TEST BANK - MEDICAL SURGICAL NURSING 10TH EDITION IGNATAVICIUS WORKMAN

Medical Surgical
X X X



Nursing 10th
X X



Edition Ignatavicius
X



Workman Test
X X X X



Bank

, ChapterX01:XOverviewXofXProfessionalXNursingXConcept
sXforXMedical-SurgicalXNursingXIgnatavicius:XMedical-
Surgical
Nursing,X10thXEdition

MULTIPLE
XCHOICE


AXnurseXisXcaringXforXaXpostoperativeXclientXonXtheXsurg
1.X

icalXunit.XTheXclient’sXbloodXpressureXwasX142/76XmmX
HgX30
minutesXago,XandXnowXisX88/50XmmXHg.XWhatXactionX
wouldXtheXnurseXtakeXfirst?
a.X CallXtheXRapidXResponseXTeam.

b.X DocumentXandXcontinueXtoXmonitor.

c.X NotifyXtheXprimaryXhealthXcareXprovider.

d.X RepeatXtheXbloodXpressureXinX15Xminutes.




Btestbanks.com

ANS:XA
TheXpurposeXofXtheXRapidXResponseXTeamX(RRT)XisXtoX
interveneXwhenXclientsXareXdeterioratingXbeforeXtheyXsuffe
rXeitherXrespiratoryXorXcardiacXarrest.XSinceXtheXclientXha
sXmanifestedXaXsignificantXchange,XtheXnurseXwouldXcallX
theXRRT.XChangesXinXbloodXpressure,XmentalXstatus,Xhear
tXrate,Xtemperature,XoxygenXsaturation,XandXlastX2Xhours’X
urineXoutputXareXparticularlyXsignificantXandXareXpartXofXt
he
ModifiedXEarlyXWarningXSystemXguide.XDocumentationXis
Xvital,XbutXtheXnurseXmustXdoXmoreXthanXdocument.XTheX
primaryXhealthXcareXproviderXwouldXbeXnotified,XbutXthisX
isXnotXmoreXimportantXthanXcallingXtheXRRT.XTheXclient’s
XbloodXpressureXwouldXbeXreassessedXfrequently,XbutXtheX
priorityXisXgettingXtheXrapidXcareXtoXtheXclient.

, DIF:X Applying
TOP:XIntegratedXProces
s:XCommunicationXandXDocumentationXKEY:X
RapidXResponseXTeamX(RRT),XClinicalXjudgm
ent
MSC:XClientXNeedsXCategory:XPhysiologicalXIntegrity:XPh
ysiologicalXAdaptation
2XAXnurseXwishesXtoXprovideXclient-
centeredXcareXinXallXinteractions.XWhichXactionXbyXtheXnurseXbes
tXdemonstratesXthisXconcept?
a.X AssessesXforXculturalXinfluencesXaffectingXhealthXcare.

b.X EnsuresXthatXallXtheXclient’sXbasicXneedsXareXmet.

c.X TellsXtheXclientXandXfamilyXaboutXallXupcomingXtests.

d.X ThoroughlyXorientsXtheXclientXandXfamilyXtoXtheXroo

m.XANS:XA
ShowingXrespectXforXtheXclientXandXfamily’sXpreferencesXand
needsXisXessentialXtoXensureXaXholisticXorX“whole-
person”XapproachXtoXcare.XByXassessingXtheXeffectXofXtheXcl
ient’sXcultureXonXhealthXcare,XthisXnurseXisXpracticingXclient
focusedXcare.
ProvidingXforXbasicXneedsXdoesXnotXdemonstrateXthisXcom
petence.XSimplyXtellingXtheXclientXaboutXallXupcomingXtest
sXisXnotXprovidingXempoweringXeducation.XOrientingXtheX
clientXandXfamilyXtoXtheXroomXisXanXimportantXsafetyXme
asure,XbutXnotXdirectlyXrelatedXtoXdemonstratingXclient-
centeredXcare.

DIF:X Understanding
TOP:XIntegratedXProcess:XC
ultureXandXSpiritualityXKEY:X Client-
centeredXcare,XCulture
XMSC:XClientXNeedsXCatego
ry:XPsychosocialXIntegrity

3XAXclientXisXgoingXtoXbeXadmittedXforXaXscheduledXsurgic
alXprocedure.XWhichXactionXdoesXtheXnurseXexplainXisXthe
XmostXimportantXthingXtheXclientXcanXdoXtoXprotectXagain
stXerrors?

, a.X BringXaXlistXofXallXmedicationsXandXwhatXtheyXareXfor.
b.X KeepXtheXprovider’sXphoneXnumberXbyXtheXtelephone.
c.X MakeXsureXthatXallXprovidersXwashXhandsXbeforeXenteringX

theXroom.