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TEST BANK FOR MEDICAL SURGIC
m m m m
AL NURSING 8TH EDITION IGNAVAT
m m m m
ICIUS
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SuperA
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NURSING 8TH EDITION IG m
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Chapter 1: Introduction to Medical-
m m m m
Surgical Nursing Practice Ignatavicius: Medical-
m m m m
Surgical Nursing, 8th Edition
m m m
MULTIPLEmCHOICE
1. Amnew mnursemismworkingmwithmampreceptormonmanminpatient mmedical-
surgicalmunit.mThempreceptormadvisesmthemstudent mthat mwhichmismthemprioritymwhenmwork
ingmasmamprofessionalmnurse?
a. Attendingmtomholisticmclient mneeds
b. Ensuringmclient msafety
c. Not mmakingmmedicationmerrors
d. Providingmclient-focused mcare
ANS:m m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclient msafetymismth
empriority.mUpmtom98,000mdeathsmresult meachmyearmfrommerrorsminmhospital mcare,maccordingmtomt
hem2000mInstitutemof mMedicinemreport.mManymmoremclientsmhavemsuffered minjuriesmand mlessmser
iousmoutcomes.mEverymnursemhasmthemresponsibilitymtomguard mthemclient’smsafety.
DIF: Understanding/Comprehension REF: 2
KEY:m Patient msafetymMSC:m Integrated mProcess:mNursingmProcess:mIntervention
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
2. Amnursemismorientingmamnew mclient mand mfamilymtomtheminpatient munit.mWhat minformationmdoesm
themnursemprovidemtomhelpmthemclient mpromotemhismormhermownmsafety?
a. Encouragemthemclient mand mfamilymtombemactivempartners.
b. Havemthemclient mmonitormhand mhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclient mtomalwaysmwearmhismormhermarmband.
ANS:m m A
Eachmactionmcould mbemimportant mformthemclient mormfamilymtomperform.mHowever,mencouraging
mthemclient mtombemactiveminmhismormhermhealthmcaremasma mpartnerm ismthemmost mcritical.mThemother
mactionsmaremverymlimited minmscopemand mdomnot mprovidemthembroad mprotectionmthat mbeingmactiv
emand minvolved mdoes.
DIF: Understanding/Comprehension REF: 3
KEY:m Patient msafetymMSC:m Integrated mProcess:mTeaching/Learning
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
3. Amnursemismcaringmformampostoperativemclient monmthemsurgicalmunit.mThemclient’smblood mpress
uremwasm142/76m mmmHgm30mminutesmago,mand mnow mism88/50m mmmHg.mWhat mactionmbymthem
nursemismbest?
a. CallmthemRapid mResponsemTeam.
b. Document mand mcontinuemtommonitor.
c. Notifymthemprimarymcaremprovider.
d. Repeat mblood mpressuremmeasurement minm15mminutes.
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ANS:m m A
Thempurposemof mthemRapid mResponsemTeamm(RRT)mismtomintervenemwhenmclientsmare mdeteriora
tingmbeforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclient mhasmmanifested m
amsignificant mchange,mthemnursemshould mcallmthemRRT.mChangesminmblood mpressure, mmentalmsta
tus,mheart mrate,mand mpainmaremparticularlymsignificant.mDocumentationmismvital,mbut mthemnursem
must mdommoremthanmdocument.mThemprimarymcaremprovidermshould mbemnotified,mbut mthismismnot
mthemprioritymovermcallingmthemRRT.mThemclient’smblood mpressuremshould mbemreassessed mfreque
ntly,mbut mthemprioritymismgettingmthemrapid mcaremtomthemclient.
DIF: Applying/Application REF:
3m KEY:m Rapid mResponsemTeamm(RRT)|mmedicalme
mergencies
MSC:m Integrated mProcess:mCommunicationmand mDocumentation
NOT:m Client mNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
4. Amnursemwishesmtomprovidemclient-
centered mcareminmallminteractions.mWhichmactionmbymthemnursembest mdemonstratesmthismconcep
t?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare
b. Ensuresmthat mallmthemclients’mbasicmneedsmaremmet
c. Tellsmthemclient mand mfamilymabout mallmupcomingmtests
d. Thoroughlymorientsmthemclient mand mfamilymtomthemroom
ANS:m m A
Competencyminmclient-
focused mcaremismdemonstrated mwhenmthemnursemfocusesmonmcommunication,mculture,mrespect,mc
ompassion,mclient meducation,mand mempowerment.mBymassessingmthemeffect mof mthemclient’smcult
uremonmhealthmcare,mthismnursemismpracticing
client-
focused mcare.mProvidingmformbasicmneedsmdoesmnot mdemonstratemthismcompetence.mSimplymtel
lingmthemclient mabout mallmupcomingmtestsmismnot mprovidingmempowering meducation.mOrienting
mthemclient mand mfamilymtomthemroommismanmimportant msafetymmeasure,mbut mnot mdirectlymrelated m
tomdemonstratingmclient-centered mcare.
