TEST BANK for Medical surgical nursing 11th edition by Nicole M. Heimgartner, Donna D. Ignatavicius, Cherie R. Rebar. ISBN: % COMPLETE GUIDE FOR A+ GRADE ASSURED!! FRESH UPDATE!!

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TEST BANK FOR MEDICAL SURGICAL NURSING :
CONCEPTS FOR CLINICAL JUDGEMENT AND
COLLABORATIVE CARE 11TH EDITION
IGNATAVICIUS




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Test Bank - Medical-Surgical Nursing: Conc epts for Interprofessional Collaborative Care 11e
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing MULTIPLE CHOICE ib ib ib




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse bestdemonstrat
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es this concept?
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a. Assesses for cultural influences affecting health care ib ib ib ib ib ib




b. Ensures that all the clients basic needs are met ib ib ib ib ib ib ib ib




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




ANS: A ib




Competency in client- ib ib




focused care is demonstrated when the nurse focuses on communication, culture, respect
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compassion, client education, and empowerment. By assessing the effect of the clients cul
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ture on health care, this nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply tell
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ing the client about all upcoming tests is not providing empowering education.
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Orienting the client and family to the room is an important safety measure, but not directl
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y related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- ib




centered care| culture MSC: Integrated Process: Caringib ib ib ib ib ib




NOT: Client Needs Category: ib ib ib




Psychosocial Integrity ib




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood press
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ure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the
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nurse is best? ib ib




a. Call the Rapid Response Team. ib ib ib ib




b. Document and continue to monitor. ib ib ib ib




c. Notify the primary care provider. ib ib ib ib




d. Repeat blood pressure measurement in 15 minutes. ib ib ib ib ib ib




ANS: A ib




The purpose of the Rapid Response Team (RRT) is to intervene when clients are
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Test Bank - Medical-Surgical Nursing: Conc epts for Interprofessional Collaborative Care 11e
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bdeteriorating before they suffer either respiratory or cardiac arrest. Since the client has m
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anifested a significant change, the nurse should call the RRT. Changes in blood pressure,
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mental status, heart rate, and pain are particularly significant.
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Test Bank - Medical-Surgical Nursing: Conc epts for Interprofessional Collaborative Care 11e
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Documentation is vital, but the nurse must do more than document. The primary car ib ib ib ib ib ib ib i b i b ib ib ib ib




e provider should be notified, but this is not the priority over calling the RRT. The clie
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nts blood pressure should be reassessed frequently, but the priority is getting the r
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apid care to the client. ib ib ib ib




DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical emergencies
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MSC: Integrated Process:
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Communication and Documentation ib ib




NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What information d
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oes the nurse provide to help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. ib ib ib ib ib ib ib ib




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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ANS: A ib




Each action could be important for the client or family to perform. However, enc
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ouraging the client to be active in his or her health care as a partner is the most critical. Th
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e other actions are very limited in scope and do not provide the broad protection that bei
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ng active and involved does.
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DIF:
Understanding/Comprehension ib




REF: 3KEY: Patient safety ib ib ib