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TEST BANK MEDICAL-SURGICAL NURSING_9TH EDITION TEST BANK IGNATAVICIUS - ALL CHAPTERS 1-74| COMPLETE GUIDE A+ $17.99   Add to cart

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TEST BANK MEDICAL-SURGICAL NURSING_9TH EDITION TEST BANK IGNATAVICIUS - ALL CHAPTERS 1-74| COMPLETE GUIDE A+

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TEST BANK MEDICAL-SURGICAL NURSING_9TH EDITION TEST BANK IGNATAVICIUS - ALL CHAPTERS 1-74| COMPLETE GUIDE A+

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  • October 31, 2024
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,Chapter 01: Overview of Professional Nursing Concepts for Medical- SurgicalNursing
t 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
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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
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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
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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
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t deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
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t manifested a significant change, the nurse shouldcall the RRT. Changes in blood pressure,
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t mental status, heart rate, and pain are particularly significant.
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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
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t blood pressure should be reassessed frequently, but thepriority is getting the rapid care
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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.
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d. Tell the client to always wear his orher armband.
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ANS:A t




Each action could be important for the client or family to perform. However,
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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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