100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69 Revised edition Newest$13.99
TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69 Revised edition Newest
TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69 Revised edition Newest
TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ign...
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
new nurse that which is the priority when working as a professional nurse?
#I& #I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I & #I&
a. Attending to holistic client needs #I& #I& #I& #I&
b. Ensuring client safety #I& #I&
c. Not making medication errors #I& #I& #I&
d. Providing client-focused care #I& #I&
CORRECT ANSWER: B #I& # I &
All actions are appropriate for the professional nurse. However, ensuring client safetyis the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
priority. Health care errors have been widely reported for 25 years, many of which result in
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
client injury, death, and increased health care costs. There are several national and
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
international organizations that have either recommended or mandated safety initiatives.
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
Every nurse has the responsibility to guard the client’s safety. The other actions are important
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
for quality nursing, but they are not as vital as providing safety. Not making medication errors
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
does provide safety, but is too narrow in scope to be the best answer.
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
# I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
does the nurse provide to best help the client promote his or her own safety?
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
a. Encourage the client and family to be active partners. #I& #I& #I& #I& #I& #I& #I& #I&
b. Have the client monitor hand hygiene in caregivers. #I& #I& #I& #I& #I& #I& #I&
c. Offer the familythe opportunityto stay with the client. #I& #I& #I& #I & #I& #I& #I& #I& #I&
d. Tell the client to always wear his or her armband. #I& #I& #I& #I& #I& #I& #I& #I& #I&
CORRECT ANSWER: A #I& # I &
Each action could be important for the client or family to perform. However, encouraging the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
client to be active in his or her health care as a safety partner is the most critical. The other
#I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I& #I& #I&
, actions are very limited in scope and do not provide the broad protection that being active and
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
# I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
take first?
#I& #I&
a. Call the Rapid Response Team. #I& #I& #I& #I&
b. Document and continue to monitor. #I& #I& #I& #I&
c. Notify the primaryhealth care provider. #I& #I& #I& #I& #I&
d. Repeat the blood pressure in 15 minutes. #I& #I& #I& #I& #I& #I&
, CORRECT ANSWER: A #I& # I &
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& before they suffer either respiratory or cardiac arrest. Since the client has manifested a
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& significant change, the nurse would call the RRT. Changes in blood pressure, mental status, #I& #I& #I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I&
#I& heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& significant and are part of the Modified Early Warning System guide. Documentation is vital, but #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& the nurse must do more than document. The primary health care provider would be notified,
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& but this is not more important than calling the RRT. The client’s blood pressure would be
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& reassessed frequently, but the priority is getting the rapid care to the client. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
4. A nurse wishes to provide client-centered care in all interactions. Which action bythe nurse
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
best demonstrates this concept?
#I& #I& #I&
a. Assesses for cultural influences affecting health care. #I& #I& #I& #I& #I& #I&
b. Ensures that all the client’s basic needs are met. #I& #I& #I& #I& #I& #I& #I& #I&
c. Tells the client and family about all upcoming tests. #I& #I& #I& #I& #I& #I& #I& #I&
d. Thoroughlyorients the client and familyto the room. #I& #I& #I& #I& #I& #I& #I& #I&
CORRECT ANSWER: A #I& # I &
Showing respect for the client and family’s preferences and needs is essential to ensure a
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& health care, this nurse is practicing client-focused care. Providing for basic needs does not
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& demonstrate this competence. Simply telling the client about all upcoming tests is not #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& providing empowering education. Orienting the client and family to the room is an important #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& safety measure, but not directly related to demonstrating client-centered care.
#I& #I& #I& #I& #I& #I& #I& #I& #I&
# I & Client-centered care, Culture #I& #I& MSC: ClientNeeds Category:PsychosocialIntegrity # I & #I& #I& #I& #I&
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& nurse explain is the most important thing the client can do to protect against errors?
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I & #I& #I& #I&
a. Bring a list of all medications and what theyare for. #I& #I& #I & #I& #I& #I& #I& #I& #I& #I&
b. Keep the provider’s phone number bythe telephone. #I& #I& #I& #I& #I& #I& #I&
c. Make sure that all providers wash hands before entering the room. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
d. Write down the name of each caregiver who comes in the room. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller STUVATE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
