TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Ignatavicius,
All chapters 1–69 fully covered
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLEeCHOICE
1. Aenewenurseeiseworkingewitheaepreceptoreoneaemedical-
surgicaleunit.eTheepreceptoreadvisesetheenewenurseethatewhicheisetheepriorityewheneworkingease
aeprofessionalenurse?
a. Attendingetoeholisticeclienteneeds
b. Ensuringeclientesafety
c. Notemakingemedicationeerrors
d. Providingeclient-focusedecare
CORRECTeANSWER:e B
Alleactionseareeappropriateeforetheeprofessionalenurse.eHowever,eensuringeclientesafetyeisetheep
riority.eHealthecareeerrorsehaveebeenewidelyereportedefore25eyears,emanyeofewhicheresulteineclie
nteinjury,edeath,eandeincreasedehealthecareecosts.eThereeareeseveralenationaleandeinternationale
organizationsethatehaveeeithererecommendedeoremandatedesafetyeinitiatives.
Everyenurseehasetheeresponsibilityetoeguardetheeclient’sesafety.eTheeothereactionseareeimportan
teforequalityenursing,ebutetheyeareenoteasevitaleaseprovidingesafety.eNotemakingemedicationeerro
rsedoeseprovideesafety,ebuteisetooenarroweinescopeetoebeetheebesteanswer.
DIF: Understanding
TOP:e IntegratedeProcess:eNursingeProcess:eInterventioneKEY:eClientesafety
MSC:e ClienteNeedseCategory:eSafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControl
2. Aenurseeiseorientingeaeneweclienteandefamilyetoetheemedical-
surgicaleunit.eWhateinformationedoesetheenurseeprovideetoebestehelpetheeclientepromoteehis
eorehereownesafety?
a. Encourageetheeclienteandefamilyetoebeeactiveepartners.
b. Haveetheeclientemonitorehandehygieneeinecaregivers.
c. Offeretheefamilyetheeopportunityetoestayewithetheeclient.
d. Telletheeclientetoealwaysewearehiseoreherearmband.
CORRECTeANSWER:e A
, Eacheactionecouldebeeimportanteforetheeclienteorefamilyetoeperform.eHowever,eencouragingethee
clientetoebeeactiveeinehiseoreherehealthecareeaseaesafetyepartnereisetheemostecritical.eTheeothereac
tionseareeveryelimitedeinescopeeandedoenoteprovideetheebroadeprotectionethatebeingeactiveeandei
nvolvededoes.
DIF: Understanding
TOP:eIntegratedeProcess:eTeaching/LearningeKEY:eClientesafety
MSC:e ClienteNeedseCategory:eSafeeandeEffectiveeCareeEnvironment:eSafetyeandeInfectioneControl
3. Aenurseeisecaringeforeaepostoperativeeclienteonetheesurgicaleunit.eTheeclient’sebloodepressuree
wase142/76emmeHge30eminuteseago,eandenoweise88/50emmeHg.eWhateactionewouldetheenurse
etakeefirst?
a. CalletheeRapideResponseeTeam.
b. Documenteandecontinueetoemonitor.
c. Notifyetheeprimaryehealthecareeprovider.
d. Repeatetheebloodepressureeine15eminutes.
, CORRECTeANSWER:e A
TheepurposeeofetheeRapideResponseeTeame(RRT)eisetoeinterveneewheneclientseareedeterioratinge
beforeetheyesuffereeithererespiratoryeorecardiacearrest.eSinceetheeclientehasemanifestedeaesignifi
cantechange,etheenurseewouldecalletheeRRT.eChangeseinebloodepressure,ementalestatus,eheartera
te,etemperature,eoxygenesaturation,eandelaste2ehours’eurineeoutputeareeparticularlyesignificante
andeareeparteofetheeModifiedeEarlyeWarningeSystemeguide.eDocumentationeisevital,ebutetheenur
seemustedoemoreethanedocument.eTheeprimaryehealthecareeproviderewouldebeenotified,ebutethi
seisenotemoreeimportantethanecallingetheeRRT.eTheeclient’sebloodepressureewouldebeereassessede
frequently,ebutetheepriorityeisegettingetheerapidecareetoetheeclient.
DIF: Applying
TOP:e IntegratedeProcess:eCommunicationeandeDocumentationeKEY:eRapideRe
sponseeTeame(RRT),eClinicalejudgment
MSC:e ClienteNeedseCategory:ePhysiologicaleIntegrity:ePhysiologicaleAdaptation
4. Aenurseewishesetoeprovideeclient-centeredecareeinealleinteractions.eWhicheactionebyetheenurse
bestedemonstratesethiseconcept?
a. Assesseseforeculturaleinfluenceseaffectingehealthecare.
b. Ensuresethatealletheeclient’sebasiceneedseareemet.
c. Tellsetheeclienteandefamilyeaboutealleupcomingetests.
d. Thoroughlyeorientsetheeclienteandefamilyetoetheeroom.
CORRECTeANSWER:e A
Showingerespecteforetheeclienteandefamily’sepreferenceseandeneedseiseessentialetoeensureeaeholi
sticeore“whole-
person”eapproachetoecare.eByeassessingetheeeffecteofetheeclient’secultureeonehealthecare,ethisenu
rseeisepracticingeclient-
focusedecare.eProvidingeforebasiceneedsedoesenotedemonstrateethisecompetence.eSimplyetelling
etheeclienteaboutealleupcomingetestseisenoteprovidingeempoweringeeducation.eOrientingetheeclie
nteandefamilyetoetheeroomeiseaneimportantesafetyemeasure,ebutenotedirectlyerelatedetoedemonst
ratingeclient-centeredecare.
DIF: Understanding
TOP:eIntegratedeProcess:eCultureeandeSpiritualityeKEY:e Client-centeredecare,eCulture
MSC:e ClienteNeedseCategory:ePsychosocialeIntegrity
5. Aeclienteisegoingetoebeeadmittedeforeaescheduledesurgicaleprocedure.eWhicheactionedoesethe
enurseeexplaineisetheemosteimportantethingetheeclientecanedoetoeprotecteagainsteerrors?
a. Bringeaelisteofeallemedicationseandewhatetheyeareefor.