Exam (elaborations)
Test Bank For Medical-Surgical Nursing Concepts for Inter professional Collaborative Care 10th Edition by Donna Ignatavicius, 9780323612425, Chapter 1-69 Complete Questions and Answers A+
Course
Medical-Surgical Nursing Ignatavicius: Medical-Sur
Institution
Medical-Surgical Nursing Ignatavicius: Medical-Sur
Test Bank For Medical-Surgical Nursing Concepts for Inter professional Collaborative Care 10th Edition by Donna Ignatavicius, 9780323612425, Chapter 1-69 Complete Questions and Answers A+
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Chapter ;01: ;Overview ;of ;Professional ;Nursing ;Concepts ;for ;Medical-Surgical
;Nursing ;Ignatavicius: ;Medical-Surgical ;Nursing, ;10th ;Edition
MULTIPLE ;CHOICE
1. A ;new ;nurse ;is ;working ;with ;a ;preceptor ;on ;a ;medical-surgical ;unit. ;The ;preceptor ;advises
;the;new ;nurse ;that ;which ;is ;the ;priority ;when ;working ;as ;a ;professional ;nurse?
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a. Attending ;to ;holistic ;client ;needs
b. Ensuring ;client ;safety
c. Not ;making ;medication ;errors
d. Providing ;client-focused ;care ;
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ANS: ; B
All ;actions ;are ;appropriate ;for ;the ;professional ;nurse. ;However, ;ensuring ;client ;safety ;is
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;the ;priority. ;Health ;care ;errors ;have been ;widely reported ;for ;25 ;years, ;many ;of ;which
;result ;in ;client ;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
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;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;
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TOP: Integrated ;Process: ;Nursing ;Process: ;Intervention
KEY: ; Client ;safety
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-surgical ;unit. ;What
;information ;does ;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.
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Offer ;the ;family ;the ;opportunity ;to ;stay ;with ;the ;client.
d. Tell ;the ;client ;to ;always ;wear ;his ;or ;her ;armband.
ANS: abirb.com/test
; A
Each ;action ;could ;be ;important ;for ;the ;client ;or ;family ;to ;perform. ;However, ;encouraging
;the;client ;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. abirb.com/test
DIF: Understanding TOP: ; Integrated ;Process: ;Teaching/Learning
KEY: ; Client abirb.com/test
;safety
MSC: ; Client ;Needs ;Category: ;Safe ;and ;Effective ;Care ;Environment: ;Safety ;and ;Infection ;Control
3. A ;nurse ;is ;caring ;for ;a ;postoperative ;client ;on ;the ;surgical ;unit. ;The ;client‘s ;blood
;pressure ;was ;142/76 ;mm ;Hg ;30 ;minutes
take ;first?
abagior,ban.dcnoowmis/8t8e/5s0tmm ;Hg. ;What ;action
;would ;the ;nurse
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.
d. Repeat ;the ;blood ;pressure ;in ;15 ;minutes.
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ANS:
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; A ;purpose ;of ;the ;Rapid ;Response Team (RRT) is ;to intervene ;when ;clients ;are
The
;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
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;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
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;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
;Documentation;KEY: ; Rapid ;Response ;Team ;(RRT), ;Clinical ;judgment
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MSC: ; Client ;Needs ;Category: ;Physiological ;Integrity: ;Physiological ;Adaptation
4. A ;nurse ;wishes ;to ;provide ;client-centered ;care ;in ;all ;interactions. ;Which ;action ;by ;the ;nurse
best ;demonstrates ;this ;concept? abirb.com/test
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.
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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
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;holistic ;or ;―whole-person‖ ;approach ;to ;care. ;By ;assessing ;the ;effect ;of ;the ;client‘s
;culture ;on;health ;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
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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 abirb.cToOPm
:
Integrated ;Process: ;Culture ;and ;Spirituality
KEY: ; Client-centered ;care, ;Culture MSC: ;/Client
test;Needs ;Category: ;Psychosocial ;Integrity
5. A ;client ;is ;going ;to ;be ;admitted ;for ;a ;scheduled ;surgical ;procedure. ;Which ;action ;does
;the;nurse ;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.
b. Keep ;the ;provider‘s ;phone ;number ;by ;the ;telephone.
c. Make ;sure ;that ;all ;providers ;wash ;hands ;before ;entering ;the ;room.
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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
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;medications;are ;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.
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;Keeping ;the ;provider‘s ;phone ;number ;nearby ;and ;documenting ;everyone ;who ;enters ;the
;room ;also ;do ;not ;guarantee ;safety.
DIF: Applying TOP: ; ;
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;Integrated Te/acthe
ins
g/tLearning ;KEY: ; Client ;safety,
;Informatics
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