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TEST BANK FOR MEDICAL SURGICAL NURSING: CONCEPTS FOR CLINICAL JUDGEMENT AND COLLABORATIVE CARE 11TH EDITION IGNATAVICIUS A+ $12.99   Add to cart

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TEST BANK FOR MEDICAL SURGICAL NURSING: CONCEPTS FOR CLINICAL JUDGEMENT AND COLLABORATIVE CARE 11TH EDITION IGNATAVICIUS A+

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TEST BANK FOR MEDICAL SURGICAL NURSING: CONCEPTS FOR CLINICAL JUDGEMENT AND COLLABORATIVE CARE 11TH EDITION IGNATAVICIUS A+

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  • October 1, 2024
  • 1225
  • 2024/2025
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Created By: A Solution


TEST BANK FOR MEDICAL SURGICAL NURSING: CONCEPTS FOR

CLINICAL JUDGEMENT AND COLLABORATIVE CARE 11TH EDITION

IGNATAVICIUS A+

Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing

MULTIPLE CHOICES:

1. A nurse wishes to provide client-centered care in all interactions. Which action by the

nurse bestdemonstrates this concept?

a. Assesses for cultural influences affecting health care

b. Ensures that all the clients 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

Competency in client-focused care is demonstrated when the nurse focuses on communication,

culture, respect compassion, client education, and empowerment. By assessing the effect of the

clients 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/Comprehension REF: 3

A+ Page 1

,Created By: A Solution


KEY: Patient-centered care| culture MSC: Integrated Process: CaringNOT: Client Needs

Category:

Psychosocial Integrity




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure

was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?

a. Call the Rapid Response Team.

b. Document and continue to monitor.

c. Notify the primary care provider.

d. Repeat blood pressure measurement 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 should call the RRT. Changes in blood pressure, mental status, heart rate, and

pain are particularly significant.




Documentation is vital, but the nurse must do more than document. The primary care provider

should be notified, but this is not the priority over calling the RRT. The clients blood pressure

should be reassessed frequently, but the priority is getting the rapid care to the client.



A+ Page 2

,Created By: A Solution




DIF: Applying/Application REF: 3

KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:

Communication and Documentation

NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation




3. A nurse is orienting a new client and family to the inpatient unit. What information does

the nurse provide to 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 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/Comprehension REF: 3KEY: Patient safety



A+ Page 3

, Created By: A Solution




MSC: Integrated Process: Teaching/Learning

NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection

Control



4. 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 doctors phone number by the telephone.

c. Make sure all providers wash hands before entering the room.

d. Write down the name of each caregiver who comes in the room.




ANS: A

Medication errors are the most common type of health care mistake. The Joint Commissions

Speak Up campaign encourages clients to help ensure their safety. One recommendation is for

clients to know all their medications and why they take them.

This will help prevent medication errors. DIF: Applying/Application REF: 4

KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning NOT:

Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control




A+ Page 4

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