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Chapter 01: Overview of Professional Nursing Concepts for Medical-
H H H H H H H H
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
H H H H H H
MULTIPLEHCHOICE
1. AHnewHnurseHisHworkingHwithHaHpreceptorHonHaHmedical-
surgicalHunit.HTheHpreceptorHadvisesHtheHnewHnurseHthatHwhichHisHtheHpriorityHwhenHworkingH
asHaHprofessionalHnurse?
a. AttendingHtoHholisticHclientHneeds
b. EnsuringHclientHsafety
c. NotHmakingHmedicationHerrors
d. ProvidingHclient-focusedHcare
ANS:H B
AllHactionsHareHappropriateHforHtheHprofessionalHnurse.HHowever,HensuringHclientHsafetyHisHtheHp
riority.HHealthHcareHerrorsHhaveHbeenHwidelyHreportedHforH25Hyears,HmanyHofHwhichHresultHinHcl
ientHinjury,Hdeath,HandHincreasedHhealthHcareHcosts.HThereHareHseveralHnationalHandHinternation
alHorganizationsHthatHhaveHeitherHrecommendedHorHmandatedHsafetyHinitiatives.
EveryHnurseHhasHtheHresponsibilityHtoHguardHtheHclient9sHsafety.HTheHotherHactionsHareHimporta
ntHforHqualityHnursing,HbutHtheyHareHnotHasHvitalHasHprovidingHsafety.HNotHmakingHmedicationHe
rrorsHdoesHprovideHsafety,HbutHisHtooHnarrowHinHscopeHtoHbeHtheHbestHanswer.
DIF: Understanding
TOP:HIntegratedHProcess:HNursingHProcess:HInterventionHKEY:HClientHsafety
MSC:H ClientHNeedsHCategory:HSafeHandHEffectiveHCareHEnvironment:HSafetyHandHInfectionHControl
2. AHnurseHisHorientingHaHnewHclientHandHfamilyHtoHtheHmedical-
surgicalHunit.HWhatHinformationHdoesHtheHnurseHprovideHtoHbestHhelpHtheHclientHpromoteHhi
sHorHherHownHsafety?
a. EncourageHtheHclientHandHfamilyHtoHbeHactiveHpartners.
b. HaveHtheHclientHmonitorHhandHhygieneHinHcaregivers.
c. OfferHtheHfamilyHtheHopportunityHtoHstayHwithHtheHclient.
d. TellHtheHclientHtoHalwaysHwearHhisHorHherHarmband.
ANS:H A
EachHactionHcouldHbeHimportantHforHtheHclientHorHfamilyHtoHperform.HHowever,HencouragingHth
eHclientHtoHbeHactiveHinHhisHorHherHhealthHcareHasHaHsafetyHpartnerHisHtheHmostHcritical.HTheHothe
rHactionsHareHveryHlimitedHinHscopeHandHdoHnotHprovideHtheHbroadHprotectionHthatHbeingHactiveHa
ndHinvolvedHdoes.
DIF: Understanding
TOP:HIntegratedHProcess:HTeaching/LearningHKEY:HClientHsafety
MSC:H ClientHNeedsHCategory:HSafeHandHEffectiveHCareHEnvironment:HSafetyHandHInfectionHControl
3. AHnurseHisHcaringHforHaHpostoperativeHclientHonHtheHsurgicalHunit.HTheHclient9sHbloodHpressu
reHwasH142/76HmmHHgH30HminutesHago,HandHnowHisH88/50HmmHHg.HWhatHactionHwouldHtheH
nurseHtakeHfirst?
a. CallHtheHRapidHResponseHTeam.
b. DocumentHandHcontinueHtoHmonitor.
c. NotifyHtheHprimaryHhealthHcareHprovider.
d. RepeatHtheHbloodHpressureHinH15Hminutes.
