Test Bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition by Donna D. Ignatavicius Chapter 1-69 |Complete Guide A+

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Medical Surgical Nursing 10th v v b m b




Edition Ignatavicius Workman v v




Test Bank bm b m b



Chapter 01: Overview of Professional Nursing Concepts
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Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE v CHOICE

1. A v new nurse is working with a preceptor on a v v v v v v v v v medical-surgical unit. v




v The preceptor advises the new nurse that which
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v when working as a professional nurse? v v v v v




a. Attending to holistic client needs v v v v




b. Ensuring client safety v v




c. Not making medication errors v v v




d. Providing client-focused care v v




ANS: v B
All actions are appropriate for the professional nurse. bmHowever, ensuring
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client safety
v is the priority. Health care errors mhave been v widely v v v v v v v v v




reported
v for 25 years, many of which result in client minjury, v v v v v v v v v v




death,
v and increased health care costs. There are several national v v v v v v v v v




and v international organizations that have either recommended
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mandated safetybminitiatives.
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Every nurse has the responsibility bmto mguard the client’s safety. The other
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actions are important
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for quality nursing, but theybmarebmnotbmas vital as providing safety. Not making
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medication errors does provide b safety, but is too narrow in scope
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to be the best answer.
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DIF: Understanding bTOP: bmIntegrated Process: Nursing Process: Intervention KEY: Client v v v v v v v v




safety
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MSC: Client NeedsbmCategory: Safe and Effective
v Care Environment: Safety and v v v v v v v v




Infection Control
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2. A nursebmisbmorienting a new client and family to the medical-surgical unit.
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Whatbminformation does the nurse provide to best help the client promote v v v v v v v v v v v his
bmor herbmownb safety? v v v




a. Encourage the client and family to be active partners. v v v v v v v v




b. Havebmthe client monitor hand hygiene in caregivers. v v v v v v




c. Offer the family the opportunity to stay with the client. v v v v v v v v v




d. Tell the client to always wear his or her armband. v v v v v v v v v




ANS: v A
Each action could be important for the client or family to perform.
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However, encouraging the client to be active in his or her health
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as a safety
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partner is the most critical. The other actions are very limited in v v v v v v v v v v v




scope and do not provide the broad protection that being active
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and involved does.
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DIF: Understanding TOP: Integrated v




Process: Teaching/Learning KEY: Client safety
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MSC: Client Needs Category: Safe and Effective
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Infection Control
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3. A v nurse is caring for a postoperative client on the surgical unit. v v v v v v v v v v




v The client’s blood pressure was 142/76 mm Hg 30 minutes ago,
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v and now is 88/50 mm Hg. What action would the nurse take
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v first? a. Call the Rapid Response Team. v v v v v v




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b. Document
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and continue to monitor.
ignatavicius
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c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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ANS: v A
The purpose of the Rapid Response Team (RRT) is to intervene
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when clients are deteriorating before they suffer either respiratory or
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cardiac arrest. Since
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the client has manifested a significant change, the nurse would call the
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RRT.
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Changes in blood pressure, mental status, heart rate, temperature, v v v v v v v v




oxygen saturation, and last 2 hours’ urine output are particularly
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significant and are
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part of the Modified Early Warning System guide. Documentation is
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vital, but the nurse must do more than document. The primary
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health care provider would be notified, but this is not more
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important than calling the RRT. The client’s blood pressure would be
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reassessed frequently, but the priority is
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getting the rapid care to the client. v v v v v v




DIF: Applying TOP: Integrated Process: Communication and v v v v v




Documentation KEY: Rapid Response Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A v nurse wishes to provide client-centered care in all interactions.
v v v v v v v v v Which
v action by the nurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care. v v v v v v




b. Ensures that all the client’s basic needs are met. v v v v v v v v




c. Tells the client and family about all upcomingbmtests.b
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d. Thoroughly orients the client and family to thebmroom. v v v v v v v




ANS: v A
Showing respect for the client and family’s b preferences and needs is
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essential to ensure a
v holistic or “whole-person” b approach to care. v v v v v v v v v v




By assessing the effect of the client’s culture on bmhealth b care, this
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nurse is practicing clientfocused care. Providing for bmbasic b needs does
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not demonstrate this competence.
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Simply telling the client mabout mall upcoming v tests is not v v v v v v v v




providing empowering education. Orienting mthe client and family to
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the room is an important safety bmmeasure, bmbut not directly related to
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demonstrating clientcentered care.b
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DIF: Understanding TOP: Integrated v v Process: Culture and v v




Spirituality KEY: bm Client-centered v v v v care, Culture v MSC: Client Needs v v vCategory:
Psychosocial mIntegrity
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5. A clientbmis mgoingbmto be admitted for a scheduled surgical procedure. Which
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actionbmdoesbmthe nurse explain is the most important thing the client can v v v v v v v v v v v do
bmto protectbmagainst errors?
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a. Bring ma list of all medications and what they are for.
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b. Keepbmthe provider’s phone number by the telephone. v v v v v v




c. Make sure that all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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ANS: v A
Medication reconciliation is a formal process in which the client’s actual current
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medications are compared to the prescribed medications at the time
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admission, transfer, or discharge. This National client Safety Goal is v v v v v v v v v




important to reduce medication errors. The client would not have to be
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responsible for providers washing their hands, and even if the client
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does so, this is too
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narrow to be the most important action to prevent errors. Keeping
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the provider’s phone number nearby and documenting everyone who
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enters the room also do not guarantee safety.
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DIF: Applying TOP: Integrated Process: v v v




Teaching/Learning KEY: Client safety, Informatics v v v v




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