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Medical Surgical Nursing by Ignatavicius 10th ed Test Bank PDF
Medical Surgical Nursing by Ignatavicius 10th ed Test Bank PDF
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Medical-Surgical Nursing - b b10th Edition by Donna D Ignatavicius &
b b b b b b b b
M Linda Workman & Cherie Rebar & Nic
b b b b b b b
ole M Heimgartner (TEST BANK)
b b b b
, Medical Surgical Nursing 10th Edition Ign
b b b b b
atavicius Workman Test Bank
b b b
Chapterb01:bOverviewbofbProfessionalbNursingbConceptsbforbMedical-
SurgicalbNursingbIgnatavicius:bMedical-SurgicalbNursing,b10thbEdition
MULTIPLEbCHOICE
1. Abnewbnursebisbworkingbwithbabpreceptorbonbabmedical-
surgicalbunit.bThebpreceptorbadvisesbthebnewbnursebthatbwhichbisbthebprioritybwhenbworkingbas
babprofessional bnurse?
a. Attendingbtobholisticbclientbneeds
b. Ensuringbclientbsafety
c. Notbmakingbmedicationberrors
d. Providingbclient-focusedbcare
ANS:b B
Allbactionsbarebappropriatebforbthebprofessionalbnurse.bHowever,bensuringbclientbsafetybisbthebpr
iority.bHealthbcareberrorsbhavebbeenbwidelybreportedbforb25byears,bmanybofbwhichbresultbinbclie
ntbinjury,bdeath,bandbincreasedbhealthbcarebcosts.bTherebarebseveralbnationalbandbinternationalbo
rganizationsbthatbhavebeitherbrecommendedborbmandatedbsafetybinitiatives.
Everybnursebhasbthebresponsibilitybtobguardbthebclient’sbsafety.bThebotherbactionsbarebimportantb
forbqualitybnursing,bbutbtheybarebnotbasbvitalbasbprovidingbsafety.bNotbmakingbmedicationberrors
bdoesbprovidebsafety,bbutbisbtoobnarrowbinbscopebtobbebthebbestbanswer.
DIF: Understanding
TOP:b IntegratedbProcess:bNursingbProcess:bInterventionbKEY:bClientbsafety
MSC:b ClientbNeedsbCategory:bSafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
2. Abnursebisborientingbabnewbclientbandbfamilybtobthebmedical-
surgicalbunit.bWhatbinformationbdoesbthebnursebprovidebtobbestbhelpbthebclientbpromotebhisbo
rbherbownbsafety?
a. Encouragebthebclientbandbfamilybtobbebactivebpartners.
b. Havebthebclientbmonitorbhandbhygienebinbcaregivers.
c. Offerbthebfamilybthebopportunitybtobstaybwithbthebclient.
d. Tellbthebclientbtobalwaysbwearbhisborbherbarmband.
ANS:b A
Eachbactionbcouldbbebimportantbforbthebclientborbfamilybtobperform.bHowever,bencouragingbtheb
clientbtobbebactivebinbhisborbherbhealthbcarebasbabsafetybpartnerbisbthebmostbcritical.bThebotherbact
ionsbarebveryblimitedbinbscopebandbdobnotbprovidebthebbroadbprotectionbthatbbeingbactivebandbin
volvedbdoes.
DIF: Understanding
TOP:bIntegratedbProcess:bTeaching/LearningbKEY:bClientbsafety
MSC:b ClientbNeedsbCategory:bSafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
3. Abnursebisbcaringbforbabpostoperativebclientbonbthebsurgicalbunit.bThebclient’sbbloodbpressureb
wasb142/76bmmbHgb30bminutesbago,bandbnowbisb88/50bmmbHg.bWhatbactionbwouldbthebnurse
btakebfirst?
a. CallbthebRapidbResponsebTeam.
b. Documentbandbcontinuebtobmonitor.
c. Notifybthebprimarybhealthbcarebprovider.
d. Repeatbthebbloodbpressurebinb15bminutes.
