Exam (elaborations)
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius Workman Test sBank
- Course
- Institution
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius Workman Test sBank
[Show more]
Content preview
Medical Surgical Nursing 10th Edition Ignatavicius Workman Test Banks s s s s s s s
Medical Surgical Nursing 10th EditionIgnatavicius s s s s s
Workman Test Bank
s s s
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
s s s s s s s s s
Ignatavicius: Medical-Surgical Nursing, 10th Edition
s s s s s
MULTIPLE CHOICE s
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises thenew
s s s s s s s s s s s s s s s
nurse that which is the priority when working as a professional nurse?
s s s s s s s s s s s s
a. Attending to holistic client needs s s s s
b. Ensuring client safety s s
c. Not making medication errors s s s
d. Providing client-focused care s s
ANS: B s
All actions are appropriate for the professional nurse. However, ensuring client safety is thepriority.
s s s s s s s s s s s s s
Health care errors have been widely reported for 25 years, many of which result inclient injury, death,
s s s s s s s s s s s s s s s s s
and increased health care costs. There are several national and international organizations that have
s s s s s s s s s s s s s s
either recommended or mandated safety initiatives.
s s s s s s
Every nurse has the responsibility to guard the client‘s safety. The other actions are important for quality
s s s s s s s s s s s s s s s s
nursing, but they are not as vital as providing safety. Not making medication errorsdoes provide safety,
s s s s s s s s s s s s s s s s
but is too narrow in scope to be the best answer.
s s s s s s s s s s s
DIF: Understanding TOP: Integrated Process: Nursing Process: s s s s
InterventionKEY:Client safety
s s s
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
s s s s s s s s s s s s
2. A nurse is orienting a new client and family to the medical-surgical unit. What informationdoes the
s s s s s s s s s s s s s s s
nurse provide to best help the client promote his or her own safety?
s s s s s s s s s s s s s
a. Encourage the client and family to be active partners. s s s s s s s s
b. Have the client monitor hand hygiene in caregivers.
s s s s s s s
c. Offer the family the opportunity to stay with the client.
s s s s s s s s s
d. Tell the client to always wear his or her armband.
s s s s s s s s s
ANS: A s
Each action could be important for the client or family to perform. However, encouraging theclient to be
s s s s s s s s s s s s s s s s
active in his or her health care as a safety partner is the most critical. The other actions are very
s s s s s s s s s s s s s s s s s s s s
limited in scope and do not provide the broad protection that being active andinvolved does.
s s s s s s s s s s s s s s s
DIF: Understanding TOP: Integrated Process: s s
Teaching/LearningKEY: Client safety
s s s s
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
s s s s s s s s s s s s
,Medical Surgical Nursing 10th Edition Ignatavicius Workman Test Bank
s s s s s s s s
3. A nurse is caring for a postoperative client on the surgical unit. The client‘s blood pressure was 142/76
s s s s s s s s s s s s s s s s s
mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nursetake first?
s s s s s s s s s s s s s s s s s
a. Call the Rapid Response Team.
s s s s
b. Document and continue to monitor. s s s s
c. Notify the primary health care provider.
s s s s s
d. Repeat the blood pressure in 15 minutes.
s s s s s s
,Medical Surgical Nursing 10th Edition Ignatavicius Workman Test Bank
s s s s s s s s
ANS: A s
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterioratingbefore
s s s s s s s s s s s s s s
they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change,
s s s s s s s s s s s s s s s
the nurse would call the RRT. Changes in blood pressure, mental status, heart rate, temperature,
s s s s s s s s s s s s s s s
oxygen saturation, and last 2 hours‘ urine output are particularly significant and are part of the Modified
s s s s s s s s s s s s s s s s s
Early Warning System guide. Documentation is vital,but the nurse must do more than document. The
s s s s s s s s s s s s s s s
primary health care provider would be notified, but this is not more important than calling the RRT. The
s s s s s s s s s s s s s s s s s s
client‘s blood pressure would be reassessed frequently, but the priority is getting the rapid care to the
s s s s s s s s s s s s s s s s s
client.
s
DIF: Applying TOP: Integrated Process: Communication and DocumentationKEY: s s s s s
Rapid Response Team (RRT), Clinical judgment
s s s s s s
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
s s s s s s s
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
s s s s s s s s s s s s s s
best demonstrates this concept?
s s s
a. Assesses for cultural influences affecting health care. s s s s s s
b. Ensures that all the client‘s basic needs are met. s s s s s s s s
c. Tells the client and family about all upcoming tests.
s s s s s s s s
d. Thoroughly orients the client and family to the room. s s s s s s s s
ANS: A s
Showing respect for the client and family‘s preferences and needs is essential to ensure a holistic or
s s s s s s s s s s s s s s s s
―whole-person‖ approach to care. By assessing the effect of the client‘s culture onhealth care, this nurse
s s s s s s s s s s s s s s s
is practicing client-focused care. Providing for basic needs does not demonstrate this competence.
