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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$21.49
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 - 69, Complete Newest Version TEST BANK For Ignatavicius, Medical Surgical Nursing 11th Edition by Workman, Rebar & Heimgartner, Verified Chapters 1 - 69, 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-
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Surgical Nursing
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MULTIPLE CHOICE XO
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
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b. Ensures that all the clients 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 XO XO XO XO XO XO XO XO
CORRECT ANSWER: A XO X O
Competency in client- XO XO
focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, client edu
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cation, and empowerment. By assessing the effect of the clients culture on health care, this nurse is practicing
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client-
focused care. Providing for basic needs does not demonstrate this competence. Simply telling the client about
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all upcoming tests is not providing empowering education. Orienting the client and family to the room is an im
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portant safety measure, but not directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- XO
centered care| culture MSC: Integrated Process: Caring NOT: Client
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Needs Category: Psychosocial Integrity
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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
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Hg 30 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.
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b. Document and continue to monitor. XO XO XO XO
c. Notify the primary care provider. XO XO XO XO
d. Repeat blood pressure measurement in 15 minutes.
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CORRECT ANSWER: A XO X O
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they
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suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should c
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all the RRT. 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
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notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed f
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requently, but 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 M
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