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TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69 $17.49
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TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
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TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69   Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edit...

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  • January 28, 2025
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  • 2021/2022
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TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69

,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition



MULTIPLE CHOICE


1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
the new nurse that which is the priority when working as a professional nurse?
a. Attending to holistic client needs

b. Ensuring client safety
c. Not making medication errors

d. Providing client-focused care

CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.

DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control


2. A nurse is orienting a new client and family to the medical-surgical unit. What information

does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.

c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.

CORRECT ANSWER: A
Each action could be important for the client or family to perform. However, encouraging the
client to be active in his or her health care as a safety partner is the most critical. The other

, actions are very limited in scope and do not provide the broad protection that being active
and involved does.

DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control


3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.

, CORRECT ANSWER: A
The pu rpose of the Rapid Response Team ( R RT) is to inte rvene when clients a re dete rio rating
befo re they suffe r eithe r respi rato ry o r ca rdiac a r rest. Since the client has manifested a
significant change, the nu rse would call the R RT. Changes in blood p ressu re, mental status,
hea rt rate, tempe ratu re, oxygen satu ration, and last 2 hou rs’ u rine output a re pa rticula rly
significant and a re pa rt of the Modified Ea rly Wa rning System guide. Documentation is vital,
but the nu rse must do mo re than document. The p rima ry health ca re p rovide r would be
notified, but this is not mo re impo rtant than calling the R RT. The client’s blood p ressu re
would be reassessed f requently, but the p rio rity is getting the rapid ca re to the client.

DIF: Applying TOP: Integ rated P rocess: Communication and
Documentation KEY: Rapid Response Team ( R RT), Clinical judgment
MSC: Client Needs Catego ry: Physiological Integ rity: Physiological Adaptation


4. A nu rse wishes to p rovide client-cente red ca re in all inte ractions. Which action by the nu rse
best demonst rates this concept?
a. Assesses fo r cultu ral influences affecting health ca re.
b. Ensu res that all the client’s basic needs a re met.
c. Tells the client and family about all upcoming tests.
d. Tho roughly o rients the client and family to the room.

CO R RECT ANSWE R: A
Showing respect fo r the client and family’s p refe rences and needs is essential to ensu re a
holistic o r “whole-pe rson” app roach to ca re. By assessing the effect of the client’s cultu re on
health ca re, this nu rse is p racticing client-focused ca re. P roviding fo r basic needs does not
demonst rate this competence. Simply telling the client about all upcoming tests is not p
roviding empowe ring education. O rienting the client and family to the room is an impo rtant
safety measu re, but not di rectly related to demonst rating client-cente red ca re.

DIF: Unde rstanding TOP: Integ rated P rocess: Cultu re and Spi rituality
KEY: Client-cente red ca re, Cultu re MSC: Client Needs Catego ry: Psychosocial Integ rity


5. A client is going to be admitted fo r a scheduled su rgical p rocedu re. Which action does
the nu rse explain is the most impo rtant thing the client can do to p rotect against e r ro
rs?

a. B ring a list of all medications and what they a re fo r.

b. Keep the p rovide r’s phone numbe r by the telephone.
c. Make su re that all p rovide rs wash hands befo re ente ring the room.

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