10/31/23, Test bank - medical surgical nursing 10th edition
N N N N N N N
N5:28 ignatavicius workman-
N N
AM
Medical Surgical Nursing 10th N N b m b
Edition Ignatavicius Workman N N
Test Bank b m m
b b
Chapter 01: Overview of Professional Nursing Concepts for
N N N N N N N
Medical-Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
N N N N N N N
MULTIPLE N CHOICE
1. A N new nurse is working with a preceptor on a medical-surgical
N N N N N N N N N
N unit. The preceptor advises the new nurse that which is the
N N N N N N N N N N
N priority when working as a professional nurse?
N N N N N N
a. Attending to holistic client needs N N N N
b. Ensuring client safety N N
c. Not making medication errors
N N N
d. Providing client-focused care N N
ANS: N B
All actions are
N appropriate for the professional
N nurse. bmHowever, N N N N N N
ensuring
N client safety is the priority.N Health care errors mhave N N N N N N N N
beenN widely reported for N 25 years, many of which result
N in N N N N N N N N
client minjury,
N death, and Nincreased health care costs. There are
N N N N N N N N
several
N national and international Norganizations that have either N N N N N N
recommended or mandated safetybminitiatives.
N N N N
Every nurse has the
N responsibility mto mguard the
N client’s safety. The N N N N N N N N
other actions are important
N N N N
for quality nursing, but theybmarebmnotbmas vital as providing safety. Not making
N N N N N N N N N N
medication
N errors does provide safety, but N is too narrow in N N N N N N N N N
scope to be the best answer.
N N N N N N
DIF: Understanding TOP: bmIntegrated Process: Nursing Process: Intervention KEY: N N N N N N N
Client safety
N N
MSC: Client NeedsbmCategory:
N Safe and Effective Care Environment:
N Safety N N N N N N
and N Infection Control N N
2. A nurse bmis bmorienting a new client and family to the medical-surgical unit.
N N N N N N N N N N N N
Whatbminformation does the nurse provide to best help the client promote N N N N N N N N N N
his N
bmor herbmownb safety?
N N
a. Encourage the client and family to be active partners. N N N N N N N N
b. Havebmthe client monitor hand hygiene in caregivers. N N N N N N
c. Offer the family the opportunity to stay with the client.
N N N N N N N N N
d. Tell the client to always wear his or her armband.
N N N N N N N N N
ANS: N A
Each action could N N N be important for the client or family to
N N N N N N N
perform. However,
N N Nencouraging the client to be active in his or N N N N N N N N
her health care
N N N N as a safety partner is the most critical. The
N N N N N N N N
other actions are
N N N very limited in scope and do not provide the
N N N N N N N N N
broad protection
N N N that being active and involved does.
N N N N N
DIF: Understanding TOP: Integrated N
Process: Teaching/Learning KEY:
N N N N Client safety N
MSC: Client Needs Category:
N N N N Safe and Effective N N N Care N Environment: N Safety N and
Infection Control
N N
3. A N nurse is caring for a postoperative client on the surgical unit.
N N N N N N N N N N
N The client’s blood pressure was 142/76 mm Hg 30 minutes
N N N N N N N N N
N ago, and now is 88/50 mm Hg. What action would the nurse
N N N N N N N N N N N
N take first? a. Call the Rapid Response Team.
N N N N N N N
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,10/31/23, Test bank - medical surgical nursing 10th edition
N N N N N N N
N5:28 ignatavicius workman-
N N
AM b. Document and continue to
N N N N monitor.
c. Notify the primary health
N N N N care provider.
N
d. Repeat the blood pressure
N N N N in 15 minutes.
