Timby's Introductory Medical-Surgical Nursing 13th kk kk kk kk
kk Edition by Moreno Test Bank A+ kk kk kk kk kk
Chapter 1 kk Concepts and Trends in Healthcare kk kk kk kk
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor
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kk advises the student that which is the priority when working as a professional nurse?
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Attending to holistic client needs kk kk kk kk
kk Ensuring client safety kk kk
Not making medication errors
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kk Providing client- focused care ANS: B kk kk kk kk kk
All actions are appropriate for the professional nurse. However, ensuring client safety is the
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kk priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
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kk 2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
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outcomes. Every nurse has the responsibility to guard the clients safety.
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DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process:
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kk Nursing Process: Intervention kk kk
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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kk Control
A nurse is orienting a new client and family to the inpatient unit. What information does the
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kk nurse provide to help the client promote his or her own safety?
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Encourage the client and family to be active partners.
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kk Have the client monitor hand hygiene in caregivers.
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kk Offer the family the opportunity to stay with the client.
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Tell the client to always wear his or her armband. ANS: A
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Each action could be important for the client or family to perform. However, encouraging the
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kk client to be active in his or her health care as a partner is the most critical. The other actions
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kk are
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very limited in scope and do not provide the broad protection that being active and involved
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kk does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process:
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kk Teaching/ Learning kk
NOT: Client Needs Category: Safe and Effective Care
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Environment: Safety and Infection Control kk kk kk kk
A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
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kk 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
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Call the Rapid Response Team.
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kk Document and continue to monitor. kk kk kk kk
kk Notify the primary care provider.
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Repeat blood pressure measurement in 15 minutes. ANS: A
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The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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kk before they suffer either respiratory or cardiac arrest. Since the client has manifested a
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significant change, the nurse should call the RRT. Changes in blood pressure, mental status,
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kk heart rate, and pain are particularly significant. Documentation is vital, but the nurse must do
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kk more than document. The primary care provider should be notified, but this is not the priority
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over calling
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the RRT. The clients blood pressure should be reassessed frequently, but the priority is getting
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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: Integrated Process:
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kk Communication and Documentation kk kk
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
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kk demonstrates this concept? kk kk
Assesses for cultural influences affecting health care
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kk Ensures that all the clients basic needs are met
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Tells the client and family about all upcoming tests
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kk Thoroughly orients the client and family to the room ANS: A
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Competency in client-focused care is demonstrated when the nurse focuses on communication,
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kk culture, respect, compassion, client education, and empowerment. By assessing the effect of the
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clients culture on health care, this nurse is practicing client-focused care. Providing for basic
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kk needs does not demonstrate this competence. Simply telling the client about all upcoming tests
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is not providing empowering education. Orienting the client and family to the room is an
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kk important safety measure, but not directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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