TEST BANK FOR IGNATAVICIUS MEDICAL SURGICAL NURSING CONCEPTS FOR INTERPROFESSIONAL COLLABORATIVE CARE 10TH EDITION BY DONNA D. IGNATAVICIUS FULL TESTBANK ALL CHAPTERS 1-69|| LATEST AND COMPLETE UPDATE GRADED A+

TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+

, 1|P a g e
nx nx nx nx nx nx




TEST BANK FOR IGNATAVICIUS MEDICAL SURGICA
nx nx nx nx nx




L NURSING CONCEPTS FOR INTERPROFESSIONAL C
nx nx nx nx nx




OLLABORATIVE CARE 10TH EDITION BY DONNA D. IG nx nx nx nx nx nx nx




NATAVICIUS FULL TESTBANK ALL CHAPTERS 1- nx nx nx nx nx




69|| LATEST AND COMPLETE UPDATE GRADED A+
nx nx nx nx nx nx




Chapter 01: Overview of Professional Nursing Concepts for Medical-
nx nx nx nx nx nx nx nx



Surgical Nursing nx




MULTIPLE CHOICE nx




1. A new nurse is working with a preceptor on a medical-
nx nx nx nx nx nx nx nx nx nx


surgical unit. The preceptor advises the new nurse that which is the priority when work
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


ing as a professional nurse?
nx nx nx nx




a. Attending to holistic client needs nx nx nx nx




b. Ensuring client safety nx nx




c. Not making medication errors
nx nx nx




d. Providing client-focused care nx nx




- ANSWER- B
nx nx




All actions are appropriate for the professional nurse. However, ensuring client safety is the p
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


riority. Health care errors have been widely reported for 25 years, many of which result in clien
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


t injury, death, and increased health care costs. There are several national and international or
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


ganizations that have either recommended or mandated safety initiatives.
nx nx nx nx nx nx nx nx




Every nurse has the responsibility to guard the client9s safety. The other actions are import
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


ant for quality nursing, but they are not as vital as providing safety. Not making medication
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx n


errors does provide safety, but is too narrow in scope to be the best answer.
x nx nx nx nx nx nx nx nx nx nx nx nx nx nx




DIF:
UnderstandingTOP: Integrated Process: Nursing Process: Intervention KEY: Clien
nx nx nx nx nx nx nx nx


t safety
nx




MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
nx nx nx nx nx nx nx nx nx nx nx n


Control
x




2. A nurse is orienting a new client and family to the medical-
nx nx nx nx nx nx nx nx nx nx nx


surgical unit. What information does the nurse provide to best help the client promote
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


his or her own safety?
nx nx nx nx




a. Encourage the client and family to be active partners.
nx nx nx nx nx nx nx nx

, 2|P a g e
nx nx nx nx nx nx




b. Have the client monitor hand hygiene in caregivers.
nx nx nx nx nx nx nx




c. Offer the family the opportunity to stay with the client.
nx nx nx nx nx nx nx nx nx




d. Tell the client to always wear his or her armband.
nx nx nx nx nx nx nx nx nx




- ANSWER- A
nx nx




Each action could be important for the client or family to perform. However, encouraging the
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


client to be active in his or her health care as a safety partner is the most critical. The other a
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


ctions are very limited in scope and do not provide the broad protection that being active and i
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


nvolved does. nx




DIF: UnderstandingTOP: Integrated Process: Teaching/Learning KEY: Client safety
nx nx nx nx nx nx nx




MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
nx nx nx nx nx nx nx nx nx nx nx n


