10/31/23, .,5:28 Test .,bank .,- .,medical .,surgical .,nursing .,10th .,edition .,ignatavicius
.,AM .,workman-bte…
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
MULTIPLE
., CHOICE
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?
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
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.
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
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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 .,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.
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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
4. 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. .,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
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 .,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:
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.,AM .,workman-bte…
.,Teaching/Learning .,KEY: .,Client .,safety, .,Informatics
MSC: . , Client .,Needs .,Category: .,Safe .,and .,Effective .,Care .,Environment: .,Safety .,and
.,Infection .,Control
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