TEST BANK FOR Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition by Donna D. Ignatavicius.ISBN:978-0323612425 COMPLETE GUIDE ALL CHAPETRS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

Medical Surgical Nursing 10th EditionI
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Medical-Surgical Nursing, 10th Edition 5% 5% 5%




MULTIPLE CHOICE 5%




1. A new nurse is working with a preceptor on a medical-
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surgical unit. The preceptor advises thenew nurse that which is the priority when working
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as a professional nurse?
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a. Attending to holistic client needs 5% 5% 5% 5%



b. Ensuring client safety 5% 5%



c. Not making medication errors 5% 5% 5%



d. Providing client-focused care 5% 5%




ANS: B 5%



All actions are appropriate for the professional nurse. However, ensuring client safety is
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thepriority. Health care errors have been widely reported for 25 years, many of which re
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sult inclient injury, death, and increased health care costs. There are several national and
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%international organizations that have either recommended or mandated safety initiatives.
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Every nurse has the responsibility to guard the client’s safety. The other actions are import
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ant for quality nursing, but they are not as vital as providing safety. Not making medicatio
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n errorsdoes provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding
TOP: Integrated Process: Nursing Process: InterventionKEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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2. A nurse is orienting a new client and family to the medical-
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surgical unit. What informationdoes the nurse provide to best help the client promote hi
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s or her own safety?
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a. Encourage the client and family to be active partners. 5% 5% 5% 5% 5% 5% 5% 5%



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 5%



Each action could be important for the client or family to perform. However, encouraging t
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he client to be active in his or her health care as a safety partner is the most critical. The o
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ther actions are very limited in scope and do not provide the broad protection that being ac
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tive andinvolved does.
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DIF: Understanding
TOP: Integrated Process: Teaching/LearningKEY: Client safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressu
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re was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
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Medical Surgical Nursing 10th EditionI 5% 5% 5% 5% %
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,Medical Surgical Nursing 10th EditionI
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5% nursetake first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor.
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c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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Medical Surgical Nursing 10th EditionI
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ANS: A 5%



The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorat
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ingbefore they suffer either respiratory or cardiac arrest. Since the client has manifested a s
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ignificant change, the nurse would call the RRT. Changes in blood pressure, mental status,
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heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly si
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gnificant and are part of the Modified Early Warning System guide. Documentation is vital
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, but the nurse must do more than document. The primary health care provider would be n
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otified, but this is not more important than calling the RRT. The client’s blood pressure wo
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uld be reassessed frequently, but the priority is getting the rapid care to the client.
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DIF: Applying
TOP: Integrated Process: Communication and DocumentationKEY: Rapid
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Response Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care. 5% 5% 5% 5% 5% 5%



b. Ensures that all the client’s basic needs are met. 5% 5% 5% 5% 5% 5% 5% 5%



c. Tells the client and family about all upcoming tests.
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d. Thoroughly orients the client and family to the room. 5% 5% 5% 5% 5% 5% 5% 5%




ANS: A 5%



Showing respect for the client and family’s preferences and needs is essential to ensure a
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holistic or “whole- 5% 5%



person” approach to care. By assessing the effect of the client’s culture onhealth care, this
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%nurse is practicing client- 5% 5% 5%



focused care. Providing for basic needs does not demonstrate this competence. Simply tell
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ing the client about all upcoming tests is not providing empowering education. Orienting t
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he client and family to the room is an importantsafety measure, but not directly related to
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demonstrating client-centered care. 5% 5%




DIF: Understanding
TOP: Integrated Process: Culture and Spirituality KEY: Client-centered care, Culture
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MSC: Client Needs Category: Psychosocial Integrity 5 % 5% 5% 5% 5%




5. A client is going to be admitted for a scheduled surgical procedure. Which action does
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% thenurse explain is the most important thing the client can do to protect against errors?
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a. Bring a list of all medications and what they are for.
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b. Keep the provider’s phone number by the telephone.
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c. Make sure that 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 5%



Medication reconciliation is a formal process in which the client’s actual current medicati
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onsare compared to the prescribed medications at the time of admission, transfer, or disch
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arge. This National client Safety Goal is important to reduce medication errors. The client
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