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Med-Surg Exam 1 Questions And Answers With Verified Solutions Already Passed (Rated A+)
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Med-Surg Exam 1 Questions AndAnswers With Verified Solutions Already
Passed (Rated A+)
ANS: 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 hospital
care, according to the 2000 Institute of Medicine report. Many more clients have
suffered injuries and less serious outcomes. Every nurse has the responsibility to
guard the client's safety. - ANSWER✔✔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 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
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients 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 pressure, 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 client's blood pressure should be reassessed frequently, but the priority is
getting the rapid care to the client. - ANSWER✔✔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 by the nurse is
best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
,c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on
communication, culture, respect, compassion, client education, and empowerment.
By assessing the effect of the client's culture on health care, this nurse is practicing
client-focused care. Providing for basic needs does not demonstrate this
competence. Simply telling the client about all upcoming tests is not providing
empowering education. Orienting the client and family to the room is an important
safety measure, but not directly related to demonstrating client-centered care. -
ANSWER✔✔A nurse wishes to provide client-centered care in all interactions.
Which action by the nurse best demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients' basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: C
The old old is the fastest growing subset of the older population. This is the group
comprising those 85 to 99 years of age. The young old are between 65 and 74 years
of age; the middle old are between 75 and 84 years of age; and the elite old are
over 100 years of age. - ANSWER✔✔A nursing faculty member working with
students explains that the fastest growing subset of the older population is which
group?
a. Elite old
b. Middle old
c. Old old
d. Young old
, ANS: A
All activities would be beneficial for the older population in the community.
However, failure in performing one's own activities of daily living and
participating in society has direct effects on morale and life satisfaction. Those
who lose the ability to function independently often feel worthless and empty. An
exercise program designed to maintain and/or improve physical functioning would
best address this need. - ANSWER✔✔A nurse working with older adults in the
community plans programming to improve morale and emotional health in this
population. What activity would best meet this goal?
a. Exercise program to improve physical function
b. Financial planning seminar series for older adults
c. Social events such as dances and group dinners
d. Workshop on prevention from becoming an abuse victim
ANS: C
Poorly fitting dentures and other dental problems are often manifested by a
preference for soft foods and constipation from the lack of fiber. The nurse should
perform an oral assessment to determine if these problems exist. The other
assessments are important, but will not yield information specific to the client's
food preferences as they relate to constipation. - ANSWER✔✔A nurse caring for
an older client on a medical-surgical unit notices the client reports frequent
constipation and only wants to eat softer foods such as rice, bread, and puddings.
What assessment should the nurse perform first?
a. Auscultate bowel sounds.
b. Check skin turgor.
c. Perform an oral assessment.
d. Weigh the client.
ANS: C
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