Test Bank -Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9th edition (All chapters complete 1 - 74, Question and Answers with Rationales)

Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
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dition by IGNATAVICIUS
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TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR INTERP
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ROFFESSIONAL COLLABORATIVE CARE 9TH EDITIONIGNATA
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VICIUS ALL CHAPTERS.x x

,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
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dition by IGNATAVICIUS
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Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
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MULTIPLE CHOICE x




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by thenurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care x x x x x x




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




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




ANS: A x




Competency in client- x x




focused care is demonstrated when the nursefocuses on communication, culture, respect compassio
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n, client education, and empowerment. By assessing the effect of the clients culture on health care, t
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his nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply telling the cl
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ient about all upcoming tests isnot providing empowering education.
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Orienting the client andfamily to theroom is animportantsafetymeasure,b
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utnotdirectlyrelatedtodemonstratingclient-centered care. x




DIF: Understanding/Comprehension REF: 3
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KEY: Patient- x




centered care| culture MSC: Integrated Process: Caring NOT: Client NeedsCategory: Psychosocial
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Integrity


2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressurewa
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s 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. x x x x




c. Notify the primary care provider. x x x x




d. Repeat blood pressure measurement in 15 minutes.
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,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
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dition by IGNATAVICIUS x x




ANS: A x




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterioratingbefor
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e they suffereitherrespiratoryorcardiacarrest.
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Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood pr x x x x x x x x




essure, mental status, heart rate, and pain are particularly significant. Documentation is vital, but th
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e nursemust do more than document. The primary care provider should be notified, but thisis not the
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priority over calling the RRT. The clients blood pressure should
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be reassessed frequently, but the priority is getting the rapid care to theclient.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:Com
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munication and Documentation x x




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 doesthe
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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. x x x x x x x x




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 x




Each action could be important for the client or family to perform. However, encouraging the client t
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o be active in his or her health care as a partner is the most critical. The other actions are very limited i
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n scope and do not provide the broad protection that being active and involveddoes.
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DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
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, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
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dition by IGNATAVICIUS x x




MSC: Integrated Process: Teaching/Learning
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and InfectionC
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ontrol


4. A new nurse is working with a preceptor on an inpatientmedical-
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surgical unit. The preceptor advises the student that which is the priority when working as a pro
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fessionalnurse?
a. Attending to holistic client needs x x x x




b. Ensuring client safety x x




c. Not making medication errors
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d. Providing client-focused care x x




ANS: B x




All actions are appropriate for the professional nurse. However, ensuring client safety is the priority.
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Up to 98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of M
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edicine report. Many more clients have suffered injuries and less serious outcomes.Every nurse has th
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e responsibility to guard the clients safety.
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DIF: Understanding/Comprehension REF: 2 KEY: Patient safetyM
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SC: Integrated Process: Nursing Process: Intervention
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and InfectionC
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ontrol


5. A client is going to be admitted for a scheduled surgical procedure. Which action doesthe
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nurse explain is the most important thing the client can do to protect againsterrors?
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a. Bring a list of all medications and what they are for.
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b. Keep the doctors phone number by the telephone.
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c. Make sure all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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ANS: A x