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ANS:H A
TheHpurposeHofHtheHRapidHResponseHTeamH(RRT)HisHtoHinterveneHwhenHclientsHareHdeterioratin
gHbeforeHtheyHsufferHeitherHrespiratoryHorHcardiacHarrest.HSinceHtheHclientHhasHmanifestedHaHsig
nificantHchange,HtheHnurseHwouldHcallHtheHRRT.HChangesHinHbloodHpressure,HmentalHstatus,Hhe
artHrate,Htemperature,HoxygenHsaturation,HandHlastH2Hhours9HurineHoutputHareHparticularlyHsignif
icantHandHareHpartHofHtheHModifiedHEarlyHWarningHSystemHguide.HDocumentationHisHvital,HbutH
theHnurseHmustHdoHmoreHthanHdocument.HTheHprimaryHhealthHcareHproviderHwouldHbeHnotified,
HbutHthisHisHnotHmoreHimportantHthanHcallingHtheHRRT.HTheHclient9sHbloodHpressureHwouldHbeHr
eassessedHfrequently,HbutHtheHpriorityHisHgettingHtheHrapidHcareHtoHtheHclient.
DIF: Applying
TOP:HIntegratedHProcess:HCommunicationHandHDocumentationHKEY:HRapidH
ResponseHTeamH(RRT),HClinicalHjudgment
MSC:H ClientHNeedsHCategory:HPhysiologicalHIntegrity:HPhysiologicalHAdaptation
4. AHnurseHwishesHtoHprovideHclient-centeredHcareHinHallHinteractions.HWhichHactionHbyHtheHnurse
bestHdemonstratesHthisHconcept?
a. AssessesHforHculturalHinfluencesHaffectingHhealthHcare.
b. EnsuresHthatHallHtheHclient9sHbasicHneedsHareHmet.
c. TellsHtheHclientHandHfamilyHaboutHallHupcomingHtests.
d. ThoroughlyHorientsHtheHclientHandHfamilyHtoHtheHroom.
ANS:H A
ShowingHrespectHforHtheHclientHandHfamily9sHpreferencesHandHneedsHisHessentialHtoHensureHaHho
listicHorH<whole-
person=HapproachHtoHcare.HByHassessingHtheHeffectHofHtheHclient9sHcultureHonHhealthHcare,HthisHn
urseHisHpracticingHclient-
focusedHcare.HProvidingHforHbasicHneedsHdoesHnotHdemonstrateHthisHcompetence.HSimplyHtellin
gHtheHclientHaboutHallHupcomingHtestsHisHnotHprovidingHempoweringHeducation.HOrientingHtheHcl
ientHandHfamilyHtoHtheHroomHisHanHimportantHsafetyHmeasure,HbutHnotHdirectlyHrelatedHtoHdemon
stratingHclient-centeredHcare.
DIF: Understanding
TOP:HIntegratedHProcess:HCultureHandHSpiritualityHKEY:H Client-centeredHcare,HCulture
MSC:H ClientHNeedsHCategory:HPsychosocialHIntegrity
5. AHclientHisHgoingHtoHbeHadmittedHforHaHscheduledHsurgicalHprocedure.HWhichHactionHdoesHt
heHnurseHexplainHisHtheHmostHimportantHthingHtheHclientHcanHdoHtoHprotectHagainstHerrors?
a. BringHaHlistHofHallHmedicationsHandHwhatHtheyHareHfor.
b. KeepHtheHprovider9sHphoneHnumberHbyHtheHtelephone.
c. MakeHsureHthatHallHprovidersHwashHhandsHbeforeHenteringHtheHroom.
d. WriteHdownHtheHnameHofHeachHcaregiverHwhoHcomesHinHtheHroom.
ANS:H A
MedicationHreconciliationHisHaHformalHprocessHinHwhichHtheHclient9sHactualHcurrentHmedication
sHareHcomparedHtoHtheHprescribedHmedicationsHatHtheHtimeHofHadmission,Htransfer,HorHdischarg
e.HThisHNationalHclientHSafetyHGoalHisHimportantHtoHreduceHmedicationHerrors.HTheHclientHwou
ldHnotHhaveHtoHbeHresponsibleHforHprovidersHwashingHtheirHhands,HandHevenHifHtheHclientHdoesH
so,HthisHisHtooHnarrowHtoHbeHtheHmostHimportantHactionHtoHpreventHerrors.HKeepingHtheHprovid
er9sHphoneHnumberHnearbyHandHdocumentingHeveryoneHwhoHentersHtheHroomHalsoHdoHnotHguar
anteeHsafety.