N N
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N N N N N N N
N5:28 Nignatavicius workman-
N
AM
Btestbanks.com
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, 10/31/23, Test bank - medical surgical nursing 10th edition
N N N N N N N
N5:28 ignatavicius workman-
N N
AM
ANS: N A
The purpose of the Rapid Response Team (RRT) is to intervene
N N N N N N N N N N
N when clients are deteriorating before they suffer either respiratory
N N N N N N N N
N or cardiac arrest. Since
N N N
the client has manifested a significant change, the nurse would
N N N N N N N N N
N call the RRT. Changes in blood pressure, mental status, heart
N N N N N N N N N
N rate, temperature, oxygen saturation, and last 2 hours’ urine output
N N N N N N N N N
N are particularly significant and are part of the Modified Early
N N N N N N N N N
N Warning System guide. Documentation is vital, but the nurse must
N N N N N N N N N
N do more than document. The primary health care provider would
N N N N N N N N N
N be notified, but this is not more important than calling the
N N N N N N N N N N
N RRT. The client’s blood pressure would be reassessed frequently,
N N N N N N N N
N but the priority is getting the rapid care to the client.
N N N N N N N N N N
DIF: Applying TOP: Integrated Process: Communication and N N N N N
Documentation KEY:
N Rapid Response Team (RRT), Clinical N N N N N N
judgment
N
MSC: Client Needs Category: Physiological Integrity: Physiological
N N N N N N N N Adaptation
4. A N nurse wishes to provide client-centered care in all interactions.
N N N N N N N N
N Which action by the nurse best demonstrates this concept?
N N N N N N N N
a. Assesses for cultural influences affecting health care.
N N N N N N
b. Ensures that all the client’s basic needs are met.
N N N N N N N N
c. Tells the client and family about all upcoming mtests. b
N N N N N N N N N
d. Thoroughly orients the client and family to thebmroom. N N N N N N N
ANS: N A
Showing respect for the N client and family’s preferences and needs
N N N N N N N N N
is
N essential to
N ensure a holistic or ―whole-person‖ Napproach to N N N N N N N N
care. By assessing the effect of the client’s culture on bmhealth
N N N N N N N N N N N N
care,
N this nurse is N practicing clientfocused care. Providing
N for N N N N N N
bmbasic
N needs does not demonstrate this competence.
N N N N N N
Simply telling the client mabout mall
N upcoming tests is not N N N N N N N N
providing empowering
N education. Orienting mthe
N client and family N N N N N N
to
N the room N is an important safety bmmeasure, bmbut not directly related to
N N N N N N N N N N N
demonstrating clientcentered care. b
N N N N
DIF: Understanding TOP: N Integrated N Process: Culture and N N
Spirituality KEY: bm Client-centered N N N N care, N Culture MSC: Client Needs Category: N N N
Psychosocial
N Integrity N
5. A N clientbmis mgoingbmto be admitted for a scheduled surgical procedure.
N N N N N N N N
N Which action mdoesbmthe nurse explain is the most
N important thing
N N N N N N N N
N the client can do mto protectbmagainst errors?
N N N N N N
a. Bring ma list of all medications and what they are for.
N N N N N N N N N N
b. Keepbmthe provider’s phone number by the telephone.
N N N N N N
c. Make sure that all providers wash hands before entering the room.
N N N N N N N N N N
d. Write down the name of each caregiver who comes in the room.
N N N N N N N N N N N
ANS: N A
Medication reconciliation is a formal process in which the client’s
N N N N N N N N N
actual current medications are compared to the prescribed medications
N N N N N N N N N
at the time of admission, transfer, or discharge. This National
N N N N N N N N N N
client Safety Goal is important to reduce medication errors. The
N N N N N N N N N N
client would not have to be responsible for providers washing
N N N N N N N N N N
their hands, and even if the client does so, this is too
N N N N N N N N N N N N
narrow to be the most important action to prevent errors.
N N N N N N N N N N
Keeping the
N N
provider’s phone number nearby and documenting everyone who
N N N N N N N
enters the room also do not guarantee safety.
