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TEST BANK - FOR MEDICAL-SURGICAL NURSING CONCEPTS FOR CLINICAL JUDGMENT AND COLLABORATIVE CARE 11TH EDITION( DONNA D. IGNATAVICIUS,2024) NEWEST EDITION COMPLETE SOLUTION NEWEST EDITION 2024 || LATEST UPDATE || COMPLETE GUIDE || GRADED A+$24.99
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TEST BANK - FOR MEDICAL-SURGICAL NURSING CONCEPTS FOR CLINICAL JUDGMENT AND COLLABORATIVE CARE 11TH EDITION( DONNA D. IGNATAVICIUS,2024) NEWEST EDITION COMPLETE SOLUTION NEWEST EDITION 2024 || LATEST UPDATE || COMPLETE GUIDE || GRADED A+
TEST BANK - FOR MEDICAL-SURGICAL NURSING CONCEPTS FOR CLINICAL JUDGMENT AND COLLABORATIVE CARE 11TH EDITION( DONNA D. IGNATAVICIUS,2024) NEWEST EDITION COMPLETE SOLUTION NEWEST EDITION 2024 || LATEST UPDATE || COMPLETE GUIDE || GRADED A+
TEST BANK - FOR MEDICAL-SURGICAL NURSING CONCEPTS FOR CLINIC...
for CONCEPTS FOR CLINICAL JUDGEMENT AND
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COLLABORATIVE CARE 11TH EDITION
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IGNATAVICIUS
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TESTBANK
,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
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Care
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
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l ! NursingMULTIPLE CHOICE l! l !
1. A nurse wishes to provide client-centered care in all
l! l! l! l! l! l! l! l!
l! interactions.Which action by the nurse bestdemonstrates l! l ! l ! l ! l ! l !
l ! this concept? l !
a. Assesses for cultural influences affecting health care l ! l ! l ! l ! l ! l !
b. Ensures that all the clients basic needs are met l ! l ! l ! l ! l ! l ! l ! l !
c. Tells the client l ! l ! l ! and family about all upcoming tests
l ! l ! l ! l ! l !
d. Thoroughly orients the client and family to the room l ! l ! l ! l! l ! l ! l ! l !
ANS: A l!
Competency in client-focused care is demonstrated when the nurse focuses on l! l! l! l! l! l! l! l! l! l!
l! communication, culture, respect compassion, client education, and l! l! l! l ! l ! l !
l ! empowerment. By assessing the effect of the clients culture on health care, l! l ! l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! this nurse is practicingclient- focused care. Providing for basic needs does not
l ! l ! l ! l! l! l! l! l! l! l ! l ! l !
l ! demonstrate this competence. Simply telling the client about all upcoming tests is l ! l! l! l! l! l! l! l! l! l! l!
not providing empowering education.
l! l! l! l !
Orienting the client and family to the room is an important safety measure,
l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! but notdirectly related to demonstrating client-centered care.
l ! l! l ! l ! l ! l ! l !
DIF: Understanding/Comprehension REF: 3
l ! l ! l !
KEY: Patient-centered care| culture MSC:
l ! l ! l ! l !
l ! IntegratedProcess: CaringNOT: Client Needs l! l ! l ! l !
l ! Category:
Psychosocial Integrity l!
2. A nurse is caring for a postoperative client on
l! l! l! l! l! l! l! l! l ! the surgical unit. The clients
l ! l ! l ! l !
l! blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50
l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! mm Hg.What action by the nurse is best?
l ! l! l ! l ! l ! l ! l ! l !
a. Call the Rapid Response Team.
l ! l! l! l !
b. Document and continue to monitor. l ! l ! l ! l !
c. Notify the primary care provider. l ! l ! l ! l !
d. Repeat blood pressure measurement in 15 minutes. l ! l ! l! l ! l ! l !
ANS: A l!
The purpose of the Rapid Response Team (RRT) is to intervene when clients
l! l! l! l! l! l ! l! l! l ! l! l! l ! l! l! l! l! l! l ! l! l! l ! l! l! l ! l! l! l! l! l! l ! l! l! l ! l!
l! are deteriorating before they suffer either respiratory or cardiac arrest.
l ! l ! l ! l ! l ! l ! l ! l ! l !
, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
l ! l ! l ! l ! l ! l ! l ! l ! 3
Since the client has manifested a significant change, the nurse should
Care
l ! l! l ! l ! l ! l ! l l ! l ! l ! l ! l ! l ! l ! call
l ! the RRT.
l !
Changes in blood pressure, mental status, heart rate, and pain are particularlysignifica
l! l! l! l! l! l! l! l! l! l! l! l!
, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
l ! l ! l ! l ! l ! l ! l ! l ! 4
Care
Documentation is vital, but the nurse must do more than document.
l !
l ! l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! The primary care provider should be notified, but this is not the priority
l! l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! over calling the RRT. The clients blood pressure should be reassessed
l ! l! l! l! l! l! l! l! l! l! l ! frequently,
l ! but the priority is getting the rapid care to the client.
l ! l! l! l ! l! l ! l ! l ! l ! l !
DIF: Applying/Application REF: 3
l ! l! l !
KEY: Rapid Response Team (RRT)|
l! l! l! l!
l! medicalemergencies MSC: Integrated Process:
l! l ! l ! l !
Communication and Documentation l! l !
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
l ! l ! l ! l ! l ! l ! l !
3. A nurse is orienting a new client and family to the inpatient unit. What
l! l! l! l! l! l! l! l! l! l! l! l! l!
l! information does the nurse provide to help the client promote his or l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! her ownsafety? l ! l!
a. Encourage the client and family to be active partners. l ! l ! l ! l ! l ! l ! l ! l !
b. Have the client monitor hand hygiene in caregivers.
l ! l ! l ! l ! l! l ! l !
c. Offer the family the opportunity to stay with
l ! l ! l ! l ! l! l ! l ! l ! the client. l !
d. Tell the client to always wear his
l ! l ! l ! l ! l! l ! l ! or her armband. l ! l !
ANS: A l!
Each action could be important for the client or family to perform. However,
l! l! l ! l! l! l ! l! l! l! l! l! l! l! l! l ! l! l! l! l! l! l! l! l! l ! l! l! l! l! l! l! l! l! l! l!
l ! encouraging the client to be active in his or her health care as a partner l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l !
l! is the most critical. The other actions are very limited in scope and do
l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! not providethe broad protection that being active and involved does.
l ! l! l ! l ! l! l! l ! l! l! l!
DIF:
Understanding/Comprehension l!
REF: 3KEY: Patient safety l ! l ! l !
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