Exam (elaborations)

Test Bank For Medical-Surgical Nursing Concepts for Inter professional Collaborative Care 10th Edition by Donna Ignatavicius, 9780323612425, Chapter 1-69 Complete Questions and Answers A+

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Course
Medical-Surgical Nursing Concepts

Institution
Medical-Surgical Nursing Concepts

Medical Surgical Nursing 10th Edition Ignatavicius Workman Test Bank Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition ANSWERD MULTIPLE choice I. A new nurse is working with ...

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medical surgical nursing 10th edition ignatavicius

Institution Medical-Surgical Nursing Concepts
Course Medical-Surgical Nursing Concepts

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Surgical nursing

Medical Surgical Nursing 10th Edition Ignatavicius
Workman Test Bank

Chapter 01: Overview of Professional Nursing
Concepts for Medical-Surgical Nursing Ignatavicius:
Medical-Surgical Nursing, 10th Edition
ANSWERD

MULTIPLE
choice

I. 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?
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. 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
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 TOP: Integrated Process:
Nursing Process: Intervention KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control

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Surgical nursing
II. 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.
c. Offer the family the opportunity to stay with the
client.
d. Tell the client to always wear his or her armband.
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 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.
DIF: Understanding TOP: Integrated
Process: Teaching/Learning KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
III. A nurse is caring for a postoperative client on the
surgical unit. The client’s blood pressure 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.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.

Btestbanks.com

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Surgical nursing

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
would call the RRT. Changes in blood pressure,
mental status, 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 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
MSC: Client Needs Category: Physiological Integrity:
Physiological Adaptation

IV. 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 client’s 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
Showing respect for the client and family’s preferences
and needs is essential to ensure a
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.
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Surgical nursing
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 TOP: Integrated Process:
Culture and Spirituality KEY: Client-centered
care, Culture MSC: Client Needs
Category: Psychosocial Integrity

V. 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 provider’s phone number by the telephone.
c. Make sure that all providers wash hands before
entering the room.
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 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,
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 TOP:
Integrated Process:
Teaching/Learning KEY: Client
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Exam (elaborations)

Test Bank For Medical-Surgical Nursing Concepts for Inter professional Collaborative Care 10th Edition by Donna Ignatavicius, 9780323612425, Chapter 1-69 Complete Questions and Answers A+

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