Test Bank For Medical-Surgical Nursing Concepts for Inter professional Collaborative Care 10th Edition by Donna Ignatavicius, 9780323612425, Chapter 1-69 Complete Questions and Answers A+

Test Bank for Medical- vuvb vuv b v uv b




Surgical Nursing,10th vuv b b
vu




Edition, Donna D.
b
vu v uv b vuv b




Ignatavicius, Linda
vuvb v uvb




Workman, Cherie R.
vuvb v uvb v uv b




Rebar, Nicole M. vuvb v uv b v uv b




Heimgartner vuvb

, abirb.com/test
WWW.NURSYLAB.COM
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgicalabirb.com/test
vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb




vu vb Nursing, 10th Edition vuvb vuvb v uvb vu vb




MULTIPLE CHOICE vuvb



abirb.com/test
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb




new nurse that which is the priority when working as a professional nurse?
abirb.com/test
vu vb vuvb vuvb vuvb vuvb vuvb vuvb v uv b v uv b v u vb vuvb vu vb v uv b




a. Attending to holistic client needs vuvb vuvb vuvb vuvb




b. Ensuring client safety vuvb vuvb




c. Not making medication errors vuvb vuvb vuvb




d. Providing client-focused care vuvb vuvb




abirb.com/test vuvb




ANS: B v u v b




All actions are appropriate for the professional nurse. However, ensuring client safety is the
vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb




priority.Healthcareerrorshave been widely reported
vu vb for25years,many of which result in vub vub vub vub



abirb .com/tes t v u v b v u v b vub vub vub vuvb vuvb v uv b vuvb




client injury, death, and increased health care costs. There are several national and
vuvb vuvb vuvb vu vb vuvb v uv b v uv b vu vb v uv b v uv b vu vb v uv b vu vb




international organizations that have either recommended or mandated safety initiatives. Every vuvb vuvb vuvb v uv b v uv b vu vb vu vb v uv b vu vb v u vb




nurse has the responsibility to guard the client’s safety. The other actions are important for
abirb.com/test
vu vb vuvb vuvb vuvb vuvb vuvb vu vb v uv b v uv b v uvb v uv b vu vb vu vb v uv b v uv b




quality nursing, but they are not as vital as providing safety. Not making medication errors does
vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb




provide safety, but is too narrow in scope to be the best answer.
vu vb vuvb vuvb vuvb vuvb vuvb vu vb vu vb vu vb v u vb vu vb v uv b v uv b




DIF: Understanding
KEY: Client safety
vuvb
T OP : In teg rated Process: Nursing Process: Intervention
v u v b vuvb
abirb.c o m /test v u v b v u v b v u vb v u vb v uv b v uv b




MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
v u v b vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb




2. Anurse is orienting a new client and family to t h e m e d i c a l - surgical unit. What information
vuvb vuvb vuvb vuvb vuvb vuvb

abirb.com/ t e s t vuvb vuvb vuvb vuvb vuvb




does the nurse provide to best help the client promote his or her own safety?
vub vu vb vuvb vuvb vuvb vuvb vuvb v uv b vu vb v uv b vu vb vu vb v uv b vu vb v uvb




a. Encourage the client and family to be active partners. vuvb vuvb vuvb vuvb vuv b vuvb vuvb vuvb




b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
vuvb




vuvb
vuvb




vuvb
vuvb




vuvb vuvb
vuvb




abirb.com/test vuv b




vuvb v uvb
vuvb




vuv b
v uvb




vu vb vuvb




d. Tell the client to always wear his or her armband. vuvb vuvb vuvb vu vb vuvb vu vb vu vb vuvb vu vb




ANS: abirb.com/test
v A u v b




Each action could be important for the client or family to perform. However, encouraging the
vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb




client to be active in his or her health care as a safety partner is the most critical. The other
vu vb vuvb vuvb vuvb vuvb vuv b vuvb vuvb vu vb v uv b vu vb v uv b vu vb v uv b vu vb vu vb v uv b v uv b v uv b vu vb




actions are very limited in scope and do not provide the broad protection that being active and
vuvb vuvb vuvb vuvb vu vb vuvb vuvb vu vb vuv b vuvb v uv b vuvb vuvb vuv b vuvb v uv b




involved does. vuvb

abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning v u v b vuvb vuvb




KEY: Client v u v b
abirb.com/test
safety
vuvb




MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
v u v b vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vvub vuvb vuvb




