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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 EXAM WITH ACTUAL NGN QUESTIONS AND WELL EXPLAINED 100% CORRECT ANSWERS WIT

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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 EXAM WITH ACTUAL NGN QUESTIONS AND WELL EXPLAINED 100% CORRECT ANSWERS WITH RATIONALES LATEST 2025 UPDATE GRADED A+ WITH 100% GUARANTEED SUCCESS AFTER DOWNLOAD A nurse is caring for a client who had a myocardial infarction. The nurse is confused because “Continue to educate the client on possible healthy changes.” “Emphasize complications that can occur with noncompliance.” “Tell the client that denial is normal and will soon go away.” “You need to make sure the client understands this illness.” ANS: A Clients are often in denial after a coronary event. The client who seems to be in denial but is compliant with treatment may be using a healthy form of coping that allows time to process DIF: Understanding TOP: Integrated Process: Communication and Documentation KEY: Coronary artery disease, Psychosocial response MSC: Client Needs Category: Psychosocial Integrity 5. A client undergoing hemodynamic monitoring after a myocardial infarction has a right atrial pressure of 0.5 mm Hg. What action by the nurse is most appropriate? a. Level the transducer at the phlebostatic Lay the client in the supine position. Prepare to administer diuretics. Prepare to administer a fluid bolus. ANS: D Normal right atrial pressures are from 0 to 8 mm Hg. This pressure is at the extreme lower end, which indicates hypovolemia, so the nurse would prepare to administer a fluid bolus. The transducer would remain leveled at the phlebostatic axis. Positioning may or may not DIF: Applying TOP: Integrated Process: Nursing Process: Implementation KEY: Hemodynamic monitoring, Fluid and electrolyte imbalance MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation A client has hemodynamic monitoring after a myocardial infarction. What safety precaution does the nurse implement for this client? Document pulmonary artery occlusion pressure (PAOP) readings and assess their trends. Ensure that the balloon does not remain wedged. Keep the client on strict NPO status. Maintain the client in a semi-Fowler ANS: B If the balloon remains inflated, it can cause pulmonary infarction or rupture. The nurse would ensure that the balloon remains deflated between PAOP readings. Documenting PAOP abi

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MEDICAL-SURGICAL NURSING
Grado
MEDICAL-SURGICAL NURSING

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Subido en
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Escrito en
2024/2025
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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 EXAM WITH
ACTUAL NGN QUESTIONS AND
WELL EXPLAINED 100% CORRECT
ANSWERS WITH RATIONALES
LATEST 2025 UPDATE GRADED A+
WITH 100% GUARANTEED
SUCCESS AFTER DOWNLOAD

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WWW.NURSYLAB.COM
method of care in which an RN would be the team leader, and there would be 2 LPNs and 2 UAPs
- need good communication
- this would be where they can have a med nurse and a treatment nurse
Primary nursing
an RN is responsible for the person's total care
Patient-Focused care
1990's; RNs are care managers and UAPs had expanded roles such as EKGs, drawing blood,
assessment activities...
Charge nurse assigns patients according to certain factors:
- Acuity level - how critical patient is
- Client needs - total / partial care
- Staff preparation - if a pt needs chemo, Rn will be prepped to do so
CANT DELEGATE:
UEAT
Unstable patient
Evaluation
Assessment
Teaching
5 Rights of Delegation
1) Right task
2) Right circumstance
3) Right person
4) Right directions / communication
5) Right supervision / evaluation
Primary level of care / prevention

Health promotion, prevention of illness

ex) teaching about diet/exercise, vaccines
Secondary level of care / prevention
Health maintenance, early detection, prompt intervention to prevent of minimize loss of function
and independence
ex) mammograms, colonoscopy
Tertiary level of care / prevention
Once you have a disease , minimize deterioration and improve quality of life
ex) rehab after a stroke
Acute care setting
Hospital setting
Ambulatory Care
Medical clinics, urgent care, mental health
- operate individually or within hospital

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- responsibilities: direct patient care, patient intake screenings, treating patients w acute or chronic
illness, health education
Home health care
Homecare or public agencies
- helps coordinate care for patient and collabs with interdisciplinary team members
Role of Nursing Profession:
- Promote health
- Promote safety & quality care
- care, self-care, care coordination
- adaptation to physiological and pathophysiological process
- prevention of disease or injury
- cultural sensitivity
- health literacy
Wellness definiton
Being equivalent to health
- involves being proactive and being involved in self-care activities aimed toward a state of physical,
psychological, social, and spiritual well-being
Health definition - World Health Organization
"State of complete, physical, mental and social well-being and not merely the absence of disease and
infirmity"
SBAR
Situation
Background
Assessment
Recommendation
SBAR - SITUATION

Patient information and brief statement of what is happening now
SBAR - BACKGROUND

Medical and surgical history
SBAR - ASSESSMENT

Assessment data that is of concern
SBAR - RECOMMENDATION

Form as a question that may be a solution or request for help
OFNEARS
oxygenation / circulation
fluids / electrolytes
nutrition

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elimination
activity
rest
sleep
MASLOW
Physiological
Safety & Security
Love & Belonging
Self Esteem
Self Actualization
ADPIE
ASSESSMENT
DIAGNOSIS
PLANNING
INTERVENTION
EVALUATION
SMART GOALS
Specific
Measurable
Attainable
Realistic
Timely
Critical thinkers
- Strong knowledge base
- Ability to develop new solutions
- Truth seekers
- Flexible
- "out of the box" thinker
Intimacy vs Isolation
- ages 18-30
where young adults focus on forming close, committed relationships with others, and if
unsuccessful, may experience feelings of loneliness and isolation
Generatively vs Stagnation
- Ages 30-65
Generativity - state of productivity and contribution back to society
Stagnation - state of feeling stuck and unproductive, maladaptive
Integrity vs Despair
- Ages 65 +
Integrity - looks back on life happily
Despair - regrets
Med/Surg nurse needs broad knowledge of:

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