TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius, Cherie R. Rebar& Nicole M. Heimgartner |ISBN: 9780323878265| Complete Solution Guide A+/ Newest

TEST BANK for Medical-
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Surgical Nursing: Concepts for Clinical Judgment and Colla
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borative Care 5




11th Edition by Donna D. Ignatavicius,
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All chapters 1 - 74
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,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
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5Surgical Nursing 5




MULTIPLE CHOICE nx




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demonstrates this concept?
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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 nx nx nx nx nx nx nx nx




CORRECT5ANSWER:5 A nx



Competency in client- nx nx



focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, cli
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ent education, and empowerment. By assessing the effect of the clients 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 telling th
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e client a bout all upcoming tests is not providing empowering education. Orienting the client and
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n x family to the roo m is an important safety measure, but not directly related to demonstrating client-
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centered care. nx




DIF: Understanding/Comprehension REF: 3 K
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EY: Patient-
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centered care| culture MSC: Integrated Process: Caring NOT: Clie
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nt Needs Category: Psychosocial Integrity
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/7
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6 m m Hg 30 minutes ago, and now is 88/50 mm Hg. 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. nx nx nx nx



c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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CORRECT5ANSWER:5 A nx



The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating bef
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ore the y suffer either respiratory or cardiac arrest. Since the client has manifested a significant change,
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the nurse sh ould call the RRT. Changes in blood pressure, mental status, heart rate, and pain are par
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ticularly significa nt. nx nx



Documentation is vital, but the nurse must do more than document. The primary care provi
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