3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
vu vb vuvb vuvb vuvb vuvb vuvb v uv b vu vb v u vb v uv b v uv b v uv b vu vb v uv b v uv b




was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
vu vb




take first?
vuvb




vuvb
vuvb vuvb vuvb vuvb




abirb.com/test v uv b vuvb vuvb vuvb vuvb vuvb




a. Call the Rapid Response Team. vuvb vuvb vuvb vuvb




b. Document and continue to monitor. vuvb vuvb vuvb vu vb




c. Notify the primary health care provider. vuvb vuvb vuvb vuvb abirb.com/test vuv b




d. Repeat the blood pressure in 15 minutes. vuvb vuvb vuvb vuvb vuvb v uvb




WWW.NURSYLAB.COM
abirb.com/test

,abirb.com/test
WWW.NURSYLAB.COM




abirb.com/test




WWW.NURSYLAB.COM
abirb.com/test

, abirb.com/test
WWW.NURSYLAB.COM
ANS:
TheApurposeoftheRapidResponse Team (RRT) is t o intervene whenclientsaredeteriorating
v u v b
vub vub vub vub vub
abirb.com/tes t v u vb vub vub vub vub




vuvb before they suffer either respiratory or cardiac arrest. Since the client has manifested a
vuvb vuvb vuvb vuvb vu vb vu vb vu vb v uv b vu vb v uv b vu vb v uv b vu vb




vu vb significant change, the nurse would call the RRT. Changes in blood pressure, mental status, vuvb vuvb vuvb vuvb v uv b v uv b v uv b v uv b v uv b v uv b v uv b v uv b vu vb




vu vb heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
vuvb vuvb vuvb




abirb.com/test vuvb v uv b v uv b vu vb v uv b vu vb v uv b vu vb v uv b




vu vb significant and are part of the Modified Early Warning System guide. Documentation is vital, vuvb vuvb vuvb vuvb vuvb vuvb v uv b v uv b vu vb vu vb v uv b v uv b vu vb




vu vb but the nurse must do more than document. The primary health care provider would be notified,
vuvb vuvb vuvb vuvb vuvb vuvb v uv b v uvb v uv b v uv b v uv b v uv b vu vb v uv b v uv b




but this is not more important than calling the RRT. The client’s blood pressure would be
abirb.com/test
vu vb vuvb vuvb vuvb vuvb vuvb vuvb v uv b vu vb v uv b v uv b vu vb vu vb vu vb vu vb v uvb




vu vb reassessed frequently, but the priority is getting the rapid care to the client. vuvb vuvb vuvb vuvb v uv b v uv b vu vb v uv b vu vb vu vb vu vb v uv b




DIF: Applying TOP: Integrated Process: Communication and v u v b vuvb vuvb vuvb




Documentation KEY: Rapid Response Team (RRT), Clinical judgment
vuvb




MSC: ClientNeeds Category:PhysiologicalIntegrity: Physiological Adaptation
v u v b vub
vuvb




vuvb
v u v b vuvb




vuvb
abirb.com/test v uv b




vub
v uvb




vuvb
v uv b v uv b




vuvb




4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuv b vuvb vuvb vuvb v uvb vuvb vu vb




best demonstrates this concep t? vuvb




a. Assesses for cultural influences affecting health care. vuvb vuvb
vuvb vuvb




vuvb
a birb.com/test vuvb vuvb vu vb




b. Ensures that all the client’s basic needs are met. vuvb vuvb vuvb vuvb vuvb vuv b v uvb vuvb




c. Tells the client and family about all upcoming tests.
abirb.com/test
vuvb vuvb vuvb vuvb vuvb vuv b vuvb vuvb




d. Thoroughly orients the client and family to the room. vuvb vuvb vuvb vuvb v uvb vuvb vu vb vuvb




