Created By: A Solution kk kk kk
Timby's Introductory Medical-Surgical Nursing 13th kk kk kk kk
kk Edition by Moreno Test Bank A+ kk kk kk kk kk
Chapter 1 kk Concepts and Trends in Healthcare kk kk kk kk
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk advises the student that which is the priority when working as a professional nurse?
kk kk kk kk kk kk kk kk kk kk kk kk kk
Attending to holistic client needs kk kk kk kk
kk Ensuring client safety kk kk
Not making medication errors
kk kk kk
kk Providing client- focused care ANS: B kk kk kk kk kk
All actions are appropriate for the professional nurse. However, ensuring client safety is the
kk kk kk kk kk kk kk kk kk kk kk kk kk
kk priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk 2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
kk kk kk kk kk kk kk kk kk kk kk kk kk
outcomes. Every nurse has the responsibility to guard the clients safety.
kk kk kk kk kk kk kk kk kk kk kk
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process:
kk kk kk kk kk kk kk kk kk
kk Nursing Process: Intervention kk kk
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
kk kk kk kk kk kk kk kk kk kk kk
kk Control
A nurse is orienting a new client and family to the inpatient unit. What information does the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk nurse provide to help the client promote his or her own safety?
kk kk kk kk kk kk kk kk kk kk kk
Encourage the client and family to be active partners.
kk kk kk kk kk kk kk kk
kk Have the client monitor hand hygiene in caregivers.
kk kk kk kk kk kk kk
kk Offer the family the opportunity to stay with the client.
kk kk kk kk kk kk kk kk kk
A+ Page 1 kk
,Created By: A Solution kk kk kk
Tell the client to always wear his or her armband. ANS: A
kk kk kk kk kk kk kk kk kk kk kk
Each action could be important for the client or family to perform. However, encouraging the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk client to be active in his or her health care as a partner is the most critical. The other actions
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk are
◦
very limited in scope and do not provide the broad protection that being active and involved
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process:
kk kk kk kk kk kk kk kk kk
kk Teaching/ Learning kk
NOT: Client Needs Category: Safe and Effective Care
kk kk kk kk kk kk kk
Environment: Safety and Infection Control kk kk kk kk
A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
Call the Rapid Response Team.
kk kk kk kk
kk Document and continue to monitor. kk kk kk kk
kk Notify the primary care provider.
kk kk kk kk
Repeat blood pressure measurement in 15 minutes. ANS: A
kk kk kk kk kk kk kk kk
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk before they suffer either respiratory or cardiac arrest. Since the client has manifested a
kk kk kk kk kk kk kk kk kk kk kk kk kk
significant change, the nurse should call the RRT. Changes in blood pressure, mental status,
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk more than document. The primary care provider should be notified, but this is not the priority
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
A+ Page 2 kk
,Created By: A Solution
kk kk kk
over calling
kk kk
A+ Page 3
kk
, Created By: A Solution kk kk kk
the RRT. The clients blood pressure should be reassessed frequently, but the priority is getting
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the rapid care to the client.
kk kk kk kk kk kk
DIF: Applying/Application REF: 3
kk kk kk
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
kk kk kk kk kk kk kk kk kk
kk Communication and Documentation kk kk
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
kk kk kk kk kk kk kk
◦
A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk demonstrates this concept? kk kk
Assesses for cultural influences affecting health care
kk kk kk kk kk kk
kk Ensures that all the clients basic needs are met
kk kk kk kk kk kk kk kk
Tells the client and family about all upcoming tests
kk kk kk kk kk kk kk kk
kk Thoroughly orients the client and family to the room ANS: A
kk kk kk kk kk kk kk kk kk kk
Competency in client-focused care is demonstrated when the nurse focuses on communication,
kk kk kk kk kk kk kk kk kk kk kk
kk culture, respect, compassion, client education, and empowerment. By assessing the effect of the
kk kk kk kk kk kk kk kk kk kk kk kk
◦
clients culture on health care, this nurse is practicing client-focused care. Providing for basic
kk kk kk kk kk kk kk kk kk kk kk kk kk
kk needs does not demonstrate this competence. Simply telling the client about all upcoming tests
kk kk kk kk kk kk kk kk kk kk kk kk kk
is not providing empowering education. Orienting the client and family to the room is an
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk important safety measure, but not directly related to demonstrating client-centered care.
