10/31/23, e 5:28 Test ebank e- emedical e surgical enursing e 10th e edition eignatavicius
eAM eworkman-bte…
Medical e Surgical e Nursing e 10th e Edition
eIgnatavicius eWorkman eTest e Bank
Chapter e01: eOvervi ew eof eProfessional eNursing eConcepts efor eMedical-S urgi cal
eNursing eIgnatavi ci us: eMedi cal -S urgi cal eNursing, e10th eEdition
MULTIPLE eCHOICE
1. A enew enurse eis eworking ewith ea epreceptor eon ea emedical-surgical eunit. eThe
epreceptor eadvises ethe e new enurse ethat ewhich eis ethe epriority ewhen eworking
eas ea eprofessional enurse?
a. Attending eto eholistic eclient eneeds
b. Ensuring eclient esafety
c. Not emaking emedication eerrors
d. Providing eclient-focused ecare
ANS: eB
All eactions eare eappropriate efor ethe eprofessional enurse. eHowever, eensuring eclient
esafety eis ethe e priority. eHealth ecare eerrors ehave ebeen ewidely ereported efor e25
eyears, emany eof ewhich eresult ein e client einjury, edeath, eand eincreased ehealth
ecare ecosts. eThere eare eseveral enational eand e international eorganizations ethat
ehave eeither erecommended eor emandated esafety einitiatives.
Every enurse ehas ethe eresponsibility eto eguard ethe eclient’s esafety. eThe eother
eactions eare eimportant
for equality enursing, ebut ethey eare enot eas evital eas eproviding esafety. eNot
emaking emedication eerrors e does eprovide esafety, ebut eis etoo enarrow ein escope
eto ebe ethe ebest eanswer.
DIF: e Understanding TOP: e Integrated eProcess: eNursing eProcess:
eIntervention e KEY: eClient esafety
MSC: e Client eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eSafety eand
eInfection eControl
2. A enurse eis eorienting ea enew eclient eand efamily eto ethe emedical-surgical eunit.
eWhat einformation e does ethe enurse eprovide eto ebest ehelp ethe eclient
epromote ehis eor eher eown esafety?
a. Encourage ethe eclient eand efamily eto ebe eactive epartners.
b. Have ethe eclient emonitor ehand ehygiene ein ecaregivers.
c. Offer ethe efamily ethe eopportunity eto estay ewith ethe eclient.
d. Tell ethe eclient eto ealways ewear ehis eor eher earmband.
ANS: eA
Each eaction ecould ebe eimportant efor ethe eclient eor efamily eto eperform.
eHowever, eencouraging ethe e client eto ebe eactive ein ehis eor eher ehealth ecare
eas ea esafety epartner eis ethe emost ecritical. eThe eother e actions eare every
elimited ein escope eand edo enot eprovide ethe ebroad eprotection ethat ebeing eactive
eand e involved edoes.
DIF: e Understanding TOP: eIntegrated eProcess:
eTeaching/Learning e KEY: eClient esafety
MSC: e Client eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eSafety eand
eInfection eControl
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,10/31/23, e 5:28 Test ebank e- emedical e surgical enursing e 10th e edition eignatavicius
eAM eworkman-bte…
3. A enurse eis ecaring efor ea epostoperative eclient eon ethe esurgical eunit. eThe
eclient’s eblood epressure e was e142/76 emm eHg e30 eminutes eago, eand enow
eis e88/50 emm eHg. eWhat eaction ewould ethe enurse e take efirst?
a. Call ethe eRapid eResponse eTeam.
b. Document eand econtinue eto emonitor.
c. Notify ethe eprimary ehealth ecare eprovider.
d. Repeat ethe eblood epressure ein e15 eminutes.
