Test Bank
kh
kh
for Timbys Introductory Medical-Surgical Nursing 13th Edition by Moreno
kh kh kh kh kh kh kh kh
kh 9781975172237 All Chapters with Answers and Rationals
kh kh kh kh kh kh
Genius expertkh
, ◦ Timby's Introductory Medical-Surgical Nursing 13th Edition Moreno Test
kh kh kh kh kh kh kh
Bank
kh
Chapter 1 kh Concepts and Trends in Healthcare kh kh kh kh
◦ A new nurse is working with a preceptor on an inpatient medical-surgical
kh kh kh kh kh kh kh kh kh kh kh
unit. The preceptor advises the student that which is the priority when
kh kh kh kh kh kh kh kh kh kh kh kh
working as a professional nurse?
kh kh kh kh kh
◦ Attending to holistic client needs kh kh kh kh
◦ Ensuring client safety kh kh
◦ Not making medication errors
kh kh kh
◦ Providing client- kh
focused care kh kh
ANS: B kh kh
◦ All actions are appropriate for the professional nurse. However,
kh kh kh kh kh kh kh kh
k hensuring client safety is the priority. Up to 98,000 deaths result each
kh kh kh kh kh kh kh kh kh kh kh
kh year from errors in hospital care, according to the 2000 Institute of Medicine
kh kh kh kh kh kh kh kh kh kh kh kh
kh report. Many more clients have suffered injuries and less serious outcomes. Every
kh kh kh kh kh kh kh kh kh kh kh
kh nurse has the responsibility to guard the clients safety.
kh kh kh kh kh kh kh kh
◦ DIF: Understanding/Comprehension REF: kh kh
kh 2 KEY: Patient safety MSC: Integrated Process:
kh kh kh kh kh kh
kh Nursing Process: Intervention
kh kh
◦ NOT: Client Needs Category: Safe and Effective kh kh kh kh kh kh
kh Care Environment: Safety and Infection Control
kh kh kh kh kh
◦ A nurse is orienting a new client and family to the inpatient unit. What
kh kh kh kh kh kh kh kh kh kh kh kh kh
information does the nurse provide to help the client promote his or her
kh kh kh kh kh kh kh kh kh kh kh kh kh
own safety?
kh kh
◦ Encourage the client and family to be active partners.
kh kh kh kh kh kh kh kh
◦ Have the client monitor hand hygiene in caregivers.
kh kh kh kh kh kh kh
◦ Offer the family the opportunity to stay with the client.
kh kh kh kh kh kh kh kh kh
◦Tell the client to always wear his
kh kh kh kh kh kh
or her armband. ANS: A
kh kh kh kh kh
◦ Each action could be important for the client or family to kh kh kh kh kh kh kh kh kh kh
kh perform. However, encouraging the client to be active in his or her health care
kh kh kh kh kh kh kh kh kh kh kh kh kh
kh as a partner is the most critical. The other actions are
kh kh kh kh kh kh kh kh kh kh
◦
◦ very limited in scope and do not provide the broad protectionkh kh kh kh kh kh kh kh kh kh
kh that being active and involved does.
kh kh kh kh kh
◦ DIF: Understanding/Comprehension REF: kh kh
kh 3 KEY: Patient safety MSC: Integrated Process:
kh kh kh kh kh kh
kh Teaching/ Learning kh
◦ NOT: Client Needs Category: Safe and Effective Care kh kh kh kh kh kh kh
,Environment: Safety and Infection Control kh kh kh kh
◦ A nurse is caring for a postoperative client on the surgical unit. The clients
kh kh kh kh kh kh kh kh kh kh kh kh kh
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
kh kh kh kh kh kh kh kh kh kh kh kh kh kh
Hg. What action by the nurse is best?
kh kh kh kh kh kh kh kh
◦ Call the Rapid Response Team.
kh kh kh kh
◦ Document and continue to monitor. kh kh kh kh
◦ Notify the primary care provider.
kh kh kh kh
◦ Repeat blood pressure kh kh
measurement in 15 minutes.
kh kh kh kh
ANS: A kh kh
◦ The purpose of the Rapid Response Team (RRT) is to intervene kh kh kh kh kh kh kh kh kh kh
when clients are deteriorating before they suffer either respiratory or cardiac
kh kh kh kh kh kh kh kh kh kh kh
arrest. Since the client has manifested a significant change, the nurse should call
kh kh kh kh kh kh kh kh kh kh kh kh kh
the RRT. Changes in blood pressure, mental status, heart rate, and pain are
kh kh kh kh kh kh kh kh kh kh kh kh kh
particularly significant. Documentation is vital, but the nurse must do more than
kh kh kh kh kh kh kh kh kh kh kh kh
document. The primary care provider should be notified, but this is not the
kh kh kh kh kh kh kh kh kh kh kh kh kh
priority over calling
kh the RRT. The clients blood pressure should be reassessed
kh kh k h kh kh k h kh kh kh kh kh
frequently, but the priority is getting
kh kh kh the
kh kh kh
rapid care to the client.