DIF: Applying
TOP:HIntegratedHProcess:HTeaching/LearningHKEY:HClientH
safety,HInformatics
MSC:H ClientHNeedsHCategory:HSafeHandHEffectiveHCareHEnvironment:HSafetyHandHInfectionHControl
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6. WhichHactionHbyHtheHnurseHworkingHwithHaHclientHbestHdemonstratesHrespectHforHautonomy?
a. AsksHifHtheHclientHhasHquestionsHbeforeHsigningHaHconsent.
b. GivesHtheHclientHaccurateHinformationHwhenHquestioned.
c. KeepsHtheHpromisesHmadeHtoHtheHclientHandHfamily.
d. TreatsHtheHclientHfairlyHcomparedHtoHotherHclients.
ANS:H A
AutonomyHisHself-
determination.HTheHclientHwouldHmakeHdecisionsHregardingHcare.HWhenHtheHnurseHobtainsHaHsi
gnatureHonHtheHconsentHform,HassessingHifHtheHclientHstillHhasHquestionsHisHvital,HbecauseHwithou
tHfullHinformationHtheHclientHcannotHpracticeHautonomy.HGivingHaccurateHinformationHisHpractic
ingHwithHveracity.HKeepingHpromisesHisHupholdingHfidelity.HTreatingHtheHclientHfairlyHisHprovid
ingHsocialHjustice.
DIF: Applying TOP:H IntegratedHProcess:HCaring
KEY:HEthics,HAutonomyHMSC:H ClientHNeedsHCategory:HSafeHandHEffectiveHCareHE
nvironment:HManagementHofHCare
7. AHnurseHasksHaHmoreHseasonedHcolleagueHtoHexplainHbestHpracticesHwhenHcommunicatingHwith
a personHfromHtheHlesbian,Hgay,Hbisexual,Htransgender,HandHquestioning/queerH(LGBTQ)Hco
H H
mmunity.HWhatHanswerHbyHtheHfacultyHisHmostHaccurate?
a. AvoidHembarrassingHtheHclientHbyHaskingHquestions.
b. Don9tHmakeHassumptionsHaboutHhisHorHherHhealthHneeds.
c. MostHLGBTQHpeopleHdoHnotHwantHtoHshareHinformation.
d. NoHdifferencesHexistHinHcommunicatingHwithHthisHpopulation.
ANS:H B
ManyHmembersHofHtheHLGBTQHcommunityHhaveHfacedHdiscriminationHfromHhealthHcareHprovi
dersHandHmayHbeHreluctantHtoHseekHhealthHcare.HTheHnurseHwouldHneverHmakeHassumptionsHabo
utHtheHneedsHofHmembersHofHthisHpopulation.HRather,HrespectfulHquestionsHareHappropriate.HIfHap
proachedHwithHsensitivity,HtheHclientHwithHanyHhealthHcareHneedHisHmoreHlikelyHtoHanswerHhone
stly.
DIF: Understanding TOP:H IntegratedHProcess:HTeaching/Learning
KEY:H HealthHcareHdisparities,HLGBTQ MSC:H ClientHNeedsHCategory:HPsychosocialHIntegrity
8. AHnurseHisHcallingHtheHon-
callHhealthHcareHproviderHaboutHaHclientHwhoHhadHaHhysterectomyH2HdaysHagoHandHhasHpainH
thatHisHunrelievedHbyHtheHprescribedHopioidHpainHmedication.HWhichHstatementHcomprisesH
theHbackgroundHportionHofHtheHSBARHformatHforHcommunication?
