Ignatavicius & Workman Medical-Surgical Nursing 11th Ed. Test Bank | Practice Questions

Complete Test Bank j j




Medical-
Surgical Nursing: Concepts for Clinical Judgment and Collaborativ
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e Care 11th Edition
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by Donna D. Ignatavicius
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,Chapterj01:jOverviewjofjProfessionaljNursingjConceptsjforjMedical-
SurgicaljNursingjIgnatavicius:jMedical-SurgicaljNursing,j11thjEdition


MULTIPLEjCHOICE

1. Ajnewjnursejisjworkingjwithjajpreceptorjonjajmedical-
surgicaljunit.jThejpreceptorjadvisesjthejnewjnursejthatjwhichjisjthejpriorityjwhenjworkingjasjaj
professionaljnurse?
a. Attendingj toj holisticj clientj needs
b. Ensuringjclientjsafety
c. Notj makingj medicationj errors
d. Providingj client-focusedj care

ANS:j B
Alljactionsjarejappropriatejforjthejprofessionaljnurse.jHowever,jensuringjclientjsafetyjisjthejpri
ority.jHealthjcarejerrorsjhavejbeenjwidelyjreportedjforj25jyears,jmanyjofjwhichjresultjinjclientj
injury,jdeath,jandjincreasedjhealthjcarejcosts.jTherejarejseveraljnationaljandjinternationaljorg
anizationsjthatjhavejeitherjrecommendedjorjmandatedjsafetyjinitiatives.
Everyjnursejhasjthejresponsibilityjtojguardjthejclient‘sjsafety.jThejotherjactionsjarejimportantjfor
jqualityjnursing,jbutjtheyjarejnotjasjvitaljasjprovidingjsafety.jNotjmakingjmedicationjerrorsjdoesj

providejsafety,jbutjisjtoojnarrowjinjscopejtojbejthejbestjanswer.

DIF: Understanding
TOP:jIntegratedjProcess:jNursingjProcess:jInterventionjKEY:jClientjsafety
MSC:j Clientj NeedsjCategory:jSafejandjEffectivejCarejEnvironment:j SafetyjandjInfectionjControl

2. Ajnursejisjorientingjajnewjclientjandjfamilyjtojthejmedical-
surgicaljunit.jWhatjinformationjdoesjthejnursejprovidejtojbestjhelpjthejclientjpromotejhisjorjh
erjownjsafety?
a. Encouragejthej clientj andj familyjtoj bejactivej partners.
b. Havejthejclientjmonitorjhandjhygienejinjcaregivers.
c. Offerjthej familyj thej opportunityjtoj stayjwithj thej client.
d. Telljthejclientjtojalwaysjwearjhisjorjherjarmband.

ANS:j A
Eachjactionjcouldjbejimportantjforjthejclientjorjfamilyjtojperform.jHowever,jencouragingjthejclie
ntjtojbejactivejinjhisjorjherjhealthjcarejasjajsafetyjpartnerjisjthejmostjcritical.jThejotherjactionsjare
jveryjlimitedjinjscopejandjdojnotjprovide jthejbroadjprotectionjthat jbeingjactive jandjinvolvedjdoes.



DIF: Understanding
TOP:jIntegratedjProcess:jTeaching/LearningjKEY:jClientjsafety
MSC:j Clientj NeedsjCategory:jSafejandjEffectivejCarejEnvironment:j SafetyjandjInfectionjControl

3. Ajnursejisjcaringjforjajpostoperativejclientjonjthejsurgicaljunit.jThejclient‘sjbloodjpressurejwa
sj142/76jmmjHgj30jminutesjago,jandjnowjisj88/50jmmjHg.jWhatjactionjwouldjthejnursejtakejfi
rst?
a. Callj thejRapidj ResponsejTeam.
b. Documentj andj continuejtoj monitor.

,c. Notifyjthej primaryj healthj carej provider.

