TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th edition by Donna D. Ignatavicius ISBN: 978-0323878265 COMPLETE GUIDE WITH RATIONALES 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!!!

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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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MULTIPLE CHOICE x@




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best dem
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onstrates this concept? x@ x@




a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met
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c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room
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ANS: A x@




Rationale: Competency in client- x@ x@ x@




focused care is demonstrated when the nurse focuses on communication, culture, r
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espect compassion, client education, and empowerment. By assessing the effect of t
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he clients culture on health care, this nurse is practicing client-
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x@ focused care. Providing for basic needs does not demonstrate this competence. Si
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mply telling the client about all upcoming tests is not providing empowering educa
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tion.
Orienting the client and family to the room is an important safety measure, but no
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t directly related to demonstrating client-centered care.
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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 mm Hg
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. What action by the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. x@ x@ x@ x@




c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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ANS: A x@




Rationale: 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 cardiac arr
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est. Since the client has manifested a significant change, the nurse should call the
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RRT. Changes in blood pressure, mental status, heart rate, and pain are part
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