a. <IHwouldHlikeHyouHtoHorderHaHdifferentHpainHmedication.=
b. <ThisHclientHhasHallergiesHtoHmorphineHandHcodeine.=
c. <Dr.HSmithHdoesn9tHlikeHnonsteroidalHanti-inflammatoryHmeds.=
d. <ThisHclientHhadHaHvaginalHhysterectomyH2HdaysHago.=
ANS:H B
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lOMoARcPSD| 240
HH 059 64
Chapter 01: Overview of Professional Nursing Concepts for Medical-
H H H H H H H H
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
H H H H H H
MULTIPLEHCHOICE
1. AHnewHnurseHisHworkingHwithHaHpreceptorHonHaHmedical-
surgicalHunit.HTheHpreceptorHadvisesHtheHnewHnurseHthatHwhichHisHtheHpriorityHwhenHworkingH
asHaHprofessionalHnurse?
a. AttendingHtoHholisticHclientHneeds
b. EnsuringHclientHsafety
c. NotHmakingHmedicationHerrors
d. ProvidingHclient-focusedHcare
ANS:H B
AllHactionsHareHappropriateHforHtheHprofessionalHnurse.HHowever,HensuringHclientHsafetyHisHtheHp
riority.HHealthHcareHerrorsHhaveHbeenHwidelyHreportedHforH25Hyears,HmanyHofHwhichHresultHinHcl
ientHinjury,Hdeath,HandHincreasedHhealthHcareHcosts.HThereHareHseveralHnationalHandHinternation
alHorganizationsHthatHhaveHeitherHrecommendedHorHmandatedHsafetyHinitiatives.
EveryHnurseHhasHtheHresponsibilityHtoHguardHtheHclient9sHsafety.HTheHotherHactionsHareHimporta
ntHforHqualityHnursing,HbutHtheyHareHnotHasHvitalHasHprovidingHsafety.HNotHmakingHmedicationHe
rrorsHdoesHprovideHsafety,HbutHisHtooHnarrowHinHscopeHtoHbeHtheHbestHanswer.
DIF: Understanding
TOP:HIntegratedHProcess:HNursingHProcess:HInterventionHKEY:HClientHsafety
MSC:H ClientHNeedsHCategory:HSafeHandHEffectiveHCareHEnvironment:HSafetyHandHInfectionHControl
2. AHnurseHisHorientingHaHnewHclientHandHfamilyHtoHtheHmedical-
surgicalHunit.HWhatHinformationHdoesHtheHnurseHprovideHtoHbestHhelpHtheHclientHpromoteHhi
sHorHherHownHsafety?
a. EncourageHtheHclientHandHfamilyHtoHbeHactiveHpartners.
b. HaveHtheHclientHmonitorHhandHhygieneHinHcaregivers.
c. OfferHtheHfamilyHtheHopportunityHtoHstayHwithHtheHclient.
d. TellHtheHclientHtoHalwaysHwearHhisHorHherHarmband.
ANS:H A
EachHactionHcouldHbeHimportantHforHtheHclientHorHfamilyHtoHperform.HHowever,HencouragingHth
eHclientHtoHbeHactiveHinHhisHorHherHhealthHcareHasHaHsafetyHpartnerHisHtheHmostHcritical.HTheHothe
rHactionsHareHveryHlimitedHinHscopeHandHdoHnotHprovideHtheHbroadHprotectionHthatHbeingHactiveHa
ndHinvolvedHdoes.
DIF: Understanding
TOP:HIntegratedHProcess:HTeaching/LearningHKEY:HClientHsafety
MSC:H ClientHNeedsHCategory:HSafeHandHEffectiveHCareHEnvironment:HSafetyHandHInfectionHControl
3. AHnurseHisHcaringHforHaHpostoperativeHclientHonHtheHsurgicalHunit.HTheHclient9sHbloodHpressu
reHwasH142/76HmmHHgH30HminutesHago,HandHnowHisH88/50HmmHHg.HWhatHactionHwouldHtheH
nurseHtakeHfirst?
a. CallHtheHRapidHResponseHTeam.
b. DocumentHandHcontinueHtoHmonitor.
c. NotifyHtheHprimaryHhealthHcareHprovider.
d. RepeatHtheHbloodHpressureHinH15Hminutes.
