Exam (elaborations)

TESTyBANKyFor yMedical-Surgical yNursing y10thyEditionyConcepts yfor yInterprofessional yCollaborative yCare, ybyyDonna yD. yIgnatavicius, yAll ychapters y1y–y69yLATESTySTUDYyEXAMyA+y yGRADED

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Medical-Surgical yNursing

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Medical-Surgical YNursing

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Medical-Surgical Nursing

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test bank for medical surgical nursing 10th editi

Institution Medical-Surgical yNursing
Course Medical-Surgical yNursing

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TEST BANK For Medical-Surgical Nursing
y y y y

10th Edition Concepts for Interprofessional
y y y y y

Collaborative Care, by Donna D. Ignatavicius,
y y y y y y

All chapters 1 – 69 LATEST STUDY EXAM A+
y y y y y y y y y y

GRADED
y

l

,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
y y y y y y y y

NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition
y y y y y y

MULTIPLECHOICE y

1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises thenew
y y y y y y y y y y y y y y y y

y nurse that which is the priority when working as a professional nurse?
y y y y y y y y y y y

a. Attending to holistic client needs y y y y

b. Ensuring client safety y y

c. Not making medication errors y y y

d. Providingclient-focused care y y

CORRECT ANSWER: B y y

All actions are appropriate for the professional nurse. However, ensuring client safety is
y y y y y y y y y y y y

thepriority. Health care errors have been widelyreported for 25 years, manyof which result
y y y y y y y y y y y y y y y y

y inclient injury, death, and increased health care costs. There are several national and
y y y y y y y y y y y y y

international organizations that have either recommended or mandated safety initiatives.
y y y y y y y y y y

Every nurse has the responsibility to guard the client’s safety. The other actions are important for
y y y y y y y y y y y y y y y

quality nursing, but they are not as vital as providing safety. Not making medication errors does
y y y y y y y y y y y y y y y y

provide safety, but is too narrow in scope to be the best answer.
y y y y y y y y y y y y y

DIF: Understanding TOP: IntegratedProcess: NursingProcess: y y y y

InterventionKEY: Client safety
y y y y

MSC: Client Needs Category: Safe and Effective CareEnvironment: Safetyand Infection Control
y y y y y y y y y y y y

2. A nurse is orienting a new client and familyto the medical-surgical unit. What informationdoes
y y y y y y y y y y y y y y y

the nurse provide to best help the client promote his or her own safety?
y y y y y y y y y y y y y y

a. Encourage the client and familyto be active partners. y y y y y y y y

b. Have the client monitor hand hygiene in caregivers.
y y y y y y y

c. Offer the familythe opportunityto staywith the client.
y y y y y y y y y

d. Tellthe client to always wear his or her armband.
y y y y y y y y y

CORRECT ANSWER: A y y

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

theclient to be active in his or her health care as a safety partner is the most critical. The other
y y y y y y y y y y y y y y y y y y y y y

actions are verylimited in scope and do not provide the broad protection that being active
y y y y y y y y y y y y y y y y

andinvolved does.
y y y

, DIF: Understanding TOP: Integrated Process:
y y

Teaching/LearningKEY: Client safety
y y y y

MSC: Client Needs Category: Safe and Effective CareEnvironment: Safetyand Infection Control
y y y y y y y y y y y y

3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
y y y y y y y y y y y y y y y y

y142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nursetake
y y y y y y y y y y y y y y y y y

yfirst?
a. Callthe Rapid Response Team.
y y y y

b. Document and continue to monitor. y y y y

c. Notifythe primary health care provider.
y y y y y

d. Repeat the blood pressure in 15 minutes.
y y y y y y

, CORRECT ANSWER: A y y

The purpose ofthe Rapid Response Team (RRT) is to intervene when clients are
y y y y y y y y y y y y y

deterioratingbefore they suffer either respiratory or cardiac arrest. Since the client has manifested
y y y y y y y y y y y y y y

ya significant change, the nurse would call the RRT. Changes in blood pressure, mental status,
y y y y y y y y y y y y y y

yheart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
y y y y y y y y y y y y

ysignificant and are part of the Modified Early Warning System guide. Documentation is vital,but
y y y y y y y y y y y y y y

ythe nurse must do more than document. The primary health care provider would be notified, but
y y y y y y y y y y y y y y y

ythis is not more important than calling the RRT. The client’s blood pressure would be reassessed
y y y y y y y y y y y y y y y

y frequently, but the priority is getting the rapid care to the client. y y y y y y y y y y y

DIF: Applying TOP: Integrated Process: Communication and y y y y

yDocumentationKEY: Rapid Response Team (RRT), Clinical judgment y y y y y y y

MSC: Client NeedsCategory: Physiological Integrity: Physiological Adaptation
y y y y y y y

4. A nurse wishes to provide client-centered care in all interactions. Which action bythe nurse
y y y y y y y y y y y y y y

best demonstrates this concept?
y y y

a. Assesses for cultural influences affecting health care. y y y y y y

b. Ensures that all the client’s basic needs are met. y y y y y y y y

c. Tells the client and family about all upcoming tests.
y y y y y y y y

d. Thoroughlyorients the client and familyto the room. y y y y y y y y

CORRECT ANSWER: A y y

Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
y y y y y y y y y y y y y y y

yor “whole-person” approach to care. Byassessing the effect of the client’s culture onhealth care,
y y y y y y y y y y y y y y y

ythis nurse is practicing client-focused care. Providing for basic needs does not demonstrate this
y y y y y y y y y y y y y

ycompetence. Simply telling the client about all upcoming tests is not providing empowering y y y y y y y y y y y y

education. Orienting the client and familyto the room is an importantsafety measure, but not
y y y y y y y y y y y y y y y y

ydirectly related to demonstrating client-centered care.
y y y y y

DIF: Understanding TOP: Integrated Process: Culture and Spirituality
y y y y y

yKEY: Client-centered care, Culture y y y MSC: Client Needs Category: Psychosocial Integrity
y y y y y

5. A client is going to be admitted for a scheduled surgical procedure. Which action does thenurse
y y y y y y y y y y y y y y y y

explain is the most important thing the client can do to protect against errors?
y y y y y y y y y y y y y y

a. Bring a list of all medications and what theyare for. y y y y y y y y y y

b. Keep the provider’s phone number bythe telephone. y y y y y y y

c. Make sure that all providers wash hands before entering the room.
y y y y y y y y y y

d. Write down the name ofeach caregiver who comes in the room.
y y y y y y y y y y y

CORRECT ANSWER: A y y

Medication reconciliation is a formal process in which the client’s actual current medications
y y y y y y y y y y y y

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Exam (elaborations)

TESTyBANKyFor yMedical-Surgical yNursing y10thyEditionyConcepts yfor yInterprofessional yCollaborative yCare, ybyyDonna yD. yIgnatavicius, yAll ychapters y1y–y69yLATESTySTUDYyEXAMyA+y yGRADED

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