TEST BANK OF MEDICAL SURGICAL NURSING IGNATAVICIUS 7TH EDITION MULTIPLE CHOICE
Which action demonstrates that the nurse understands the purpose of the Rapid Response Team? a. Monitoring the client for changes in postoperative status such as wound infection b. Documenting all changes observed in th...
Which action demonstrates that the nurse understands the purpose ofthe Rapid Response Team?
a. Monitoring the client for changes in postoperative status such aswound infection
b. Documenting all changes observed in the client and maintaining apostoperative flow sheet
c. Notifying the physician of the client’s change in blood pressure from140 to 88 mm Hg systolic
d. Notifying the physician of the client’s increase in restlessness aftermedication change
The Joint Commission focuses on safety in health care. Which action bythe nurse reflects The Joint
Commission’s main objective?
a. Performing range-of-motion exercises on the client three times eachday
b. Ensuring that the client is eating 100% of the meals served to him orher
c. Assessing the client’s respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete bathdaily
Which action by the nurse shows an understanding of the principle ofself-determination?
a. Allowing a postoperative client to decide to take medication withfruit juice rather than water
b. Allowing a teenager to decide not to go to a clinic when there isevidence that she is having
profuse vaginal bleeding
c. Allowing a parent to decide not to proceed with a lifesavingoperation for a 12-year-old
client
d. Allowing an older client with dementia to decide not to take cardiacmedication throughout the
shift
The nurse is initiating a series of teaching sessions with an older client.
What is the nurse’s highest-priority, client-centered action beforebeginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glasses.
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, c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client’s meal.
Which action best demonstrates the nurse using client-centered care
when planning a menu for a Vietnamese client who is newly diagnosedwith diabetes?
a. Asking the client what food he or she would eat on a standarddiabetic menu
b. Asking family members to make selections for the client from adiabetic menu
c. Ordering a typical diabetic meal for the client and planning dietteaching
d. Researching the Vietnamese culture before discussing diabetic mealplanning
The Institute for Healthcare Improvement (IHI) identified interventionsto save client lives. Which actions
are within the scope of nursing practice to improve quality of care?
a. Insert a central line to give intravenous fluid to a dehydrated client.
b. Use sterile technique when changing dressings on a new surgicalsite.
c. Intubate a client whose oxygen saturation is 92%.
d. Prescribe aspirin for a client who presents with an acute myocardialinfarction
Which action by the nurse demonstrates the best practice for nursing
documentation on a computerized record?
a. Deleting all documentation errors on the computerized record
b. Using red font to denote all significant events that have occurred
c. Waiting until the end of the shift to record a summary ofinformation
d. Documenting assessment data at the point of care
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, A client is scheduled for a mastectomy. As she is about to receive the preoperative medication, she tells the
nurse that she does not want tohave her breast removed but wants a lumpectomy. Which response
indicates that the nurse is acting as a client advocate?
a. Telling the client her surgeon is excellent and knows what is best forher condition
b. Calling the surgeon to come and explain all treatment options to theclient
c. Holding the client’s hand and offering to pray with her for a goodoutcome
d. Arranging for a postoperative visit from a cancer survivor
What priority assessment data should be shared with the interdisciplinary team from a client
admitted to the emergencydepartment with a lacerated artery?
a. Information regarding next of kin to notify in case the client dies
b. History about what medications the client is currently taking
c. Measurement of blood pressure and pulse
d. Assessment of rate and depth of respirations
Which intervention can the client expect to receive from a medical-surgical nurse in an ambulatory care
setting?
a. Drawing blood for routine or preoperative testing
b. Teaching the client how to change a dressing on an incision
c. Obtaining the client’s signature on a surgical consent form
d. Performing a comprehensive physical examination
An emergency department (ED) nurse gives report on a client who is being transferred to the medical-
surgical floor. Because of an identified risk for suicide, the ED nurse suggests that the floor nurse contact
a sitter and behavioral health. This statement represents which part of theSBAR hand-off?
a. Situation
b. Background
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, c. Assessment
d. Recommendation
The nurse is present when the physician discusses the potential effects ofa chemotherapy regimen for a
client with cancer. Weighing the benefits of the chemotherapy against possible side effects is an example
of whichethical principle?
a. Paternalism
b. Beneficence
c. Justice
d. Autonomy
The physician prescribes warfarin (Coumadin) 15 mg daily. The nurse notes that this is three times the
normal dose for this client based on theclient’s medication profile and laboratory work. What does the
nurse dofirst?
a. Give the dose and document the concern.
b. Call the pharmacy for a consultation.
c. Call the physician to question the order.
d. Hold the medication for that day.
Which statement best describes the process of nursing casemanagement?
a. The coordination of care services to at-risk populations
b. A collaborative process to promote quality and cost-effective care
c. The implementation of care to acutely ill, underserved populations
d. A cost-effective care delivery model meeting the needs of speciallydefined groups
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