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-Surgical Nursing
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10th Edition Concepts for Interprofessional
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Collaborative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69
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,Chapter01:Overview ofProfessional NursingConceptsforMedical-SurgicalNursing
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Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLECHOICE jk




1. A new nurseis working with a preceptor on a medical-surgicalunit. Thepreceptor advises the new
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jk nurse that which is the priority when working as a professional nurse?
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a. Attendingto holistic client needs jk jk jk jk




b. Ensuringclient safety jk jk




c. Not makingmedication errors jk jk jk




d. Providingclient-focused care jk jk




CORRECT ANSWER: B jk j k




Allactionsareappropriatefor theprofessionalnurse. However,ensuringclientsafetyis the
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jk priority. Health care errors have been widelyreported for25 years, manyof which result in client
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jk injury, death, and increased health care costs. There are several national and international
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jk organizations that have either recommended or mandated safety initiatives. jk jk jk jk jk jk jk jk




Every nurse has the responsibility to guard the client’s safety. The other actions are important for
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quality nursing, but they are not as vital as providing safety. Not making medication errors does
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jk provide safety, but is too narrow in scope to be the best answer. jk jk jk jk jk jk jk jk jk jk jk jk




DIF: Understanding TOP: IntegratedProcess:NursingProcess:Intervention j k jk jk jk jk




jk KEY: Client safety jk jk




MSC: ClientNeedsCategory:SafeandEffective CareEnvironment: SafetyandInfection Control
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2. A nurseis orientinganew client and familyto themedical-surgicalunit. What information does
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jk the nurse provide to best help the client promote his or her own safety?
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a. Encouragethe client andfamilytobe active partners. jk jk jk jk jk jk jk jk




b. Havethe client monitorhand hygiene in caregivers. jk jk jk jk jk jk jk




c. Offer the familythe opportunityto staywith the client. jk jk jk jk jk jk jk jk jk




d. Tellthe client to alwayswear his orher armband. jk jk jk jk jk jk jk jk jk




CORRECT ANSWER: A jk j k




Each action could be important for the client or familyto perform. However, encouraging the
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jk client to be active in his or her health care as a safety partner is the most critical. The other actions
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, are verylimited inscopeanddo not providethebroad protection that beingactive and involved
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jk does.

DIF: Understanding TOP:IntegratedProcess:Teaching/Learning
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jk KEY: Client safety
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MSC: ClientNeedsCategory:SafeandEffective CareEnvironment: SafetyandInfection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
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142/76 mm Hg30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take first?
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a. Callthe Rapid ResponseTeam.
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b. Document and continueto monitor. jk jk jk jk




c. Notifythe primaryhealth careprovider. jk jk jk jk jk




d. Repeatthe blood pressure in15 minutes. jk jk jk jk jk jk

, CORRECT ANSWER: A jk j k




Thepurposeof the Rapid ResponseTeam (RRT)is to intervenewhen clients are deteriorating
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jk before they suffer either respiratory or cardiac arrest. Since the client has manifested a significant
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jk change, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate,
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jk temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant and are jk jk jk jk jk jk jk jk jk jk jk jk jk




jk part of the Modified Early Warning System guide. Documentation is vital, but the nurse must do
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jk more than document. The primary health care provider would be notified, but this is not more
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jk important than calling the RRT. The client’s blood pressure would be reassessed frequently, but jk jk jk jk jk jk jk jk jk jk jk jk jk




jk the priority is getting the rapid care to the client.
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DIF: Applying TOP: IntegratedProcess:CommunicationandDocumentation j k jk jk jk jk




jk KEY: Rapid Response Team (RRT), Clinical judgment
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MSC: ClientNeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation
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4. Anursewishes to provideclient-centered carein allinteractions.Which action bythe nurse
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bestdemonstrates this concept? jk jk jk




a. Assessesfor culturalinfluences affectinghealth care. jk jk jk jk jk jk




b. Ensuresthat allthe client’s basic needs aremet. jk jk jk jk jk jk jk jk




c. Tellsthe client and family about allupcoming tests. jk jk jk jk jk jk jk jk




d. Thoroughlyorients theclient and familyto the room. jk jk jk jk jk jk jk jk




CORRECT ANSWER: A jk j k




Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
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or “whole-person”approach to care. Byassessingthe effect of the client’s cultureon health care,
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jk this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this
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jk competence. Simply telling the client about all upcoming tests is not providingempowering jk jk jk jk jk jk jk jk jk jk jk jk




education.Orientingthe client and familyto the room is an important safety measure, but not
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jk directly related to demonstrating client-centered care. jk jk jk jk jk




DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY: jk jk jk jk jk jk




j k Client-centered care, Culture jk jk MSC: ClientNeedsCategory:PsychosocialIntegrity j k jk jk jk jk




5. A client is goingto be admitted fora scheduled surgical procedure.Which action does the
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jk nurse explain is the most important thing the client can do to protect against errors?
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a. Bringa list of all medications and what theyarefor. jk jk jk jk jk jk jk jk jk jk




b. Keepthe provider’s phone numberbythe telephone. jk jk jk jk jk jk jk




c. Makesurethat all providers wash hands beforeenteringthe room. jk jk jk jk jk jk jk jk jk jk




d. Writedown thename ofeach caregiver who comes in the room. jk jk jk jk jk jk jk jk jk jk jk