Medical-Surgical Nursing - g g
10th Edition by Donna D Ignatavicius &
g g g g g g g g
M Linda Workman & Cherie Rebar & Nic
g g g g g g g
ole M Heimgartner (TEST BANK)
g g g g
, Medical Surgical Nursing 10th Edition Ign
g g g g g
atavicius Workman Test Bank
g g g
Chapterg01:gOverviewgofgProfessionalgNursinggConceptsgforgMedical-
SurgicalgNursinggIgnatavicius:gMedical-SurgicalgNursing,g10thgEdition
MULTIPLEgCHOICE
1. Agnewgnursegisgworkinggwithgagpreceptorgongagmedical-
surgicalgunit.gThegpreceptorgadvisesgthegnewgnursegthatgwhichgisgthegprioritygwhengworkinggas
gagprofessionalgnurse?
a. Attendinggtogholisticgclientgneeds
b. Ensuringgclientgsafety
c. Notgmakinggmedicationgerrors
d. Providinggclient-focusedgcare
ANS:g B
Allgactionsgaregappropriategforgthegprofessionalgnurse.gHowever,gensuringgclientgsafetygisgthegpr
iority.gHealthgcaregerrorsghavegbeengwidelygreportedgforg25gyears,gmanygofgwhichgresultgingclie
ntginjury,gdeath,gandgincreasedghealthgcaregcosts.gTheregaregseveralgnationalgandginternationalgo
rganizationsgthatghavegeithergrecommendedgorgmandatedgsafetyginitiatives.
Everygnurseghasgthegresponsibilitygtogguardgthegclient’sgsafety.gThegothergactionsgaregimportantg
forgqualitygnursing,gbutgtheygaregnotgasgvitalgasgprovidinggsafety.gNotgmakinggmedicationgerrors
gdoesgprovidegsafety,gbutgisgtoognarrowgingscopegtogbegthegbestganswer.
DIF: Understanding
TOP:g IntegratedgProcess:gNursinggProcess:gInterventiongKEY:gClientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
2. Agnursegisgorientinggagnewgclientgandgfamilygtogthegmedical-
surgicalgunit.gWhatginformationgdoesgthegnursegprovidegtogbestghelpgthegclientgpromoteghisgo
rghergowngsafety?
a. Encouragegthegclientgandgfamilygtogbegactivegpartners.
b. Havegthegclientgmonitorghandghygienegingcaregivers.
c. Offergthegfamilygthegopportunitygtogstaygwithgthegclient.
d. Tellgthegclientgtogalwaysgwearghisgorghergarmband.
ANS:g A
Eachgactiongcouldgbegimportantgforgthegclientgorgfamilygtogperform.gHowever,gencouraginggtheg
clientgtogbegactiveginghisgorgherghealthgcaregasgagsafetygpartnergisgthegmostgcritical.gThegothergact
ionsgaregveryglimitedgingscopegandgdognotgprovidegthegbroadgprotectiongthatgbeinggactivegandgin
volvedgdoes.
DIF: Understanding
TOP:gIntegratedgProcess:gTeaching/LearninggKEY:gClientgsafety
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
3. Agnursegisgcaringgforgagpostoperativegclientgongthegsurgicalgunit.gThegclient’sgbloodgpressureg
wasg142/76gmmgHgg30gminutesgago,gandgnowgisg88/50gmmgHg.gWhatgactiongwouldgthegnurse
gtakegfirst?
a. CallgthegRapidgResponsegTeam.
b. Documentgandgcontinuegtogmonitor.
c. Notifygthegprimaryghealthgcaregprovider.
d. Repeatgthegbloodgpressureging15gminutes.
, ANS:g A
ThegpurposegofgthegRapidgResponsegTeamg(RRT)gisgtogintervenegwhengclientsgaregdeteriorating
gbeforegtheygsuffergeithergrespiratorygorgcardiacgarrest.gSincegthegclientghasgmanifestedgagsignifi
cantgchange,gthegnursegwouldgcallgthegRRT.gChangesgingbloodgpressure,gmentalgstatus,gheartgrat
e,gtemperature,goxygengsaturation,gandglastg2ghours’gurinegoutputgaregparticularlygsignificantgan
dgaregpartgofgthegModifiedgEarlygWarninggSystemgguide.gDocumentationgisgvital,gbutgthegnurseg
mustgdogmoregthangdocument.gThegprimaryghealthgcaregprovidergwouldgbegnotified,gbutgthisgisg
notgmoregimportantgthangcallinggthegRRT.gThegclient’sgbloodgpressuregwouldgbegreassessedgfre
quently,gbutgthegprioritygisggettinggthegrapidgcaregtogthegclient.
DIF: Applying
TOP:g IntegratedgProcess:gCommunicationgandgDocumentationgKEY:gRapidg
ResponsegTeamg(RRT),gClinicalgjudgment
MSC:g ClientgNeedsgCategory:gPhysiologicalgIntegrity:gPhysiologicalgAdaptation
4. Agnursegwishesgtogprovidegclient-centeredgcaregingallginteractions.gWhichgactiongbygthegnurse
bestgdemonstratesgthisgconcept?
a. Assessesgforgculturalginfluencesgaffectingghealthgcare.
b. Ensuresgthatgallgthegclient’sgbasicgneedsgaregmet.
c. Tellsgthegclientgandgfamilygaboutgallgupcominggtests.
d. Thoroughlygorientsgthegclientgandgfamilygtogthegroom.