N N N N N N N N
DIF: Applying TOP: Integrated Process: N N N
Teaching/Learning KEY: Client safety, Informatics N N N N
MSC: Client Needs Category: Safe and Effective
N N N N N N N Care N Environment: N Safety N and
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N N N N N N N
N5:28 ignatavicius workman-
N N
AM
Medical Surgical Nursing 10th N N b m b
Edition Ignatavicius Workman N N
Test Bank b m m
b b
Chapter 01: Overview of Professional Nursing Concepts for
N N N N N N N
Medical-Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
N N N N N N N
MULTIPLE N CHOICE
1. A N new nurse is working with a preceptor on a medical-surgical
N N N N N N N N N
N unit. The preceptor advises the new nurse that which is the
N N N N N N N N N N
N priority when working as a professional nurse?
N N N N N N
a. Attending to holistic client needs N N N N
b. Ensuring client safety N N
c. Not making medication errors
N N N
d. Providing client-focused care N N
ANS: N B
All actions are
N appropriate for the professional
N nurse. bmHowever, N N N N N N
ensuring
N client safety is the priority.N Health care errors mhave N N N N N N N N
beenN widely reported for N 25 years, many of which result
N in N N N N N N N N
client minjury,
N death, and Nincreased health care costs. There are
N N N N N N N N
several
N national and international Norganizations that have either N N N N N N
recommended or mandated safetybminitiatives.
N N N N
Every nurse has the
N responsibility mto mguard the
N client’s safety. The N N N N N N N N
other actions are important
N N N N
for quality nursing, but theybmarebmnotbmas vital as providing safety. Not making
N N N N N N N N N N
medication
N errors does provide safety, but N is too narrow in N N N N N N N N N
scope to be the best answer.
N N N N N N
DIF: Understanding TOP: bmIntegrated Process: Nursing Process: Intervention KEY: N N N N N N N
Client safety
N N
MSC: Client NeedsbmCategory:
N Safe and Effective Care Environment:
N Safety N N N N N N
and N Infection Control N N
2. A nurse bmis bmorienting a new client and family to the medical-surgical unit.
N N N N N N N N N N N N
Whatbminformation does the nurse provide to best help the client promote N N N N N N N N N N
his N
bmor herbmownb safety?
N N
a. Encourage the client and family to be active partners. N N N N N N N N
b. Havebmthe client monitor hand hygiene in caregivers. N N N N N N
c. Offer the family the opportunity to stay with the client.
N N N N N N N N N
d. Tell the client to always wear his or her armband.
N N N N N N N N N
ANS: N A
Each action could N N N be important for the client or family to
N N N N N N N
perform. However,
N N Nencouraging the client to be active in his or N N N N N N N N
her health care
N N N N as a safety partner is the most critical. The
N N N N N N N N
other actions are
N N N very limited in scope and do not provide the
N N N N N N N N N
broad protection
N N N that being active and involved does.
N N N N N
DIF: Understanding TOP: Integrated N
Process: Teaching/Learning KEY:
N N N N Client safety N
MSC: Client Needs Category:
N N N N Safe and Effective N N N Care N Environment: N Safety N and
Infection Control
N N
3. A N nurse is caring for a postoperative client on the surgical unit.
N N N N N N N N N N
N The client’s blood pressure was 142/76 mm Hg 30 minutes
N N N N N N N N N
N ago, and now is 88/50 mm Hg. What action would the nurse
N N N N N N N N N N N
N take first? a. Call the Rapid Response Team.
N N N N N N N
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,10/31/23, Test bank - medical surgical nursing 10th edition
N N N N N N N
N5:28 ignatavicius workman-
N N
AM b. Document and continue to
N N N N monitor.
c. Notify the primary health
N N N N care provider.
N
d. Repeat the blood pressure
N N N N in 15 minutes.
