
9% 9% 9% 9% 9%
centered care in all interactions. Which action by the nurse best demonstrates this concept?
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% za 9% 9%
a. Assesses for cultural influences affecting health care
9% 9% 9% 9% 9% 9%
b. Ensures that all the clients basic needs are met
9% 9% 9% 9% 9% 9% 9% 9%
c. Tells the client and family about all upcoming tests
9% 9% 9% 9% 9% 9% 9% 9%
d. Thoroughly orients the client and family to the room 9% 9% 9% 9% 9% 9% 9% 9%
ANS: A 9%
Competency in client- 9% 9%
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, clien
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9 % 9%
t ed ucation, and empowerment. By assessing the effect of the clients culture on health care,
9% 9% 9% 9% this nurse 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9 % 9 % 9 % 9
%is practici ng client-
9 % 9% 9 %
focused care. Providing for basic needs does not demonstrate this competence.
9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 %
Simply telling the client about all upcoming tests is not providing empowering education. Orienting the cl
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
ient and family to the room is an important safety measure, but not directly related to demonstrating clie
9% 9% 9% 9% 9% 9% 9% z9 % 9% 9% 9% 9% za 9% 9% 9% 9%
nt- centered care.
9% 9%
DIF: Understanding/Comprehension REF: 3
9 % 9 % 9 % 9%
KEY: Patient- 9%
centered care| culture MSC: Integrated Process: Caring NOT: Client N
9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
eeds Category: Psychosocial Integrity
9% 9% 9%
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/7
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
6 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
za 9% 9% 9% za 9% 9% 9% 9% 9% 9% 9% za 9% 9% 9% 9% 9%
a. Call the Rapid Response Team.
9% 9% 9% 9%
b. Document and continue to monitor. 9% 9% 9% 9%
c. Notify the primary care provider. 9% 9% 9% 9%
d. Repeat blood pressure measurement in 15 minutes.
9% 9% 9% 9% 9% 9%
ANS: A 9%
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorati
9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 %
ng before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant cha
9 % 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
nge, the nurse s hould call the RRT. Changes in blood pressure, mental status, heart rate, and pain are
9% 9% 9% 9% 9 % 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
particularly significant. Documentation is vital, but the nurse must do more than document. The primary
9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
care provider should be no tified, but this is not the priority over calling the RRT. The clients blood pres
9% 9% 9% 9% 9% 9% za 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9%
sure should be reassessed freq uently, but the priority is getting the rapid care to the client.
9% 9% 9% 9% 9% 9% za 9% 9% 9% 9% 9% 9% 9% 9% 9%
DIF: Applying/Application REF: 3
9% 9% 9%
KEY: Rapid Response Team (RRT)| medical emergencies M
9% 9% 9% 9% 9% 9% 9 %
S C: Integrated Process: Communication and Documentation
9% 9% 9% 9% 9% za
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
9% 9% 9% 9% 9% 9% 9%
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide
9% 9% 9% za 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9
%to h elp the client promote his or her own safety?
9 % 9% 9% 9% 9% 9% 9% 9% 9% z9 %
a. Encourage the client and family to be active partners.
9% 9% 9% 9% 9% 9% 9% 9%
b. Have the client monitor hand hygiene in caregivers.
9% 9% za9% 9% 9% 9% 9%
c. Offer the family the opportunity to stay with the client.
9% 9% 9% 9% 9% 9% 9% 9% 9%
d. Tell the client to always wear his or her armband.
9% 9% 9% 9% 9% 9% 9% 9% 9%
ANS: A 9%
Each action could be important for the client or family to perform. However, encouraging th
9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 % 9 %
e client to be active in his or her health care as a partner is the most critical. The other actions are ver
9 % 9 % 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% za 9% 9% 9% 9% 9%
y limited in scope a nd do not provide the broad protection that being active and involved does.
9% 9% 9% 9% 9% 9 % 9% za 9% 9% 9% 9% 9% 9% 9% 9% 9%
DIF: Understanding/Comprehension REF: 3 KE
9% 9% 9% 9%