Control
x




3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would t
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


he nurse take first?
nx nx nx




a. Call the Rapid Response Team.
nx nx nx nx




b. Document and continue to monitor. nx nx nx nx




c. Notify the primary health care provider.
nx nx nx nx nx




d. Repeat the blood pressure in 15 minutes.
nx nx nx nx nx nx




- ANSWER- A
nx nx




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterioratin
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


g before they suffer either respiratory or cardiac arrest. Since the client has manifested a signifi
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


cant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart ra
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


te, temperature, oxygen saturation, and last 2 hours9 urine output are particularly significant an
nx nx nx nx nx nx nx nx nx nx nx nx nx


d are part of the Modified Early Warning System guide. Documentation is vital, but the nurse
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx n


xmust do more than document. The primary health care provider would be notified, but this is
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx n


xnot more important than calling the RRT. The client9s blood pressure would be reassessed fr
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


equently, but the priority is getting the rapid care to the client.
nx nx nx nx nx nx nx nx nx nx nx




DIF: Applying
TOP: Integrated Process: Communication and Documentation KEY: Rapid Respo
nx nx nx nx nx nx nx nx


nse Team (RRT), Clinical judgment
nx nx nx nx




MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
nx nx nx nx nx nx nx

, 3
nx nxnx | nxnx P n x n x a


4. A nurse wishes to provide client- nx nx nx nx nx


centered care in all interactions. Which action by the nurse
nx nx nx nx nx nx nx nx nx




best demonstrates this concept?
nx nx nx




a. Assesses for cultural influences affecting health care.
nx nx nx nx nx nx




b. Ensures that all the client9s basic needs are met.
nx nx nx nx nx nx nx nx




c. Tells the client and family about all upcoming tests.
nx nx nx nx nx nx nx nx




d. Thoroughly orients the client and family to the room. nx nx nx nx nx nx nx nx




- ANSWER- A
nx nx




Showing respect for the client and family9s preferences and needs is essential to ensure a holist
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


ic or <whole-
nx nx


person= approach to care. By assessing the effect of the client9s culture on health care, this n
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


urse is practicing client-
nx nx nx


focused care. Providing for basic needs does not demonstrate this competence. Simply telling
nx nx nx nx nx nx nx nx nx nx nx nx nx


the client about all upcoming tests is not providing empowering education. Orienting the clien
nx nx nx nx nx nx nx nx nx nx nx nx nx


t and family to the room is an important safety measure, but not directly related to demonstrat
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


ing client-centered care.
nx nx




DIF: UnderstandingTOP: Integrated Process: Culture and Spirituality KEY: Client- nx nx nx nx nx nx nx nx


centered care, Culture MSC: Client Needs Category: Psychosocial Integrity
nx nx nx nx nx nx nx




5. A client is going to be admitted for a scheduled surgical procedure. Which action do
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


es the nurse explain is the most important thing the client can do to protect against errors?
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx




a. Bring a list of all medications and what they are for.
nx nx nx nx nx nx nx nx nx nx




b. Keep the provider9s phone number by the telephone.
nx nx nx nx nx nx nx




c. Make sure that all providers wash hands before entering the room.
nx nx nx nx nx nx nx nx nx nx




d. Write down the name of each caregiver who comes in the room.
nx nx nx nx nx nx nx nx nx nx nx




- ANSWER- A
nx nx




Medication reconciliation is a formal process in which the client9s actual current medications ar
nx nx nx nx nx nx nx nx nx nx nx nx nx


e compared to the prescribed medications at the time of admission, transfer, or discharge. Thi
nx nx nx nx nx nx nx nx nx nx nx nx nx nx


s National client Safety Goal is important to reduce medication errors. The client would not h
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


ave to be responsible for providers washing their hands, and even if the client does so, this is
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx n


too narrow to be the most important action to prevent errors. Keeping the provider9s phone n
x nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx


umber nearby and documenting everyone who enters the room also do not guarantee safety.
nx nx nx nx nx nx nx nx nx nx nx nx nx




DIF: Applying
TOP: Integrated Process: Teaching/Learning KEY: Client safety, Informatics
nx nx nx nx nx nx nx




MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
nx nx nx nx nx nx nx nx nx nx nx n


Control
x