Test Bank for Timbys Introductory Medical-Surgical Nursing 13th Edition by Moreno 9781975172237 All Chapters with Answers and Rationals

Test Bank
for Timbys Introductory Medical-Surgical Nursing 13th Edition by Moreno

9781975172237 All Chapters with Answers and Rationals


Nursestar1 Stuvia

, ◦ Timby's Introductory Medical-Surgical Nursing 13th Edition Moreno Test
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Bank
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Chapter 1 y7 Concepts and Trends in Healthcare y7 y7 y7 y7


◦ A new nurse is working with a preceptor on an inpatient medical-surgical
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unit. The preceptor advises the student that which is the priority when
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working as a professional nurse?
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◦ Attending to holistic client needs y7 y7 y7 y7



◦ Ensuring client safety y7 y7



◦ Not making medication errors
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◦ Providing client- y7


focused care
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ANS: B y7 y7


◦ All actions are appropriate for the professional nurse. However,
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y 7 ensuring client safety is the priority. Up to 98,000 deaths result each
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y7 year from errors in hospital care, according to the 2000 Institute of Medicine
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y7 report. Many more clients have suffered injuries and less serious outcomes. Every
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y7 nurse has the responsibility to guard the clients safety.
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◦ DIF: Understanding/Comprehension REF: y7 y7


y7 2 KEY: Patient safety MSC: Integrated Process:
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y7 Nursing Process: Intervention
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◦ NOT: Client Needs Category: Safe and Effective y7 y7 y7 y7 y7 y7


y7 Care Environment: Safety and Infection Control
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◦ A nurse is orienting a new client and family to the inpatient unit. What
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information does the nurse provide to help the client promote his or her
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own safety?
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◦ Encourage the client and family to be active partners.
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◦ Have the client monitor hand hygiene in caregivers.
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◦ Offer the family the opportunity to stay with the client.
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◦ Tell the client to always wear his
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or her armband. ANS: A
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◦ Each action could be important for the client or family toy7 y7 y7 y7 y7 y7 y7 y7 y7 y7


y7 perform. However, encouraging the client to be active in his or her health care
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y7 as a partner is the most critical. The other actions are
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◦
◦ very limited in scope and do not provide the broad protection
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y7 that being active and involved does.
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◦ DIF: Understanding/Comprehension REF: y7 y7


y7 3 KEY: Patient safety MSC: Integrated Process:
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y7 Teaching/ Learning y7


◦ NOT: Client Needs Category: Safe and Effective Care y7 y7 y7 y7 y7 y7 y7

,Environment: Safety and Infection Control y7 y7 y7 y7




◦ A nurse is caring for a postoperative client on the surgical unit. The clients
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blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
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Hg. What action by the nurse is best?
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◦ Call the Rapid Response Team.
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◦ Document and continue to monitor. y7 y7 y7 y7



◦ Notify the primary care provider.
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◦ Repeat blood pressure y7 y7


measurement in 15 minutes.
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ANS: A y7 y7


◦ The purpose of the Rapid Response Team (RRT) is to intervene y7 y7 y7 y7 y7 y7 y7 y7 y7 y7


when clients are deteriorating before they suffer either respiratory or cardiac
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arrest. Since the client has manifested a significant change, the nurse should call
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the RRT. Changes in blood pressure, mental status, heart rate, and pain are
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particularly significant. Documentation is vital, but the nurse must do more than
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document. The primary care provider should be notified, but this is not the
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priority over calling
y7 the RRT. The clients blood pressure should be reassessed
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frequently, but the priority is getting
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rapid care to the client.
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◦ DIF: Applying/Application REF: 3
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◦ KEY: Rapid Response Team y7 y7 y7


(RRT)| medical emergencies MSC: Integrated
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Process:
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Communication and Documentation y7 y7


◦ NOT: Client Needs Category: Physiological Integrity: Physiological y7 y7 y7 y7 y7 y7


Adaptation y7


◦
◦ A nurse wishes to provide client-centered care in all interactions.
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Which action by the nurse best demonstrates this concept?
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◦ Assesses for cultural influences affecting health care y7 y7 y7 y7 y7 y7



◦ Ensures that all the clients basic needs are met
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◦ Tells the client and family about all upcoming tests
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◦ Thoroughly orients the client y7 y7 y7


and family to the room ANS:
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A y7


◦ Competency in client-focused care is demonstrated when the y7 y7 y7 y7 y7 y7 y7


y7 nurse focuses on communication, culture, respect, compassion, client
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y7 education, and empowerment. By assessing the effect of the
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◦
◦ clients culture on health care, this nurse is practicing client-focusedy7 y7 y7 y7 y7 y7 y7 y7 y7


y7 care. Providing for basic needs does not demonstrate this competence. Simply
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y7 telling the client about all upcoming tests is not providing empowering
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y7 education. Orienting the client and family to the room is an important safety
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y7 measure, but not directly related to demonstrating client-centered care.
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, ◦ DIF: Understanding/Comprehension REF: 3
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