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Medical Surgical Nursing 10th Edition; Ignatavicius Workman A+
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COMPLETE TEST BANK: Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition by Donna D. Ignatavicius
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Created by: A SolutionMedical Surgical Nursing 10th Edition; Ignatavicius
Workman A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
MULTIPLE CHOICE
1. 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.
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,Created by: A Solution
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 errorsdoes
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
2. 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 the
client to be active in his or her health care as a safety partner is the most critical. The other
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actions are very limited in scope and do not provide the broad protection that being active
andinvolved does.
DIF: Understanding TOP: Integrated Process:
Teaching/LearningKEY: Client 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 ago, and now is 88/50 mm Hg. What action would the
nursetake 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
deterioratingbefore they suffer either respiratory or cardiac arrest. Since the client has manifested
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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
4. 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.
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