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Timbys Introductory Medical-Surgical Nursing 13th Edition Donnelly Moreno Test Bank (All chapters

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Timbys Introductory Medical-Surgical Nursing 13th Edition Donnelly Moreno Test Bank All chapters

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timbys introductory medical surgical nursing 13th

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◦

, ◦ Timby's’Introductory’Medical-Surgical’Nursing’13th’Edition’Moreno’Test’Bank

Chapter’ 1 Concepts’ and’Trends’ in’ Healthcare
◦ A’new’nurse’is’working’with’a’preceptor’on’an’inpatient’medical-
surgical’unit.’The’preceptor’advises’the’student’that’which’is’the’priority’when’w
orking’as’a’professional’nurse?
◦ Attending’ to’ holistic’ client’ needs
◦ Ensuring’ client’ safety
◦ Not’ making’ medication’ errors
◦ Providing’client-
’focused’care’AN

S:’B
◦ All’actions’are’appropriate’for’the’professional’nurse.’However,’ ensuring
’ client’ safety’ is’ the’ priority.’ Up’ to’ 98,000’ deaths’ result’ each’ year’ from’ errors’in’hospita

l’care,’according’to’the’2000’Institute’of’Medicine’report.’Many’more’clients’have’suffere
d’injuries’and’less’serious’outcomes.’Every’nurse’has’the’responsibility’to’guard’the’client
s’safety.

◦ DIF:’Understanding/Comprehension’REF:’2’
KEY:’Patient’safety’MSC:’Integrated’Process:’Nursing’Proce
ss:’Intervention
◦ NOT:’Client’Needs’Category:’Safe’and’Effective’Care’
Environment:’Safety’and’Infection’Control

◦ A’nurse’is’orienting’a’new’client’and’family’to’the’inpatient’unit.’What’informa
tion’does’the’nurse’provide’to’help’the’client’promote’his’or’her’own’safety?
◦ Encourage’ the’ client’ and’ family’ to’ be’ active’ partners.
◦ Have’ the’ client’ monitor’ hand’ hygiene’ in’ caregivers.
◦ Offer’ the’ family’ the’ opportunity’ to’ stay’ with’ the’ client.
◦ Tell’the’client’to’always’wear’his’or’
her’armband.’ANS:’A
◦ Each’action’could’be’important’for’the’client’or’family’to’perform.’Ho
wever,’encouraging’the’client’to’be’active’in’his’or’her’health’care’as’a’partner’is’the’m
ost’critical.’The’other’actions’are
◦
◦ very’limited’in’scope’and’do’not’provide’the’broad’protection’that’b
eing’active’and’involved’does.

◦ DIF:’Understanding/Comprehension’REF:’3’
KEY:’Patient’safety’MSC:’Integrated’Process:’Teaching/’Lea
rning
◦ NOT:’ Client’ Needs’ Category:’ Safe’ and’ Effective’ Care

,Environment:’ Safety’ and’ Infection’ Control

◦ A’nurse’is’caring’for’a’postoperative’client’on’the’surgical’unit.’The’clients’blood’pr
essure’was’142/76’mm’Hg’30’minutes’ago,’and’now’is’88/50’mm’Hg.’What’action’b
y’the’nurse’is’best?
◦ Call’ the’ Rapid’ Response’ Team.
◦ Document’ and’ continue’ to’ monitor.
◦ Notify’ the’ primary’ care’ provider.
◦ Repeat’blood’pressure’measurement’
in’15’minutes.’ANS:’A
◦ The’purpose’of’the’Rapid’Response’Team’(RRT)’is’to’intervene’when’clie
nts’are’deteriorating’before’they’suffer’either’respiratory’or’cardiac’arrest.’Since’the’client’
has’manifested’a’significant’change,’the’nurse’should’call’the’RRT.’Changes’in’blood’pres
sure,’mental’status,’heart’rate,’and’pain’are’particularly’significant.’Documentation’is’vital
,’but’the’nurse’must’do’more’than’document.’The’primary’care’provider’should’be’notified
,’but’this’is’not’the’priority’over’calling’ the’RRT.’The’ clients’blood’pressure’should’be’re
assessed’frequently,’but’the’priority’is’getting
the’rapid’care’to’the’client.

