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TEST BANK FOR MEDICAL SURGICAL Nursing 11TH EDITION by Ignatavicius, Workman, Rebar & Heimgartner, VERIFIED CHAPTERS 1 - 69, COMPLETE NEWEST VERSION

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TEST BANK For Medical Surgical Nursing 11th Edition by Ignatavicius, Workman, Rebar & Heimgartner, Verified Chapters 1 - 69, Complete Newest Version TEST BANK For Ignatavicius, Medical Surgical Nursing 11th Edition by Workman, Rebar & Heimgartner, Verified Chapters 1 - 69, Complete Newest Version T...

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  • 30 septembre 2024
  • 1251
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  • 9780323654043
  • medical surgical nursing 11th edition
  • 11th edition by ignatavicius
  • test bank for medical surgical nursing 11th editio

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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

,
,
,
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
B B B B B B B B




B Surgical Nursing
B




MULTIPLEB CHOICE

1. ABnurseBwishesBtoBprovideBclient-
centeredBcareBinBallBinteractions.BWhichBactionBbyBtheBnurseBbestBdemonstratesBthisBconcept?
a. AssessesB forB culturalB influencesB affectingB healthB care
b. EnsuresBthatBallB theBclientsB basicB needsB areB met
c. TellsBtheB clientB andBfamilyB aboutB allB upcomingB tests
d. ThoroughlyB orientsB theB clientB andBfamilyB toB theB room


CORRECTBANSWER:B A
CompetencyBinBclient-
focusedBcareBisBdemonstratedBwhenBtheBnurseBfocusesBonBcommunication,Bculture,BrespectBcompassion,BclientB
education,BandBempowerment.BByBassessingBtheBeffectBofBtheBclientsBcultureBonBhealthBcare,BthisBnurseBisBpr
acticingBclient-
focusedBcare.BProvidingBforBbasicBneedsBdoesBnotBdemonstrateBthisBcompetence.BSimplyBtellingBtheBclientBab
outBallBupcomingBtestsBisBnotBprovidingBempoweringBeducation.BOrientingBtheBclientBandBfamilyBtoBtheBroomBi
sBanBimportantBsafetyBmeasure,BbutBnotBdirectlyBrelatedBtoBdemonstratingBclient-centeredBcare.

DIF:B Understanding/ComprehensionB REF:B 3
KEY:BPatient-
centeredBcare|BcultureBMSC:BIntegratedBProcess:BCaringBNOT:BClientB
NeedsBCategory:BPsychosocialBIntegrity

2. ABnurseBisBcaringBforBaBpostoperativeBclientBonBtheBsurgicalBunit.BTheBclientsBbloodBpressureBwasB142/76Bmm
B HgB30BminutesBago,BandBnowBisB88/50BmmBHg.BWhatBactionBbyBtheBnurseBisBbest?
a. CallB theB RapidB ResponseB Team.
b. DocumentB andBcontinueB toB monitor.
c. NotifyBtheB primaryB careB provider.
d. RepeatB bloodB pressureB measurementB inB15B minutes.


CORRECTBANSWER:B A
TheBpurposeBofBtheBRapidBResponseBTeamB(RRT)BisBtoBinterveneBwhenBclientsBareBdeterioratingBbeforeBthey
B sufferBeitherBrespiratoryBorBcardiacBarrest.BSinceBtheBclientBhasBmanifestedBaBsignificantBchange,BtheBnurseBshoul
dBcallBtheBRRT.BChangesBinBbloodBpressure,BmentalBstatus,BheartBrate,BandBpainBareBparticularlyBsignificant.
DocumentationBisBvital,BbutBtheBnurseBmustBdoBmoreBthanBdocument.BTheBprimaryBcareBproviderBshoul
dBbeBnotified,BbutBthisBisBnotBtheBpriorityBoverBcallingBtheBRRT.BTheBclientsBbloodBpressureBshouldBbeBreasse
ssedBfrequently,BbutBtheBpriorityBisBgettingBtheBrapidBcareBtoBtheBclient.

