TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional Collaborative
Care, by Donna D. Ignatavicius,
All chapters 1 – 69
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Chapter 01: Overview of Professional Nursing Concepts for
Medical-Surgical Nursing Ignatavicius: Medical-Surgical
Nursing, 10th Edition
MULTIPLE
CHOICE
1. A new nurse is working with a preceptor on a medical-
surgical unit. The preceptor advises the new nurse that which
is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
CORRECT
ANSWER: B
All actions are appropriate for the professional nurse.
However, ensuring client safety is the priority. Health care
errors have been widely reported for 25 years, many of which
result in client injury, death, and increased health care costs.
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There are several national and international organizations
that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety.
The other actions are important for quality nursing, but they
are not as vital as providing safety. Not making medication
errors does provide safety, but is too narrow in scope to be
the best answer.
DIF: Understanding TOP:
Integrated Process: Nursing Process: Intervention KEY:
Client safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
2. A nurse is orienting a new client and family to the medical-
surgical unit. What information does the nurse provide to
best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
CORRECT
ANSWER: A
Each action could be important for the client or family to
perform. However, encouraging the client to be active in his
or her health care as a safety partner is the most critical. The
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other actions are very limited in scope and do not provide the
broad protection that being active and involved does.
DIF: Understanding TOP:
Integrated Process: Teaching/Learning KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
3. A nurse is caring for a postoperative client on the surgical
unit. The client’s blood pressure was 142/76 mm Hg 30
minutes ago, and now is 88/50 mm Hg. What action would
the nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
CORRECT ANSWER: A
The purpose of the Rapid Response Team (RRT) is to
intervene when clients are deteriorating before they suffer
either respiratory or cardiac arrest. Since the client has
manifested a significant change, the nurse would call the
RRT. Changes in blood pressure, mental status, heart rate,
temperature, oxygen saturation, and last 2 hours’ urine
output are particularly significant and are part of the
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