kh kh kh kh kh
◦ DIF: Applying/Application REF: 3
kh kh kh
◦ KEY: Rapid Response Team kh kh kh
(RRT)| medical emergencies MSC: Integrated
kh kh kh kh kh
Process:
kh
Communication and Documentation kh kh
◦ NOT: Client Needs Category: Physiological Integrity: Physiological kh kh kh kh kh kh
Adaptation kh
◦
◦ A nurse wishes to provide client-centered care in all interactions.
kh kh kh kh kh kh kh kh kh
Which action by the nurse best demonstrates this concept?
kh kh kh kh kh kh kh kh kh
◦ Assesses for cultural influences affecting health care kh kh kh kh kh kh
◦ Ensures that all the clients basic needs are met
kh kh kh kh kh kh kh kh
◦ Tells the client and family about all upcoming tests
kh kh kh kh kh kh kh kh
◦ Thoroughly orients the client kh kh kh
and family to the room ANS:
kh kh kh kh kh kh
A kh
◦ Competency in client-focused care is demonstrated when the kh kh kh kh kh kh kh
kh nurse focuses on communication, culture, respect, compassion, client
kh kh kh kh kh kh kh
kh education, and empowerment. By assessing the effect of the
kh kh kh kh kh kh kh kh
◦
◦ clients culture on health care, this nurse is practicing client-focused
kh kh kh kh kh kh kh kh kh
kh care. Providing for basic needs does not demonstrate this competence. Simply
kh kh kh k h kh kh kh kh kh kh
kh telling the client about all upcoming tests is not providing empowering
kh kh kh kh kh kh kh kh kh kh
kh education. Orienting the client and family to the room is an important safety
kh kh kh kh kh kh kh kh kh kh kh kh
kh measure, but not directly related to demonstrating client-centered care.
kh kh kh k h kh kh kh k h
, ◦ DIF: Understanding/Comprehension REF: 3
kh kh kh
kh
kh
for Timbys Introductory Medical-Surgical Nursing 13th Edition by Moreno
kh kh kh kh kh kh kh kh
kh 9781975172237 All Chapters with Answers and Rationals
kh kh kh kh kh kh
Genius expertkh
, ◦ Timby's Introductory Medical-Surgical Nursing 13th Edition Moreno Test
kh kh kh kh kh kh kh
Bank
kh
Chapter 1 kh Concepts and Trends in Healthcare kh kh kh kh
◦ A new nurse is working with a preceptor on an inpatient medical-surgical
kh kh kh kh kh kh kh kh kh kh kh
unit. The preceptor advises the student that which is the priority when
kh kh kh kh kh kh kh kh kh kh kh kh
working as a professional nurse?
kh kh kh kh kh
◦ Attending to holistic client needs kh kh kh kh
◦ Ensuring client safety kh kh
◦ Not making medication errors
kh kh kh
◦ Providing client- kh
focused care kh kh
ANS: B kh kh
◦ All actions are appropriate for the professional nurse. However,
kh kh kh kh kh kh kh kh
k hensuring client safety is the priority. Up to 98,000 deaths result each
kh kh kh kh kh kh kh kh kh kh kh
kh year from errors in hospital care, according to the 2000 Institute of Medicine
kh kh kh kh kh kh kh kh kh kh kh kh
kh report. Many more clients have suffered injuries and less serious outcomes. Every
kh kh kh kh kh kh kh kh kh kh kh
kh nurse has the responsibility to guard the clients safety.
kh kh kh kh kh kh kh kh
◦ DIF: Understanding/Comprehension REF: kh kh
kh 2 KEY: Patient safety MSC: Integrated Process:
kh kh kh kh kh kh
kh Nursing Process: Intervention
kh kh
◦ NOT: Client Needs Category: Safe and Effective kh kh kh kh kh kh
kh Care Environment: Safety and Infection Control
kh kh kh kh kh
◦ A nurse is orienting a new client and family to the inpatient unit. What
kh kh kh kh kh kh kh kh kh kh kh kh kh
information does the nurse provide to help the client promote his or her
kh kh kh kh kh kh kh kh kh kh kh kh kh
own safety?
kh kh
◦ Encourage the client and family to be active partners.