s s s s s s s s s s s s s
Simply telling the client about all upcoming tests is not providing empowering education. Orienting
s s s s s s s s s s s s s
the client and family to the room is an importantsafety measure, but not directly related to
s s s s s s s s s s s s s s s s
demonstrating client-centered care.
s s s
DIF: Understanding TOP: Integrated Process: Culture and Spirituality
s s s s s
KEY:Client-centered care, Culture
s s s s MSC: Client Needs Category: Psychosocial Integrity
s s s s s
5. A client is going to be admitted for a scheduled surgical procedure. Which action does
s s s s s s s s s s s s s s
thenurse explain is the most important thing the client can do to protect against errors?
s s s s s s s s s s s s s s s
a. Bring a list of all medications and what they are for.
s s s s s s s s s s
b. Keep the provider‘s phone number by the telephone.
s s s s s s s
c. Make sure that all providers wash hands before entering the room.
s s s s s s s s s s
d. Write down the name of each caregiver who comes in the room.
s s s s s s s s s s s
ANS: A s
Medication reconciliation is a formal process in which the client‘s actual current medicationsare
s s s s s s s s s s s s
compared to the prescribed medications at the time of admission, transfer, or discharge. This National
s s s s s s s s s s s s s s s
client Safety Goal is important to reduce medication errors. The client would not have to be
s s s s s s s s s s s s s s s s
responsible for providers washing their hands, and even if the client does so, this is too narrow to be
s s s s s s s s s s s s s s s s s s s
the most important action to prevent errors. Keeping the provider‘s phone number nearby and
s s s s s s s s s s s s s s
documenting everyone who enters the room also do not guaranteesafety.
s s s s s s s s s s
DIF: Applying TOP: Integrated Process: s s
Teaching/LearningKEY: Client safety, Informatics
s s s s s
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
s s s s s s s s s s s s
, Medical Surgical Nursing 10th Edition Ignatavicius Workman Test Bank
s s s s s s s s
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
s s s s s s s s s s s s s
a. Asks if the client has questions before signing a consent.
s s s s s s s s s
b. Gives the client accurate information when questioned.s s s s s s
c. Keeps the promises made to the client and family. s s s s s s s s
d. Treats the client fairly compared to other clients. s s s s s s s
ANS: A s
Autonomy is self-determination. The client would make decisions regarding care. When the nurse
s s s s s s s s s s s s
obtains a signature on the consent form, assessing if the client still has questions is vital,because without
s s s s s s s s s s s s s s s s s
full information the client cannot practice autonomy. Giving accurate information is practicing with
s s s s s s s s s s s s s
veracity.
s
Keeping promises is upholding fidelity. Treating the client fairly is providing social justice.
s s s s s s s s s s s s
DIF: Applying TOP: Integrated Process: Caring KEY: Ethics, s s s s
AutonomyMSC: Client Needs Category: Safe and Effective Care Environment: Management of
s s s s s s s s s s s s
Care
s
7. A nurse asks a more seasoned colleague to explain best practices when communicating with aperson
s s s s s s s s s s s s s s
from the lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ) community. What
s s s s s s s s s s s
answer by the faculty is most accurate?
s s s s s s s
a. Avoid embarrassing the client by asking questions.s s s s s s
b. Don‘t make assumptions about his or her health needs.
s s s s s s s s
c. Most LGBTQ people do not want to share information.
s s s s s s s s
d. No differences exist in communicating with this population.
s s s s s s s
ANS: B s
Many members of the LGBTQ community have faced discrimination from health care providers and
s s s s s s s s s s s s s
may be reluctant to seek health care. The nurse would never make assumptionsabout the needs of
s s s s s s s s s s s s s s s s
members of this population. Rather, respectful questions are appropriate. Ifapproached with
s s s s s s s s s s s
sensitivity, the client with any health care need is more likely to answer honestly.
s s s s s s s s s s s s s s
DIF: Understanding TOP: Integrated Process: Teaching/Learning
s s s
KEY: Health care disparities, LGBTQ
s s s s MSC: Client Needs Category: Psychosocial Integrity
s s s s s
8. A nurse is calling the on-call health care provider about a client who had a hysterectomy 2days ago
s s s s s s s s s s s s s s s s s
and has pain that is unrelieved by the prescribed opioid pain medication. Which statement
s s s s s s s s s s s s s s
comprises the background portion of the SBAR format for communication?
s s s s s s s s s s
a. ―I would like you to order a different pain medication.‖
s s s s s s s s s
b. ―This client has allergies to morphine and codeine.‖ s s s s s s s
c. ―Dr. Smith doesn‘t like nonsteroidal anti-inflammatory meds.‖
s s s s s s
d. ―This client had a vaginal hysterectomy 2 days ago.‖ s s s s s s s s
ANS: B s
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 Nursestar1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now