, ANS:b A
ThebpurposebofbthebRapidbResponsebTeamb(RRT)bisbtobintervenebwhenbclientsbarebdeteriorating
bbeforebtheybsufferbeitherbrespiratoryborbcardiacbarrest.bSincebthebclientbhasbmanifestedbabsignifi
cantbchange,bthebnursebwouldbcallbthebRRT.bChangesbinbbloodbpressure,bmentalbstatus,bheartbrat
e,btemperature,boxygenbsaturation,bandblastb2bhours’burineboutputbarebparticularlybsignificantban
dbarebpartbofbthebModifiedbEarlybWarningbSystembguide.bDocumentationbisbvital,bbutbthebnurseb
mustbdobmorebthanbdocument.bThebprimarybhealthbcarebproviderbwouldbbebnotified,bbutbthisbisb
notbmorebimportantbthanbcallingbthebRRT.bThebclient’sbbloodbpressurebwouldbbebreassessedbfre
quently,bbutbthebprioritybisbgettingbthebrapidbcarebtobthebclient.
DIF: Applying
TOP:b IntegratedbProcess:bCommunicationbandbDocumentationbKEY:bRapidb
ResponsebTeamb(RRT),bClinicalbjudgment
MSC:b ClientbNeedsbCategory:bPhysiologicalbIntegrity:bPhysiologicalbAdaptation
4. Abnursebwishesbtobprovidebclient-centeredbcarebinballbinteractions.bWhichbactionbbybthebnurse
bestbdemonstratesbthisbconcept?
a. Assessesbforbculturalbinfluencesbaffectingbhealthbcare.
b. Ensuresbthatballbthebclient’sbbasicbneedsbarebmet.
c. Tellsbthebclientbandbfamilybaboutballbupcomingbtests.
d. Thoroughlyborientsbthebclientbandbfamilybtobthebroom.
ANS:b A
Showingbrespectbforbthebclientbandbfamily’sbpreferencesbandbneedsbisbessentialbtobensurebabholi
sticborb“whole-
person”bapproachbtobcare.bBybassessingbthebeffectbofbthebclient’sbculturebonbhealthbcare,bthisbnu
rsebisbpracticingbclient-
focusedbcare.bProvidingbforbbasicbneedsbdoesbnotbdemonstratebthisbcompetence.bSimplybtellingb
thebclientbaboutballbupcomingbtestsbisbnotbprovidingbempoweringbeducation.bOrientingbthebclien
tbandbfamilybtobthebroombisbanbimportantbsafetybmeasure,bbutbnotbdirectlybrelatedbtobdemonstrati
ngbclient-centeredbcare.
DIF: Understanding
TOP:bIntegratedbProcess:bCulturebandbSpiritualitybKEY:b Client-centeredbcare,bCulture
MSC:b ClientbNeedsbCategory:bPsychosocialbIntegrity
5. Abclientbisbgoingbtobbebadmittedbforbabscheduledbsurgicalbprocedure.bWhichbactionbdoesbthe
bnursebexplainbisbthebmostbimportantbthingbthebclientbcanbdobtobprotectbagainstberrors?
a. Bringbablistbofballbmedicationsbandbwhatbtheybarebfor.
b. Keepbthebprovider’sbphonebnumberbbybthebtelephone.
c. Makebsurebthatballbprovidersbwashbhandsbbeforebenteringbthebroom.
d. Writebdownbthebnamebofbeachbcaregiverbwhobcomesbinbthebroom.
ANS:b A
Medicationbreconciliationbisbabformalbprocessbinbwhichbthebclient’sbactualbcurrentbmedicationsb
arebcomparedbtobthebprescribedbmedicationsbatbthebtimebofbadmission,btransfer,borbdischarge.bT
hisbNationalbclientbSafetybGoalbisbimportantbtobreducebmedicationberrors.bThebclientbwouldbnotb
havebtobbebresponsiblebforbprovidersbwashingbtheirbhands,bandbevenbifbthebclientbdoesbso,bthisbis
btoobnarrowbtobbebthebmostbimportantbactionbtobpreventberrors.bKeepingbthebprovider’sbphonebn
umberbnearbybandbdocumentingbeveryonebwhobentersbthebroombalsobdobnotbguaranteebsafety.