,DIF:B Applying/ApplicationB REF:B 3
KEY:BRapidBResponseBTeamB(RRT)|BmedicalBemergenciesB MSC:
B IntegratedBProcess:BCommunicationBandBDocumentation
NOT:B ClientB NeedsB Category:B PhysiologicalB Integrity:B PhysiologicalB Adaptation

3. ABnurseBisBorientingBaBnewBclientBandBfamilyBtoBtheBinpatientBunit.BWhatBinformationBdoesBtheBnurseBprovideBt
oBhelpBtheBclientBpromoteBhisBorBherBownBsafety?
a. EncourageBtheBclientB andBfamilyBtoB beB activeB partners.
b. HaveBtheBclientB monitorB handB hygieneB inBcaregivers.
c. OfferB theBfamilyB theBopportunityB toB stayBwithB theB client.
d. TellBtheBclientBtoBalwaysB wearBhisBorB herBarmband.


CORRECTBANSWER:B A
EachBactionBcouldBbeBimportantBforBtheBclientBorBfamilyBtoBperform.BHowever,BencouragingBtheBclientBtoBbe
B activeBinBhisBorBherBhealthBcareBasBaBpartnerBisBtheBmostBcritical.BTheBotherBactionsBareBveryBlimitedBinBscopeBa
ndBdoBnotBprovideBtheBbroadBprotectionBthatBbeingBactiveBandBinvolvedBdoes.

DIF:BUnderstanding/ComprehensionBREF:B3B
KEY:BPatientBsafety

,MSC:B IntegratedB Process:B Teaching/Learning
NOT:B ClientB NeedsB Category:B SafeB andB EffectiveB CareB Environment:B SafetyB andB InfectionB Control

4. ABnewBnurseBisBworkingBwithBaBpreceptorBonBanBinpatientBmedical-
surgicalBunit.BTheBpreceptorBadvisesBtheBstudentBthatBwhichBisBtheBpriorityBwhenBworkingBasBaBprofession
alBnurse?
a. AttendingB toB holisticB clientB needs
b. EnsuringB clientB safety
c. NotB makingB medicationB errors
d. ProvidingB client-focusedB care


CORRECTBANSWER:B B
AllBactionsBareBappropriateBforBtheBprofessionalBnurse.BHowever,BensuringBclientBsafetyBisBtheBpriority.BUpBt
oB98,000BdeathsBresultBeachByearBfromBerrorsBinBhospitalBcare,BaccordingBtoBtheB2000BInstituteBofBMedicineBrepo
rt.BManyBmoreBclientsBhaveBsufferedBinjuriesBandBlessBseriousBoutcomes.BEveryBnurseBhasBtheBresponsibilityB
toBguardBtheBclientsBsafety.

DIF:BUnderstanding/ComprehensionBREF:B2B
KEY:BPatientBsafety
MSC:B IntegratedB Process:B NursingB Process:B Intervention
NOT:B ClientB NeedsB Category:B SafeB andB EffectiveB CareB Environment:B SafetyB andB InfectionB Control

5. ABclientBisBgoingBtoBbeBadmittedBforBaBscheduledBsurgicalBprocedure.BWhichBactionBdoesBtheBnurseBexplainBis
B theBmostBimportantBthingBtheBclientBcanBdoBtoBprotectBagainstBerrors?
a. BringBaB listB ofB allBmedicationsB andBwhatBtheyB areBfor.
b. KeepBtheB doctorsB phoneB numberB byBtheBtelephone.
c. MakeB sureB allB providersB washB handsB beforeB enteringB theB room.
d. WriteB downB theB nameB ofBeachB caregiverBwhoB comesB inB theBroom.


