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Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition All Chapters (1-69) |
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Test bank Medical-Surgical Nursing Concepts for Interprofessional Collaborative Care 10th Edition All Chapters (1-69) |

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  • May 21, 2024
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  • 2023/2024
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  • medical surgical nursing

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Test bank Medical-
Surgical Nursing
Concepts for
Interprofessional
Collaborative Care
10th Edition All
Chapters| Complete
Guide


Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition


MULTIPL
E CHOICE

, • A new nurse is working with a preceptor on a medical-surgical unit. The
preceptor advises thenew nurse that which is the priority when working as a
professional nurse?
A. Attending to holistic client needs
B. Ensuring client safety
C. Not making medication errors
D. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring
client safety is thepriority. Health care errors have been widely reported for
25 years, many of which result inclient injury, death, and increased health
care costs. There are several national and international organizations that
have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other
actions are important for quality nursing, but they are not as vital as providing
safety. Not making medication errors does provide safety, but is too narrow in
scope to be the best answer.

DIF: Understanding TOP: Integrated Process: Nursing
Process: InterventionKEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control

• A nurse is orienting a new client and family to the medical-surgical unit.
What informationdoes the nurse provide to best help the client promote
his or her own safety?
A. Encourage the client and family to be active partners.
B. Have the client monitor hand hygiene in caregivers.
C. Offer the family the opportunity to stay with the client.
D. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform. However,
encouraging theclient to be active in his or her health care as a safety partner
is the most critical. The other actions are very limited in scope and do not
provide the broad protection that being active and involved does.

DIF: Understanding TOP: Integrated Process:
Teaching/LearningKEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control

• A nurse is caring for a postoperative client on the surgical unit. The client’s
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
Hg. What action would the nurse take first?
A. Call the Rapid Response Team.
B. Document and continue to monitor.

, C. Notify the primary health care provider.
D. Repeat the blood pressure in 15 minutes.



ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients
are deteriorating before they suffer either respiratory or cardiac arrest. Since
the client has manifested a significant change, the nurse would call the RRT.
Changes in blood pressure, mental status, heart rate, temperature, oxygen
saturation, and last 2 hours’ urine output are particularly significant and are
part of the Modified Early Warning System guide. Documentation is vital,
but the nurse must do more than document. The primary health care provider
would be notified, but this is not more important than calling the RRT. The
client’s blood pressure would be reassessed frequently, but the priority is
getting the rapid care to the client.

DIF: Applying TOP: Integrated Process: Communication
and DocumentationKEY: Rapid Response Team (RRT), Clinical
judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation

• A nurse wishes to provide client-centered care in all interactions. Which action
by the nurse
best demonstrates this concept?
A. Assesses for cultural influences affecting health care.
B. Ensures that all the client’s basic needs are met.
C. Tells the client and family about all upcoming tests.
D. Thoroughly orients the client and family to the room.
ANS: A
Showing respect for the client and family’s preferences and needs is
essential to ensure a holistic or “whole-person” approach to care. By
assessing the effect of the client’s culture onhealth care, this nurse is
practicing client-focused care. Providing for basic needs does not
demonstrate this competence. Simply telling the client about all upcoming
tests is not providing empowering education. Orienting the client and family
to the room is an important safety measure, but not directly related to
demonstrating client-centered care.

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

• A client is going to be admitted for a scheduled surgical procedure.
Which action does thenurse explain is the most important thing the client
can do to protect against errors?
A. Bring a list of all medications and what they are for.

, B. Keep the provider’s phone number by the telephone.
C. Make sure that all providers wash hands before entering the room.
D. Write down the name of each caregiver who comes in the room.
ANS: A
Medication reconciliation is a formal process in which the client’s actual
current medicationsare compared to the prescribed medications at the time
of admission, transfer, or discharge. This National client Safety Goal is
important to reduce medication errors. The client would not have to be
responsible for providers washing their hands, and even if the client does so,
this is too narrow to be the most important action to prevent errors. Keeping
the provider’s phone number nearby and documenting everyone who enters
the room also do not guarantee safety.

DIF: Applying TOP: Integrated Process:
Teaching/LearningKEY: Client safety,
Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control




• Which action by the nurse working with a client best demonstrates respect for
autonomy?
A. Asks if the client has questions before signing a consent.
B. Gives the client accurate information when questioned.
C. Keeps the promises made to the client and family.
D. Treats the client fairly compared to other clients.
ANS: A
Autonomy is self-determination. The client would make decisions regarding
care. When the nurse obtains a signature on the consent form, assessing if the
client still has questions is vital, because without full information the client
cannot practice autonomy. Giving accurate information is practicing with
veracity. Keeping promises is upholding fidelity. Treating the client fairly is
providing social justice.

DIF: Applying TOP: Integrated Process: Caring KEY:
Ethics, AutonomyMSC: Client Needs Category: Safe and Effective Care
Environment: Management of Care

• A nurse asks a more seasoned colleague to explain best practices when
communicating with aperson from the lesbian, gay, bisexual, transgender,
and questioning/queer (LGBTQ) community. What answer by the faculty is
most accurate?
A. Avoid embarrassing the client by asking questions.
B. Don’t make assumptions about his or her health needs.

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