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TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION
TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION
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TEST BANK FOR MEDICAL SURGICALNURSING 11TH EDITION
,TEST BANK FOR MEDICAL SURGICAL
NURSING 11TH EDITION
MULTIPLE CHOICE
1. A NEW NURSE IS WORKING WITH A PRECEPTOR ON A MEDICAL-SURGICAL UNIT. THE
PRECEPTOR ADVISES THE NEW 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
CORRECT ANSWER: B
ALL ACTIONS ARE APPROPRIATE FOR THE PROFESSIONAL NURSE. HOWEVER, ENSURING CLIENT SAFETY
IS THE PRIORITY. HEALTH CARE ERRORS HAVE BEEN WIDELY REPORTED FOR 25 YEARS, MANY OF WHICH
RESULT IN CLIENT INJURY, DEATH, AND INCREASED HEALTH CARE COSTS. THERE ARE SEVERAL
NATIONAL AND INTERNATIONAL ORGANIZATIONS THAT HAVE EITHER RECOMMENDED OR MANDATED
SAFETY INITIATIVES.
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
ERRORS DOES PROVIDE SAFETY, BUT IS TOO NARROW IN SCOPE TO BE THE BEST CORRECT
ANSWERWER.
DIF: UNDERSTANDING TOP: INTEGRATED PROCESS: NURSING PROCESS: INTERVENTION KEY: 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
INFORMATION DOES 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.
CORRECT ANSWER: 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 ACTIONS ARE VERY LIMITED IN SCOPE AND DO NOT PROVIDE THE BROAD
PROTECTION THAT BEING ACTIVE AND INVOLVED DOES.
DIF: UNDERSTANDING TOP: INTEGRATED PROCESS: TEACHING/LEARNING KEY: 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 NURSE TAKE 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.
, CORRECT ANSWER: A
THE PURPOSE OF THE RAPID RESPONSE TEAM (RRT) IS TO INTERVENE WHEN CLIENTS ARE
DETERIORATING BEFORE THEY SUFFER EITHER RESPIRATORY OR CARDIAC ARREST. SINCE THE CLIENT
HAS MANIFESTED 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 DOCUMENTATION KEY: 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.
D. THOROUGHLY ORIENTS THE CLIENT AND FAMILY TO THE ROOM.
CORRECT ANSWER: A
SHOWING RESPECT FOR THE CLIENT AND FAMILY’S PREFERENCES AND NEEDS IS ESSENTIAL TO ENSURE
A HOLISTIC OR “WHOLE-PERSON” APPROACH TO CARE. BY ASSESSING THE EFFECT OF THE CLIENT’S
CULTURE ON HEALTH CARE, THIS NURSE IS PRACTICING CLIENT-FOCUSED CARE. PROVIDING FOR BASIC
NEEDS DOES NOT DEMONSTRATE THIS COMPETENCE. SIMPLY TELLING THE CLIENT ABOUT ALL
UPCOMING TESTS IS NOT PROVIDING EMPOWERING EDUCATION. ORIENTING THE CLIENT AND FAMILY
TO THE ROOM IS AN IMPORTANT SAFETY MEASURE, BUT NOT DIRECTLY RELATED TO DEMONSTRATING
CLIENT-CENTERED CARE.
DIF: UNDERSTANDING TOP: INTEGRATED PROCESS: CULTURE AND SPIRITUALITY KEY: CLIENT-
CENTERED CARE, CULTURE MSC: CLIENT NEEDS CATEGORY: PSYCHOSOCIAL INTEGRITY
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