, d. Repeatjthejbloodjpressurejinj15jminutes.
ANS:j A
ThejpurposejofjthejRapidjResponsejTeamj(RRT)jisjtojintervenejwhenjclientsjarejdeterioratingjbef
orejtheyjsufferjeitherjrespiratoryjorjcardiacjarrest.jSincejthejclientjhasjmanifestedjajsignificantjc
hange,jthejnursejwouldjcalljthejRRT.jChangesjinjbloodjpressure,jmentaljstatus,jheartjrate,jtempe
rature,joxygenjsaturation,jandjlastj2jhoursj‘urinejoutputjarejparticularlyjsignificantjandjarejpartjo
fjthejModifiedjEarlyjWarningjSystemjguide.jDocumentationjisjvital,jbutjthejnursejmustjdojmorej
thanjdocument.jThejprimaryjhealthjcarejproviderjwouldjbejnotified,jbutjthisjisjnotjmorejimporta
ntjthanjcallingjthejRRT.jThejclientj‘sjbloodjpressurejwouldjbejreassessedjfrequently,jbutjthejprio
rityjisjgettingjthejrapidjcarejtojthe
client.

DIF: Applying
TOP:jIntegratedjProcess:jCommunicationjandjDocumentationjKEY:jRapidjRe
sponsejTeamj(RRT),jClinicaljjudgment
MSC:j ClientjNeedsjCategory:jPhysiologicaljIntegrity:jPhysiologicaljAdaptation

4. Ajnursejwishesjtojprovidejclient-centeredjcarejinjalljinteractions.j Whichjactionjbyjthejnurse
bestjdemonstratesj thisj concept?
a. Assessesj forj culturalj influencesj affectingj healthj care.
b. Ensuresjthatjallj thej client‘sj basicj needsj arej met.
c. Tellsjthejclientj andj familyjaboutj allj upcomingj tests.
d. Thoroughlyjorientsjthejclientjandjfamilyjtojthejroom.

ANS:j A
Showingjrespectjforjthejclientjandjfamily‘sjpreferencesjandjneedsjisjessentialjtojensurejajholistic
jorj―whole-

person‖japproachjtojcare.jByjassessingjthejeffectjofjthejclient‘sjculturejonjhealthjcare,jthisjnursejisj
practicingjclient-
focusedjcare.jProvidingjforjbasicjneedsjdoesjnotjdemonstratejthisjcompetence.jSimplyjtellingjth
ejclientjaboutjalljupcomingjtestsjisjnotjprovidingjempoweringjeducation.jOrientingjthejclientjand
jfamilyjtojthejroomjisjanjimportantjsafetyjmeasure,jbutjnotjdirectlyjrelatedjtojdemonstrating jclient

-centeredjcare.

DIF: Understanding
TOP:jIntegratedjProcess:jCulturejandjSpiritualityjKEY:j Client-centeredjcare,jCulture
MSC:j ClientjNeedsjCategory:jPsychosocialjIntegrity

5. Ajclientjisjgoingjtojbejadmittedjforjajscheduledjsurgicaljprocedure.jWhichjactionjdoesjthejnu
rsejexplainjisjthejmostjimportantjthingjthejclientjcanjdojtojprotectjagainstjerrors?
a. Bringjajlistjofjalljmedicationsjandjwhatjtheyjarejfor.
b. Keepj thej provider‘sj phonej numberj byjthej telephone.
c. Makejsurejthatj allj providersj washj handsj beforej enteringj thej room.
d. Writejdownjthejnamejofjeachjcaregiverjwhojcomesjinjthejroom.

ANS:j A
Medicationjreconciliationjisjajformaljprocessjinjwhichjthejclient‘sjactualjcurrentjmedicationsjarej
comparedjtojthejprescribedjmedicationsjatjthejtimejofjadmission,jtransfer,jorjdischarge.jThisjNa
tionaljclientjSafetyjGoaljisjimportantjtojreducejmedicationjerrors.jThejclientjwouldjnotjhavejtojb
ejresponsiblejforjprovidersjwashingjtheirjhands,jandjevenjifjthejclientjdoesjso,jthisjisjtoojnarrowjt
ojbejthejmostjimportantjactionjtojpreventjerrors.jKeepingjthejprovider‘sjphonejnumberjnearbyja