Exam (elaborations)
Test Bank For Medical Surgical Nursing 10th Edition Ignatavicius Workman All chapters (1-69)
Test Bank For Medical Surgical Nursing 10th Edition Ignatavicius Workman All chapters (1-69)
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
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NursingIgnatavicius: Medical-Surgical
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MULTIPLE CHOICE hh
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1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
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advises thenew nurse that which is the priority when working as a professional nurse?
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a. Attending to holistic client needs hh hh hh abirb.com/test
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b. Ensuring client safety hh hh
c. Not making medication errors hh hh hh
d. Providing client-focused care hh hh
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ANS: B hh
All actions are appropriate for the professional nurse. However, ensuring client safety
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is the priority. Health care errors have been widely reported for 25 years, many of
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which result in client injury, death, and increased health care costs. There are several
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national and
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international organizations that have either recommended or mandated safety initiatives.
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Every nurse has the responsibility to guard the client‘s safety. The other actions are
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importantfor quality nursing, but they are not as vital as providing safety. Not making
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medication errorsdoes provide safety, but is too narrow in scope to be the best answer.
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DIF:
Understanding
TOP: Integrated Process: Nursing Process: Intervention
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KEY: Client safety hh hh
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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2. A nurse is orienting a new client and family to the medical-surgical unit. What
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information does the nurse provide to best help the client promote his or her own
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safety?
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a. Encourage the client and family to be active partners. hh hh hh hh hh hh hh hh
b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: abirb.com/test
A
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Each action could be important for the client or family to perform. However,
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encouraging theclient to be active in his or her health care as a safety partner is the
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most critical. The other
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actions are very limited in scope and do not provide the broad protection that being active
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and
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involved does. hh
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DIF: Understanding TOP: Integrated Process: Teaching/Learning h h hh hh
KEY: Client h h abirb.com/test
safety
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client‘s blood
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pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
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take first? hh
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would the nurse
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a. Call the Rapid Response Team. hh hh hh hh
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b. Document and continue to monitor.
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c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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ANS:
A purpose of the Rapid Response Team (RRT) is to intervene when clients are
The
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hh deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
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hh manifested a significant change, the nurse would call the RRT. Changes in blood
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hh pressure, mental status, heart rate, temperature, oxygen saturation, and last 2 hours‘
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hh urine output are particularly significant and are part of the Modified Early Warning
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hh System guide. Documentation is vital, but the nurse must do more than document. The
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hh primary health care provider would be notified, but this is not more important than
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hh calling the RRT. The client‘s blood pressure would be reassessed frequently, but the
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hh priority is getting the rapid care to the client.
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DIF: Applying TOP: Integrated Process: Communication and h h hh hh hh
DocumentationKEY: Rapid Response Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action by the
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nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care.
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b. Ensures that all the client‘s basic needs are met.
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c. Tells the client and family about all upcoming tests.
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d. Thoroughly orients the client and family to the room. hh hh hh hh hh hh hh hh
ANS: A hh
Showing respect for the client and family‘s preferences and needs is essential to ensure
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a holistic or ―whole-person‖ approach to care. By assessing the effect of the client‘s
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culture onhealth care, this nurse is practicing client-focused care. Providing for basic
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needs does not demonstrate this competence. Simply telling the client about all
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upcoming tests is not
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providing empowering education. Orienting the client and family to the room is an
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important safety measure, but not directly related to demonstrating client-centered care.
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DIF: Understanding abirb.cToOPm
:
Integrated Process: Culture and Spirituality
MSC: /tClient
est Needs Category: Psychosocial Integrity
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KEY: Client-centered care, Culture
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5. A client is going to be admitted for a scheduled surgical procedure. Which action
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does thenurse explain is the most important thing the client can do to protect
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against errors?
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a. Bring a list of all medications and what they are for.
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b. Keep the provider‘s phone number by the telephone.
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c. Make sure that all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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ANS: A hh
Medication reconciliation is a formal process in which the client‘s actual current
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medicationsare compared to the prescribed medications at the time of admission,
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transfer, or discharge. This National client Safety Goal is important to reduce
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medication errors. The client would not have to be responsible for providers washing
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their hands, and even if the client does so, this is too narrow to be the most important
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action to prevent errors. Keeping the provider‘s phone number nearby and documenting
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everyone who enters the room also do not guarantee safety.
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DIF: Applying TOP: hh hh
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Integrated Process: Teaching/Learning KEY: Client safety,
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