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Chapter 01: Overview of Professional Nursing Concepts for Medical-
kr kr kr kr kr kr kr kr
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
kr k r kr kr kr kr
MULTIPLEk r CHOICE
1. Akrnewkrnursekriskrworkingkrwithkrakrpreceptorkronkrakrmedical-
surgicalkrunit.krThekrpreceptorkradviseskrthek r newkrnursekrthatkrwhichkriskrthekrprioritykrwhenkrworki
ngkraskrakrprofessionalkrnurse?
a. Attendingkrtokrholistickrclientkrneeds
b. Ensuringkrclientkrsafety
c. Notkrmakingkrmedicationkrerrors
d. Providingkrclient-focusedkrcare
ANS:kr B
Allkractionskrarekrappropriatekrforkrthekrprofessionalkrnurse.krHowever,krensuringkrclientkrsafetykriskrthek
r priority. krHealth krcare krerrorskrhave krbeen krwidely krreported krfor kr25kryears, krmany krof krwhich krresult kri
nk r clientkrinjury,krdeath,krandkrincreasedkrhealthkrcarekrcosts.krTherekrarekrseveralkrnationalkrandk r int
ernationalkrorganizationskrthatkrhavekreitherkrrecommendedkrorkrmandatedkrsafetykrinitiatives.
Everykrnursekrhaskrthekrresponsibilitykrtokrguardkrthekrclient’skrsafety.krThekrotherkractionskrarekrimportant
forkrqualitykrnursing,krbutkrtheykrarekrnotkraskrvitalkraskrprovidingkrsafety.krNotkrmakingkrmedicationkrerro
rsk r doeskrprovidekrsafety,krbutkriskrtookrnarrowkrinkrscopekrtokrbekrthekrbestkranswer.
DIF:k r Understanding
TOP:k r IntegratedkrProcess:krNursingkrProcess:krInterventio
nk r KEY:krClientkrsafety
MSC:k r Clientkr NeedskrCategory:krSafekrandkrEffectivekrCarekrEnvironment:krSafetykrandkrInfectionkrControl
2. Akrnursekriskrorientingkrakrnewkrclientkrandkrfamilykrtokrthekrmedical-
surgicalkrunit.krWhatkrinformationk r doeskrthekrnursekrprovidekrtokrbestkrhelpkrthekrclientkrpromotek
rhiskror krher krown krsafety?
a. Encouragekrthekrclientkrandkrfamilykrtokrbekractivekrpartners.
b. Havekrthekrclientkrmonitorkrhandkrhygienekrinkrcaregivers.
c. Offerkrthekrfamilykrthekropportunitykrtokrstaykrwithkrthekrclient.
d. Tellkrthekrclientkrtokralwayskrwearkrhiskrorkrherkrarmband.
ANS:kr A
Eachkractionkrcouldkrbekrimportantkrforkrthekrclientkrorkrfamilykrtokrperform.krHowever,krencouragingkrt
hek r clientkrtokrbekractivekrinkrhiskrorkrherkrhealthkrcarekraskrakrsafetykrpartnerkriskrthekrmostkrcritical.krTh
ekrotherk r actionskrarekrverykrlimitedkrinkrscopekrandkrdokrnotkrprovidekrthekrbroadkrprotectionkrthatkrbeing
kractive krand k r involved krdoes.
DIF:k r Understanding
TOP:krIntegratedkrProcess:krTeaching/Learnin
gk r KEY:krClientkrsafety
MSC:k r Clientkr NeedskrCategory:krSafekrandkrEffectivekrCarekrEnvironment:krSafetykrandkrInfectionkrControl
3. Akrnursekriskrcaringkrforkrakrpostoperativekrclientkronkrthekrsurgicalkrunit.krThekrclient’skrbloodkrpress
urek r waskr142/76krmmkrHgkr30krminuteskrago,krandkrnowkriskr88/50krmmkrHg.krWhatkractionkrwouldkrt
hekrnursek r takekrfirst?
a. CallkrthekrRapidkrResponsekrTeam.
b. Documentkrandkrcontinuekrtokrmonitor.
c. Notifykrthekrprimarykrhealthkrcarekrprovider.
d. Repeatkrthekrbloodkrpressurekrinkr15krminutes.
