8
Test Bank Medical-Surgical Nursing Concepts for
Interprofessional Collaborative Care 10th
Edition by Donna D. Ignatavicius Chapter 1-69
|Complete Guide A+
, 8
Chapter8001:80Overview80of80Professional80Nursing80Concepts80for80Medical-
Surgical80Nursing80Ignatavicius:80Medical-Surgical80Nursing,8010th80Edition
MULTIPLE80CHOICE
1. A80new80nurse80is80working80with80a80preceptor80on80a80medical-
surgical80unit.80The80preceptor80advises80the80new80nurse80that80which80is80the80priority80wh
en80working80as80a80professional80nurse?
a. Attending80to80holistic80client80needs
b. Ensuring80client80safety
c. Not80making80medication80errors
d. Providing80client-focused80care
ANS:80 B
All80actions80are80appropriate80for80the80professional80nurse.80However,80ensuring80client80safe
ty80is80the80priority.80Health80care80errors80have80been80widely80reported80for802580years,80man
y80of80which80result80in80client80injury,80death,80and80increased80health80care80costs.80There80a
re80several80national80and80international80organizations80that80have80either80recommended80or
80mandated80safety80initiatives.
Every80nurse80has80the80responsibility80to80guard80the80client9s80safety.80The80other80actions80
are80important80for80quality80nursing,80but80they80are80not80as80vital80as80providing80safety.80N
ot80making80medication80errors80does80provide80safety,80but80is80too80narrow80in80scope80to80b
e80the80best80answer.
DIF: Understanding
TOP:80 Integrated80Process:80Nursing80Process:80Intervention80KEY:80Client80safety
MSC:8 0 Client80Needs80Category:80Safe80and80Effective80Care80Environment:80Safety80and80Infection80Co
ntrol
2. A80nurse80is80orienting80a80new80client80and80family80to80the80medical-
surgical80unit.80What80information80does80the80nurse80provide80to80best80help80the80client80
promote80his80or80her80own80safety?
a. Encourage80the80client80and80family80to80be80active80partners.
b. Have80the80client80monitor80hand80hygiene80in80caregivers.
c. Offer80the80family80the80opportunity80to80 stay80with80the80client.
d. Tell80the80client80to80always80wear80his80or80her80armband.
ANS:80 A
Each80action80could80be80important80for80the80client80or80family80to80perform.80However,80enc
ouraging80the80client80to80be80active80in80his80or80her80health80care80as80a80safety80partner80is80
the80most80critical.80The80other80actions80are80very80limited80in80scope80and80do80not80provide80
the80broad80protection80that80being80active80and80involved80does.
DIF: Understanding
TOP:80Integrated80Process:80Teaching/Learning80KEY:80Client80safety
MSC:8 0 Client80Needs80Category:80Safe80and80Effective80Care80Environment:80Safety80and80Infection80Co
ntrol
3. A80nurse80is80caring80for80a80postoperative80client80on80the80surgical80unit.80The80client9s80
blood80pressure80was80142/7680mm80Hg803080minutes80ago,80and80now80is8088/5080mm80Hg.
80What80action80would80the80nurse80take80first?
a. Call80the80Rapid80Response80Team.
b. Document80and80continue80to80monitor.
, 8
c. Notify80the80primary80health80care80provider.
d. Repeat80the80blood80pressure80in801580minutes.
, 8
ANS:80 A
The80purpose80of80the80Rapid80Response80Team80(RRT)80is80to80intervene80when80clients80are80
deteriorating80before80they80suffer80either80respiratory80or80cardiac80arrest.80Since80the80client
80has80manifested80a80significant80change,80the80nurse80would80call80the80RRT.80Changes80in80
blood80pressure,80mental80status,80heart80rate,80temperature,80oxygen80saturation,80and80last802
80hours980urine80output80are80particularly80significant80and80are80part80of80the80Modified80Earl
y80Warning80System80guide.80Documentation80is80vital,80but80the80nurse80must80do80more80tha
n80document.80The80primary80health80care80provider80would80be80notified,80but80this80is80not80
more80important80than80calling80the80RRT.80The80client9s80blood80pressure80would80be80reass
essed80frequently,80but80the80priority80is80getting80the80rapid80care80to80the80client.
DIF: Applying
TOP:80Integrated80Process:80Communication80and80Documentation80KEY:80
Rapid80Response80Team80(RRT),80Clinical80judgment
MSC:80 Client80Needs80Category:80Physiological80Integrity:80Physiological80Adaptation
4. A80nurse80wishes80to80provide80client-
centered80care80in80all80interactions.80Which80action80by80the80nurse
best80demonstrates80this80concept?
a. Assesses80for80cultural80influences80affecting80health80care.
b. Ensures80that80all80the80client9s80basic80needs80are80met.
c. Tells80the80client80and80family80about80all80upcoming80tests.
d. Thoroughly80orients80the80client80and80family80to80the80room.
