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TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, 2024/2025 All chapters 1 - 74$22.99
TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, 2024/2025 All chapters 1 - 74
TEST BANK For Medical Surgical Nursing 11th Edition by Ignatavicius, Workman, Rebar & Heimgartner, Verified Chapters 1 - 74, Complete Newest Version TEST BANK For Ignatavicius, Medical Surgical Nursing 11th Edition by Workman, Rebar & Heimgartner, Verified Chapters 1 - 74, Complete Newest Version T...
TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical- lp lp lp lp lp lp lp lp
Surgical Nursing
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MULTIPLE CHOICE lp
1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care lp lp lp lp lp lp
b. Ensures that all the clients basic needs are met lp lp lp lp lp lp lp lp
c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room lp lp lp lp lp lp lp lp
CORRECT ANSWER: A lp lp
Competency in client- lp lp
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, client educati
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on, and empowerment. By 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 telling the client about all up
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coming tests is not providing empowering education. Orienting the client and family to the room is an important safe
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ty measure, but not directly related to demonstrating client-centered care.
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm Hg 30
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minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
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a. Call the Rapid Response Team. lp lp lp lp
b. Document and continue to monitor. lp lp lp lp
c. Notify the primary care provider. lp lp lp lp
d. Repeat blood pressure measurement in 15 minutes. lp lp lp lp lp lp
CORRECT ANSWER: A lp lp
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer
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either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should call the RRT
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. Changes in blood pressure, mental status, heart rate, and pain are particularly significant.
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Documentation is vital, but the nurse must do more than document. The primary care provider should be notifie pl lp pl lp lp lp lp lp lp pl lp pl pl lp lp lp lp
d, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed frequently, b
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ut the priority is getting the rapid care to the client.
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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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: Integrated Process: Communication and Documentation
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