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+

10/31/23, Test bank -
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius

Medical Surgical Nursing 10th n n n




EditionIgnatavicius Workman
n n




Test Bank
n n




Chapter 01: Overview of Professional Nursing Concepts for Medical-
n n n n n n n n


Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
n n n n n n




MULTIPLE
n CHOIC

E

1. A n new n nurse n is n working n with n a n preceptor n on n a n medical-surgical

n unit. n The n preceptor n advises n the n new n nurse n that n which n is n the
n priority n when n working n as n a n professional n nurse?
a. Attending n to n holistic n client n needs
b. Ensuring n client n safety
c. Not n making n medication n errors
d. Providing n client-focused n care
ANS: n B
All n actions n are n appropriate n for n the n professional n nurse. nmHowever, n ensuring
n client n safety n is n the n priority. n Health n care n errors n have nm been n widely

n reported n for n 25 n years, n many n of n which n result n in n client n injury,

nm death, n and n increased n health n care n costs. n There n are n several n national

n and n international n organizations n that n have n either n recommended n or

n mandated n safety nminitiatives.

Every n nurse n has n the n responsibility nmto nmguard n the n client’s n safety. n The
n other n actions n are n important

for n quality n nursing, n but n they nmare nmnotnmas n vital n as n providing n safety. n Not
n making n medication n errors n does n provide nm safety, n but n is n too n narrow n in

n scope n to n be n the n best n answer.




DIF: Understanding TOP: n Integrated n Process: n Nursing
n Process: n Intervention nKEY: n Client nmsafety

MSC: n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety n and
n Infection n Control




2. A n nurse nmis nm orienting n a n new n client n and n family n to n the n medical-

surgical n unit. n What n information n does n the n nurse n provide n to n best n help
n the n client n promote n his

mor n her nmown nmsafety?
a. Encourage n the n client n and n family n to n be n active n partners.
b. Havenmthe n client n monitor n hand n hygiene n in n caregivers.
c. Offer n the n family n the n opportunity n to n stay n with n the n client.
d. Tell n the n client n to n always n wear n his n or n her n armband.

ANS: n A
Each n action n could n be n important n for n the n client n or n family n to
n perform. n However, n encouraging n the n client n to n be n active n in n his n or

n her n health n care n as n a n safety n partner n is n the n most n critical. n The

n other n actions n are n very n limited n in n scope n and n do n not n provide n the

n broad n protection n that n being n active n and n involved n does.




DIF: Understanding TOP: n Integrated
n Process: n Teaching/Learning nKEY: n Client n safety
MSC: n n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety
n and n Infection

Control

3. A n nurse n is n caring n for n a n postoperative n client n on n the n surgical n unit.

n The n client’s n blood n pressure n was n 142/76 n mm n Hg n 30 n minutes
n ago, n and n now n is n 88/50 n mm n Hg. n What n action n would n the n nurse
about:blank 1/593

,10/31/23, Test n bank n - n medical n surgical n nursing n 10th n edition
5:28 ntake n first?
ignatavicius
a. Call n the n Rapid n Response n Team.
b. Document n and n continue n to n monitor.
c. Notify n the n primary n health n care n provider.
d. Repeat n the n blood n pressure n in n 15 n minutes.




about:blank 2/593

,10/31/23, Test bank -
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius



Btestbanks.com




about:blank 3/593

, 10/31/23, Test bank -
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius


ANS: n A
The n purpose n of n the n Rapid n Response n Team n (RRT) n is n to n intervene
n when n clients n are n deteriorating n before n they n suffer n either n respiratory n or

n cardiac n arrest. n Since n the n client n has n manifested n a n significant n change,

n the n nurse n would n call n the n RRT. n Changes n in n blood n pressure,

n mental n status, n heart n rate, n temperature, n oxygen n saturation, n and n last

n 2 n hours’ n urine n output n are n particularly n significant n and n are n part n of

n the n Modified n Early n Warning n System n guide. n Documentation n is n vital,

n but n the n nurse n must n do n more n than n document. n The n primary n health

n care n provider n would n be n notified, n but n this n is n not n more n important

n than n calling n the n RRT. n The n client’s n blood n pressure n would n be

n reassessed n frequently, n but n the n priority n is n getting n the n rapid n care n to

n the n client.




DIF: Applying n TOP: n Integrated n Process: n Communication n and
n Documentation nKEY: n Rapid n Response n Team n (RRT), n Clinical

n judgment

MSC: n n Client n Needs n Category: n Physiological n Integrity: n Physiological n Adaptation

4. A n nurse n wishes n to n provide n client-centered n care n in n all n interactions. n Which
action n by n the n nurse
n

best n demonstrates n this n concept?
a. Assesses n for n cultural n influences n affecting n health n care.
b. Ensures n that n all n the n client’s n basic n needs n are n met.
c. Tells n the n client n and n family n about n all n upcoming nmtests.
d. Thoroughly n orients n the n client n and n family n to n the nmroom.
ANS: n A
Showing n respect n for n the n client n and nmfamily’s nmpreferences n and n needs n is
n essential n to n ensure n a n holistic n or n ―whole-person‖ nm approach n to n care.

n By n assessing n the n effect n of n the n client’s n culture n on n health nmcare, n this

n nurse n is n practicing n client- n focused n care. n Providing n for n basic nm needs

nmdoes n not n demonstrate n this n competence.

Simply n telling n the n client n about nmall nmupcoming n tests n is n not
n providing n empowering n education. n Orienting nmthe nmclient n and n family n to

n the n room n is n an n important n safety n measure, nm but nmnot nmdirectly n related n to

n demonstrating n client- n centered n care.




DIF: Understanding TOP: n Integrated n Process: n Culture n and
n Spirituality n KEY: nm nClient-centered n care, n Culture MSC: n Client
n Needs n Category: n Psychosocial nmIntegrity




5. A n clientnmis nmgoing nmto n be n admitted n for n a
n scheduled n surgical n procedure.

n Which n actionnmdoesnmthemnurse n explain n is n the n most n important n thing
n the n client n can n do n mto n protect n magainst n errors?

a. Bring nma n list n of n all n medications n and n what n they n are n for.
b. Keep nmthe n provider’s n phone n number n by n the n telephone.
c. Make n sure n that n all n providers n wash n hands n before n entering n the n room.
d. Write n down n the n name n of n each n caregiver n who n comes n in n the n room.
ANS: n A
Medication n reconciliation n is n a n formal n process n in n which n the n client’s n actual
n current n medications n are n compared n to n the n prescribed n medications n at

n the n time n of n admission, n transfer, n or n discharge. n This n National n client

n Safety n Goal n is n important n to n reduce n medication n errors. n The n client

n would n not n have n to n be n responsible n for n providers n washing n their

n hands, n and n even n if n the n client n does n so, n this n is n too n narrow n to

n be n the n most n important n action n to n prevent n errors. n Keeping n the

n provider’s n phone n number n nearby n and n documenting n everyone n who

n enters n the n room n also n do n not n guarantee n safety.




DIF: Applying n TOP: n Integrated n Process:
Teaching/Learning n KEY: n Client n safety, n Informatics
MSC: n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety n and
about:blank 4/593