Medical Surgical Nursing Concepts for Clinical Judgment and Collaborative Care, 11e (Eleventh Edition) by Donna D Ignatavicius All Chapters Complete Nursing Exam Resource Test Bank

Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
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6Collaborative
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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MULTIPLE CHOICE
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,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
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A nurse wishes to provide client-centered care in all interactions.Which
1.Collaborative
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6




6 t action by the nurse bestdemonstrates this concept? 6t 6t 6t 6t 6 t 6 t 6 t




a. Assesses for cultural influences 6 t 6 t 6 t 6 t affecting health 6 t 6 t care
b. Ensures that all the clients 6 t 6 t 6 t 6 t 6 t basic needs are met 6 t 6 t 6 t




c. Tells the client and family 6 t 6 t 6 t 6 t 6 t about all upcoming tests 6 t 6t 6t 6 t




d. Thoroughly orients the client 6 t 6t 6 t 6 t and family to the room 6 t 6 t 6 t 6 t




ANS: A 6 t




Competency in client-focused care is demonstrated when the nurse focuses on 6t 6t 6t 6t 6t 6t 6t 6t 6t 6t




6t communication, culture, respect compassion, client education, and 6t 6t 6t 6t 6 t 6 t




6 t empowerment.By assessing the effect of the clients culture on health care, this t
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6 t nurse is practicing client- focused care. Providing for basic needs does not
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6 t demonstrate this competence. Simply telling the client about all upcoming 6t 6t 6t 6 t 6 t 6 t 6 t 6 t 6 t




6 t tests is not providing empowering education. 6 t 6 t 6t 6t 6t




Orienting the client and family to the room is an important safety measure, 6t 6t 6t 6t 6t 6 t 6 t 6 t 6 t 6 t 6 t 6 t




6 t butnot directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension
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KEY: Patient-centered care| culture MSC: Integrated
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Process: CaringNOT: Client Needs Category:
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Psychosocial Integrity 6 t




2. A nurse is caring for a postoperative client on the surgical unit. The clients
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blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50
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6 t mm Hg. What action by the nurse is best?
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a. Call the Rapid 6t 6 t 6 t Response Team. 6 t




b. Document and continue 6 t 6 t 6 t to monitor. 6 t




c. Notify the primary 6t 6 t 6 t care provider. 6 t




d. Repeat blood 6t 6 t pressure 6 t measurement 6 t in 15 minutes. 6 t 6 t




ANS: A 6 t




The purpose of the Rapid Response Team (RRT)
6t 6t 6 t 6t 6t 6 t 6t 6t 6 t 6t 6t 6 t 6t 6t 6 t 6t 6t 6 t 6t 6t 6 t is to intervene when 6t 6t 6t




6t clients are deteriorating before they suffer either respiratory or cardiac arrest.
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6t Since the client has manifested a significant change, the nurse should call
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6 t the

,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
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6RRT. Changes in blood pressure, mental status, heart rate,
Collaborative
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particularly significant.
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6 6 t

, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
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6Collaborative
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Documentation is vital, but the nurse must do more than document. The 6t 6 t 6 t 6 t 6 t 6 t 6 t 6 t 6 t 6 t 6 t




primary care provider should be notified, but this is not the priority
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6 t over calling the RRT. The clients blood pressure should be reassessed
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6t frequently, but the priority is getting the rapid care to the client. 6t 6 t 6 t 6 t 6 t 6 t 6t 6t 6t 6t 6t 6 t




DIF: Applying/Application REF: 3 6 t 6 t 6 t




KEY: Rapid Response Team (RRT)| 6 t 6 t 6 t 6 t




6 t medicalemergencies MSC: Integrated t
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6 t Process:
Communication and Documentation 6 t 6 t




NOT: Client Needs Category: 6 t 6 t 6 t 6 t Physiological Integrity: 6 t 6 t Physiological Adaptation 6 t




3. A nurse is orienting a new client and family to the inpatient unit. What information
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6t does the nurse provide to help the client promote his or her ownsafety?
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6




a. Encourage the client 6 t 6t 6 t and family to be active partners. 6 t 6 t 6 t 6 t 6 t




b. Have the client 6 t 6 t 6 t monitor hand 6 t 6 t hygiene in caregivers. 6 t 6 t




c. Offer the family the opportunity 6 t 6 t 6 t 6 t 6 t to stay with 6 t 6 t 6 t the client. 6 t




d. Tell the client 6 t 6 t 6 t to always 6 t 6 t wear his 6 t 6 t or her armband. 6 t 6 t




ANS: A 6 t




Each action could be important for the client
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6t However, encouraging the client to be active in his or her health care as a 6t 6t 6 t 6t 6t 6 t 6t 6t 6 t 6t 6t 6 t 6t 6 t 6t 6t 6 t




6t partner is the most critical. The other actions are very limited in scope and 6t 6t 6t 6t 6t 6 t 6 t 6 t 6 t 6 t 6 t 6 t 6 t




6 t donot provide the broad protection that
t
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6 t does.


DIF:
Understanding/Comprehension
REF: 3KEY: Patient safety
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