CORRECTBANSWER:B A
MedicationBerrorsBareBtheBmostBcommonBtypeBofBhealthBcareBmistake.BTheBJointBCommissionsBSpeakBUpBca
mpaignBencouragesBclientsBtoBhelpBensureBtheirBsafety.BOneBrecommendationBisBforBclientsBtoBknowBallBtheirBme
dicationsBandBwhyBtheyBtakeBthem.BThisBwillBhelpBpreventBmedicationBerrors.

DIF:B Applying/ApplicationB REF:B 4
KEY:B SpeakB UpB campaign|B patientB safetyB MSC:B IntegratedB Process:B Teaching/Learning
NOT:B ClientB NeedsB Category:B SafeB andB EffectiveB CareB Environment:B SafetyB andB InfectionB Control

6. WhichBactionB byB theBnurseBworkingB withBaB clientB bestB demonstratesB respectBforB autonomy?
a. AsksBifB theBclientB hasB questionsB beforeB signingB aB consent
b. GivesB theB clientB accurateB informationB whenB questioned

,c. KeepsBtheB promisesB madeBtoB theB clientBandB family
d. TreatsBtheBclientB fairlyB comparedB toB otherB clients


CORRECTBANSWER:B A
AutonomyBisBself-
determination.BTheBclientBshouldBmakeBdecisionsBregardingBcare.BWhenBtheBnurseBobtainsBaBsignatureBonBtheBc
onsentBform,BassessingBifBtheBclientBstillBhasBquestionsBisBvital,BbecauseBwithoutBfullBinformationBtheBclientBc
annotBpracticeBautonomy.BGivingBaccurateBinformationBisBpracticingBwithBveracity.
KeepingB promisesB isB upholdingB fidelity.B TreatingB theB clientB fairlyB isB providingB socialB justice.

DIF:B Applying/ApplicationB REF:B 4
KEY:B Autonomy|B ethicalB principlesB MSC:B IntegratedB Process:B Caring
NOT:B ClientB NeedsB Category:B SafeB andB EffectiveB CareB Environment:B ManagementB ofB Care

7. ABstudentBnurseBasksBtheBfacultyBtoBexplainBbestBpracticesBwhenBcommunicatingBwithBaBpersonBfromBtheB
lesbian,Bgay,Bbisexual,Btransgender,BandBqueer/questioningB(LGBTQ)Bcommunity.BWhatBanswerBbyBtheBfacultyBisB
mostBaccurate?
a. AvoidBembarrassingB theB clientB byB askingB questions.
b. DontB makeB assumptionsB aboutB theirB healthB needs.
c. MostBLGBTQB peopleB doB notBwantB toBshareBinformation.

,d. NoB differencesB existB inB communicatingB withB thisB population.


CORRECTBANSWER:B B
ManyBmembersBofBtheBLGBTQBcommunityBhaveBfacedBdiscriminationBfromBhealthBcareBprovidersBandBmayBbeBrel
uctantBtoBseekBhealthBcare.BTheBnurseBshouldBneverBmakeBassumptionsBaboutBtheBneedsBofBmembersBofBthisB
population.BRather,BrespectfulBquestionsBareBappropriate.BIfBapproachedBwithBsensitivity,BtheBclientBwithBan
yBhealthBcareBneedBisBmoreBlikelyBtoBanswerBhonestly.

DIF:BUnderstanding/ComprehensionBREF:B4B
KEY:BLGBTQ|Bdiversity
MSC:B IntegratedB Process:B Teaching/Learning
NOT:B ClientB NeedsB Category:B PsychosocialB Integrity

8. ABnurseBisBcallingBtheBon-
callBphysicianB aboutBaBclientBwhoBhadBaBhysterectomyB 2BdaysBagoBandBhasBpainBthatB isBunrelievedBbyBtheBpres
cribedBnarcoticBpainBmedication.BWhichBstatementBisBpartBofBtheBSBARBformatBforBcommunication?
a. A:BIBwouldBlikeByouBtoBorderBaBdifferentBpainB medication.
b. B:BThisB clientB hasBallergiesB toB morphineBandB codeine.
c. R:B Dr.B SmithB doesntB likeB nonsteroidalB anti-inflammatoryB meds.
d. S:BThisB clientB hadB aB vaginalB hysterectomyB 2B daysBago.