N N
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N N N N N N N
N5:28 Nignatavicius workman-
N
AM
Btestbanks.com
about:blank
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, 10/31/23, Test bank - medical surgical nursing 10th edition
N N N N N N N
N5:28 ignatavicius workman-
N N
AM
ANS: N A
The purpose of the Rapid Response Team (RRT) is to intervene
N N N N N N N N N N
N when clients are deteriorating before they suffer either respiratory
N N N N N N N N
N or cardiac arrest. Since
N N N
the client has manifested a significant change, the nurse would
N N N N N N N N N
N call the RRT. Changes in blood pressure, mental status, heart
N N N N N N N N N
N rate, temperature, oxygen saturation, and last 2 hours’ urine output
N N N N N N N N N
N are particularly significant and are part of the Modified Early
N N N N N N N N N
N Warning System guide. Documentation is vital, but the nurse must
N N N N N N N N N
N do more than document. The primary health care provider would
N N N N N N N N N
N be notified, but this is not more important than calling the
N N N N N N N N N N
N RRT. The client’s blood pressure would be reassessed frequently,
N N N N N N N N
N but the priority is getting the rapid care to the client.
N N N N N N N N N N
DIF: Applying TOP: Integrated Process: Communication and N N N N N
Documentation KEY:
N Rapid Response Team (RRT), Clinical N N N N N N
judgment
N
MSC: Client Needs Category: Physiological Integrity: Physiological
N N N N N N N N Adaptation
4. A N nurse wishes to provide client-centered care in all interactions.
N N N N N N N N
N Which action by the nurse best demonstrates this concept?
N N N N N N N N
a. Assesses for cultural influences affecting health care.
N N N N N N
b. Ensures that all the client’s basic needs are met.
N N N N N N N N
c. Tells the client and family about all upcoming mtests. b
N N N N N N N N N
d. Thoroughly orients the client and family to thebmroom. N N N N N N N
ANS: N A
Showing respect for the N client and family’s preferences and needs
N N N N N N N N N
is
N essential to
N ensure a holistic or ―whole-person‖ Napproach to N N N N N N N N
care. By assessing the effect of the client’s culture on bmhealth
N N N N N N N N N N N N
care,
N this nurse is N practicing clientfocused care. Providing
N for N N N N N N
bmbasic
N needs does not demonstrate this competence.
N N N N N N
Simply telling the client mabout mall
N upcoming tests is not N N N N N N N N
providing empowering
N education. Orienting mthe
N client and family N N N N N N
to
N the room N is an important safety bmmeasure, bmbut not directly related to
N N N N N N N N N N N
demonstrating clientcentered care. b
N N N N
DIF: Understanding TOP: N Integrated N Process: Culture and N N
Spirituality KEY: bm Client-centered N N N N care, N Culture MSC: Client Needs Category: N N N
Psychosocial
N Integrity N
5. A N clientbmis mgoingbmto be admitted for a scheduled surgical procedure.
N N N N N N N N
N Which action mdoesbmthe nurse explain is the most
N important thing
N N N N N N N N
N the client can do mto protectbmagainst errors?
N N N N N N
a. Bring ma list of all medications and what they are for.
N N N N N N N N N N
b. Keepbmthe provider’s phone number by the telephone.
N N N N N N
c. Make sure that all providers wash hands before entering the room.
N N N N N N N N N N
d. Write down the name of each caregiver who comes in the room.
N N N N N N N N N N N
ANS: N A
Medication reconciliation is a formal process in which the client’s
N N N N N N N N N
actual current medications are compared to the prescribed medications
N N N N N N N N N
at the time of admission, transfer, or discharge. This National
N N N N N N N N N N
client Safety Goal is important to reduce medication errors. The
N N N N N N N N N N
client would not have to be responsible for providers washing
N N N N N N N N N N
their hands, and even if the client does so, this is too
N N N N N N N N N N N N
narrow to be the most important action to prevent errors.
N N N N N N N N N N
Keeping the
N N
provider’s phone number nearby and documenting everyone who
N N N N N N N
enters the room also do not guarantee safety.
N N N N N N N N
DIF: Applying TOP: Integrated Process: N N N
Teaching/Learning KEY: Client safety, Informatics N N N N
MSC: Client Needs Category: Safe and Effective
N N N N N N N Care N Environment: N Safety N and
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