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Medical Surgical Nursing 10th Edition; Ignatavicius Workman A+

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Medical Surgical Nursing 10th Edition; Ignatavicius Workman A+..

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  • October 3, 2024
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  • 2024/2025
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Medical 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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,Created by: A Solution


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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, Created by: A Solution


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.




A+ Page 4

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