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ANS:H A
TheHpurposeHofHtheHRapidHResponseHTeamH(RRT)HisHtoHinterveneHwhenHclientsHareHdeterioratin
gHbeforeHtheyHsufferHeitherHrespiratoryHorHcardiacHarrest.HSinceHtheHclientHhasHmanifestedHaHsig
nificantHchange,HtheHnurseHwouldHcallHtheHRRT.HChangesHinHbloodHpressure,HmentalHstatus,Hhe
artHrate,Htemperature,HoxygenHsaturation,HandHlastH2Hhours9HurineHoutputHareHparticularlyHsignif
icantHandHareHpartHofHtheHModifiedHEarlyHWarningHSystemHguide.HDocumentationHisHvital,HbutH
theHnurseHmustHdoHmoreHthanHdocument.HTheHprimaryHhealthHcareHproviderHwouldHbeHnotified,
HbutHthisHisHnotHmoreHimportantHthanHcallingHtheHRRT.HTheHclient9sHbloodHpressureHwouldHbeHr
eassessedHfrequently,HbutHtheHpriorityHisHgettingHtheHrapidHcareHtoHtheHclient.
DIF: Applying
TOP:HIntegratedHProcess:HCommunicationHandHDocumentationHKEY:HRapidH
ResponseHTeamH(RRT),HClinicalHjudgment
MSC:H ClientHNeedsHCategory:HPhysiologicalHIntegrity:HPhysiologicalHAdaptation
4. AHnurseHwishesHtoHprovideHclient-centeredHcareHinHallHinteractions.HWhichHactionHbyHtheHnurse
bestHdemonstratesHthisHconcept?
a. AssessesHforHculturalHinfluencesHaffectingHhealthHcare.
b. EnsuresHthatHallHtheHclient9sHbasicHneedsHareHmet.
c. TellsHtheHclientHandHfamilyHaboutHallHupcomingHtests.
d. ThoroughlyHorientsHtheHclientHandHfamilyHtoHtheHroom.
ANS:H A
ShowingHrespectHforHtheHclientHandHfamily9sHpreferencesHandHneedsHisHessentialHtoHensureHaHho
listicHorH<whole-
person=HapproachHtoHcare.HByHassessingHtheHeffectHofHtheHclient9sHcultureHonHhealthHcare,HthisHn
urseHisHpracticingHclient-
focusedHcare.HProvidingHforHbasicHneedsHdoesHnotHdemonstrateHthisHcompetence.HSimplyHtellin
gHtheHclientHaboutHallHupcomingHtestsHisHnotHprovidingHempoweringHeducation.HOrientingHtheHcl
ientHandHfamilyHtoHtheHroomHisHanHimportantHsafetyHmeasure,HbutHnotHdirectlyHrelatedHtoHdemon
stratingHclient-centeredHcare.
DIF: Understanding
TOP:HIntegratedHProcess:HCultureHandHSpiritualityHKEY:H Client-centeredHcare,HCulture
MSC:H ClientHNeedsHCategory:HPsychosocialHIntegrity
5. AHclientHisHgoingHtoHbeHadmittedHforHaHscheduledHsurgicalHprocedure.HWhichHactionHdoesHt
heHnurseHexplainHisHtheHmostHimportantHthingHtheHclientHcanHdoHtoHprotectHagainstHerrors?
a. BringHaHlistHofHallHmedicationsHandHwhatHtheyHareHfor.
b. KeepHtheHprovider9sHphoneHnumberHbyHtheHtelephone.
c. MakeHsureHthatHallHprovidersHwashHhandsHbeforeHenteringHtheHroom.
d. WriteHdownHtheHnameHofHeachHcaregiverHwhoHcomesHinHtheHroom.
ANS:H A
MedicationHreconciliationHisHaHformalHprocessHinHwhichHtheHclient9sHactualHcurrentHmedication
sHareHcomparedHtoHtheHprescribedHmedicationsHatHtheHtimeHofHadmission,Htransfer,HorHdischarg
e.HThisHNationalHclientHSafetyHGoalHisHimportantHtoHreduceHmedicationHerrors.HTheHclientHwou
ldHnotHhaveHtoHbeHresponsibleHforHprovidersHwashingHtheirHhands,HandHevenHifHtheHclientHdoesH
so,HthisHisHtooHnarrowHtoHbeHtheHmostHimportantHactionHtoHpreventHerrors.HKeepingHtheHprovid
er9sHphoneHnumberHnearbyHandHdocumentingHeveryoneHwhoHentersHtheHroomHalsoHdoHnotHguar
anteeHsafety.
