Medical-Surgical Nursing - t t
10th Edition by Donna D Ignatavicius & M
t t t t t t t t t
Linda Workman & Cherie Rebar & Nicole
t t t t t t t
M Heimgartner (TEST BANK)
t t t
, Medical Surgical Nursing 10th Edition Igna
t t t t t
tavicius Workman Test Bank
t t t
Chaptert01:tOverviewtoftProfessionaltNursingtConceptstfortMedical-
SurgicaltNursingtIgnatavicius:tMedical-SurgicaltNursing,t10thtEdition
MULTIPLEtCHOICE
1. Atnewtnursetistworkingtwithtatpreceptortontatmedical-
surgicaltunit.tThetpreceptortadvisestthetnewtnursetthattwhichtistthetprioritytwhentworkingtastatpr
ofessionaltnurse?
a. Attendingttotholistictclienttneeds
b. Ensuringtclienttsafety
c. Nottmakingtmedicationterrors
d. Providingtclient-focusedtcare
ANS:t B
Alltactionstaretappropriatetfortthetprofessionaltnurse.tHowever,tensuringtclienttsafetytistthetpriori
ty.tHealthtcareterrorsthavetbeentwidelytreportedtfort25tyears,tmanytoftwhichtresulttintclienttinjury
,tdeath,tandtincreasedthealthtcaretcosts.tTheretaretseveraltnationaltandtinternationaltorganizationst
thatthaveteithertrecommendedtortmandatedtsafetytinitiatives.
Everytnursethastthetresponsibilityttotguardtthetclient’stsafety.tThetothertactionstaretimportanttfort
qualitytnursing,tbutttheytaretnottastvitaltastprovidingtsafety.tNottmakingtmedicationterrorstdoestpr
ovidetsafety,tbuttisttootnarrowtintscopettotbetthetbesttanswer.
DIF: Understanding
TOP:t IntegratedtProcess:tNursingtProcess:tInterventiontKEY:tClienttsafety
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
2. Atnursetistorientingtatnewtclienttandtfamilyttotthetmedical-
surgicaltunit.tWhattinformationtdoestthetnursetprovidettotbestthelptthetclienttpromotethistorthe
rtowntsafety?
a. Encouragetthetclienttandtfamilyttotbetactivetpartners.
b. Havetthetclienttmonitorthandthygienetintcaregivers.
c. Offertthetfamilytthetopportunityttotstaytwithtthetclient.
d. Telltthetclientttotalwaystwearthistorthertarmband.
ANS:t A
Eachtactiontcouldtbetimportanttfortthetclienttortfamilyttotperform.tHowever,tencouragingtthetclie
ntttotbetactivetinthistortherthealthtcaretastatsafetytpartnertistthetmosttcritical.tThetothertactionstaretv
erytlimitedtintscopetandtdotnottprovidetthetbroadtprotectiontthattbeingtactivetandtinvolvedtdoes.
DIF: Understanding
TOP:tIntegratedtProcess:tTeaching/LearningtKEY:tClienttsafety
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
3. Atnursetistcaringtfortatpostoperativetclienttontthetsurgicaltunit.tThetclient’stbloodtpressuretwast
142/76tmmtHgt30tminutestago,tandtnowtist88/50tmmtHg.tWhattactiontwouldtthetnursettaketfirst
?
a. CalltthetRapidtResponsetTeam.
b. Documenttandtcontinuettotmonitor.
c. Notifytthetprimarythealthtcaretprovider.
d. Repeattthetbloodtpressuretint15tminutes.
, ANS:t A
ThetpurposetoftthetRapidtResponsetTeamt(RRT)tisttotintervenetwhentclientstaretdeterioratingtbef
orettheytsufferteithertrespiratorytortcardiactarrest.tSincetthetclientthastmanifestedtatsignificanttcha
nge,tthetnursetwouldtcalltthetRRT.tChangestintbloodtpressure,tmentaltstatus,thearttrate,ttemperatu
re,toxygentsaturation,tandtlastt2thours’turinetoutputtaretparticularlytsignificanttandtaretparttoftthet
ModifiedtEarlytWarningtSystemtguide.tDocumentationtistvital,tbuttthetnursetmusttdotmoretthantd
ocument.tThetprimarythealthtcaretprovidertwouldtbetnotified,tbuttthististnottmoretimportanttthant
callingtthetRRT.tThetclient’stbloodtpressuretwouldtbetreassessedtfrequently,tbuttthetprioritytistge
ttingtthetrapidtcarettotthetclient.