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ANS:kr A
ThekrpurposekrofkrthekrRapidkrResponsekrTeamkr(RRT)kriskrtokrintervenekrwhenkrclientskrarekrdeterioratin
gk r beforekrtheykrsufferkreitherkrrespiratorykrorkrcardiackrarrest.krSincekrthekrclientkrhaskrmanifestedkra
k r significant krchange, krthe krnurse krwould krcallkrthe krRRT. krChangeskrinkrblood krpressure, krmental krsta
tus,k r heartkrrate,krtemperature,kroxygenkrsaturation,krandkrlastkr2krhours’krurinekroutputkrarekrparticul
arlyk r significantkrandkrarekrpartkrofkrthekrModifiedkrEarlykrWarningkrSystemkrguide.krDocumentation
kriskrvital, k r but krthe krnurse krmust krdokrmore krthan krdocument. krThe krprimary krhealth krcare krprovider krw
ouldkrbek r notified,krbutkrthiskriskrnotkrmorekrimportantkrthankrcallingkrthekrRRT.krThekrclient’skrbloodkr
pressurek r wouldkrbekrreassessedkrfrequently,krbutkrthekrprioritykriskrgettingkrthekrrapidkrcarekrtokrthekrc
lient.
DIF:k r Applying
TOP:k r IntegratedkrProcess:krCommunicationkrandkrDocumentatio
nk r KEY:krRapidkrResponsekrTeamkr(RRT),krClinicalkrjudgment
MSC:k r Clientk r Needsk r Category:k r Physiologicalk r Integrity:k r Physiologicalk r Adaptation
4. Akrnursekrwisheskrtokrprovidekrclient-centeredkrcarekrinkrallkrinteractions.krWhichkractionkrbykrthekrnurse
bestkrdemonstrateskrthiskrconcept?
a. Assesseskrforkrculturalkrinfluenceskraffectingkrhealthkrcare.
b. Ensureskrthatkrallkrthekrclient’skrbasickrneedskrarekrmet.
c. Tellskrthekrclientkrandkrfamilykraboutkrallkrupcomingkrtests.
d. Thoroughlykrorientskrthekrclientkrandkrfamilykrtokrthekrroom.
ANS:kr A
Showingkrrespectkrforkrthekrclientkrandkrfamily’skrpreferenceskrandkrneedskriskressentialkrtokrensurekra
holistickrorkr―whole-
person‖krapproachkrtokrcare.krBykrassessingkrthekreffectkrofkrthekrclient’skrculturekronk r healthkrcare,krthi
skrnursekriskrpracticingkrclient-
focusedkrcare.krProvidingkrforkrbasickrneedskrdoeskrnotk r demonstratekrthiskrcompetence.krSimplykrte
llingkrthekrclientkraboutkrallkrupcomingkrtestskriskrnotk r providingkrempoweringkreducation.krOrientin
gkrthekrclientkrandkrfamilykrtokrthekrroomkriskrankrimportantk r safetykrmeasure,krbutkrnotkrdirectlykrrelated
krtokrdemonstrating krclient-centered krcare.
DIF:k r Understanding
TOP:krIntegratedkrProcess:krCulturekrandkrSpiritualityk
r KEY:k r Client-centeredkrcare,krCulture
MSC:k r ClientkrNeedskrCategory:krPsychosocialkrIntegrit
y
5. Akrclientkriskrgoingkrtokrbekradmittedkrforkrakrscheduledkrsurgicalkrprocedure.krWhichkractionkrdoeskrt
hek r nursekrexplainkriskrthekrmostkrimportantkrthingkrthekrclientkrcankrdokrtokrprotectkragainstkrerro
rs?
a. Bringkrakrlistkrofkrallkrmedicationskrandkrwhatkrtheykrarekrfor.
b. Keepkrthekrprovider’skrphonekrnumberkrbykrthekrtelephone.
c. Makekrsurekrthatkrallkrproviderskrwashkrhandskrbeforekrenteringkrthekrroom.
d. Writekrdownkrthekrnamekrofkreachkrcaregiverkrwhokrcomeskrinkrthekrroom.
ANS:kr A
Medicationkrreconciliationkriskrakrformalkrprocesskrinkrwhichkrthekrclient’skractualkrcurrentkrmedications
k r are krcompared krtokrthe krprescribed krmedications krat krthe krtime krof kradmission, krtransfer, kror krdischar
ge.k r ThiskrNational krclientkrSafetykrGoalkriskrimportantkrtokrreducekrmedicationkrerrors.krThekrclientkr
wouldk r notkrhavekrtokrbekrresponsiblekrforkrproviderskrwashingkrtheirkrhands,krandkrevenkrifkrthekrclie
ntkrdoeskrso,
thiskriskrtookrnarrowkrtokrbekrthekrmostkrimportantkractionkrtokrpreventkrerrors.krKeepingkrthekrprovider’
sk r phonekrnumberkrnearbykrandkrdocumentingkreveryonekrwhokrenterskrthekrroomkralsokrdokrnotkrguaran
teek r safety.
DIF:k r Applying
TOP:k r IntegratedkrProcess:krTeaching/Learnin
gk r KEY:krClientkrsafety,krInformatics
MSC:k r Clientkr NeedskrCategory:krSafekrandkrEffectivekrCarekrEnvironment:krSafetykrandkrInfectionkrControl
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