DIF: Applying
TOP:HIntegratedHProcess:HTeaching/LearningHKEY:HClientH
safety,HInformatics
MSC:H ClientHNeedsHCategory:HSafeHandHEffectiveHCareHEnvironment:HSafetyHandHInfectionHControl
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6. WhichHactionHbyHtheHnurseHworkingHwithHaHclientHbestHdemonstratesHrespectHforHautonomy?
a. AsksHifHtheHclientHhasHquestionsHbeforeHsigningHaHconsent.
b. GivesHtheHclientHaccurateHinformationHwhenHquestioned.
c. KeepsHtheHpromisesHmadeHtoHtheHclientHandHfamily.
d. TreatsHtheHclientHfairlyHcomparedHtoHotherHclients.
ANS:H A
AutonomyHisHself-
determination.HTheHclientHwouldHmakeHdecisionsHregardingHcare.HWhenHtheHnurseHobtainsHaHsi
gnatureHonHtheHconsentHform,HassessingHifHtheHclientHstillHhasHquestionsHisHvital,HbecauseHwithou
tHfullHinformationHtheHclientHcannotHpracticeHautonomy.HGivingHaccurateHinformationHisHpractic
ingHwithHveracity.HKeepingHpromisesHisHupholdingHfidelity.HTreatingHtheHclientHfairlyHisHprovid
ingHsocialHjustice.
DIF: Applying TOP:H IntegratedHProcess:HCaring
KEY:HEthics,HAutonomyHMSC:H ClientHNeedsHCategory:HSafeHandHEffectiveHCareHE
nvironment:HManagementHofHCare
7. AHnurseHasksHaHmoreHseasonedHcolleagueHtoHexplainHbestHpracticesHwhenHcommunicatingHwith
a personHfromHtheHlesbian,Hgay,Hbisexual,Htransgender,HandHquestioning/queerH(LGBTQ)Hco
H H
mmunity.HWhatHanswerHbyHtheHfacultyHisHmostHaccurate?
a. AvoidHembarrassingHtheHclientHbyHaskingHquestions.
b. Don9tHmakeHassumptionsHaboutHhisHorHherHhealthHneeds.
c. MostHLGBTQHpeopleHdoHnotHwantHtoHshareHinformation.
d. NoHdifferencesHexistHinHcommunicatingHwithHthisHpopulation.
ANS:H B
ManyHmembersHofHtheHLGBTQHcommunityHhaveHfacedHdiscriminationHfromHhealthHcareHprovi
dersHandHmayHbeHreluctantHtoHseekHhealthHcare.HTheHnurseHwouldHneverHmakeHassumptionsHabo
utHtheHneedsHofHmembersHofHthisHpopulation.HRather,HrespectfulHquestionsHareHappropriate.HIfHap
proachedHwithHsensitivity,HtheHclientHwithHanyHhealthHcareHneedHisHmoreHlikelyHtoHanswerHhone
stly.
DIF: Understanding TOP:H IntegratedHProcess:HTeaching/Learning
KEY:H HealthHcareHdisparities,HLGBTQ MSC:H ClientHNeedsHCategory:HPsychosocialHIntegrity
8. AHnurseHisHcallingHtheHon-
callHhealthHcareHproviderHaboutHaHclientHwhoHhadHaHhysterectomyH2HdaysHagoHandHhasHpainH
thatHisHunrelievedHbyHtheHprescribedHopioidHpainHmedication.HWhichHstatementHcomprisesH
theHbackgroundHportionHofHtheHSBARHformatHforHcommunication?
a. <IHwouldHlikeHyouHtoHorderHaHdifferentHpainHmedication.=
b. <ThisHclientHhasHallergiesHtoHmorphineHandHcodeine.=
c. <Dr.HSmithHdoesn9tHlikeHnonsteroidalHanti-inflammatoryHmeds.=
d. <ThisHclientHhadHaHvaginalHhysterectomyH2HdaysHago.=
ANS:H B
@docsmaster