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,10/31/23, e 5:28 Test ebank e- emedical e surgical enursing e 10th e edition eignatavicius
eAM eworkman-bte…
ANS: eA
The epurpose eof ethe eRapid eResponse eTeam e(RRT) eis eto eintervene ewhen eclients
eare edeteriorating e before ethey esuffer eeither erespiratory eor ecardiac earrest.
eSince ethe eclient ehas emanifested ea e significant echange, ethe enurse ewould ecall
ethe eRRT. eChanges ein eblood epressure, emental estatus, e heart erate, etemperature,
eoxygen esaturation, eand elast e2 ehours’ eurine eoutput eare eparticularly
e significant eand eare epart eof ethe eModified eEarly eWarning eSystem eguide.
eDocumentation eis evital, e but ethe enurse emust edo emore ethan edocument. eThe
eprimary ehealth ecare eprovider ewould ebe e notified, ebut ethis eis enot emore
eimportant ethan ecalling ethe eRRT. eThe eclient’s eblood epressure e would ebe
ereassessed efrequently, ebut ethe epriority eis egetting ethe erapid ecare eto ethe
eclient.
DIF: e Applying TOP: e Integrated eProcess: eCommunication eand
eDocumentation e KEY: eRapid eResponse eTeam e(RRT), eClinical
ejudgment
MSC: e Client e Needs eCategory: e Physiological e Integrity: e Physiological e Adaptation
4. A enurse ewishes eto eprovide eclient-centered ecare ein eall einteractions. eWhich
eaction eby ethe enurse
best edemonstrates ethis econcept?
a. Assesses efor ecultural einfluences eaffecting ehealth ecare.
b. Ensures ethat eall ethe eclient’s ebasic eneeds eare emet.
c. Tells ethe eclient eand efamily eabout eall eupcoming etests.
d. Thoroughly eorients ethe eclient eand efamily eto ethe eroom.
ANS: eA
Showing erespect efor ethe eclient eand efamily’s epreferences eand eneeds eis eessential
eto eensure ea
holistic eor e“whole-person” eapproach eto ecare. eBy eassessing ethe eeffect eof ethe
eclient’s eculture eon e health ecare, ethis enurse eis epracticing eclient-focused ecare.
eProviding efor ebasic eneeds edoes enot e demonstrate ethis ecompetence. eSimply
etelling ethe eclient eabout eall eupcoming etests eis enot e providing eempowering
eeducation. eOrienting ethe eclient eand efamily eto ethe eroom eis ean eimportant
e safety emeasure, ebut enot edirectly erelated eto edemonstrating eclient-centered ecare.
DIF: e Understanding TOP: eIntegrated eProcess: eCulture eand
eSpirituality e KEY: e Client-centered ecare, eCulture MSC: e Client eNeeds
eCategory: ePsychosocial eIntegrity
5. A eclient eis egoing eto ebe eadmitted efor ea escheduled esurgical eprocedure.
eWhich eaction edoes ethe e nurse eexplain eis ethe emost eimportant ething ethe
eclient ecan edo eto eprotect eagainst eerrors?
a. Bring ea elist eof eall emedications eand ewhat ethey eare efor.
b. Keep ethe eprovider’s ephone enumber eby ethe etelephone.
c. Make esure ethat eall eproviders ewash ehands ebefore eentering ethe eroom.
d. Write edown ethe ename eof eeach ecaregiver ewho ecomes ein ethe eroom.
ANS: eA
Medication ereconciliation eis ea eformal
eprocess ein ewhich ethe eclient’s eactual
ecurrent emedications e are ecompared eto ethe eprescribed emedications eat ethe etime
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, 10/31/23, e 5:28 Test ebank e- emedical e surgical enursing e 10th e edition eignatavicius
eAM eworkman-bte…
eof eadmission, etransfer, eor edischarge. e This eNational eclient eSafety eGoal eis
eimportant eto ereduce emedication eerrors. eThe eclient ewould e not ehave eto ebe
eresponsible efor eproviders ewashing etheir ehands, eand eeven eif ethe eclient edoes
eso,
this eis etoo enarrow eto ebe ethe emost eimportant eaction eto eprevent eerrors.
eKeeping ethe eprovider’s e phone enumber enearby eand edocumenting eeveryone
ewho eenters ethe eroom ealso edo enot eguarantee e safety.
