Exam (elaborations)
TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION IGNATAVICIUS
- Course
- Medical Surgical Nursing .
- Institution
- Chamberlain College Of Nursing
TEST BANK FOR MEDICAL SURGICAL NURSING 11TH EDITION IGNATAVICIUS
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TEST BANK for Medical-’ ’ ’
Surgical Nursing: Concepts for Clinical Judgment a
’ ’ ’ ’ ’ ’
nd Collaborative Care 11th Edition by Donna D. Ig
’ ’ ’’ ’ ’ ’ ’ ’
natavicius, ’
All chapters 1 - 74
’ ’ ’ ’
,
,
, Chapter 01: Overview of Professional Nursing Concepts for’Medical-
Surgical Nursing
MULTIPLE CHOICE
1. 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 clients’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
Competency in client-
focused care is demonstrated’when the nurse focuses on communication, culture, respect compassion, client educ
ation, and empowerment. By’assessing the effect of the clients culture on health care, this’nurse is practicing clie
nt-
focused care. Providing’ for’basic needs does’not demonstrate this competence. Simply telling the client’about a
ll upcoming tests is’not providing empowering’education. Orienting the client and’family to the room’is an impor
tant safety’measure, but not directly related to demonstrating’client-centered’care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-
centered’care| culture MSC: Integrated Process: Caring NOT: Client
Needs Category: Psychosocial Integrity
2. A nurse’is caring for’a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm
Hg 30 minutes ago, and now’ is 88/50’ mm Hg. What action by the’ nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat’blood pressure measurement’in 15 minutes.
CORRECT’ANSWER:’A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they’suffe
r’either respiratory or’cardiac arrest. Since the client has’manifested a’significant change, the nurse should call t
he RRT. Changes in blood pressure, mental status, heart’ rate, and pain are particularly significant.
Documentation is vital, but’the nurse’must do more than’document. The primary care provider’should be’noti
fied, but’this is not’the priority’over’calling’the RRT. The clients blood pressure should’be reassessed frequen
tly, but’ the priority is getting’ the rapid care to the client.
DIF: Applying/Application’ REF: 3
KEY: Rapid Response Team’(RRT)| medical emergencies MS
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