DIF: Understanding/Comprehension REF: 3
KEY:m Patient-centered mcare|mculture
MSC:m Integrated mProcess:mCarin
gmNOT:m Client mNeedsmCategory:mPsychosocialmIntegrity
5. Amclient mismgoingmtombemadmitted mformamscheduled msurgicalmprocedure.mWhichmactionmdoesmt
hemnursemexplainmismthemmost mimportant mthingmthemclient mcanmdomtomprotect magainst merrors?
a. Bringmamlist mof mallmmedicationsmand mwhat mtheymaremfor.
b. Keepmthemdoctor’smphonemnumbermbymthemtelephone.
c. Makemsuremallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemof meachmcaregivermwhomcomesminmthemroom.
ANS:m m A
Medicationmerrorsmaremthemmost mcommonmtypemof mhealthmcaremmistake.m ThemJoint mCommissi
on’smSpeakmUpmcampaignmencouragesmclientsmtomhelpmensuremtheirmsafety.mOnemrecommenda
tionmismformclientsmtomknowmallmtheirmmedicationsmand mwhymtheymtakemthem.mThismwillmhelpmpr
event mmedicationmerrors.
DIF: Applying/Application REF: 4
KEY:m SpeakmUpmcampaign|mpatient msafety MSC:m Integrated mProcess:mTeaching/Learning
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Distribution mofmthis mdocumentmis millegal
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TEST BANK FOR MEDICAL SURGIC
m m m m
AL NURSING 8TH EDITION IGNAVAT
m m m m
ICIUS
written by m
SuperA
www.stuvia.com
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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
TESTBANK m m
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MEDICAL SURGICAL m
NURSING 8TH EDITION IG m
m
m
NAVATICIUS
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Distribution mofmthis mdocumentmis millegal
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Chapter 1: Introduction to Medical-
m m m m
Surgical Nursing Practice Ignatavicius: Medical-
m m m m
Surgical Nursing, 8th Edition
m m m
MULTIPLEmCHOICE
1. Amnew mnursemismworkingmwithmampreceptormonmanminpatient mmedical-
surgicalmunit.mThempreceptormadvisesmthemstudent mthat mwhichmismthemprioritymwhenmwork
ingmasmamprofessionalmnurse?
a. Attendingmtomholisticmclient mneeds
b. Ensuringmclient msafety
c. Not mmakingmmedicationmerrors
d. Providingmclient-focused mcare
ANS:m m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclient msafetymismth
empriority.mUpmtom98,000mdeathsmresult meachmyearmfrommerrorsminmhospital mcare,maccordingmtomt
hem2000mInstitutemof mMedicinemreport.mManymmoremclientsmhavemsuffered minjuriesmand mlessmser
iousmoutcomes.mEverymnursemhasmthemresponsibilitymtomguard mthemclient’smsafety.
DIF: Understanding/Comprehension REF: 2
KEY:m Patient msafetymMSC:m Integrated mProcess:mNursingmProcess:mIntervention
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
2. Amnursemismorientingmamnew mclient mand mfamilymtomtheminpatient munit.mWhat minformationmdoesm
themnursemprovidemtomhelpmthemclient mpromotemhismormhermownmsafety?
a. Encouragemthemclient mand mfamilymtombemactivempartners.
b. Havemthemclient mmonitormhand mhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclient mtomalwaysmwearmhismormhermarmband.
ANS:m m A
Eachmactionmcould mbemimportant mformthemclient mormfamilymtomperform.mHowever,mencouraging
mthemclient mtombemactiveminmhismormhermhealthmcaremasma mpartnerm ismthemmost mcritical.mThemother
mactionsmaremverymlimited minmscopemand mdomnot mprovidemthembroad mprotectionmthat mbeingmactiv
emand minvolved mdoes.