DIF: e Applying TOP: e Integrated eProcess:
eTeaching/Learning e KEY: eClient esafety, eInformatics
MSC: e Client eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eSafety eand
eInfection eControl
Btestbanks.com
about:blank 4/602
eAM eworkman-bte…
Medical e Surgical e Nursing e 10th e Edition
eIgnatavicius eWorkman eTest e Bank
Chapter e01: eOvervi ew eof eProfessional eNursing eConcepts efor eMedical-S urgi cal
eNursing eIgnatavi ci us: eMedi cal -S urgi cal eNursing, e10th eEdition
MULTIPLE eCHOICE
1. A enew enurse eis eworking ewith ea epreceptor eon ea emedical-surgical eunit. eThe
epreceptor eadvises ethe e new enurse ethat ewhich eis ethe epriority ewhen eworking
eas ea eprofessional enurse?
a. Attending eto eholistic eclient eneeds
b. Ensuring eclient esafety
c. Not emaking emedication eerrors
d. Providing eclient-focused ecare
ANS: eB
All eactions eare eappropriate efor ethe eprofessional enurse. eHowever, eensuring eclient
esafety eis ethe e priority. eHealth ecare eerrors ehave ebeen ewidely ereported efor e25
eyears, emany eof ewhich eresult ein e client einjury, edeath, eand eincreased ehealth
ecare ecosts. eThere eare eseveral enational eand e international eorganizations ethat
ehave eeither erecommended eor emandated esafety einitiatives.
Every enurse ehas ethe eresponsibility eto eguard ethe eclient’s esafety. eThe eother
eactions eare eimportant
for equality enursing, ebut ethey eare enot eas evital eas eproviding esafety. eNot
emaking emedication eerrors e does eprovide esafety, ebut eis etoo enarrow ein escope
eto ebe ethe ebest eanswer.
DIF: e Understanding TOP: e Integrated eProcess: eNursing eProcess:
eIntervention e KEY: eClient esafety
MSC: e Client eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eSafety eand
eInfection eControl
2. A enurse eis eorienting ea enew eclient eand efamily eto ethe emedical-surgical eunit.
eWhat einformation e does ethe enurse eprovide eto ebest ehelp ethe eclient
epromote ehis eor eher eown esafety?
a. Encourage ethe eclient eand efamily eto ebe eactive epartners.
b. Have ethe eclient emonitor ehand ehygiene ein ecaregivers.
c. Offer ethe efamily ethe eopportunity eto estay ewith ethe eclient.
d. Tell ethe eclient eto ealways ewear ehis eor eher earmband.
ANS: eA
Each eaction ecould ebe eimportant efor ethe eclient eor efamily eto eperform.
eHowever, eencouraging ethe e client eto ebe eactive ein ehis eor eher ehealth ecare
eas ea esafety epartner eis ethe emost ecritical. eThe eother e actions eare every
elimited ein escope eand edo enot eprovide ethe ebroad eprotection ethat ebeing eactive
eand e involved edoes.
DIF: e Understanding TOP: eIntegrated eProcess:
eTeaching/Learning e KEY: eClient esafety
MSC: e Client eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eSafety eand
eInfection eControl
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,10/31/23, e 5:28 Test ebank e- emedical e surgical enursing e 10th e edition eignatavicius
eAM eworkman-bte…
3. A enurse eis ecaring efor ea epostoperative eclient eon ethe esurgical eunit. eThe
eclient’s eblood epressure e was e142/76 emm eHg e30 eminutes eago, eand enow
eis e88/50 emm eHg. eWhat eaction ewould ethe enurse e take efirst?
a. Call ethe eRapid eResponse eTeam.
b. Document eand econtinue eto emonitor.
c. Notify ethe eprimary ehealth ecare eprovider.
d. Repeat ethe eblood epressure ein e15 eminutes.
