Chapter 1: Introduction to Medical-Surgical Nursing Questions with Answers

A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? A. Hospitalized children with acute and chronic illnesses B. Hospitalized adults with acute and chronic illnesses C. Older adults in a nursing home D. Working adults in a corporate setting - B. Hospitalized adults with acute and chronic illnesses Rationale The scope of medical-surgical nursing, sometimes called adult health nursing, is to promote health and prevent illness or injury in clients from 18 to 100 years of age or older. The most common practice setting is the acute care hospital. A nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which statement by the student indicates a correct understanding of the RRT member's purpose? A. "I will be caring for clients in the hospital." B. "I will be riding along in the hospital's ambulance." C. "I will be admitting clients to the hospital." D. "I will be observing code 'blue' resuscitations." - A. "I will be caring for clients in the hospital." Rationale A. Members of the RRT are critical care experts who are on site in the hospital and are available at any time. Which principal nursing actions best support a focus on client safety? Select all that apply. A. Client restraints B. Handwashing C. Preoperative checklists D. Respect for others E. Five rights of drug administration - B. Handwashing C. Preoperative checklists E. Five rights of drug administration Rationale The number one way to prevent infection in clients! This is a major method that facilitates a safe care environment for the client. A nurse is working in the intensive care unit. When does the nurse call the Rapid Response Team (RRT)? A. An 87-year-old client awakens mildly confused, then reorients quickly. B. A newly admitted client requests pain medication. C. A postoperative client's dressing has mild bloody drainage. D. A postoperative client's blood pressure suddenly drops. - D. A postoperative client's blood pressure suddenly drops. Rationale D. The RRT should be called whenever a client has a slow or sudden deterioration in clinical condition. Which role of the medical-surgical nurse is demonstrated by writing a care plan for the client who is newly admitted to the hospital? A. Advocate B. Caregiver C. Communicator D. Educator - B. Caregiver Rationale B. In the caregiver role, medical-surgical nurses assess clients, analyze collected information to determine their needs, develop nursing diagnoses and collaborative problems, plan care and carry out the plan with the healthcare team, and evaluate the care given.