DIF: Applying
TOP:b IntegratedbProcess:bTeaching/LearningbKEY:bClientbs
afety,bInformatics
MSC:b ClientbNeedsbCategory:bSafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
, 6. Whichbactionbbybthebnursebworkingbwithbabclientbbestbdemonstratesbrespectbforbautonomy?
a. Asksbifbthebclientbhasbquestionsbbeforebsigningbabconsent.
b. Givesbthebclientbaccuratebinformationbwhenbquestioned.
c. Keepsbthebpromisesbmadebtobthebclientbandbfamily.
d. Treatsbthebclientbfairlybcomparedbtobotherbclients.
ANS:b A
Autonomybisbself-
determination.bThebclientbwouldbmakebdecisionsbregardingbcare.bWhenbthebnursebobtainsbabsign
aturebonbthebconsentbform,bassessingbifbthebclientbstillbhasbquestionsbisbvital,bbecausebwithoutbful
lbinformationbthebclientbcannotbpracticebautonomy.bGivingbaccuratebinformationbisbpracticingbw
ithbveracity.bKeepingbpromisesbisbupholdingbfidelity.bTreatingbthebclientbfairlybisbprovidingbsoci
albjustice.
DIF: Applying TOP:b IntegratedbProcess:bCaring
KEY:bEthics,bAutonomybMSC:b ClientbNeedsbCategory:bSafebandbEffectivebCarebEn
vironment:bManagementbofbCare
7. Abnursebasksbabmorebseasonedbcolleaguebtobexplainbbestbpracticesbwhenbcommunicatingbwithba
bpersonbfrombtheblesbian,bgay,bbisexual,btransgender,bandbquestioning/queerb(LGBTQ)bcommu
nity.bWhatbanswerbbybthebfacultybisbmostbaccurate?
a. Avoidbembarrassingbthebclientbbybaskingbquestions.
b. Don’tbmakebassumptionsbaboutbhisborbherbhealthbneeds.
c. MostbLGBTQbpeoplebdobnotbwantbtobsharebinformation.
d. Nobdifferencesbexistbinbcommunicatingbwithbthisbpopulation.
ANS:b B
ManybmembersbofbthebLGBTQbcommunitybhavebfacedbdiscriminationbfrombhealthbcarebprovid
ersbandbmaybbebreluctantbtobseekbhealthbcare.bThebnursebwouldbneverbmakebassumptionsbaboutb
thebneedsbofbmembersbofbthisbpopulation.bRather,brespectfulbquestionsbarebappropriate.bIfbappro
achedbwithbsensitivity,bthebclientbwithbanybhealthbcarebneedbisbmoreblikelybtobanswerbhonestly.
DIF: Understanding TOP:b IntegratedbProcess:bTeaching/Learning
KEY:b Healthbcarebdisparities,bLGBTQ MSC:b ClientbNeedsbCategory:bPsychosocialbIntegrity
8. Abnursebisbcallingbthebon-
callbhealthbcarebproviderbaboutbabclientbwhobhadbabhysterectomyb2bdaysbagobandbhasbpainbth
atbisbunrelievedbbybthebprescribedbopioidbpainbmedication.bWhichbstatementbcomprisesbtheb
backgroundbportionbofbthebSBARbformatbforbcommunication?
a. “Ibwouldblikebyoubtoborderbabdifferentbpainbmedication.”
b. “Thisbclientbhasballergiesbtobmorphinebandbcodeine.”
c. “Dr.bSmithbdoesn’tblikebnonsteroidalbanti-inflammatorybmeds.”
d. “Thisbclientbhadbabvaginalbhysterectomyb2bdaysbago.”
ANS:b B
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