Test Bank for Medical-Surgical-Nursing-10th-Edition-Lewis Medical-Surgical Nursing - E-Book ISBN:9780323371438

Medical Surgical Nursing 10th EditionI
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Medical Surgical Nursing 10th EditionI
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,Medical Surgical Nursing 10th EditionI
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Medical Surgical Nursing 10th EditionI
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, Medical Surgical Nursing 10th EditionI vt vt vt vt tv




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Medical-Surgical Nursing, 10th Edition vt vt vt




MULTIPLE CHOICE vt




1. A new nurse is working with a preceptor on a medical-
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surgical unit. The preceptor advises thenew nurse that which is the priority when working as a
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professional nurse? vt



a. Attending to holistic client needs vt vt vt vt



b. Ensuring client safety vt vt



c. Not making medication errors vt vt vt



d. Providing client-focused care vt vt




ANS: B vt



All actions are appropriate for the professional nurse. However, ensuring client safety is thep
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riority. Health care errors have been widely reported for 25 years, many of which result inclie
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nt injury, death, and increased health care costs. There are several national and international o
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rganizations that have either recommended or mandated safety initiatives.
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Every nurse has the responsibility to guard the client’s safety. The other actions are important fo
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r quality nursing, but they are not as vital as providing safety. Not making medication errorsdoe
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s provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding
TOP: Integrated Process: Nursing Process: InterventionKEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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2. A nurse is orienting a new client and family to the medical-
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surgical unit. What informationdoes the nurse provide to best help the client promote his or h
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er own safety?
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a. Encourage the client and family to be active partners. vt vt vt vt vt vt vt vt



b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: A vt



Each action could be important for the client or family to perform. However, encouraging the cl
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ient to be active in his or her health care as a safety partner is the most critical. The other actions
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are very limited in scope and do not provide the broad protection that being active andinvolved
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does.

DIF: Understanding
TOP: Integrated Process: Teaching/LearningKEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure wa
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Medical Surgical Nursing 10th EditionI vt vt vt vt tv




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, Medical Surgical Nursing 10th EditionI vt vt vt vt tv




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s 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nursetake
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first?
a. Call the Rapid Response Team.
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b. Document and continue to monitor.
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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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Medical Surgical Nursing 10th EditionI
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