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Test Bank Ignatavicius Medical Surgical 9th 2017 (Chapter 1-74 Complete Testbank)

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Medical-Surgical Nursing 9th Edition Ignatavicius Test Bank. Updated Medical Surgical Nursing 9th Edition Ignatavicius Test Bank.Latest Table of Contents Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing Chapter 02: Overview of Health Concepts for Medical-Surgi...

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lOMoAR cPSD| 6672187




Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 1



Test Bank Ignatavicius Medical Surgical 9th 2017

Medical-Surgical Nursing

Table of Contents
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing
Chapter 03: Common Health Problems of Older Adults
Chapter 04: Assessment and Care of Patients with Pain
Chapter 05: Genetic Concepts for Medical-Surgical Nursing
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems
Chapter 07: End-of-Life Care
Chapter 08: Concepts of Emergency and Trauma Nursing
Chapter 09: Care of Patients with Common Environmental Emergencies
Chapter 10: Concepts of Emergency and Disaster Preparedness
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances
Chapter 13: Infusion Therapy
Chapter 14: Care of Preoperative Patients
Chapter 15: Care of Intraoperative Patients
Chapter 16: Care of Postoperative Patients
Chapter 17: Inflammation and Immunity
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases
Chapter 19: Care of Patients with HIV Disease
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity
Chapter 21: Cancer Development
Chapter 22: Care of Patients with Cancer
Chapter 23: Care of Patients with Infection
Chapter 24: Assessment of the Skin, Hair, and Nails
Chapter 25: Care of Patients with Skin Problems
Chapter 26: Care of Patients with Burns
Chapter 27: Assessment of the Respiratory System
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy
Chapter 29: Care of Patients with Noninfectious Upper Respiratory Problems
Chapter 30: Care of Patients with Noninfectious Lower Respiratory Problems
Chapter 31: Care of Patients with Infectious Respiratory Problems
Chapter 32: Care of Critically Ill Patients with Respiratory Problems
Chapter 33: Assessment of the Cardiovascular System
Chapter 34: Care of Patients with Dysrhythmias
Chapter 35: Care of Patients with Cardiac Problems
Chapter 36: Care of Patients with Vascular Problems
Chapter 37: Care of Patients with Shock
Chapter 38: Care of Patients with Acute Coronary Syndromes
Chapter 39: Assessment of the Hematologic System
Chapter 40: Care of Patients with Hematologic Problems
Chapter 41: Assessment of the Nervous System
Chapter 42: Care of Patients with Problems of the CNS: The Brain
Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System
Chapter 45: Care of Critically Ill Patients with Neurologic Problems
Chapter 46: Assessment of the Eye and Vision
Chapter 47: Care of Patients with Eye and Vision Problems
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems
Chapter 49: Assessment of the Musculoskeletal System
Chapter 50: Care of Patients with Musculoskeletal Problems
Chapter 51: Care of Patients with Musculoskeletal Trauma
Chapter 52: Assessment of the Gastrointestinal System
Chapter 53: Care of Patients with Oral Cavity Problems
Chapter 54: Care of Patients with Esophageal Problems
Chapter 55: Care of Patients with Stomach Disorders
Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders
Chapter 58: Care of Patients with Liver Problems
Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas
Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity
)

, lOMoAR cPSD| 6672187




Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2
Chapter 61: Assessment of the Endocrine System
Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems
Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands
Chapter 64: Care of Patients with Diabetes Mellitus
Chapter 65: Assessment of the Renal/Urinary System
Chapter 66: Care of Patients with Urinary Problems
Chapter 67: Care of Patients with Kidney Disorders
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease
Chapter 69: Assessment of the Reproductive System
Chapter 70: Care of Patients with Breast Disorders
Chapter 71: Care of Patients with Gynecologic Problems
Chapter 72: Care of Patients with Male Reproductive Problems
Chapter 73: Care of Transgender Patients
Chapter 74: Care of Patients with Sexually Transmitted Diseases


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

ANS: A
Competency inclient-focused care is demonstrated when the nurse focuses on communication, culture, respect
compassion, client education, and empowerment. By assessing the effect of the clients 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/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 in15 minutes.

ANS: 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 should call the 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
notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed
frequently, but the priority is getting the rapid care to the client.

DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC:
Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation

3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to 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.
)

, lOMoAR cPSD| 6672187




Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3

ANS: 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 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/Comprehension REF: 3 KEY:
Patient safety

MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control

4. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the
student 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

ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000
deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine report. Many more
clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to guard the clients
safety.

DIF: Understanding/Comprehension REF: 2 KEY:
Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control

5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse explain is the
most important thing the client can do to protect against errors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.

ANS: A
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up campaign
encourages clients to help ensure their safety. One recommendation is for clients to know all their medications and why
they take them. This will help prevent medication errors.

DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control

6. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent
b. Gives the client accurate information when questioned
c. Keeps the promises made to the client and family
d. Treats the client fairly compared to other clients

ANS: A
Autonomy is self-determination. The client should make decisions regarding care. When the nurse obtains a signature
on the consent form, assessing if the client still has questions is vital, because without full information the client
cannot practice autonomy. Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social justice.

DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care

7. A student nurse asks the faculty to explain best practices when communicating with a person from the lesbian,
gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is most
)

, lOMoAR cPSD| 6672187




Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 4
accurate?
a. Avoid embarrassing the client by asking questions.
b. Don’t make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population.

ANS: B
Many members of the LGBTQ community have faced discrimination from health care providers and may be reluctant to
seek health care. The nurse should never make assumptions about the needs of members of this population. Rather,
respectful questions are appropriate. If approached with sensitivity, the client with any health care need is more likely
to answer honestly.

DIF: Understanding/Comprehension REF: 4 KEY:
LGBTQ| diversity
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Psychosocial Integrity

8. A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and has pain that is
unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR format for
communication?
a. A: I would like you to order a different pain medication.
b. B: This client has allergies to morphine and codeine.
c. R: Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds.
d. S: This client had a vaginal hysterectomy 2 days ago.

ANS: B
SBAR is a recommended form of communication, and the acronym stands for Situation, Background,
Assessment, and Recommendation. Appropriate background information includes allergies to medications the on-call
physician might order. Situation describes what is happening right now that must be communicated; the clients
surgery 2 days ago would be considered background. Assessment would include an analysis of the clients
problem; asking for a different pain medication is a recommendation. Recommendation is a statement of what is
needed or what outcome is desired; this information about the surgeons preference might be better placed in
background.

DIF: Applying/Application REF: 5
KEY: SBAR| communication
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care

9. A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive
personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much higher than previous
readings, and the clients mental status has changed. What action by the nurse would most likely have
prevented this negative outcome?
a. Determining if the UAP knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure
c. Providing more appropriate supervision of the UAP
d. Taking the blood pressure instead of delegating the task

ANS: C
Supervision is one of the five rights of delegation and includes directing, evaluating, and following up on
delegated tasks. The nurse should either have asked the UAP about the vital signs or instructed the UAP to report
them right away. An experienced UAP should know how to take vital signs and the nurse should not have to assess
this at this point. Double-checking the work defeats the purpose of delegation. Vital signs are within the scope of
practice for a UAP and are permissible to delegate. The only appropriate answer is that the nurse did not provide
adequate instruction to the UAP.

DIF: Applying/Application REF: 6
KEY: Supervision| delegation| unlicensed assistive personnel
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care

10. A nurse is talking with a client who is moving to a new state and needs to find a new doctor and hospital there.
What advice by the nurse is best?

)

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