ANS:80 A
Showing80respect80for80the80client80and80family9s80preferences80and80needs80is80essential80to8
0ensure80a80holistic80or80<whole-
person=80approach80to80care.80By80assessing80the80effect80of80the80client9s80culture80on80health80
care,80this80nurse80is80practicing80client-
focused80care.80Providing80for80basic80needs80does80not80demonstrate80this80competence.80Si
mply80telling80the80client80about80all80upcoming80tests80is80not80providing80empowering80educ
ation.80Orienting80the80client80and80family80to80the80room80is80an80important80safety80measure,8
0but80not80directly80related80to80demonstrating80client-centered80care.
DIF: Understanding
TOP:80Integrated80Process:80Culture80and80Spirituality80KEY:8 0 Client-
centered80care,80Culture
MSC:80 Client80Needs80Category:80Psychosocial80Integrity
5. A80client80is80going80to80be80admitted80for80a80scheduled80surgical80procedure.80Which80ac
tion80does80the80nurse80explain80is80the80most80important80thing80the80client80can80do80to8
0protect80against80errors?
a. Bring80a80list80 of80all80medications80and80what80they80are80for.
b. Keep80the80provider9s80phone80number80by80the80telephone.
c. Make80sure80that80all80providers80wash80hands80before80entering80the80room.
d. Write80down80the80name80of80each80caregiver80who80 comes80in80the80room.
ANS:80 A
Medication80reconciliation80is80a80formal80process80in80which80the80client9s80actual80current80m
edications80are80compared80to80the80prescribed80medications80at80the80time80of80admission,80t
ransfer,80or80discharge.80This80National80client80Safety80Goal80is80important80to80reduce80me
dication80errors.80The80client80would80not80have80to80be80responsible80for80providers80washin
g80their80hands,80and80even80if80the80client80does80so,80this80is80too80narrow80to80be80the80mo
st80important80action80to80prevent80errors.80Keeping80the80provider9s80phone80number80nearb
y80and80documenting80everyone80who80enters80the80room80also80do80not80guarantee80safety.
DIF: Applying
TOP:80Integrated80Process:80Teaching/Learning80KEY:80Cl
ient80safety,80Informatics
MSC:8 0 Client80Needs80Category:80Safe80and80Effective80Care80Environment:80Safety80and80Infection80Co
Test Bank Medical-Surgical Nursing Concepts for
Interprofessional Collaborative Care 10th
Edition by Donna D. Ignatavicius Chapter 1-69
|Complete Guide A+
, 8
Chapter8001:80Overview80of80Professional80Nursing80Concepts80for80Medical-
Surgical80Nursing80Ignatavicius:80Medical-Surgical80Nursing,8010th80Edition
MULTIPLE80CHOICE
1. A80new80nurse80is80working80with80a80preceptor80on80a80medical-
surgical80unit.80The80preceptor80advises80the80new80nurse80that80which80is80the80priority80wh
en80working80as80a80professional80nurse?
a. Attending80to80holistic80client80needs
b. Ensuring80client80safety
c. Not80making80medication80errors
d. Providing80client-focused80care
ANS:80 B
All80actions80are80appropriate80for80the80professional80nurse.80However,80ensuring80client80safe
ty80is80the80priority.80Health80care80errors80have80been80widely80reported80for802580years,80man
y80of80which80result80in80client80injury,80death,80and80increased80health80care80costs.80There80a
re80several80national80and80international80organizations80that80have80either80recommended80or
80mandated80safety80initiatives.
Every80nurse80has80the80responsibility80to80guard80the80client9s80safety.80The80other80actions80
are80important80for80quality80nursing,80but80they80are80not80as80vital80as80providing80safety.80N
ot80making80medication80errors80does80provide80safety,80but80is80too80narrow80in80scope80to80b
e80the80best80answer.
DIF: Understanding
TOP:80 Integrated80Process:80Nursing80Process:80Intervention80KEY:80Client80safety
MSC:8 0 Client80Needs80Category:80Safe80and80Effective80Care80Environment:80Safety80and80Infection80Co
ntrol
2. A80nurse80is80orienting80a80new80client80and80family80to80the80medical-
surgical80unit.80What80information80does80the80nurse80provide80to80best80help80the80client80
promote80his80or80her80own80safety?
a. Encourage80the80client80and80family80to80be80active80partners.
b. Have80the80client80monitor80hand80hygiene80in80caregivers.
c. Offer80the80family80the80opportunity80to80 stay80with80the80client.
d. Tell80the80client80to80always80wear80his80or80her80armband.
