Medical Surgical Nursing Patient Centered Collaborative
Care 7th Edition Ignatavicius Test Bank Chapter 1 - 76
Updated
Which action by the nurse shows an understanding of the principle of self-
determination?
a. Allowing a postoperative client to decide to take medication with fruit juice rather
than water
b. Allowing a teenager to decide not to go to a clinic when there is evidence that she is
having profuse vaginal bleeding
c. Allowing a parent to decide not to proceed with a lifesaving operation for a 12-year-
old client
d. Allowing an older client with dementia to decide not to take cardiac medication
throughout the shift - A. Allowing a postoperative client to decide to take medication
with fruit juice rather than water
The nurse is initiating a series of teaching sessions with an older client. What is the
nurse's highest-priority, client-centered action before beginning the session?
a. Ensure that the client's family is present and will participate.
b. Make certain that the client is wearing his glasses.
c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client's meal. - B. make certain that
the client is wearing his glasses
Which action best demonstrates the nurse using client-centered care when planning a
menu for a Vietnamese client who is newly diagnosed with diabetes?
a. Asking the client what food he or she would eat on a standard diabetic menu
,b. Asking family members to make selections for the client from a diabetic menu
c. Ordering a typical diabetic meal for the client and planning diet teaching
d. Researching the Vietnamese culture before discussing diabetic meal planning - D.
researching the Vietnamese culture before discussing diabetic meal planning
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 the client and maintaining a postoperative flow
sheet
c. Notifying the physician of the client's change in blood pressure from 140 to 88 mm Hg
systolic
d. Notifying the physician of the client's increase in restlessness after medication
change - C. Notifying the physician of the client's change in blood pressure from 140 to
99 mm Hg systolic
The Joint Commission focuses on safety in health care. Which action by the nurse
reflects The Joint Commission's main objective?
a. Performing range-of-motion exercises on the client three times each day
b. Ensuring that the client is eating 100% of the meals served to him or her
c. Assessing the client's respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete bath daily - C.
Assessing the client's respirations when administering opioids
The Institute for Healthcare Improvement (IHI) identified interventions to 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 surgical site.
c. Intubate a client whose oxygen saturation is 92%.
d. Prescribe aspirin for a client who presents with an acute myocardial infarction - B.
use sterile technique when changing dressings on a new surgical site
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 of information
d. Documenting assessment data at the point of care - D. documenting assessment data
at the point of care
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 to have 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 for her condition
b. Calling the surgeon to come and explain all treatment options to the client
c. Holding the client's hand and offering to pray with her for a good outcome
d. Arranging for a postoperative visit from a cancer survivor - B. calling the surgeon to
come and explain all treatment options to the client
What priority assessment data should be shared with the interdisciplinary team from a
client admitted to the emergency department 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 - C. measurement of blood pressure
and pulse
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller chareiezekiel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $30.99. You're not tied to anything after your purchase.
