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xc xc xc xc Want to earn $1.236
xc xc xc
Distribution of this document is illegal extra per year?
,
,
, OverviewofProfessionalNursingConceptsforMedical- xc xc xc xc xc xc
Surgical Nursing
xc xc
MULTIPLE CHOICE x c
1. A nurse wishes to provide client-
xc xc xc xc xc
centered care in all interactions. Which action by the nurse best demonstrates this concept?
xc xc xc xc xc xc xc xc xc xc za xc xc
a. Assesses for cultural influences affecting health care xc xc xc xc xc xc
b. Ensures that all the clients basic needs are met xc xc xc xc xc xc xc xc
c. Tells the client and family about all upcoming tests
xc xc xc xc xc xc xc xc
d. Thoroughly orients the client and family to the room xc xc xc xc xc xc xc xc
ANS: A xc
Competency in client- xc xc
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, client ed
xc xc xc xc xc xc xc xc xc xc xc x c xc xc
ucation, and empowerment. By assessing the effect of the clients culture on health care, this nurse is pract
xc xc xc xc xc xc xc xc xc xc xc xc xc xc x c x c x c x c x c
ici ng client-focused care. Providing for basic needs does not demonstrate this competence.
xc x c x c x c x c x c x c x c x c x c x c x c
Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
and family to the room is an important safety measure, but not directly related to demonstrating client-
xc xc xc xc xc xc zx c xc xc xc xc za xc xc xc xc
centered care.
xc xc
DIF: Understanding/Comprehension REF: 3
x c x c x c xc
KEY: Patient- xc
centered care| culture MSC: Integrated Process: Caring NOT: Client N ee
xc xc xc xc xc xc xc xc xc xc
ds Category: Psychosocial Integrity
xc xc xc
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 m
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc za
m Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
xc xc xc za xc xc xc xc xc xc xc za xc xc xc xc xc
a. Call the Rapid Response Team.xc xc xc xc
b. Document and continue to monitor. xc xc xc xc
c. Notify the primary care provider. xc xc xc xc
d. Repeat blood pressure measurement in 15 minutes.
xc xc xc xc xc xc
ANS: A xc
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
x c x c x c x c x c x c x c x c x c x c x c x c x c x c x c
before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
nurse s hould call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly si
xc xc x c xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
gnificant. Documentation is vital, but the nurse must do more than document. The primary care provider shou
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ld be no tified, but this is not the priority over calling the RRT. The clients blood pressure should be reassess
xc xc xc xc za xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ed freq uently, but the priority is getting the rapid care to the client.
xc xc xc za xc xc xc xc xc xc xc xc xc
DIF: Applying/Application REF: 3
xc x c xc
KEY: Rapid Response Team (RRT)| medical emergencies MS
xc xc xc xc xc xc x c xc
C: Integrated Process: Communication and Documentation
xc xc xc xc za
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
xc xc xc xc x c xc xc
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to
xc xc xc za xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc x c
h elp the client promote his or her own safety?
xc xc xc xc xc xc xc xc zx c
a. Encourage the client and family to be active partners. xc xc xc xc xc xc xc xc
b. Have the client monitor hand hygiene in caregivers.
xc xc zaxc xc xc xc xc
c. Offer the family the opportunity to stay with the client.
xc xc xc xc xc xc xc xc xc
d. Tell the client to always wear his or her armband.
xc xc xc xc xc xc xc xc xc
ANS: A xc
Each action could be important for the client or family to perform. However, encouraging the c
x c x c x c x c x c x c x c x c x c x c x c x c x c x c x c
lient to be active in his or her health care as a partner is the most critical. The other actions are very limited i
x c xc xc xc xc xc xc xc xc xc xc xc xc xc xc za xc xc xc xc xc xc xc
n scope a nd do not provide the broad protection that being active and involved does.
xc xc xc x c xc za xc xc xc xc xc xc xc xc xc
DIF: Understanding/Comprehension REF: 3 KE
xc xc xc xc
Y: Patient safety
xc xc
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xc xc xc xc Want to earn $1.236
xc xc xc
Distribution of this document is illegal extra per year?