ANS: v u v b A
Showing respect for the client and family’s preferences and needs is essential to ensure a
abirb.com/test
vuvb vuvb vuvb vuvb vuvb v uv b vu vb vu vb vu vb v uv b vu vb vu vb v uv b vu v b




holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on
vu vb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb




health care, this nurse is practicing client-focused care. Providing for basic needs does not
vu vb vuvb vuvb vuvb vuvb vuvb v uv b v uv b v uv b v uv b vuvb v uv b v uv b v uvb




demonstrate this competence. Simply telling the client about all upcoming tests is not
vu vb vuvb vuvb vuvb v uv b v uvb v uv b vu vb v uv b vuvb vu vb vu vb v uv b




providingempoweringeducation. Orienting the client andfamilytotheroomisanimportant vub vub


abirb.com/test vub vub vub vub vub vub vub vub




safety measure, but not directly related to demonstrating client-centered care.
vu vb vuvb vuvb vuvb vuvb vuvb vu vb vu vb v uv b vu vb




DIF: Understanding T OP : In teg rated Process: Culture and Spirituality
abirb.c o mClient/Needs
testCategory:Psychosocial Integrity
v u v b v u v b v uv b v u vb v uv b vuvb




KEY: Client-centered care, Culture v u v b vuvb vuvb MSC: v u v b vuvb vuvb vub vuvb




5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb




nurse explain is the most important thing the client can do to protect against errors?
vu vb




a. Bring a list of all medications and what they are for.
vuvb




vuvb vuvb
vuvb




vuvb
vuvb




vu vb
vuvb




vuvb
vuvb




abirb.com/test vuvb
v uv b




v uvb
v uv b




vu vb
v uv b




vuvb vuv b
vu vb v uv b vuvb vu vb v uv b vu vb




b. Keep the provider’s phone number by the telephone. vuvb vuvb vuvb vuvb vuvb vuvb vuv b




c. Make sure that all providers wash hands before entering the room. vuvb vuvb vuvb vuvb vuvb vu vb vu vb vuvb vu vb vuvb




d. Write down the name of each caregiver who comes in the room. vuvb vuvb vuvb vuvb vuvb abirb.com/test vuvb v uvb vu vb vuvb vu vb v uvb




ANS: v u v b A
Medication reconciliation is a formal process in which the client’s actual current medications are
abirb.com/test
vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb v u vb




compared to the prescribed medications at the time of admission, transfer, or discharge. This
vu vb vuvb vuvb vuvb vuvb v uv b vu vb v uv b vu vb v uv b vu vb v uv b v uv b v uv b




National client Safety Goal is important to reduce medication errors. The client would not have
vu vb vuvb vuvb vuvb vuvb vuvb v uv b v uv b vu vb v uv b vu vb v uv b vu vb vu vb vu vb




to be responsible for providers washing their hands, and even if the client does so, this is too
vu vb vuvb vuvb vuvb vuvb vuvb v uv b v uv b v uv b v uv b vu vb vu vb v uv b vu vb vu vb v uv b v uv b v uv b




narrow to be the most important action to prevent errors. Keeping the provider’s phone number
vu vb




nearby and documenting everyone who enters the room also do not guarantee safety.
vu vb vuvb
vuvb vuvb




vuvb
vuvb vuvb vuvb




vuvb
abirb.com/test vu vb




vu vb
v uv b




v uv b
v uv b




v uv b
vu vb




vu vb vu vb
vu vb




vu vb vu vb
v uv b




vu vb
vu vb




v uv b
vu vb v uv b




DIF: Applying TOP:
v u v b
a b irb .co m /t e s t
Int eg rat e d Pr o ce ss: Te a c h in g/ L earning KEY: Client safety, v uv b v u v b v uv b




Informatics
vu vb




MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
v u v b vuvb vuvb vuvb vuvb vuvb vuvb vuvb vuvb vvub vuvb vuvb




abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test