ANS:80 A
Each80action80could80be80important80for80the80client80or80family80to80perform.80However,80enc
ouraging80the80client80to80be80active80in80his80or80her80health80care80as80a80safety80partner80is80
the80most80critical.80The80other80actions80are80very80limited80in80scope80and80do80not80provide80
the80broad80protection80that80being80active80and80involved80does.
DIF: Understanding
TOP:80Integrated80Process:80Teaching/Learning80KEY:80Client80safety
MSC:8 0 Client80Needs80Category:80Safe80and80Effective80Care80Environment:80Safety80and80Infection80Co
ntrol
3. A80nurse80is80caring80for80a80postoperative80client80on80the80surgical80unit.80The80client9s80
blood80pressure80was80142/7680mm80Hg803080minutes80ago,80and80now80is8088/5080mm80Hg.
80What80action80would80the80nurse80take80first?
a. Call80the80Rapid80Response80Team.
b. Document80and80continue80to80monitor.
, 8
c. Notify80the80primary80health80care80provider.
d. Repeat80the80blood80pressure80in801580minutes.
, 8
ANS:80 A
The80purpose80of80the80Rapid80Response80Team80(RRT)80is80to80intervene80when80clients80are80
deteriorating80before80they80suffer80either80respiratory80or80cardiac80arrest.80Since80the80client
80has80manifested80a80significant80change,80the80nurse80would80call80the80RRT.80Changes80in80
blood80pressure,80mental80status,80heart80rate,80temperature,80oxygen80saturation,80and80last802
80hours980urine80output80are80particularly80significant80and80are80part80of80the80Modified80Earl
y80Warning80System80guide.80Documentation80is80vital,80but80the80nurse80must80do80more80tha
n80document.80The80primary80health80care80provider80would80be80notified,80but80this80is80not80
more80important80than80calling80the80RRT.80The80client9s80blood80pressure80would80be80reass
essed80frequently,80but80the80priority80is80getting80the80rapid80care80to80the80client.
DIF: Applying
TOP:80Integrated80Process:80Communication80and80Documentation80KEY:80
Rapid80Response80Team80(RRT),80Clinical80judgment
MSC:80 Client80Needs80Category:80Physiological80Integrity:80Physiological80Adaptation
4. A80nurse80wishes80to80provide80client-
centered80care80in80all80interactions.80Which80action80by80the80nurse
best80demonstrates80this80concept?
a. Assesses80for80cultural80influences80affecting80health80care.
b. Ensures80that80all80the80client9s80basic80needs80are80met.
c. Tells80the80client80and80family80about80all80upcoming80tests.
d. Thoroughly80orients80the80client80and80family80to80the80room.
ANS:80 A
Showing80respect80for80the80client80and80family9s80preferences80and80needs80is80essential80to8
0ensure80a80holistic80or80<whole-
person=80approach80to80care.80By80assessing80the80effect80of80the80client9s80culture80on80health80
care,80this80nurse80is80practicing80client-
focused80care.80Providing80for80basic80needs80does80not80demonstrate80this80competence.80Si
mply80telling80the80client80about80all80upcoming80tests80is80not80providing80empowering80educ
ation.80Orienting80the80client80and80family80to80the80room80is80an80important80safety80measure,8
0but80not80directly80related80to80demonstrating80client-centered80care.
DIF: Understanding
TOP:80Integrated80Process:80Culture80and80Spirituality80KEY:8 0 Client-
centered80care,80Culture
MSC:80 Client80Needs80Category:80Psychosocial80Integrity
5. A80client80is80going80to80be80admitted80for80a80scheduled80surgical80procedure.80Which80ac
tion80does80the80nurse80explain80is80the80most80important80thing80the80client80can80do80to8
0protect80against80errors?
a. Bring80a80list80 of80all80medications80and80what80they80are80for.
b. Keep80the80provider9s80phone80number80by80the80telephone.
c. Make80sure80that80all80providers80wash80hands80before80entering80the80room.
d. Write80down80the80name80of80each80caregiver80who80 comes80in80the80room.
ANS:80 A
Medication80reconciliation80is80a80formal80process80in80which80the80client9s80actual80current80m
edications80are80compared80to80the80prescribed80medications80at80the80time80of80admission,80t
ransfer,80or80discharge.80This80National80client80Safety80Goal80is80important80to80reduce80me
dication80errors.80The80client80would80not80have80to80be80responsible80for80providers80washin
g80their80hands,80and80even80if80the80client80does80so,80this80is80too80narrow80to80be80the80mo
st80important80action80to80prevent80errors.80Keeping80the80provider9s80phone80number80nearb
y80and80documenting80everyone80who80enters80the80room80also80do80not80guarantee80safety.
DIF: Applying
TOP:80Integrated80Process:80Teaching/Learning80KEY:80Cl
ient80safety,80Informatics
MSC:8 0 Client80Needs80Category:80Safe80and80Effective80Care80Environment:80Safety80and80Infection80Co