DIF: Applying
TOP:t IntegratedtProcess:tCommunicationtandtDocumentationtKEY:tRapidtRes
ponsetTeamt(RRT),tClinicaltjudgment
MSC:t ClienttNeedstCategory:tPhysiologicaltIntegrity:tPhysiologicaltAdaptation
4. Atnursetwishesttotprovidetclient-centeredtcaretintalltinteractions.tWhichtactiontbytthetnurse
besttdemonstratestthistconcept?
a. Assessestfortculturaltinfluencestaffectingthealthtcare.
b. Ensurestthattalltthetclient’stbasictneedstaretmet.
c. Tellstthetclienttandtfamilytabouttalltupcomingttests.
d. Thoroughlytorientstthetclienttandtfamilyttotthetroom.
ANS:t A
Showingtrespecttfortthetclienttandtfamily’stpreferencestandtneedstistessentialttotensuretatholistict
ort“whole-
person”tapproachttotcare.tBytassessingttheteffecttoftthetclient’stculturetonthealthtcare,tthistnursetis
tpracticingtclient-
focusedtcare.tProvidingtfortbasictneedstdoestnottdemonstratetthistcompetence.tSimplyttellingtthet
clienttabouttalltupcomingtteststistnottprovidingtempoweringteducation.tOrientingtthetclienttandtfa
milyttotthetroomtistantimportanttsafetytmeasure,tbuttnottdirectlytrelatedttotdemonstratingtclient-
centeredtcare.
DIF: Understanding
TOP:tIntegratedtProcess:tCulturetandtSpiritualitytKEY:t Client-centeredtcare,tCulture
MSC:t ClienttNeedstCategory:tPsychosocialtIntegrity
5. Atclienttistgoingttotbetadmittedtfortatscheduledtsurgicaltprocedure.tWhichtactiontdoestthetnur
setexplaintistthetmosttimportanttthingtthetclienttcantdottotprotecttagainstterrors?
a. Bringtatlisttoftalltmedicationstandtwhatttheytaretfor.
b. Keeptthetprovider’stphonetnumbertbytthettelephone.
c. Maketsuretthattalltproviderstwashthandstbeforetenteringtthetroom.
d. Writetdowntthetnametofteachtcaregivertwhotcomestintthetroom.
ANS:t A
Medicationtreconciliationtistatformaltprocesstintwhichtthetclient’stactualtcurrenttmedicationstaret
comparedttotthetprescribedtmedicationstattthettimetoftadmission,ttransfer,tortdischarge.tThistNati
onaltclienttSafetytGoaltistimportantttotreducetmedicationterrors.tThetclienttwouldtnotthavettotbetr
esponsibletfortproviderstwashingttheirthands,tandteventiftthetclienttdoestso,tthististtootnarrowttotb
etthetmosttimportanttactionttotpreventterrors.tKeepingtthetprovider’stphonetnumbertnearbytandtd
ocumentingteveryonetwhotenterstthetroomtalsotdotnottguaranteetsafety.
DIF: Applying
TOP:t IntegratedtProcess:tTeaching/LearningtKEY:tClienttsaf
ety,tInformatics
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
, 6. Whichtactiontbytthetnursetworkingtwithtatclienttbesttdemonstratestrespecttfortautonomy?
a. Askstiftthetclientthastquestionstbeforetsigningtatconsent.
b. Givestthetclienttaccuratetinformationtwhentquestioned.
c. Keepstthetpromisestmadettotthetclienttandtfamily.
d. Treatstthetclienttfairlytcomparedttotothertclients.
ANS:t A
Autonomytistself-
determination.tThetclienttwouldtmaketdecisionstregardingtcare.tWhentthetnursetobtainstatsignatur
etontthetconsenttform,tassessingtiftthetclienttstillthastquestionstistvital,tbecausetwithouttfulltinform
ationtthetclienttcannottpracticetautonomy.tGivingtaccuratetinformationtistpracticingtwithtveracity
.tKeepingtpromisestistupholdingtfidelity.tTreatingtthetclienttfairlytistprovidingtsocialtjustice.