DIF: Understanding/Comprehension REF: 3
KEY:m Patient msafetymMSC:m Integrated mProcess:mTeaching/Learning
NOT:m Client mNeedsmCategory:mSafemand mEffectivemCaremEnvironment:mSafetymandmInfectionm
Control
3. Amnursemismcaringmformampostoperativemclient monmthemsurgicalmunit.mThemclient’smblood mpress
uremwasm142/76m mmmHgm30mminutesmago,mand mnow mism88/50m mmmHg.mWhat mactionmbymthem
nursemismbest?
a. CallmthemRapid mResponsemTeam.
b. Document mand mcontinuemtommonitor.
c. Notifymthemprimarymcaremprovider.
d. Repeat mblood mpressuremmeasurement minm15mminutes.
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ANS:m m A
Thempurposemof mthemRapid mResponsemTeamm(RRT)mismtomintervenemwhenmclientsmare mdeteriora
tingmbeforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclient mhasmmanifested m
amsignificant mchange,mthemnursemshould mcallmthemRRT.mChangesminmblood mpressure, mmentalmsta
tus,mheart mrate,mand mpainmaremparticularlymsignificant.mDocumentationmismvital,mbut mthemnursem
must mdommoremthanmdocument.mThemprimarymcaremprovidermshould mbemnotified,mbut mthismismnot
mthemprioritymovermcallingmthemRRT.mThemclient’smblood mpressuremshould mbemreassessed mfreque
ntly,mbut mthemprioritymismgettingmthemrapid mcaremtomthemclient.
DIF: Applying/Application REF:
3m KEY:m Rapid mResponsemTeamm(RRT)|mmedicalme
mergencies
MSC:m Integrated mProcess:mCommunicationmand mDocumentation
NOT:m Client mNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
4. Amnursemwishesmtomprovidemclient-
centered mcareminmallminteractions.mWhichmactionmbymthemnursembest mdemonstratesmthismconcep
t?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare
b. Ensuresmthat mallmthemclients’mbasicmneedsmaremmet
c. Tellsmthemclient mand mfamilymabout mallmupcomingmtests
d. Thoroughlymorientsmthemclient mand mfamilymtomthemroom
ANS:m m A
Competencyminmclient-
focused mcaremismdemonstrated mwhenmthemnursemfocusesmonmcommunication,mculture,mrespect,mc
ompassion,mclient meducation,mand mempowerment.mBymassessingmthemeffect mof mthemclient’smcult
uremonmhealthmcare,mthismnursemismpracticing
client-
focused mcare.mProvidingmformbasicmneedsmdoesmnot mdemonstratemthismcompetence.mSimplymtel
lingmthemclient mabout mallmupcomingmtestsmismnot mprovidingmempowering meducation.mOrienting
mthemclient mand mfamilymtomthemroommismanmimportant msafetymmeasure,mbut mnot mdirectlymrelated m
tomdemonstratingmclient-centered mcare.
DIF: Understanding/Comprehension REF: 3
KEY:m Patient-centered mcare|mculture
MSC:m Integrated mProcess:mCarin
gmNOT:m Client mNeedsmCategory:mPsychosocialmIntegrity
5. Amclient mismgoingmtombemadmitted mformamscheduled msurgicalmprocedure.mWhichmactionmdoesmt
hemnursemexplainmismthemmost mimportant mthingmthemclient mcanmdomtomprotect magainst merrors?
a. Bringmamlist mof mallmmedicationsmand mwhat mtheymaremfor.
b. Keepmthemdoctor’smphonemnumbermbymthemtelephone.
c. Makemsuremallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemof meachmcaregivermwhomcomesminmthemroom.
ANS:m m A
Medicationmerrorsmaremthemmost mcommonmtypemof mhealthmcaremmistake.m ThemJoint mCommissi
on’smSpeakmUpmcampaignmencouragesmclientsmtomhelpmensuremtheirmsafety.mOnemrecommenda
tionmismformclientsmtomknowmallmtheirmmedicationsmand mwhymtheymtakemthem.mThismwillmhelpmpr
event mmedicationmerrors.
DIF: Applying/Application REF: 4
KEY:m SpeakmUpmcampaign|mpatient msafety MSC:m Integrated mProcess:mTeaching/Learning
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