,
,
, OverviewofProfessionalNursingConceptsforMedical- xc xc xc xc xc xc
Surgical Nursing
xc xc
MULTIPLE CHOICE x c
1. A nurse wishes to provide client-
xc xc xc xc xc
centered care in all interactions. Which action by the nurse best demonstrates this concept?
xc xc xc xc xc xc xc xc xc xc za xc xc
a. Assesses for cultural influences affecting health care xc xc xc xc xc xc
b. Ensures that all the clients basic needs are met xc xc xc xc xc xc xc xc
c. Tells the client and family about all upcoming tests
xc xc xc xc xc xc xc xc
d. Thoroughly orients the client and family to the room xc xc xc xc xc xc xc xc
ANS: A xc
Competency in client- xc xc
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, client ed
xc xc xc xc xc xc xc xc xc xc xc x c xc xc
ucation, and empowerment. By assessing the effect of the clients culture on health care, this nurse is pract
xc xc xc xc xc xc xc xc xc xc xc xc xc xc x c x c x c x c x c
ici ng client-focused care. Providing for basic needs does not demonstrate this competence.
xc x c x c x c x c x c x c x c x c x c x c x c
Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
and family to the room is an important safety measure, but not directly related to demonstrating client-
xc xc xc xc xc xc zx c xc xc xc xc za xc xc xc xc
centered care.
xc xc
DIF: Understanding/Comprehension REF: 3
x c x c x c xc
KEY: Patient- xc
centered care| culture MSC: Integrated Process: Caring NOT: Client N ee
xc xc xc xc xc xc xc xc xc xc
ds Category: Psychosocial Integrity
xc xc xc
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 m
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc za
m Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
xc xc xc za xc xc xc xc xc xc xc za xc xc xc xc xc
a. Call the Rapid Response Team.xc xc xc xc
b. Document and continue to monitor. xc xc xc xc
c. Notify the primary care provider. xc xc xc xc
d. Repeat blood pressure measurement in 15 minutes.
xc xc xc xc xc xc
ANS: A xc
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
x c x c x c x c x c x c x c x c x c x c x c x c x c x c x c
before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
nurse s hould call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly si
xc xc x c xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
gnificant. Documentation is vital, but the nurse must do more than document. The primary care provider shou
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ld be no tified, but this is not the priority over calling the RRT. The clients blood pressure should be reassess
xc xc xc xc za xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ed freq uently, but the priority is getting the rapid care to the client.
xc xc xc za xc xc xc xc xc xc xc xc xc
DIF: Applying/Application REF: 3
xc x c xc
KEY: Rapid Response Team (RRT)| medical emergencies MS
xc xc xc xc xc xc x c xc
C: Integrated Process: Communication and Documentation
xc xc xc xc za
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
xc xc xc xc x c xc xc
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to
xc xc xc za xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc x c
h elp the client promote his or her own safety?
xc xc xc xc xc xc xc xc zx c
a. Encourage the client and family to be active partners. xc xc xc xc xc xc xc xc
b. Have the client monitor hand hygiene in caregivers.
xc xc zaxc xc xc xc xc
c. Offer the family the opportunity to stay with the client.
xc xc xc xc xc xc xc xc xc
d. Tell the client to always wear his or her armband.
xc xc xc xc xc xc xc xc xc
ANS: A xc
Each action could be important for the client or family to perform. However, encouraging the c
x c x c x c x c x c x c x c x c x c x c x c x c x c x c x c
lient to be active in his or her health care as a partner is the most critical. The other actions are very limited i
x c xc xc xc xc xc xc xc xc xc xc xc xc xc xc za xc xc xc xc xc xc xc
n scope a nd do not provide the broad protection that being active and involved does.
xc xc xc x c xc za xc xc xc xc xc xc xc xc xc
DIF: Understanding/Comprehension REF: 3 KE
xc xc xc xc
Y: Patient safety
xc xc