CORRECTBANSWER:B B
SBARBisBaBrecommendedBformBofBcommunication,BandBtheBacronymBstandsBforBSituation,BBackground,BAsse
ssment,BandBRecommendation.BAppropriateBbackgroundBinformationBincludesBallergiesBtoBmedicationsBtheBo
n-
callBphysicianBmightBorder.BSituationBdescribesBwhatBisBhappeningBrightBnowBthatBmustBbeBcommunicated;BtheBcli
entsBsurgeryB2BdaysBagoBwouldBbeBconsideredBbackground.BAssessmentBwouldBincludeBanBanalysisBofBtheBcli
entsBproblem;BaskingBforBaBdifferentBpainBmedicationBisBaBrecommendation.BRecommendationBisBaBstatemen
tBofBwhatBisBneededBorBwhatBoutcomeBisBdesired;BthisBinformationBaboutBtheBsurgeonsBpreferenceBmightBbeB
betterBplacedBinBbackground.

DIF:BApplying/ApplicationBREF:B5BKEY
:BSBAR|Bcommunication
MSC:B IntegratedB Process:B CommunicationB andB Documentation
NOT:B ClientB NeedsB Category:B SafeB andB EffectiveB CareB Environment:B ManagementB ofB Care

9. ABnurseBworkingBonBaBcardiacBunitBdelegatedBtakingBvitalBsignsBtoBanBexperiencedBunlicensedBassistiv
eBpersonnelB(UAP).BFourBhoursBlater,BtheBnurseBnotesBtheBclientsBbloodBpressureBisBmuchBhigherBthanBprevi
ousBreadings,BandBtheBclientsBmentalBstatusBhasBchanged.BWhatBactionBbyBtheBnurseBwouldBmostBlikelyB
haveBpreventedBthisBnegativeBoutcome?
a. DeterminingB ifBtheBUAPB knewB howB toB takeB bloodB pressure

, b. Double-checkingB theB UAPB byB takingB anotherB bloodB pressure
c. ProvidingB moreB appropriateB supervisionB ofB theB UAP
d. TakingB theB bloodB pressureB insteadB ofB delegatingB theBtask


CORRECTBANSWER:B C
SupervisionBisBoneBofBtheBfiveBrightsBofBdelegationBandBincludesBdirecting,Bevaluating,BandBfollowingBupBonB
delegatedBtasks.BTheBnurseBshouldBeitherBhaveBaskedBtheBUAPBaboutBtheBvitalBsignsBorBinstructedBtheBUAPBt
oBreportBthemBrightBaway.BAnBexperiencedBUAPBshouldBknowBhowBtoBtakeBvitalBsignsBandBtheBnurseBshouldB
notBhaveBtoBassessBthisBatBthisBpoint.BDouble-
checkingBtheBworkBdefeatsBtheBpurposeBofBdelegation.BVitalBsignsBareBwithinBtheBscopeBofBpracticeBforBaBUAPB
andBareBpermissibleBtoBdelegate.BTheBonlyBappropriateBanswerBisBthatBtheBnurseBdidBnotBprovideBadequateBinst
ructionBtoBtheBUAP.

DIF:B Applying/ApplicationB REF:B 6
KEY:BSupervision|Bdelegation|BunlicensedBassistiveBpersonnelB
MSC:BIntegratedBProcess:BCommunicationBandBDocumentatio
n
NOT:B ClientB NeedsB Category:B SafeB andB EffectiveB CareB Environment:B ManagementB ofB Care

10. ABnurseBisBtalkingBwithBaBclientBwhoBisBmovingBtoBaBnewBstateBandBneedsBtoBfindBaBnewBdoctorBandBhospi
talBthere.BWhatBadviceBbyBtheBnurseBisBbest?

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