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TIMBYS INTRODUCTORY MEDICAL SURGICAL NURSING 13TH EDITION MORENO TEST BANK
TIMBYS INTRODUCTORY MEDICAL SURGICAL NURSING 13TH EDITION MORENO TEST BANK
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◦ Timby's Introductory Medical-Surgical Nursing 13th Editionnm nm nm nm nm
Moreno Test Bank nm nm nm
Chapter 1 nm Concepts and Trends in Healthcare nm nm nm nm
◦ A new nurse is working with a preceptor on an inpatient medical-
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surgical unit. The preceptor advises the student that which is the priority
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when working as a professional nurse?
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◦ Attending to holistic client needs nm nm nm nm
◦ Ensuring client safety nm nm
◦ Not making medication errors
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◦ Providing
client- focused
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care ANS: B
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◦ All actions are appropriate for the professional nurse. However,
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n mensuring client safety is the priority. Up to 98,000 deaths result each
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nm year from errors in hospital care, according to the 2000 Institute of Medicine
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nm report. Many more clients have suffered injuries and less serious outcomes.
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nm Every nurse has the responsibility to guard the clients safety.
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◦ DIF: Understanding/Comprehension REF: nm nm
nm 2 KEY: Patient safety MSC: Integrated Process:
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nm Nursing Process: Intervention
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◦ NOT: Client Needs Category: Safe and Effective nm nm nm nm nm nm
nm Care Environment: Safety and Infection Control
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◦ A nurse is orienting a new client and family to the inpatient unit.
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What information does the nurse provide to help the client promote
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his or her own safety?
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◦ Encourage the client and family to be active partners.
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◦ Have the client monitor hand hygiene in caregivers.
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◦ Offer the family the opportunity to stay with the client.
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◦Tell the client to always wear
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his or her armband. ANS: A
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◦ Each action could be important for the client or family to
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nm perform. However, encouraging the client to be active in his or her health
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nm care as a partner is the most critical. The other actions are
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◦
◦ very limited in scope and do not provide the broad
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nm protection that being active and involved does.
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◦ DIF: Understanding/Comprehension REF: nm nm
nm 3 KEY: Patient safety MSC: Integrated Process:
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nm Teaching/ Learning nm
◦ NOT: Client Needs Category: Safe and Effective Care nm nm nm nm nm nm nm
,Environment: Safety and Infection Control nm nm nm nm
◦ A nurse is caring for a postoperative client on the surgical unit. The
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clients blood pressure was 142/76 mm Hg 30 minutes ago, and now is
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88/50 mm Hg. What action by the nurse is best?
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◦ Call the Rapid Response Team.
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◦ Document and continue to monitor. nm nm nm nm
◦ Notify the primary care provider.
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◦ Repeat blood pressure nm nm
measurement in 15 minutes.
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ANS: A nm nm
◦ The purpose of the Rapid Response Team (RRT) is to intervene
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when clients are deteriorating before they suffer either respiratory or cardiac
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arrest. Since the client has manifested a significant change, the nurse should
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call the RRT. Changes in blood pressure, mental status, heart rate, and pain
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are particularly significant. Documentation is vital, but the nurse must do more
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than document. The primary care provider should be notified, but this is not
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the priority over calling
nm nm the RRT. The clients blood pressure should be
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reassessed frequently, but the priority is getting
nm nm the
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rapid care to the client.
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◦ DIF: Applying/Application REF: 3
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◦ KEY: Rapid Response Team nm nm nm
(RRT)| medical emergencies MSC: Integrated
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Process:
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Communication and Documentation nm nm
◦ NOT: Client Needs Category: Physiological Integrity: Physiological
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Adaptation nm
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◦ A nurse wishes to provide client-centered care in all interactions.
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Which action by the nurse best demonstrates this concept?
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◦ Assesses for cultural influences affecting health care
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◦ Ensures that all the clients basic needs are met
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◦ Tells the client and family about all upcoming tests
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◦ Thoroughly orients the client nm nm nm
and family to the room ANS:
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A nm
◦ Competency in client-focused care is demonstrated when the nm nm nm nm nm nm nm
nm nurse focuses on communication, culture, respect, compassion, client
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nm education, and empowerment. By assessing the effect of the
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◦ clients culture on health care, this nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence.
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Simply telling the client about all upcoming tests is not providing empowering
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education. Orienting the client and family to the room is an important safety
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measure, but not directly related to demonstrating client-centered care.
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,◦ DIF: Understanding/Comprehension REF: 3
nm nm nm
, ◦ KEY: Patient-centered care| culture nm nm nm
MSC: Integrated Process: Caring NOT: Client
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Needs Category:
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Psychosocial Integrity nm
◦ A client is going to be admitted for a scheduled surgical procedure.
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Which action does the nurse explain is the most important thing
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the client can do to protect against errors?
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◦ Bring a list of all medications and what they are for.
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◦ Keep the doctors phone number by the telephone.
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◦ Make sure all providers wash hands before entering the room.
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◦ Write down the name of each caregiver
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who comes in the room. ANS: A
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◦ Medication errors are the most common type of health care nm nm nm nm nm nm nm nm nm
mistake. The Joint Commissions Speak Up campaign encourages clients to
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help ensure their safety. One recommendation is for clients to know all their
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medications and why they take them. This will help prevent medication
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errors.
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◦ DIF: Applying/Application REF: 4
nm nm nm
◦ KEY: Speak Up campaign| patient safety MSC: Integrated
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Process: Teaching/Learning NOT: Client Needs Category: Safe and
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Effective Care Environment: Safety and Infection Control
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◦ Which action by the nurse working with a client best demonstrates
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respect for autonomy?
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◦ Asks if the client has questions before signing a consent
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◦ Gives the client accurate information when questioned
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◦ Keeps the promises made to the client and family
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◦
Treats the client fairly nm nm nm
compared to other nm nm nm
clients ANS: A nm nm nm
◦ Autonomy is self-determination. The client should make decisions nm nm nm nm nm nm nm
regarding care. When the nurse obtains a signature on the consent form,
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assessing if
nm the client still has questions is vital, because without full
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information the client cannot practice autonomy. Giving accurate information is
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practicing with veracity. Keeping promises is upholding fidelity. Treating the
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◦
◦ client fairly is providing social justice.
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◦ DIF: Applying/Application REF: 4
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◦ KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
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◦ NOT: Client Needs Category: Safe and Effective Care Environment:
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Management
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of Care
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