Test Bank Medical Surgical Nursing,Concepts for Interprofessional
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pCollaborativeCare 9thEdition by IGNATAVICIUS
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TEST BANK FOR MEDICAL SURGICAL :CONCEPTS
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p FORINTERPROFFESSIONAL COLLABORATIVE CARE 9TH
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p EDITIONIGNATAVICIUS ALL CHAPTERS. p p
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional
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CollaborativeCare 9thEdition by IGNATAVICIUS
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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SurgicalNursing
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MULTIPLE CHOICE p
1. A nurse wishes to provide client-centered care in all interactions. Which
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p actionby thenurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are metp p p p p p p pp
c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room p p p p p p p p
ANS: A p
Competency in client-focused care is demonstrated when the nursefocuses on
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communication, culture, respect compassion, client education, and empowerment. By
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assessing the effect of the clients culture on health care, this nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply
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telling the client about all upcoming tests isnot providing empowering education.
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Orienting the client andfamily to theroom is
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animportantsafetymeasure, butnotdirectlyrelatedtodemonstratingclient-
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centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
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p NeedsCategory: Psychosocial Integrity
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
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pressurewas 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What
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p action by the nurse isbest?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. p p p p
c. Notify the primary care provider. p p p p
d. Repeat blood pressure measurement in 15 minutes.
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,Test Bank Medical Surgical Nursing,Concepts for Interprofessional
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pCollaborativeCare 9thEdition by IGNATAVICIUS p p p p p
ANS: A p
The purpose of the Rapid Response Team (RRT) is to intervene when clients
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p aredeterioratingbefore they suffereitherrespiratoryorcardiacarrest.
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Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes p p p p p
p inblood pressure, mental status, heart rate, and pain are particularly significant.
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Documentation is vital, but the nursemust do more than document. The primary
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p care provider should be notified, but thisis not the priority over calling the RRT. The
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p clientsblood pressure should
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be reassessed frequently, but the priority is getting the rapid care to theclient.
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DIF: Applying/Application REF: 3
p p p
KEY: Rapid Response Team (RRT)| medical emergencies MSC:
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p IntegratedProcess:Communication and Documentation
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NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What
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p information doesthe nurse provide to help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. p p p p p p p p
b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: A p
Each action could be important for the client or family to perform. However,
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p encouraging the client to be active in his or her health care as a partner is the
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p most critical. The other actions are very limited in scope and do not provide the broad
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p protection that beingactive and involveddoes.
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DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
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, Test Bank Medical Surgical Nursing,Concepts for Interprofessional
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pCollaborativeCare 9thEdition by IGNATAVICIUS p p p p p
MSC: Integrated Process: Teaching/Learning
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety
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p andInfectionControl
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4. A new nurse is working with a preceptor on an inpatientmedical-surgical
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p unit.The preceptor advises the student that which is the priority when working as a
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p professionalnurse?
a. Attending to holistic client needs p p p p
b. Ensuring client safety p p
c. Not making medication errors
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d. Providing client-focused care p p
ANS: B p
All actions are appropriate for the professional nurse. However, ensuring client
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p safety is the priority. Up to 98,000 deaths result each year from errors in
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p hospital care, accordingto the 2000 Institute of Medicine report. Many more
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p clients have suffered injuries and less serious outcomes.Every nurse has the
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p responsibility to guard the clients safety. p p p p p
DIF: Understanding/Comprehension REF: 2 KEY: Patient
p p p p p
p safetyMSC: Integrated Process: Nursing Process: p p p p
p Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
p p p p p p p p p
p andInfectionControl
p p
5. A client is going to be admitted for a scheduled surgical procedure. Which
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paction doesthe nurse explain is the most important thing the client can do to
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pprotectagainsterrors? p
a. Bring a list of all medications and what they are for.
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b. Keep the doctors phone number by the telephone.
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c. Make sure all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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ANS: A p
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