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TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius,

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hapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing MULTIPLE CHOICE 1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept? a. Assesses for cultural influences affecting health care b. Ensures that all the clients basic needs are met c. Tells the client and family about all upcoming tests d. Thoroughly orients the client and family to the room CORRECT ANSWER: A Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, client education, and empowerment. By assessing the effect of the clients culture on health care, this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence. Simply telling the client about all upcoming testsis not providing empowering education. Orienting the client and family to the room is an important safety measure, but not directly related to demonstrating client-centered care. DIF: Understanding/Comprehension REF: 3 KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs Category: Psychosocial Integrity 2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best? a. Call the Rapid Response Team. b. Document and continue to monitor. c. Notify the primary care provider. d. Repeat blood pressure measurement in 15 minutes. CORRECT ANSWER: A The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do more than document. The primary care provider should be notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed frequently, but the priority is getting the rapid care to the client. DIF: Applying/Application REF: 3 KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation

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TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care

11th Edition by Donna D. Ignatavicius,
All 65 chapters Available q

,Contents
1.qOverviewqofqProfessionalqNursingqConceptsqforqMedical-SurgicalqNursing
2.qClinicalqJudgmentqandqSystemsqThinking
3.qOverviewqofqHealthqConceptsqforqMedical-SurgicalqNursing
4.qConceptsqofqCareqforqOlderqAdults
5.qConceptsqofqCareqforqTransgenderqandqNon-BinaryqPatients
6.qAssessmentqandqConceptsqofqCareqforqPatientsqwithqPain
7.qConceptsqofqRehabilitationqforqChronicqandqDisablingqHealthqConditions
8.qConceptsqofqCareqforqPatientsqatqEnd-of-Life
9.qConceptsqofqCareqforqPerioperativeqPatients
10.qConceptsqofqEmergencyqandqTraumaqNursing
11.qConceptsqofqCareqforqPatientsqwithqCommonqEnvironmentalqEmergencies
12.qConceptsqofqDisasterqPreparedness
13.qConceptsqofqFluidqandqElectrolyteqBalanceqandqImbalance
14.qConceptsqofqAcid-BaseqBalanceqandqImbalance
15.qConceptsqofqInfusionqTherapy
16.qConceptsqofqInflammationqandqImmunity
17.qConceptsqofqCareqforqPatientsqwithqAllergyqandqImmunityqConditions
18.qConceptsqofqCareqforqPatientsqwithqCancer
19.qConceptsqofqCareqforqPatientsqwithqInfection
20.qAssessmentqofqtheqSkin,qHair,qandqNails
21.qConceptsqofqCareqforqPatientsqwithqConditionsqofqtheqSkin,qHair,qandqNails
22.qAssessmentqofqtheqRespiratoryqSystem
23.qConceptsqofqCareqforqPatientsqwithqNoninfectiousqUpperqRespiratoryqConditions
24.qConceptsqofqCareqforqPatientsqwithqNoninfectiousqLowerqRespiratoryqConditions
25.qConceptsqofqCareqforqPatientsqwithqInfectiousqRespiratoryqConditions
26.qCriticalqCareqofqPatientsqwithqRespiratoryqEmergencies
27.qAssessmentqofqtheqCardiovascularqSystem
28.qConceptsqofqCareqforqPatientsqwithqDysrhythmias
29.qConceptsqofqCareqforqPatientsqwithqCardiacqConditions
30.qConceptsqofqCareqforqPatientsqwithqVascularqConditions
31.qCriticalqCareqofqPatientsqwithqShock
32.qCriticalqCareqofqPatientsqwithqAcuteqCoronaryqSyndromes
33.qAssessmentqofqtheqHematologicqSystem
34.qConceptsqofqCareqforqPatientsqwithqHematologicqConditions
35.qAssessmentqofqtheqNervousqSystem
36.qConceptsqofqCareqforqPatientsqwithqConditionsqofqtheqCentralqNervousqSystem:qTheqBrain
37.qConceptsqofqCareqforqPatientsqwithqConditionsqofqtheqCentralqNervousqSystem:qTheqSpinalq
Cord
38.qCriticalqCareqofqPatientsqwithqNeurologicqEmergencies
39.qAssessmentqandqConceptsqofqCareqforqPatientsqwithqEyeqandqVisionqConditions
40.qAssessmentqandqConceptsqofqCareqforqPatientsqwithqEarqandqHearingqConditions
41.qAssessmentqofqtheqMusculoskeletalqSystem
42.qConceptsqofqCareqforqPatientsqwithqMusculoskeletalqConditions
43.qConceptsqofqCareqforqPatientsqwithqArthritisqandqTotalqJointqArthroplasty