ANS:g A
Showinggrespectgforgthegclientgandgfamily’sgpreferencesgandgneedsgisgessentialgtogensuregagholi
sticgorg“whole-
person”gapproachgtogcare.gBygassessinggthegeffectgofgthegclient’sgculturegonghealthgcare,gthisgnu
rsegisgpracticinggclient-
focusedgcare.gProvidinggforgbasicgneedsgdoesgnotgdemonstrategthisgcompetence.gSimplygtellingg
thegclientgaboutgallgupcominggtestsgisgnotgprovidinggempoweringgeducation.gOrientinggthegclien
tgandgfamilygtogthegroomgisgangimportantgsafetygmeasure,gbutgnotgdirectlygrelatedgtogdemonstrati
nggclient-centeredgcare.
DIF: Understanding
TOP:gIntegratedgProcess:gCulturegandgSpiritualitygKEY:g Client-centeredgcare,gCulture
MSC:g ClientgNeedsgCategory:gPsychosocialgIntegrity
5. Agclientgisggoinggtogbegadmittedgforgagscheduledgsurgicalgprocedure.gWhichgactiongdoesgthe
gnursegexplaingisgthegmostgimportantgthinggthegclientgcangdogtogprotectgagainstgerrors?
a. Bringgaglistgofgallgmedicationsgandgwhatgtheygaregfor.
b. Keepgthegprovider’sgphonegnumbergbygthegtelephone.
c. Makegsuregthatgallgprovidersgwashghandsgbeforegenteringgthegroom.
d. Writegdowngthegnamegofgeachgcaregivergwhogcomesgingthegroom.
ANS:g A
Medicationgreconciliationgisgagformalgprocessgingwhichgthegclient’sgactualgcurrentgmedicationsg
aregcomparedgtogthegprescribedgmedicationsgatgthegtimegofgadmission,gtransfer,gorgdischarge.gT
hisgNationalgclientgSafetygGoalgisgimportantgtogreducegmedicationgerrors.gThegclientgwouldgnotg
havegtogbegresponsiblegforgprovidersgwashinggtheirghands,gandgevengifgthegclientgdoesgso,gthisgis
gtoognarrowgtogbegthegmostgimportantgactiongtogpreventgerrors.gKeepinggthegprovider’sgphonegn
umbergnearbygandgdocumentinggeveryonegwhogentersgthegroomgalsogdognotgguaranteegsafety.
DIF: Applying
TOP:g IntegratedgProcess:gTeaching/LearninggKEY:gClientgs
afety,gInformatics
MSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
, 6. Whichgactiongbygthegnursegworkinggwithgagclientgbestgdemonstratesgrespectgforgautonomy?
a. Asksgifgthegclientghasgquestionsgbeforegsigninggagconsent.
b. Givesgthegclientgaccurateginformationgwhengquestioned.
c. Keepsgthegpromisesgmadegtogthegclientgandgfamily.
d. Treatsgthegclientgfairlygcomparedgtogothergclients.
ANS:g A
Autonomygisgself-
determination.gThegclientgwouldgmakegdecisionsgregardinggcare.gWhengthegnursegobtainsgagsign
aturegongthegconsentgform,gassessinggifgthegclientgstillghasgquestionsgisgvital,gbecausegwithoutgful
lginformationgthegclientgcannotgpracticegautonomy.gGivinggaccurateginformationgisgpracticinggw
ithgveracity.gKeepinggpromisesgisgupholdinggfidelity.gTreatinggthegclientgfairlygisgprovidinggsoci
algjustice.
DIF: Applying TOP:g IntegratedgProcess:gCaring
KEY:gEthics,gAutonomygMSC:g ClientgNeedsgCategory:gSafegandgEffectivegCaregEn
vironment:gManagementgofgCare
7. Agnursegasksgagmoregseasonedgcolleaguegtogexplaingbestgpracticesgwhengcommunicatinggwithga
gpersongfromgtheglesbian,ggay,gbisexual,gtransgender,gandgquestioning/queerg(LGBTQ)gcommu
nity.gWhatganswergbygthegfacultygisgmostgaccurate?
a. Avoidgembarrassinggthegclientgbygaskinggquestions.
b. Don’tgmakegassumptionsgaboutghisgorgherghealthgneeds.
c. MostgLGBTQgpeoplegdognotgwantgtogshareginformation.
d. Nogdifferencesgexistgingcommunicatinggwithgthisgpopulation.
ANS:g B
ManygmembersgofgthegLGBTQgcommunityghavegfacedgdiscriminationgfromghealthgcaregprovid
ersgandgmaygbegreluctantgtogseekghealthgcare.gThegnursegwouldgnevergmakegassumptionsgaboutg
thegneedsgofgmembersgofgthisgpopulation.gRather,grespectfulgquestionsgaregappropriate.gIfgappro
achedgwithgsensitivity,gthegclientgwithganyghealthgcaregneedgisgmoreglikelygtoganswerghonestly.
DIF: Understanding TOP:g IntegratedgProcess:gTeaching/Learning
KEY:g Healthgcaregdisparities,gLGBTQ MSC:g ClientgNeedsgCategory:gPsychosocialgIntegrity
8. Agnursegisgcallinggthegon-
callghealthgcaregprovidergaboutgagclientgwhoghadgaghysterectomyg2gdaysgagogandghasgpaingth
atgisgunrelievedgbygthegprescribedgopioidgpaingmedication.gWhichgstatementgcomprisesgtheg
backgroundgportiongofgthegSBARgformatgforgcommunication?
a. “Igwouldglikegyougtogordergagdifferentgpaingmedication.”
b. “Thisgclientghasgallergiesgtogmorphinegandgcodeine.”
c. “Dr.gSmithgdoesn’tglikegnonsteroidalganti-inflammatorygmeds.”
d. “Thisgclientghadgagvaginalghysterectomyg2gdaysgago.”
ANS:g B