kk kk kk kk kk kk kk kk kk kk
DIF: Understanding/Comprehension REF: 3
kk kk kk
A+ Page 4 kk
Timby's Introductory Medical-Surgical Nursing 13th kk kk kk kk
kk Edition by Moreno Test Bank A+ kk kk kk kk kk
Chapter 1 kk Concepts and Trends in Healthcare kk kk kk kk
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk advises the student that which is the priority when working as a professional nurse?
kk kk kk kk kk kk kk kk kk kk kk kk kk
Attending to holistic client needs kk kk kk kk
kk Ensuring client safety kk kk
Not making medication errors
kk kk kk
kk Providing client- focused care ANS: B kk kk kk kk kk
All actions are appropriate for the professional nurse. However, ensuring client safety is the
kk kk kk kk kk kk kk kk kk kk kk kk kk
kk priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk 2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
kk kk kk kk kk kk kk kk kk kk kk kk kk
outcomes. Every nurse has the responsibility to guard the clients safety.
kk kk kk kk kk kk kk kk kk kk kk
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process:
kk kk kk kk kk kk kk kk kk
kk Nursing Process: Intervention kk kk
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
kk kk kk kk kk kk kk kk kk kk kk
kk Control
A nurse is orienting a new client and family to the inpatient unit. What information does the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk nurse provide to help the client promote his or her own safety?
kk kk kk kk kk kk kk kk kk kk kk
Encourage the client and family to be active partners.
kk kk kk kk kk kk kk kk
kk Have the client monitor hand hygiene in caregivers.
kk kk kk kk kk kk kk
kk Offer the family the opportunity to stay with the client.
kk kk kk kk kk kk kk kk kk
A+ Page 1 kk
,Created By: A Solution kk kk kk
Tell the client to always wear his or her armband. ANS: A
kk kk kk kk kk kk kk kk kk kk kk
Each action could be important for the client or family to perform. However, encouraging the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk client to be active in his or her health care as a partner is the most critical. The other actions
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk are
◦
very limited in scope and do not provide the broad protection that being active and involved
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process:
kk kk kk kk kk kk kk kk kk
kk Teaching/ Learning kk
NOT: Client Needs Category: Safe and Effective Care
kk kk kk kk kk kk kk
Environment: Safety and Infection Control kk kk kk kk
A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
Call the Rapid Response Team.
kk kk kk kk
kk Document and continue to monitor. kk kk kk kk
kk Notify the primary care provider.
kk kk kk kk
Repeat blood pressure measurement in 15 minutes. ANS: A
kk kk kk kk kk kk kk kk
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk before they suffer either respiratory or cardiac arrest. Since the client has manifested a
kk kk kk kk kk kk kk kk kk kk kk kk kk
significant change, the nurse should call the RRT. Changes in blood pressure, mental status,
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk more than document. The primary care provider should be notified, but this is not the priority
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
A+ Page 2 kk
,Created By: A Solution
kk kk kk
over calling
kk kk
A+ Page 3
kk
, Created By: A Solution kk kk kk
the RRT. The clients blood pressure should be reassessed frequently, but the priority is getting
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the rapid care to the client.
kk kk kk kk kk kk
DIF: Applying/Application REF: 3
kk kk kk
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
kk kk kk kk kk kk kk kk kk
kk Communication and Documentation kk kk
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
kk kk kk kk kk kk kk
◦
A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk demonstrates this concept? kk kk
Assesses for cultural influences affecting health care
kk kk kk kk kk kk
kk Ensures that all the clients basic needs are met
kk kk kk kk kk kk kk kk
Tells the client and family about all upcoming tests
kk kk kk kk kk kk kk kk
kk Thoroughly orients the client and family to the room ANS: A
kk kk kk kk kk kk kk kk kk kk
Competency in client-focused care is demonstrated when the nurse focuses on communication,
kk kk kk kk kk kk kk kk kk kk kk
kk culture, respect, compassion, client education, and empowerment. By assessing the effect of the
kk kk kk kk kk kk kk kk kk kk kk kk
◦
clients culture on health care, this nurse is practicing client-focused care. Providing for basic
kk kk kk kk kk kk kk kk kk kk kk kk kk
kk needs does not demonstrate this competence. Simply telling the client about all upcoming tests
kk kk kk kk kk kk kk kk kk kk kk kk kk
is not providing empowering education. Orienting the client and family to the room is an
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
kk important safety measure, but not directly related to demonstrating client-centered care.
kk kk kk kk kk kk kk kk kk kk
DIF: Understanding/Comprehension REF: 3
kk kk kk
A+ Page 4 kk
