Exam (elaborations)
Test Bank Medical-Surgical Nursing 10th Edition Ignatavicius Workman
- Course
- Institution
- Book
Test Bank Medical-Surgical Nursing 10th Edition Ignatavicius Workman All 69 Chapters
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
More summaries for
-
Concepts For Interprofessional Collaborative Care 10th Edition Ignatavicius Workman Rebar Heimargartner Medical Surgical Nursing Test Bank
-
Test Bank for Medical-Surgical Nursing; Concepts for Inter-professional Collaborative Care, 2-Volume Set 9th Edition By Ignatavicius A+
-
A Complete Test Bank for Medical-Surgical Nursing; Concepts for Interprofessional Collaborative Care, 2-Volume Set 12th Edition By Ignatavicius LATEST 2024
1 review
By: beepbeepboop321 • 1 year ago
By: QuizMerchant • 1 year ago
Than you!
Seller
Follow
QuizMerchant
Reviews received
Content preview
abirb.com/testChapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgicalabirb.com/test
Nursing, 10th Edition
MULTIPLE CHOICE abirb.com/test
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
new nurse that which is the priority when working as a professional nurse?
abirb.com/test
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
abirb.com/test
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
abirb.com/test
priority. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are important
abirb.com/test
for quality nursing, but they are not as vital as providing safety. Not making medication errors
does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding
KEY: Client safety
abirb.com/test
TOP: Integrated Process: Nursing Process: Intervention
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
abirb.com/test
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
does the nurse provide to best 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.
abirb.com/test
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
abirb.com/test
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 safety 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. abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Client safety
abirb.com/test
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
abirb.com/test
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
abirb.com/test
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
abirb.com/test
abirb.com/test
abirb.com/test
, abirb.com/test
ANS: A
abirb.com/test
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 would call the RRT. Changes in blood pressure, mental status,
abirb.com/test
heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
significant and are part of the Modified Early Warning System guide. Documentation is vital,
but the nurse must do more than document. The primary health care provider would be
notified, but this is not more important than calling the RRT. The client’s blood pressure
abirb.com/test
would be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Rapid Response Team (RRT), Clinical judgment
abirb.com/test
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
abirb.com/test
best demonstrates this concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the client’s basic needs are met.
c. Tells the client and family about all upcoming tests.
abirb.com/test
d. Thoroughly orients the client and family to the room.
ANS: A
Showing respect for the client and family’s preferences and needs is essential to ensure a
abirb.com/test
holistic or “whole-person” approach to care. By assessing the effect of the client’s 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
abirb.com/test
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 TOP: Integrated Process: Culture and Spirituality
abirb.com/test
KEY: Client-centered care, Culture MSC: Client Needs Category: Psychosocial Integrity
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
abirb.com/test
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 provider’s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
abirb.com/test
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication reconciliation is a formal process in which the client’s actual current medications
abirb.com/test
are compared to the prescribed medications at the time of admission, transfer, or discharge.
This National client Safety Goal is important to reduce medication errors. The client would
not have to be responsible for providers washing their hands, and even if the client does so,
abirb.com/test
this is too narrow to be the most important action to prevent errors. Keeping the provider’s
phone number nearby and documenting everyone who enters the room also do not guarantee
safety.
DIF: Applying abirb.com/test
TOP: Integrated Process: Teaching/Learning
KEY: Client safety, Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
abirb.com/test
abirb.com/test
abirb.com/test
, abirb.com/test
abirb.com/test
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.
abirb.com/test
c. Keeps the promises made to the client and family.
d. Treats the client fairly compared to other clients.
ANS: A
abirb.com/test
Autonomy is self-determination. The client would 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
abirb.com/test
client fairly is providing social justice.
DIF: Applying TOP: Integrated Process: Caring KEY: Ethics, Autonomy
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
abirb.com/test
7. A nurse asks a more seasoned colleague to explain best practices when communicating with a
person from the lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ)
abirb.com/test
community. What answer by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Don’t make assumptions about his or her health needs.
c. Most LGBTQ people do not want to share information.
abirb.com/test
d. No differences exist in communicating with this population.
ANS: B
Many members of the LGBTQ community have faced discrimination from health care
abirb.com/test
providers and may be reluctant to seek health care. The nurse would 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. abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Health care disparities, LGBTQ MSC: Client Needs Category: Psychosocial Integrity
abirb.com/test
8. A nurse is calling the on-call health care provider about a client who had a hysterectomy 2
days ago and has pain that is unrelieved by the prescribed opioid pain medication. Which
abirb.com/test
statement comprises the background portion of the SBAR format for communication?
a. “I would like you to order a different pain medication.”
b. “This client has allergies to morphine and codeine.”
c. “Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds.”
abirb.com/test
d. “This client had a vaginal hysterectomy 2 days ago.”
ANS: B
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
, abirb.com/test
SBAR is a recommended form of communication, and the acronym stands for Situation,
abirb.com/test
Background, Assessment, and Recommendation. Appropriate background information
includes allergies to medications the on-call health care provider might order. Situation
describes what is happening right now that must be communicated; the client’s surgery 2 days
abirb.com/test
ago would be considered background. Assessment would include an analysis of the client’s
problem; none of the options has assessment information. Asking for a different pain
medication is a recommendation. Recommendation is a statement of what is needed or what
outcome is desired.
abirb.com/test
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Teamwork and collaboration, SBAR
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
abirb.com/test
9. A nurse working on a cardiac unit delegated taking vital signs to an experienced assistive
personnel (AP). Four hours later, the nurse notes that the client’s blood pressure taken by the
abirb.com/test
AP was much higher than previous readings, and the client’s mental status has changed. What
action by the nurse would most likely have prevented this negative outcome?
a. Determining if the AP knew how to take blood pressure
b. Double-checking the AP by taking another blood pressure
abirb.com/test
c. Providing more appropriate supervision of the AP
d. Taking the blood pressure instead of delegating the task
ANS: C
abirb.com/test
Supervision is one of the five rights of delegation and includes directing, evaluating, and
following up on delegated tasks. The nurse would either have asked the AP about the vital
signs or instructed the AP to report them right away. An experienced AP would know how to
abirb.com/test
take vital signs and the nurse would 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 AP
and are permissible to delegate. The only appropriate answer is that the nurse did not provide
adequate instruction to the AP.
abirb.com/test
DIF: Analyzing TOP: Integrated Process: Communication and Documentation
KEY: Teamwork and collaboration, Delegation
abirb.com/test
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
10. A newly graduated nurse in the hospital states that because of being so new, participation in
quality improvement (QI) projects is not wise. What response by the precepting nurse is best?
abirb.com/test
a. “All staff nurses are required to participate in quality improvement here.”
b. “Even being new, you can implement activities designed to improve care.”
c. “It’s easy to identify what indicators would be used to measure quality.”
abirb.com/test
d. “You should ask to be assigned to the research and quality committee.”
ANS: B
The preceptor would try to reassure the nurse that implementing QI measures is not out of line
abirb.com/test
for a newly licensed nurse. Simply stating that all nurses are required to participate does not
help the nurse understand how that is possible and is dismissive. Identifying indicators of
quality is not an easy, quick process and would not be the best place to suggest a new nurse to
start. Asking to be assigned to the QI committee does not give the nurse information about
abirb.com/test
how to implement QI in daily practice.
DIF: Applying TOP: Integrated Process: Communication and Documentation
abirb.com/test
abirb.com/test
abirb.com/test
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 QuizMerchant. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$51.38. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now