DIF: Applying TOP:t IntegratedtProcess:tCaring
KEY:tEthics,tAutonomytMSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvir
onment:tManagementtoftCare
7. Atnursetaskstatmoretseasonedtcolleaguettotexplaintbesttpracticestwhentcommunicatingtwithtatper
sontfromtthetlesbian,tgay,tbisexual,ttransgender,tandtquestioning/queert(LGBTQ)tcommunity.t
Whattanswertbytthetfacultytistmosttaccurate?
a. Avoidtembarrassingtthetclienttbytaskingtquestions.
b. Don’ttmaketassumptionstaboutthistortherthealthtneeds.
c. MosttLGBTQtpeopletdotnottwantttotsharetinformation.
d. Notdifferencestexisttintcommunicatingtwithtthistpopulation.
ANS:t B
ManytmemberstoftthetLGBTQtcommunitythavetfacedtdiscriminationtfromthealthtcaretproviderst
andtmaytbetreluctantttotseekthealthtcare.tThetnursetwouldtnevertmaketassumptionstabouttthetneed
stoftmemberstoftthistpopulation.tRather,trespectfultquestionstaretappropriate.tIftapproachedtwithts
ensitivity,tthetclienttwithtanythealthtcaretneedtistmoretlikelyttotanswerthonestly.
DIF: Understanding TOP:t IntegratedtProcess:tTeaching/Learning
KEY:t Healthtcaretdisparities,tLGBTQ MSC:t ClienttNeedstCategory:tPsychosocialtIntegrity
8. Atnursetistcallingttheton-
callthealthtcaretprovidertabouttatclienttwhothadtathysterectomyt2tdaystagotandthastpaintthattist
unrelievedtbytthetprescribedtopioidtpaintmedication.tWhichtstatementtcomprisestthetbackgro
undtportiontoftthetSBARtformattfortcommunication?
a. “Itwouldtliketyouttotordertatdifferenttpaintmedication.”
b. “Thistclientthastallergiesttotmorphinetandtcodeine.”
c. “Dr.tSmithtdoesn’ttliketnonsteroidaltanti-inflammatorytmeds.”
d. “Thistclientthadtatvaginalthysterectomyt2tdaystago.”
ANS:t B
10th Edition by Donna D Ignatavicius & M
t t t t t t t t t
Linda Workman & Cherie Rebar & Nicole
t t t t t t t
M Heimgartner (TEST BANK)
t t t
, Medical Surgical Nursing 10th Edition Igna
t t t t t
tavicius Workman Test Bank
t t t
Chaptert01:tOverviewtoftProfessionaltNursingtConceptstfortMedical-
SurgicaltNursingtIgnatavicius:tMedical-SurgicaltNursing,t10thtEdition
MULTIPLEtCHOICE
1. Atnewtnursetistworkingtwithtatpreceptortontatmedical-
surgicaltunit.tThetpreceptortadvisestthetnewtnursetthattwhichtistthetprioritytwhentworkingtastatpr
ofessionaltnurse?
a. Attendingttotholistictclienttneeds
b. Ensuringtclienttsafety
c. Nottmakingtmedicationterrors
d. Providingtclient-focusedtcare
ANS:t B
Alltactionstaretappropriatetfortthetprofessionaltnurse.tHowever,tensuringtclienttsafetytistthetpriori
ty.tHealthtcareterrorsthavetbeentwidelytreportedtfort25tyears,tmanytoftwhichtresulttintclienttinjury
,tdeath,tandtincreasedthealthtcaretcosts.tTheretaretseveraltnationaltandtinternationaltorganizationst
thatthaveteithertrecommendedtortmandatedtsafetytinitiatives.
Everytnursethastthetresponsibilityttotguardtthetclient’stsafety.tThetothertactionstaretimportanttfort
qualitytnursing,tbutttheytaretnottastvitaltastprovidingtsafety.tNottmakingtmedicationterrorstdoestpr
ovidetsafety,tbuttisttootnarrowtintscopettotbetthetbesttanswer.
DIF: Understanding
TOP:t IntegratedtProcess:tNursingtProcess:tInterventiontKEY:tClienttsafety
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
2. Atnursetistorientingtatnewtclienttandtfamilyttotthetmedical-
surgicaltunit.tWhattinformationtdoestthetnursetprovidettotbestthelptthetclienttpromotethistorthe
rtowntsafety?
a. Encouragetthetclienttandtfamilyttotbetactivetpartners.
b. Havetthetclienttmonitorthandthygienetintcaregivers.
c. Offertthetfamilytthetopportunityttotstaytwithtthetclient.
d. Telltthetclientttotalwaystwearthistorthertarmband.