◦ DIF:’Applying/Application’ REF:’ 3
◦ KEY:’Rapid’Response’Team’(RRT)|’
medical’emergencies’MSC:’Integrated’Process:
Communication’ and’ Documentation
◦ NOT:’ Client’ Needs’ Category:’ Physiological’ Integrity:’ Physiological’Adaptation
◦
◦ A’nurse’wishes’to’provide’client-
centered’care’in’all’interactions.’Which’action’by’the’nurse’best’demonstra
tes’this’concept?
◦ Assesses’ for’ cultural’ influences’ affecting’ health’ care
◦ Ensures’that’all’ the’clients’basic’ needs’ are’ met
◦ Tells’ the’client’ and’ family’ about’ all’ upcoming’ tests
◦ Thoroughly’orients’the’client’and’
family’to’the’room’ANS:’A
◦ Competency’in’client-
focused’care’is’demonstrated’when’the’nurse’focuses’on’communication,’culture,’res
pect,’compassion,’client’education,’and’empowerment.’By’assessing’the’effect’of’the
◦
◦ clients’culture’on’health’care,’this’nurse’is’practicing’client-
focused’care.’Providing’for’basic’ needs’does’not’demonstrate’this’competence.’Simply’t
elling’the’client’about’all’upcoming’tests’is’not’providing’empowering’education.’Orienti
ng’the’client’and’family’to’the’room’is’an’important’safety’measure,’but’not’directly’ relat
ed’to’demonstrating’client-centered’ care.

◦ DIF:’ Understanding/Comprehension’ REF:’ 3

, ◦ KEY:’Patient-
centered’care|’culture’MSC:’Integrated’Process:’Caring’N
OT:’Client’Needs’Category:
Psychosocial’ Integrity

◦ A’client’is’going’to’be’admitted’for’a’scheduled’surgical’procedure.’Which’ac
tion’does’the’nurse’explain’is’the’most’important’thing’the’client’can’do’ to’pr
otect’against’errors?
◦ Bring’ a’ list’ of’ all’ medications’ and’ what’they’ are’ for.
◦ Keep’ the’ doctors’ phone’ number’ by’ the’ telephone.
◦ Make’ sure’ all’ providers’ wash’ hands’ before’ entering’ the’ room.
◦ Write’down’the’name’of’each’caregiver’who’c
omes’in’the’room.’ANS:’A
◦ Medication’errors’are’the’most’common’type’of’health’care’mistake.’The’
Joint’Commissions’Speak’Up’campaign’encourages’clients’to’help’ensure’their’safety.’O
ne’recommendation’is’for’clients’to’know’all’their’medications’and’why’they’take’them.’
This’will’help’prevent’medication’errors.

◦ DIF:’Applying/Application’ REF:’ 4
◦ KEY:’Speak’Up’campaign|’patient’safety’MSC:’Integrated’Proc
ess:’Teaching/Learning’NOT:’Client’Needs’Category:’Safe’and’Effective’Care’
Environment:’Safety’and’Infection’Control

◦ Which’action’by’the’nurse’working’with’a’client’best’demonstrates’respect’for’ aut
onomy?
◦ Asks’ if’ the’ client’ has’ questions’ before’ signing’ a’ consent
◦ Gives’ the’ client’ accurate’ information’ when’ questioned
◦ Keeps’ the’ promises’made’to’ the’ client’and’ family
◦ Treats’the’client’fairly’co
mpared’to’other’clients’A
NS:’A
◦ Autonomy’is’self-
determination.’The’client’should’make’decisions’regarding’care.’When’the’nurse’obtains’
a’signature’on’the’consent’form,’assessing’if’ the’client’still’has’questions’is’vital,’becaus
e’without’full’information’the’client’cannot’practice’autonomy.’Giving’accurate’informati
on’is’practicing’with’veracity.’Keeping’promises’is’upholding’fidelity.’Treating’the
◦
◦ client’ fairly’ is’ providing’ social’ justice.
◦
◦ DIF:’Applying/Application’ REF:’ 4
◦ KEY:’Autonomy|’ ethical’ principles’ MSC:’ Integrated’ Process:’ Caring
◦ NOT:’ Client’ Needs’ Category:’ Safe’ and’ Effective’ Care’ Environment:’ Management
of’Care

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