,44.qConceptsqofqCareqforqPatientsqwithqMusculoskeletalqTrauma
45.qAssessmentqofqtheqGastrointestinalqSystem
46.qConceptsqofqCareqforqPatientsqwithqOralqCavityqandqEsophagealqConditions
47.qConceptsqofqCareqforqPatientsqwithqStomachqConditions
48.qConceptsqofqCareqforqPatientsqwithqNoninflammatoryqIntestinalqConditions
49.qConceptsqofqCareqforqPatientsqwithqInflammatoryqIntestinalqConditions
50.qConceptsqofqCareqforqPatientsqwithqLiverqConditions
51.qConceptsqofqCareqforqPatientsqwithqConditionsqofqtheqBiliaryqSystemqandqPancreas
52.qConceptsqofqCareqforqPatientsqwithqMalnutrition:qUndernutritionqandqObesity
53.qAssessmentqofqtheqEndocrineqSystem
54.qConceptsqofqCareqforqPatientsqwithqPituitaryqandqAdrenalqGlandqConditions
55.qConceptsqofqCareqforqPatientsqwithqConditionsqofqtheqThyroidqandqParathyroidqGlands
56.qConceptsqofqCareqforqPatientsqwithqDiabetesqMellitus
57.qAssessmentqofqtheqRenal/UrinaryqSystem
58.qConceptsqofqCareqforqPatientsqwithqUrinaryqConditions
59.qConceptsqofqCareqforqPatientsqwithqKidneyqConditions
60.qConceptsqofqCareqforqPatientsqwithqAcuteqKidneyqInjuryqandqChronicqKidneyqDisease
61.qAssessmentqofqtheqReproductiveqSystem
62.qConceptsqofqCareqforqPatientsqwithqBreastqConditions
63.qConceptsqofqCareqforqPatientsqwithqGynecologicqConditions
64.qConceptsqofqCareqforqPatientsqwithqMaleqReproductiveqConditions
65.qConceptsqofqCareqforqPatientsqwithqSexuallyqTransmittedqInfections

, Chapterq01:qOverviewqofqProfessionalqNursingqConceptsqforqMedical-
SurgicalqNursingqIgnatavicius:qMedical-SurgicalqNursing,q11thqEdition



MULTIPLEqCHOICE


1. Aqnewqnurseqisqworkingqwithqaqpreceptorqonqaqmedical-
surgicalqunit.qTheqpreceptorqadvisesqtheqnewqnurseqthatqwhichqisqtheqpriorityqwhenqworkingqasq
aqprofessionalqnurse?
a. Attendingqtoqholisticqclientqneeds
b. Ensuringqclientqsafety
c. Notqmakingqmedicationqerrors
d. Providingqclient-focusedqcare

CORRECTqANSWER:q B
Allqactionsqareqappropriateqforqtheqprofessionalqnurse.qHowever,qensuringqclientqsafetyqisqtheqpr
iority.qHealthqcareqerrorsqhaveqbeenqwidelyqreportedqforq25qyears,qmanyqofqwhichqresultqinqclien
tqinjury,qdeath,qandqincreasedqhealthqcareqcosts.qThereqareqseveralqnationalqandqinternationalqo
rganizationsqthatqhaveqeitherqrecommendedqorqmandatedqsafetyqinitiatives.
Everyqnurseqhasqtheqresponsibilityqtoqguardqtheqclient’sqsafety.qTheqotherqactionsqareqimportant
qforqqualityqnursing,qbutqtheyqareqnotqasqvitalqasqprovidingqsafety.qNotqmakingqmedicationqerrors
qdoesqprovideqsafety,qbutqisqtooqnarrowqinqscopeqtoqbeqtheqbestqanswer.

DIF: Understanding
TOP:q IntegratedqProcess:qNursingqProcess:qInterventionqKEY:qClientqsafety
MSC:q ClientqNeedsqCategory:qSafeqandqEffectiveqCareqEnvironment:qSafetyqandqInfectionqControl


2. Aqnurseqisqorientingqaqnewqclientqandqfamilyqtoqtheqmedical-

surgicalqunit.qWhatqinformationqdoesqtheqnurseqprovideqtoqbestqhelpqtheqclientqpromoteqhisq
orqherqownqsafety?
a. Encourageqtheqclientqandqfamilyqtoqbeqactiveqpartners.

b. Haveqtheqclientqmonitorqhandqhygieneqinqcaregivers.
c. Offerqtheqfamilyqtheqopportunityqtoqstayqwithqtheqclient.
d. Tellqtheqclientqtoqalwaysqwearqhisqorqherqarmband.

CORRECTqANSWER:q A

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