ANS:t A
Eachtactiontcouldtbetimportanttfortthetclienttortfamilyttotperform.tHowever,tencouragingtthetclie
ntttotbetactivetinthistortherthealthtcaretastatsafetytpartnertistthetmosttcritical.tThetothertactionstaretv
erytlimitedtintscopetandtdotnottprovidetthetbroadtprotectiontthattbeingtactivetandtinvolvedtdoes.
DIF: Understanding
TOP:tIntegratedtProcess:tTeaching/LearningtKEY:tClienttsafety
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
3. Atnursetistcaringtfortatpostoperativetclienttontthetsurgicaltunit.tThetclient’stbloodtpressuretwast
142/76tmmtHgt30tminutestago,tandtnowtist88/50tmmtHg.tWhattactiontwouldtthetnursettaketfirst
?
a. CalltthetRapidtResponsetTeam.
b. Documenttandtcontinuettotmonitor.
c. Notifytthetprimarythealthtcaretprovider.
d. Repeattthetbloodtpressuretint15tminutes.
, ANS:t A
ThetpurposetoftthetRapidtResponsetTeamt(RRT)tisttotintervenetwhentclientstaretdeterioratingtbef
orettheytsufferteithertrespiratorytortcardiactarrest.tSincetthetclientthastmanifestedtatsignificanttcha
nge,tthetnursetwouldtcalltthetRRT.tChangestintbloodtpressure,tmentaltstatus,thearttrate,ttemperatu
re,toxygentsaturation,tandtlastt2thours’turinetoutputtaretparticularlytsignificanttandtaretparttoftthet
ModifiedtEarlytWarningtSystemtguide.tDocumentationtistvital,tbuttthetnursetmusttdotmoretthantd
ocument.tThetprimarythealthtcaretprovidertwouldtbetnotified,tbuttthististnottmoretimportanttthant
callingtthetRRT.tThetclient’stbloodtpressuretwouldtbetreassessedtfrequently,tbuttthetprioritytistge
ttingtthetrapidtcarettotthetclient.
DIF: Applying
TOP:t IntegratedtProcess:tCommunicationtandtDocumentationtKEY:tRapidtRes
ponsetTeamt(RRT),tClinicaltjudgment
MSC:t ClienttNeedstCategory:tPhysiologicaltIntegrity:tPhysiologicaltAdaptation
4. Atnursetwishesttotprovidetclient-centeredtcaretintalltinteractions.tWhichtactiontbytthetnurse
besttdemonstratestthistconcept?
a. Assessestfortculturaltinfluencestaffectingthealthtcare.
b. Ensurestthattalltthetclient’stbasictneedstaretmet.
c. Tellstthetclienttandtfamilytabouttalltupcomingttests.
d. Thoroughlytorientstthetclienttandtfamilyttotthetroom.
ANS:t A
Showingtrespecttfortthetclienttandtfamily’stpreferencestandtneedstistessentialttotensuretatholistict
ort“whole-
person”tapproachttotcare.tBytassessingttheteffecttoftthetclient’stculturetonthealthtcare,tthistnursetis
tpracticingtclient-
focusedtcare.tProvidingtfortbasictneedstdoestnottdemonstratetthistcompetence.tSimplyttellingtthet
clienttabouttalltupcomingtteststistnottprovidingtempoweringteducation.tOrientingtthetclienttandtfa
milyttotthetroomtistantimportanttsafetytmeasure,tbuttnottdirectlytrelatedttotdemonstratingtclient-
centeredtcare.
DIF: Understanding
TOP:tIntegratedtProcess:tCulturetandtSpiritualitytKEY:t Client-centeredtcare,tCulture
MSC:t ClienttNeedstCategory:tPsychosocialtIntegrity
5. Atclienttistgoingttotbetadmittedtfortatscheduledtsurgicaltprocedure.tWhichtactiontdoestthetnur
setexplaintistthetmosttimportanttthingtthetclienttcantdottotprotecttagainstterrors?
a. Bringtatlisttoftalltmedicationstandtwhatttheytaretfor.
b. Keeptthetprovider’stphonetnumbertbytthettelephone.
c. Maketsuretthattalltproviderstwashthandstbeforetenteringtthetroom.
d. Writetdowntthetnametofteachtcaregivertwhotcomestintthetroom.
