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TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, All chapters 1 - 74$12.99
TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, All chapters 1 - 74
TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, All chapters 1 - 74
TEST BANK FOR MEDICAL SURGICAL
NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
AND COLLABORATIVE CARE 11TH EDITION
IGNATAVICIUS
TEST BANK ho
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Test Bank - Medical-
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Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
Chapter 01: Overview of Professional Nursing Concepts for Medical-
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Surgical Nursing MULTIPLE CHOICEho ho ho
1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse bestdemons
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trates this concept? ho ho
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 ho ho ho ho ho ho ho ho
ANS: A ho
Competency in client- ho ho
focused care is demonstrated when the nurse focuses on communication, culture, res
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pect compassion, client education, and empowerment. By assessing the effect of the cl
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ients culture on health care, this nurse is practicing client-
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ho focused care. Providing for basic needs does not demonstrate this competence. Simpl
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y telling the client about all upcoming tests is not providing empowering education.
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Orienting the client and family to the room is an important safety measure, but not d
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irectly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- ho
centered care| culture MSC: Integrated Process: Carin
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gNOT: Client Needs Category:
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Psychosocial Integrity ho
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
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o pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What act
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ion 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. ho ho ho ho
c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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ANS: A ho
The purpose of the Rapid Response Team (RRT) is to intervene when clients
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Test Bank - Medical-
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are deteriorating
Surgical
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Nursing: Concepts they suffer either
for Interprofessional
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Collaborative
ho ho or cardiac
Care 11e ho ho ho ho arrest. Since the cli
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ent has manifested a significant change, the nurse should call the RRT. Changes in bl
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ood pressure, mental status, heart rate, and pain are particularly significant.
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Test Bank - Medical-
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Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
Documentation is vital, but the nurse must do more than document. The primar
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y care provider should be notified, but this is not the priority over calling the RR
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T. The clients blood pressure should be reassessed frequently, but the priority
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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 emergenc
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ies MSC: Integrated Process:
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Communication and Documentation ho ho
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 informa
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tion does the 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. ho ho ho ho ho ho ho ho
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 ho
Each action could be important for the client or family to perform. However,
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ho encouraging the client to be active in his or her health care as a partner is the most
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critical. The other actions are very limited in scope and do not provide the broad pro
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tection that being active and involved does.
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DIF:
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REF: 3KEY: Patient safetyho ho ho
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