Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition Test Bank Questions & Answers | Donna D. Ignatavicius, M. Linda Workman & Cheryl L. Rebar | Complete Chapter-by-Chapter Exam Prep Study Guide

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+

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TEST BANK FOR IGNATAVICIUS MEDICAL SURGICA rt rt rt rt rt




L NURSING CONCEPTS FOR INTERPROFESSIONAL C
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OLLABORATIVE CARE 10TH EDITION BY DONNA D. IG rt rt rt rt rt rt rt




NATAVICIUS FULL TESTBANK ALL CHAPTERS 1- rt rt rt rt rt




69|| LATEST AND COMPLETE UPDATE GRADED A+
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing rt




MULTIPLE CHOICE rt




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
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as a professional nurse?
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a. Attending to holistic client needs rt rt rt rt




b. Ensuring client safety rt rt




c. Not making medication errors
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d. Providing client-focused care rt rt




- ANSWER- B
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All actions are appropriate for the professional nurse. However, ensuring client safety is the priorit
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y. Health care errors have been widely reported for 25 years, many of which result in client injury, d
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eath, and increased health care costs. There are several national and international organizations th
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at have either recommended or mandated safety initiatives.
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Every nurse has the responsibility to guard the client9s safety. The other actions are important f
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or quality nursing, but they are not as vital as providing safety. Not making medication errors do
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es provide safety, but is too narrow in scope to be the best answer.
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DIF:
UnderstandingTOP: Integrated Process: Nursing Process: Intervention KEY: Client s tr rt rt rt rt rt rt rt rt


afety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Co
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ntrol
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 his o
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r her own safety?
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a. Encourage the client and family to be active partners. rt rt rt rt rt rt rt rt

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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
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Each action could be important for the client or family to perform. However, encouraging the clien
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t to be active in his or her health care as a safety partner is the most critical. The other actions are v
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ery limited in scope and do not provide the broad protection that being active and involved does.
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DIF: UnderstandingTOP: Integrated Process: Teaching/Learning KEY: Client safety tr rt rt rt rt rt rt




MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Co
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ntrol
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood press
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ure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse ta
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ke first? rt




a. Call the Rapid Response Team.
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b. Document and continue to monitor. rt rt rt rt




c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes. rt rt rt rt rt rt




- ANSWER- A
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The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating bef
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ore they suffer either respiratory or cardiac arrest. Since the client has manifested a significant chan
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ge, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate, temperatur
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e, oxygen saturation, and last 2 hours9 urine output are particularly significant and are part of the M
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odified Early Warning System guide. Documentation is vital, but the nurse must do more than doc
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ument. The primary health care provider would be notified, but this is not more important than call
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ing the RRT. The client9s blood pressure would be reassessed frequently, but the priority is gettin
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g the rapid care to the client.
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DIF: Applying
TOP: Integrated Process: Communication and Documentation KEY: Rapid Response
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t Team (RRT), Clinical judgment rt rt rt




MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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, 3
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4. A nurse wishes to provide client- rt rt rt rt rt


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. rt rt rt rt rt rt




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




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




- ANSWER- A
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Showing respect for the client and family9s preferences and needs is essential to ensure a holistic or
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<whole-
person= approach to care. By assessing the effect of the client9s culture on health care, this nurse i
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s practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply telling the
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client about all upcoming tests is not providing empowering education. Orienting the client and fa
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mily to the room is an important safety measure, but not directly related to demonstrating client-
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centered care. rt




DIF: UnderstandingTOP: Integrated Process: Culture and Spirituality KEY: Client- tr rt rt rt rt rt rt rt


centered care, Culture 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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b. Keep the provider9s phone number by the telephone.
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c. Make sure that all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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- ANSWER- A
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Medication reconciliation is a formal process in which the client9s actual current medications are co
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mpared to the prescribed medications at the time of admission, transfer, or discharge. This Nation
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al client Safety Goal is important to reduce medication errors. The client would not have to be resp
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onsible for providers washing their hands, and even if the client does so, this is too narrow to be th
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e most important action to prevent errors. Keeping the provider9s phone number nearby and docu
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menting everyone who enters the room also do not guarantee safety.
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DIF: Applying
TOP: Integrated Process: Teaching/Learning KEY: Client safety, Informatics
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Co
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ntrol