ANS:t A
Medicationtreconciliationtistatformaltprocesstintwhichtthetclient’stactualtcurrenttmedicationstaret
comparedttotthetprescribedtmedicationstattthettimetoftadmission,ttransfer,tortdischarge.tThistNati
onaltclienttSafetytGoaltistimportantttotreducetmedicationterrors.tThetclienttwouldtnotthavettotbetr
esponsibletfortproviderstwashingttheirthands,tandteventiftthetclienttdoestso,tthististtootnarrowttotb
etthetmosttimportanttactionttotpreventterrors.tKeepingtthetprovider’stphonetnumbertnearbytandtd
ocumentingteveryonetwhotenterstthetroomtalsotdotnottguaranteetsafety.
DIF: Applying
TOP:t IntegratedtProcess:tTeaching/LearningtKEY:tClienttsaf
ety,tInformatics
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
, 6. Whichtactiontbytthetnursetworkingtwithtatclienttbesttdemonstratestrespecttfortautonomy?
a. Askstiftthetclientthastquestionstbeforetsigningtatconsent.
b. Givestthetclienttaccuratetinformationtwhentquestioned.
c. Keepstthetpromisestmadettotthetclienttandtfamily.
d. Treatstthetclienttfairlytcomparedttotothertclients.
ANS:t A
Autonomytistself-
determination.tThetclienttwouldtmaketdecisionstregardingtcare.tWhentthetnursetobtainstatsignatur
etontthetconsenttform,tassessingtiftthetclienttstillthastquestionstistvital,tbecausetwithouttfulltinform
ationtthetclienttcannottpracticetautonomy.tGivingtaccuratetinformationtistpracticingtwithtveracity
.tKeepingtpromisestistupholdingtfidelity.tTreatingtthetclienttfairlytistprovidingtsocialtjustice.
DIF: Applying TOP:t IntegratedtProcess:tCaring
KEY:tEthics,tAutonomytMSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvir
onment:tManagementtoftCare
7. Atnursetaskstatmoretseasonedtcolleaguettotexplaintbesttpracticestwhentcommunicatingtwithtatper
sontfromtthetlesbian,tgay,tbisexual,ttransgender,tandtquestioning/queert(LGBTQ)tcommunity.t
Whattanswertbytthetfacultytistmosttaccurate?
a. Avoidtembarrassingtthetclienttbytaskingtquestions.
b. Don’ttmaketassumptionstaboutthistortherthealthtneeds.
c. MosttLGBTQtpeopletdotnottwantttotsharetinformation.
d. Notdifferencestexisttintcommunicatingtwithtthistpopulation.
ANS:t B
ManytmemberstoftthetLGBTQtcommunitythavetfacedtdiscriminationtfromthealthtcaretproviderst
andtmaytbetreluctantttotseekthealthtcare.tThetnursetwouldtnevertmaketassumptionstabouttthetneed
stoftmemberstoftthistpopulation.tRather,trespectfultquestionstaretappropriate.tIftapproachedtwithts
ensitivity,tthetclienttwithtanythealthtcaretneedtistmoretlikelyttotanswerthonestly.
DIF: Understanding TOP:t IntegratedtProcess:tTeaching/Learning
KEY:t Healthtcaretdisparities,tLGBTQ MSC:t ClienttNeedstCategory:tPsychosocialtIntegrity
8. Atnursetistcallingttheton-
callthealthtcaretprovidertabouttatclienttwhothadtathysterectomyt2tdaystagotandthastpaintthattist
unrelievedtbytthetprescribedtopioidtpaintmedication.tWhichtstatementtcomprisestthetbackgro
undtportiontoftthetSBARtformattfortcommunication?
a. “Itwouldtliketyouttotordertatdifferenttpaintmedication.”
b. “Thistclientthastallergiesttotmorphinetandtcodeine.”
c. “Dr.tSmithtdoesn’ttliketnonsteroidaltanti-inflammatorytmeds.”
d. “Thistclientthadtatvaginalthysterectomyt2tdaystago.”
ANS:t B
