Test Bank Medical Surgical Nursing,Concepts for Interprofessional CollaborativeCare
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t9thEdition by IGNATAVICIUS
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TEST BANK FOR MEDICAL SURGICAL :CONCEPTS
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t FORINTERPROFFESSIONAL COLLABORATIVE CARE 9TH
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t EDITIONIGNATAVICIUS ALL CHAPTERS. t t
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional CollaborativeCare
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9thEdition by IGNATAVICIUS
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Chapter 01: Overview of Professional Nursing Concepts for Medical-
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SurgicalNursing
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MULTIPLE CHOICE t
1. A nurse wishes to provide client-centered care in all interactions. Which
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t actionby thenurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care t t t t t t
b. Ensures that all the clients basic needs are met t t t t t t t tt
c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room t t t t t t t t
ANS: A t
Competency in client-focused care is demonstrated when the nursefocuses ont t t t t t t t t
communication, culture, respect compassion, client education, and empowerment. By
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assessing the effect of the clients culture on health care, this nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply
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telling the client about all upcoming tests isnot providing empowering education.
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Orienting the client andfamily to theroom is t t t t t t
animportantsafetymeasure, butnotdirectlyrelatedtodemonstratingclient-
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centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
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t NeedsCategory: Psychosocial Integrity
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
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pressurewas 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
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by the nurse isbest?
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a. Call the Rapid Response Team. t t t t
b. Document and continue to monitor. t t t t
c. Notify the primary care provider. t t t t
d. Repeat blood pressure measurement in 15 minutes.t t t t t t
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional CollaborativeCare
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t9thEdition by IGNATAVICIUS
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ANS: A t
The purpose of the Rapid Response Team (RRT) is to intervene when clients
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t aredeterioratingbefore they suffereitherrespiratoryorcardiacarrest.
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Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes t t t t t
t inblood pressure, mental status, heart rate, and pain are particularly significant.
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Documentation is vital, but the nursemust do more than document. The primary care t t t t t t t t t t t t
t provider should be notified, but thisis not the priority over calling the RRT. The
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t clientsblood pressure should t t t
be reassessed frequently, but the priority is getting the rapid care to theclient.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical emergencies MSC:
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t IntegratedProcess:Communication and Documentation
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NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What
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t information doesthe nurse provide to help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. t t t t t t t t
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: A t
Each action could be important for the client or family to perform. However,
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t encouraging the client to be active in his or her health care as a partner is the
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t most critical. The other actions are very limited in scope and do not provide the broad
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t protection that beingactive and involveddoes. t t t t t
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
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, Test Bank Medical Surgical Nursing,Concepts for Interprofessional CollaborativeCare
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t9thEdition by IGNATAVICIUS
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MSC: Integrated Process: Teaching/Learning
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety
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t andInfectionControl
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4. A new nurse is working with a preceptor on an inpatientmedical-surgical
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t unit.The preceptor advises the student that which is the priority when working as a
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t professionalnurse?
a. Attending to holistic client needs t t t t
b. Ensuring client safety t t
c. Not making medication errors
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d. Providing client-focused care t t
ANS: B t
All actions are appropriate for the professional nurse. However, ensuring client safety
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t is the priority. Up to 98,000 deaths result each year from errors in hospital care,
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t accordingto the 2000 Institute of Medicine report. Many more clients have suffered
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t injuries and less serious outcomes.Every nurse has the responsibility to guard the clients
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t safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient
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t safetyMSC: Integrated Process: Nursing Process: Intervention
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety
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t andInfectionControl
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5. A client is going to be admitted for a scheduled surgical procedure. Which
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taction doesthe nurse explain is the most important thing the client can do to
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tprotectagainsterrors? t
a. Bring a list of all medications and what they are for.
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b. Keep the doctors phone number by the telephone.
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c. Make sure 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 t
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