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Test Bank For Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative Care By Ignatavicius 11th Edition All Chapter Complete Guide With Rationales Latest Edition$17.99
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Test Bank For Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative Care By Ignatavicius 11th Edition All Chapter Complete Guide With Rationales Latest Edition
Test Bank For Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative Care By Ignatavicius 11th Edition Complete Guide With Rationales Latest Edition
Test Bank For Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative Care By Ignatavicius 11th Edition Compl...
,Chap 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 11th Edition
QUIZ
1. A new nurse practitioner is working with a preceptor on a medical-surgical unit. The preceptor
advises the new nurse practitioner that which is the priority when working as a professional
nurse practitioner?
a. Attending to holistic patient needs
b. Ensuring patient safety
c. Not making medication errors
d. Providing patient-focused care
CORRECT: B
All actions are appropriate for the professional nurse practitioner. However, ensuring patient
safety is thepriority. Health care errors have been widely reported for 25 years, many of
which result inpatient injury, death, and increased health care costs. There are several
national and international organizations that have either recommended or mandated safety
initiatives.
Every nurse practitioner has the responsibility to guard the patient‘s safety. The other actions
are important for quality nursing, but they are not as vital as providing safety. Not making
medication errorsdoes provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOPIC: Integrated Process: Nursing Process:
InterventionKEY: Patient safety
MSC: Patient Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A nurse practitioner is orienting a new patient and family to the medical-surgical unit.
What informationdoes the nurse practitioner provide to best help the patient promote his
or her own safety?
a. Encourage the patient and family to be active partners.
b. Have the patient monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the patient.
d. Tell the patient to always wear his or her armband.
CORRECT: A
Each action could be important for the patient or family to perform. However, encouraging
thepatient to be active in his or her health care as a safety partner is the most critical. The
other actions are very limited in scope and do not provide the broad protection that being
active andinvolved does.
DIF: Understanding TOPIC: Integrated Process:
Teaching/Learning KEY: Patient safety
MSC: Patient Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. A nurse practitioner is caring for a postoperative patient on the surgical unit. The patient‘s
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
would the nurse practitionertake first?
a. Call the Rapid Response Team.
,c. Notify the primary health care provider.
, d. Repeat the blood pressure in 15 minutes.
CORRECT: A
The purpose of the Rapid Response Team (RRT) is to intervene when patients are
deterioratingbefore they suffer either respiratory or cardiac arrest. Since the patient has
manifested a significant change, the nurse practitioner would call the RRT. Changes in
blood pressure, mental status, heart rate, temperature, oxygen saturation, and last 2 hours‘
urine output are particularly significant and are part of the Modified Early Warning System
guide. Documentation is vital,but the nurse practitioner must do more than document. The
primary health care provider would be notified, but this is not more important than calling
the RRT. The patient‘s blood pressurewould be reassessed frequently, but the priority is
getting the rapid care to the
patient.
DIF: Applying TOPIC: Integrated Process: Communication and
DocumentationKEY: Rapid Response Team (RRT), Clinical judgment
MSC: Patient Needs Category: Physiological Integrity: Physiological Adaptation
4. A nurse practitioner wishes to provide patient-centered care in all interactions`. Which action by the
nurse practitioner
best demonstrates this concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the patient‘s basic needs are met.
c. Tells the patient and family about all upcoming tests.
d. Thoroughly orients the patient and family to the room.
CORRECT: A
Showing respect for the patient and family‘s preferences and needs is essential to ensure a
holistic or ―whole-person‖ approach to care. By assessing the effect of the patient‘s culture
on health care, this nurse practitioner is practicing patient-focused care. Providing for basic
needs does not demonstrate this competence. Simply telling the patient about all upcoming
tests is not providing empowering education. Orienting the patient and family to the room is
an importantsafety measure, but not directly related to demonstrating patient-centered care.
DIF: Understanding TOPIC: Integrated Process: Culture and
Spirituality KEY: Patient-centered care, Culture MSC: Patient Needs Category:
Psychosocial Integrity
5. A patient is going to be admitted for a scheduled surgical procedure. Which action does
thenurse practitioner explain is the most important thing the patient can do to protect
against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider‘s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
CORRECT: A
Medication reconciliation is a formal process in which the patient‘s actual current medications
are compared to the prescribed medications at the time of admission, trCORRECTfer, or
discharge. This National patient Safety Goal is important to reduce medication errors. The
patient would not have to be responsible for providers washing their hands, and even if the
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