Btestbanks.com
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,10/31/23, e 5:28 Test ebank e- emedical e surgical enursing e 10th e edition eignatavicius
eAM eworkman-bte…
ANS: eA
The epurpose eof ethe eRapid eResponse eTeam e(RRT) eis eto eintervene ewhen eclients
eare edeteriorating e before ethey esuffer eeither erespiratory eor ecardiac earrest.
eSince ethe eclient ehas emanifested ea e significant echange, ethe enurse ewould ecall
ethe eRRT. eChanges ein eblood epressure, emental estatus, e heart erate, etemperature,
eoxygen esaturation, eand elast e2 ehours’ eurine eoutput eare eparticularly
e significant eand eare epart eof ethe eModified eEarly eWarning eSystem eguide.
eDocumentation eis evital, e but ethe enurse emust edo emore ethan edocument. eThe
eprimary ehealth ecare eprovider ewould ebe e notified, ebut ethis eis enot emore
eimportant ethan ecalling ethe eRRT. eThe eclient’s eblood epressure e would ebe
ereassessed efrequently, ebut ethe epriority eis egetting ethe erapid ecare eto ethe
eclient.
DIF: e Applying TOP: e Integrated eProcess: eCommunication eand
eDocumentation e KEY: eRapid eResponse eTeam e(RRT), eClinical
ejudgment
MSC: e Client e Needs eCategory: e Physiological e Integrity: e Physiological e Adaptation
4. A enurse ewishes eto eprovide eclient-centered ecare ein eall einteractions. eWhich
eaction eby ethe enurse
best edemonstrates ethis econcept?
a. Assesses efor ecultural einfluences eaffecting ehealth ecare.
b. Ensures ethat eall ethe eclient’s ebasic eneeds eare emet.
c. Tells ethe eclient eand efamily eabout eall eupcoming etests.
d. Thoroughly eorients ethe eclient eand efamily eto ethe eroom.
ANS: eA
Showing erespect efor ethe eclient eand efamily’s epreferences eand eneeds eis eessential
eto eensure ea
holistic eor e“whole-person” eapproach eto ecare. eBy eassessing ethe eeffect eof ethe
eclient’s eculture eon e health ecare, ethis enurse eis epracticing eclient-focused ecare.
eProviding efor ebasic eneeds edoes enot e demonstrate ethis ecompetence. eSimply
etelling ethe eclient eabout eall eupcoming etests eis enot e providing eempowering
eeducation. eOrienting ethe eclient eand efamily eto ethe eroom eis ean eimportant
e safety emeasure, ebut enot edirectly erelated eto edemonstrating eclient-centered ecare.
DIF: e Understanding TOP: eIntegrated eProcess: eCulture eand
eSpirituality e KEY: e Client-centered ecare, eCulture MSC: e Client eNeeds
eCategory: ePsychosocial eIntegrity
5. A eclient eis egoing eto ebe eadmitted efor ea escheduled esurgical eprocedure.
eWhich eaction edoes ethe e nurse eexplain eis ethe emost eimportant ething ethe
eclient ecan edo eto eprotect eagainst eerrors?
a. Bring ea elist eof eall emedications eand ewhat ethey eare efor.
b. Keep ethe eprovider’s ephone enumber eby ethe etelephone.
c. Make esure ethat eall eproviders ewash ehands ebefore eentering ethe eroom.
d. Write edown ethe ename eof eeach ecaregiver ewho ecomes ein ethe eroom.
ANS: eA
Medication ereconciliation eis ea eformal
eprocess ein ewhich ethe eclient’s eactual
ecurrent emedications e are ecompared eto ethe eprescribed emedications eat ethe etime
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, 10/31/23, e 5:28 Test ebank e- emedical e surgical enursing e 10th e edition eignatavicius
eAM eworkman-bte…
eof eadmission, etransfer, eor edischarge. e This eNational eclient eSafety eGoal eis
eimportant eto ereduce emedication eerrors. eThe eclient ewould e not ehave eto ebe
eresponsible efor eproviders ewashing etheir ehands, eand eeven eif ethe eclient edoes
eso,
this eis etoo enarrow eto ebe ethe emost eimportant eaction eto eprevent eerrors.
eKeeping ethe eprovider’s e phone enumber enearby eand edocumenting eeveryone
ewho eenters ethe eroom ealso edo enot eguarantee e safety.
DIF: e Applying TOP: e Integrated eProcess:
eTeaching/Learning e KEY: eClient esafety, eInformatics
MSC: e Client eNeeds eCategory: eSafe eand eEffective eCare eEnvironment: eSafety eand
eInfection eControl
Btestbanks.com
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