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TEST BANK MEDICAL-SURGICAL NURSING_9TH EDITION TEST BANK IGNATAVICIUS - ALL CHAPTERS 1-74| COMPLETE GUIDE A+
TEST BANK MEDICAL-SURGICAL NURSING_9TH EDITION TEST BANK IGNATAVICIUS - ALL CHAPTERS 1-74| COMPLETE GUIDE A+
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,Chapter 01: Overview of Professional Nursing Concepts for Medical- SurgicalNursingt t t t t t t t s t
tMULTIPLE CHOICE t
1. A nurse wishes to provide client-centered care in all interactions. Which action by
t t t t t t t t t t t t
t the nursebestdemonstrates this concept?
t t t t
a. Assesses for cultural influences affecting health care
t t t t t t
b. Ensures that all the clients basicneeds are met
t t t t t t t t
c. Tellstheclient andfamilyabout allupcoming tests s s t
d. Thoroughly orients the client and family to the room t t t t t t t t
ANS:A t
Competency in client-focused care is demonstrated when the nurse focuses on
t t t t t t t t t t
tcommunication, culture, respectcompassion,clienteducation,and empowerment.By t t t s
tassessingtheeffectoftheclientscultureonhealthcare, this nurse is practicing client- t t t t t
tfocused care. Providing for basic needs does not demonstrate this competence.
t t t t t t t t t t
Simply telling the client about all upcoming tests is not providing empowering education.
t t t t t t t t t t t t
t Orienting the client and family to the room is an important safety measure, but not directly
t t t t t t t t t t t t t t t
t relatedtodemonstrating client-centeredcare.
t t t
DIF: Understanding/Comprehension REF: 3
t t t
KEY:Patient-centered care| culture MSC: Integrated t t t t
t Process:CaringNOT:ClientNeedsCategory:
t t t t
PsychosocialIntegrity t
2. A nurse is caring fora postoperative client on the surgical unit. The clients blood pressure
t t t t t t t t t t t t t t t
was 142/76 mmHg30minutesago,and now is88/50mmHg.Whatactionby the nurse is
t t t t t t t t t t t t t t t t t
t best?
a. Call the Rapid Response Team.
t t t t
,b. Document and continue to monitor. t t t t
c. Notify the primary care provider.
t t t t
d. Repeat blood pressure measurement in 15 minutes.
t t t t t t
ANS:A t
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
t t t t t t t t t t t t t
t deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
t t t t t t t t t t t t
t manifested a significant change, the nurse shouldcall the RRT. Changes in blood pressure,
t t t t t t t t t t t t
t mental status, heart rate, and pain are particularly significant.
t t t t t t t t
Documentation is vital, but the nurse must do more than document. The primary care t t t t t t t t t t t t t
t provider should be notified, but this is not the priority over calling the RRT. The clients
t t t t t t t t t t t t t t t
t blood pressure should be reassessed frequently, but thepriority is getting the rapid care
t t t t t t t t t t t t t
t to the client.
t t
DIF: Applying/Application REF: 3
t t t
KEY:Rapid Response Team(RRT)| medical
t t t t t
t emergenciesMSC:IntegratedProcess: t t t
Communication and Documentation t t
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
t t t t t t t
3. A nurse is orienting a new client and family to the inpatient unit. What information does the
t t t t t t t t t t t t t t t t
nurse providetohelp theclientpromote hisorherownsafety?
t t t t t t t t t t t
a. Encourage the client and family to be active partners. t t t t t t t t
b. Have the client monitor hand hygiene in caregivers.
t t t t t t t
c. Offer the family the opportunity to stay with the client.
t t t t t t t t t
d. Tell the client to always wear his orher armband.
t t t t t t t t t
ANS:A t
Each action could be important for the client or family to perform. However,
t t t t t t t t t t t t
t encouraging the client to beactive in his or her health care as a partner is the most critical.
t t t t t t t t t t t t t t t t t
, Theother actionsare verylimited inscope anddonotprovidethebroadprotectionthat being
t t t t t t t t t t t t t t t
active and involved does.
t t t t
DIF:
Understanding/Comprehension
t REF: 3KEY: Patient safety
t t t
MSC: Integrated Process: Teaching/Learning
t t t
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
t t t t t t t t t t t t
4. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
t t t t t t t t t t t t t
t preceptor advises thestudent thatwhichistheprioritywhenworkingasaprofessional
t t s t t t t t t t
t nurse?
a. Attendingtoholistic clientneeds t
b. Ensuring client safety t t
c. Not making medication errors
t t t
d. Providing client-focused care t t
ANS:B t
All actions are appropriate for the professional nurse. However, ensuring client safety is the
t t t t t t t t t t t t t
t priority. Up to 98,000 deaths result each year from errors in hospital care, according to the2000
t t t t t t t t t t t t t t t t
Institute of Medicine report.Many moreclients havesuffered injuries and less serious
t t t t t t t t t t t t
outcomes. Every nurse has the responsibility toguard the clients safety.
t t t t t t t t t t
DIF:
Understanding/Comprehension
t REF: 2KEY: Patient safety
t t t
MSC: Integrated Process: Nursing Process: Intervention
t t t t t
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
t t t t t t t t t t t
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