TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69Download as Pdf File UPDATED

TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative
Care, by Donna D. Ignatavicius,
All chapters 1 – 69

,Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE hs




1. A new nurse is working with a preceptor on a medical-
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surgical unit. The preceptor advises the new nurse that which is the priority when working a
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s a professional nurse?
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a. Attending to holistic client needs hs hs hs hs




b. Ensuring client safety hs hs




c. Not making medication errors hs hs hs




d. Providing client-focused care hs hs




ANSWER: B hshsh s




All actions are appropriate for the professional nurse. However, ensuring client safety is the p
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riority. Health care errors have been widely reported for 25 years, many of which result in cli
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ent injury, death, and increased health care costs. There are several national and internation
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al organizations 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 importa
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nt for quality nursing, but they are not as vital as providing safety. Not making medication err
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ors does provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding
TOP: Integrated Process: Nursing Process: Intervention KEY: 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 information does the nurse provide to best help the client promote hi
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s or her own safety?
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a. Encourage the client and family to be active partners. hs hs hs hs hs hs hs hs




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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ANSWER: A hshsh s

, Each action could be important for the client or family to perform. However, encouraging th
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e client to be active in his or her health care as a safety partner is the most critical. The other
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s actions are very limited in scope and do not provide the broad protection that being active an
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d involved does.
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DIF: Understanding
TOP: Integrated Process: Teaching/Learning KEY: 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
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was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurs
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e take first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. hs hs hs hs




c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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, ANSWER: A hshsh s




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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before they suffer either respiratory or cardiac arrest. Since the client has manifested a signif
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icant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart r
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ate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significan
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t and are part of the Modified Early Warning System guide. Documentation is vital, but the n
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urse must do more than document. The primary health care provider would be notified, but
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this is not more important than calling the RRT. The client’s blood pressure would be reasses
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sed frequently, but the priority is getting the rapid care to the client.
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DIF: Applying
TOP: Integrated Process: Communication and Documentation KEY: Rapid Re
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sponse Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care. hs hs hs hs hs hs




b. Ensures that all the client’s basic needs are met. hs hs hs hs hs hs hs hs




c. Tells the client and family about all upcoming tests.
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d. Thoroughly orients the client and family to the room. hs hs hs hs hs hs hs hs




ANSWER: A hshsh s




Showing respect for the client and family’s preferences and needs is essential to ensure a hol
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istic or “whole-hs hs




person” approach to care. By assessing the effect of the client’s culture on health care, this n
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urse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply tellin
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g the client about all upcoming tests is not providing empowering education. Orienting the cli
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ent and family to the room is an important safety measure, but not directly related to demon
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strating client-centered care. hs hs




DIF: Understanding
TOP: Integrated Process: Culture and Spirituality KEY: Client-centered care, Culture
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MSC: Client Needs Category: Psychosocial Integrity
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5. A client is going to be admitted for a scheduled surgical procedure. Which action does th
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e nurse explain is the most important thing the client can do to protect against errors?
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a. Bring a list of all medications and what they are for.
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