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TEST BANK FOR MEDICAL SURGICAL NURSING 10TH EDITION IGNATAVICIUS WORKMAN ALL CHAPTERS.
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TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, All 65 chapters Available
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Test Bank For Medical Surgical Nursing 10th Edition Ignatavicius Workman All chapters (1-69) |Complete Solution |Grade A+ Verified Guide.
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TEST BANK -MEDICAL-SURGICAL NURSING: CONCEPTS FOR INTERPROFESSIONAL COLLABORATIVE CARE 9TH EDITION BY IGNATAVICIUS WORKMAN
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TEST BANK FOR MEDICAL SURGICAL NURSING 10TH EDITIOIGNATAVICIUS WORKMAN ALL CHAPTERS.
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
• A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises thenew nurse that which is the priority when working as a professional nurse?
• Attending to holistic client needs
• Ensuring client safety
• Not making medication errors
• Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client
safety is thepriority. Health care errors have been widely reported for 25 years, many
of which result inclient 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 errorsdoes provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process:
InterventionKEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
• A nurse is orienting a new client and family to the medical-surgical unit. What
informationdoes the nurse provide to best help the client promote his or her own
safety?
• Encourage the client and family to be active partners.
• Have the client monitor hand hygiene in caregivers.
• Offer the family the opportunity to stay with the client.
• 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/LearningKEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
• 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 nursetake first?
• Call the Rapid Response Team.
• Document and continue to monitor.
• Notify the primary health care provider.
• Repeat the blood pressure in 15 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 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
DocumentationKEY: Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
• A nurse wishes to provide client-centered care in all interactions. Which action by the
nurse
best demonstrates this concept?
• Assesses for cultural influences affecting health care.
• Ensures that all the client’s basic needs are met.
• Tells the client and family about all upcoming tests.
• 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 onhealth 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
• A client is going to be admitted for a scheduled surgical procedure. Which action
does thenurse explain is the most important thing the client can do to protect
against errors?
• Bring a list of all medications and what they are for.
• Keep the provider’s phone number by the telephone.
• Make sure that all providers wash hands before entering the room.
• 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
medicationsare 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/LearningKEY: Client safety, Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
• Which action by the nurse working with a client best demonstrates respect for
autonomy?
• Asks if the client has questions before signing a consent.
• Gives the client accurate information when questioned.
• Keeps the promises made to the client and family.
• Treats the client fairly compared to other clients.
ANS: A
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 client fairly is providing social justice.
DIF: Applying TOP: Integrated Process: Caring KEY: Ethics,
AutonomyMSC: Client Needs Category: Safe and Effective Care Environment:
Management of Care
• A nurse asks a more seasoned colleague to explain best practices when communicating
with aperson from the lesbian, gay, bisexual, transgender, and questioning/queer
(LGBTQ) community. What answer by the faculty is most accurate?
, • Avoid embarrassing the client by asking questions.
• Don’t make assumptions about his or her health needs.
• Most LGBTQ people do not want to share information.
• 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 would never make
assumptions about the needs of members of this population. Rather, respectful
questions are appropriate. Ifapproached with sensitivity, the client with any health care
need is more likely to answer honestly.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Health care disparities, LGBTQ MSC: Client Needs Category: Psychosocial
Integrity
• A nurse is calling the on-call health care provider about a client who had a
hysterectomy 2days ago and has pain that is unrelieved by the prescribed opioid
pain medication. Which statement comprises the background portion of the SBAR
format for communication?
• “I would like you to order a different pain medication.”
• “This client has allergies to morphine and codeine.”
• “Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds.”
• “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 health care provider might
order. Situation describes what is happening right now that must be communicated; the
client’s surgery 2 daysago 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.
DIF: Applying TOP: Integrated Process: Communication and
DocumentationKEY: Teamwork and collaboration, SBAR
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
• 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 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?
• Determining if the AP knew how to take blood pressure
• Double-checking the AP by taking another blood pressure
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