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TEST BANK FOR: Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius Latest Update.$18.49
TEST BANK FOR: Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius Latest Update.
TEST BANK FOR: Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius Latest Update.TEST BANK FOR: Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius L...
TESTBANKFORMEDICALSURGICAL
NURSING:CONCEPTSFORCLINICALJUDGEMENT
AND COLLABORATIVECARE11TH EDITION
b
n n n
bn b
n
IGNATAVICIUS
TESTBANK
, n bn b n
b n bn
n bn bn
b b 2
Chapter01:OverviewofProfessionalNursingConceptsforMedical-SurgicalNursingMULTIPLE n
b CHOICE
1. Anursewishestoprovideclient-centered careinallinteractions.Which
n nb n
b actionbythenursebestdemonstratesthisconcept?
a. Assessesforculturalinfluencesaffectinghealthcare b b b b
b. Ensures thatall the clients basic needsare met b n b b b n b
c. Tellsthe clientandfamilyabout all upcomingtests n b b nb n b
d. Thoroughlyorientstheclient andfamilytothe room b b b n
ANS:A b
Competencyinclient-focusedcareisdemonstratedwhenthenursefocuseson n n
b communication,culture,respectcompassion,clienteducation,and empowerment.By n
b assessing theeffectoftheclientscultureon healthcare,thisnurseispracticing client-focused
n n n n b
b care.Providingforbasicneedsdoesnotdemonstratethiscompetence.Simplytellingthe
b client aboutallupcomingtests isnotprovidingempowering education.
n n n n
Orientingtheclientandfamilytotheroomisanimportantsafetymeasure,butnotdirectly
n n n b
b relatedtodemonstrating client-centeredcare. n
DIF:Understanding/Comprehension REF:3
b b b
KEY:Patient-centeredcare|cultureMSC:Integrated
b
Process:CaringNOT:ClientNeedsCategory:
b
PsychosocialIntegrity
b
2. Anurseiscaringforapostoperativeclienton thesurgical unit.Theclientsbloodpressure
n n n n b
b was 142/76mm Hg30minutesago,andnowis88/50mmHg.Whatactionbythenurseis
b n n n
b best?
a. Call theRapid ResponseTeam. nb n b b
b. Documentand continuetomonitor. b nb b b
c. Notifytheprimarycareprovider. b b b b
d. Repeatbloodpressuremeasurementin15minutes.
b b b b b b
ANS:A b
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
b b b b b b b b b b b b b
b deterioratingbeforetheysuffereitherrespiratoryorcardiacarrest.Sincetheclient has n
b manifestedasignificant change,thenurse should call theRRT.Changesinbloodpressure, n n n n n b
b mental status, heart rate, and pain are particularly significant.
b b b b b b b b
, n bn b n
b n bn
n bn bn
b b 3
Documentation is vital, but the nurse must do more than document. The primary care
b b b b b b b b b b b b b
b providershouldbenotified, but thisisnotthepriorityovercalling theRRT. Theclients blood
b b b b b b b b b b b b b b b b
pressure should be reassessed frequently, but the priority is getting the rapid
b b b b b b b b b b b b
b caretotheclient. n
DIF:Applying/Application REF:3 b b
b KEY:RapidResponseTeam(RRT)|medical emergencies
n n n n
MSC:IntegratedProcess:
b
Communication andDocumentation b b
NOT:ClientNeedsCategory: PhysiologicalIntegrity:PhysiologicalAdaptation
b b b b b b b
3. Anurseisorientinganewclientandfamilytotheinpatientunit.What informationdoes
n n n b
b thenurseprovide tohelptheclientpromotehisorherownsafety? b n n
a. Encouragetheclient and familytobeactivepartners. b nb b b b b
b. Havetheclient monitorhand hygiene in caregivers.
b b b b n b
c. Offerthefamilythe opportunitytostaywiththeclient. b n b b b b
d. Telltheclienttoalways wearhis orherarmband.
b b b b
ANS:A b
Each action could be important for the client or family to perform. However,
b b b b b b b b b b b b
b encouragingtheclienttobeactiveinhisorherhealthcareasapartneristhemost critical.The
n n n b
b otheractionsareverylimitedinscopeanddonotprovidethebroad protection that being n b b
b active and involved does.
b b b
DIF:
Understanding/Comprehension
REF:3KEY:Patientsafety
b
, n bn b n
b n bn
n bn bn
b b 4
MSC:IntegratedProcess:Teaching/Learning
b b b
NOT:Client NeedsCategory:SafeandEffectiveCareEnvironment:SafetyandInfection
n n
b Control
4. A clientisgoingtobeadmitted fora scheduled surgical procedure.Which actiondoesthe
b b n b b b
b nurseexplain isthemostimportant thingtheclientcan dotoprotectagainst errors?
b n n b
a. Bringalistofallmedicationsandwhattheyarefor.
b b b b b b b b b
b. Keepthedoctorsphonenumberbythetelephone. b b b b b
c. Makesureallproviderswash handsbeforeenteringtheroom. b b n b b b
d. Writedownthenameofeachcaregiverwhocomesintheroom. b b b b b b b b
ANS:A b
Medication errors are the most common type of health care mistake. The Joint
b b b b b b b b b b b b
b CommissionsSpeak Upcampaign encouragesclientstohelpensuretheirsafety.One n n
b recommendation is for clients to knowall theirmedicationsandwhytheytakethem. b b b b b b
Thiswillhelppreventmedicationerrors.
n
DIF:Applying/ApplicationREF:4 b b
KEY:Speak Upcampaign|patientsafetyMSC:IntegratedProcess:Teaching/LearningNOT:
n
b ClientNeedsCategory:SafeandEffectiveCareEnvironment:SafetyandInfectionControl n n n
5. Anewnurseisworking withapreceptoronaninpatientmedical-surgicalunit.The
n n n
b preceptoradvises thestudentthatwhich istheprioritywhenworking asa professional b n n n
b nurse?
a. Attending toholisticclientneeds n b b
b. Ensuringclientsafety b
c. Notmakingmedication errors
b b b
d. Providing client-focused care b b
ANS:B b
All actions are appropriate for the professional nurse. However, ensuring client safety is
b b b b b b b b b b b b
b thepriority.Upto98,000deaths resulteachyearfrom errors in hospital care,accordingto b n b b b
b the2000 Institute of Medicine report.Manymoreclientshavesuffered injuriesand less
b b b b n n
b serious outcomes. Every nurse has the responsibility to guard the clients safety.
b b b b b b b b b b b
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