kh kh kh kh kh kh kh kh
◦ Have the client monitor hand hygiene in caregivers.
kh kh kh kh kh kh kh
◦ Offer the family the opportunity to stay with the client.
kh kh kh kh kh kh kh kh kh
◦Tell the client to always wear his
kh kh kh kh kh kh
or her armband. ANS: A
kh kh kh kh kh
◦ Each action could be important for the client or family to kh kh kh kh kh kh kh kh kh kh
kh perform. However, encouraging the client to be active in his or her health care
kh kh kh kh kh kh kh kh kh kh kh kh kh
kh as a partner is the most critical. The other actions are
kh kh kh kh kh kh kh kh kh kh
◦
◦ very limited in scope and do not provide the broad protectionkh kh kh kh kh kh kh kh kh kh
kh that being active and involved does.
kh kh kh kh kh
◦ DIF: Understanding/Comprehension REF: kh kh
kh 3 KEY: Patient safety MSC: Integrated Process:
kh kh kh kh kh kh
kh Teaching/ Learning kh
◦ NOT: Client Needs Category: Safe and Effective Care kh kh kh kh kh kh kh
,Environment: Safety and Infection Control kh kh kh kh
◦ A nurse is caring for a postoperative client on the surgical unit. The clients
kh kh kh kh kh kh kh kh kh kh kh kh kh
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
kh kh kh kh kh kh kh kh kh kh kh kh kh kh
Hg. What action by the nurse is best?
kh kh kh kh kh kh kh kh
◦ Call the Rapid Response Team.
kh kh kh kh
◦ Document and continue to monitor. kh kh kh kh
◦ Notify the primary care provider.
kh kh kh kh
◦ Repeat blood pressure kh kh
measurement in 15 minutes.
kh kh kh kh
ANS: A kh kh
◦ The purpose of the Rapid Response Team (RRT) is to intervene kh kh kh kh kh kh kh kh kh kh
when clients are deteriorating before they suffer either respiratory or cardiac
kh kh kh kh kh kh kh kh kh kh kh
arrest. Since the client has manifested a significant change, the nurse should call
kh kh kh kh kh kh kh kh kh kh kh kh kh
the RRT. Changes in blood pressure, mental status, heart rate, and pain are
kh kh kh kh kh kh kh kh kh kh kh kh kh
particularly significant. Documentation is vital, but the nurse must do more than
kh kh kh kh kh kh kh kh kh kh kh kh
document. The primary care provider should be notified, but this is not the
kh kh kh kh kh kh kh kh kh kh kh kh kh
priority over calling
kh the RRT. The clients blood pressure should be reassessed
kh kh k h kh kh k h kh kh kh kh kh
frequently, but the priority is getting
kh kh kh the
kh kh kh
rapid care to the client.
kh kh kh kh kh
◦ DIF: Applying/Application REF: 3
kh kh kh
◦ KEY: Rapid Response Team kh kh kh
(RRT)| medical emergencies MSC: Integrated
kh kh kh kh kh
Process:
kh
Communication and Documentation kh kh
◦ NOT: Client Needs Category: Physiological Integrity: Physiological kh kh kh kh kh kh
Adaptation kh
◦
◦ A nurse wishes to provide client-centered care in all interactions.
kh kh kh kh kh kh kh kh kh
Which action by the nurse best demonstrates this concept?
kh kh kh kh kh kh kh kh kh
◦ Assesses for cultural influences affecting health care kh kh kh kh kh kh
◦ Ensures that all the clients basic needs are met
kh kh kh kh kh kh kh kh
◦ Tells the client and family about all upcoming tests
kh kh kh kh kh kh kh kh
◦ Thoroughly orients the client kh kh kh
and family to the room ANS:
kh kh kh kh kh kh
A kh
◦ Competency in client-focused care is demonstrated when the kh kh kh kh kh kh kh
kh nurse focuses on communication, culture, respect, compassion, client
kh kh kh kh kh kh kh
kh education, and empowerment. By assessing the effect of the
kh kh kh kh kh kh kh kh
◦
◦ clients culture on health care, this nurse is practicing client-focused
kh kh kh kh kh kh kh kh kh
kh care. Providing for basic needs does not demonstrate this competence. Simply
kh kh kh k h kh kh kh kh kh kh
kh telling the client about all upcoming tests is not providing empowering
kh kh kh kh kh kh kh kh kh kh
kh education. Orienting the client and family to the room is an important safety
kh kh kh kh kh kh kh kh kh kh kh kh
kh measure, but not directly related to demonstrating client-centered care.
kh kh kh k h kh kh kh k h
, ◦ DIF: Understanding/Comprehension REF: 3
kh kh kh
