10/31/23, m5:28 Test mbank m- mmedical msurgical mnursing m10th medition mignatavicius
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Medical Surgical Nursing 10th
m m m
EditionIgnatavicius Workman
m m m
Test Bank
m m
Chapter m01: mOverview mof mProfessional mNursing mConcepts mfor mMedical-Surgical
mNursing mIgnatavicius: mMedical-Surgical mNursing, m10th mEdition
MULTIPLE
m CHOICE
1. A mnew mnurse mis mworking mwith ma mpreceptor mon ma mmedical-surgical munit. mThe
mpreceptor madvises mthemnew mnurse mthat mwhich mis mthe m priority mwhen mworking m as ma
mprofessional mnurse?
a. Attending mto mholistic mclient mneeds
b. Ensuring mclient msafety
c. Not mmaking mmedication merrors
d. Providing mclient-focused mcare
ANS: m B
All mactions mare mappropriate mfor mthe mprofessional mnurse. mHowever, mensuring mclient
msafety mis mthe mpriority. mHealth mcare merrors mhave mbeen mwidely mreported mfor m25
myears, mmany mof mwhich mresult minmclient minjury, m death, mand mincreased mhealth mcare
mcosts. mThere mare mseveral mnational mand minternational morganizations mthat mhave
meither mrecommended mor mmandated msafety minitiatives.
Every mnurse mhas mthe mresponsibility mto mguard mthe mclient’s msafety. mThe mother mactions
mare m important
for mquality mnursing, mbut mthey mare mnot mas mvital mas mproviding msafety. mNot mmaking
mmedication merrors mdoes mprovide msafety, mbut mis mtoo m narrow min mscope mto m be mthe
mbest m answer.
DIF: m m m Understanding TOP: mIntegrated mProcess: mNursing mProcess:
mInterventionmKEY: m Client msafety
MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection
mControl
2. A mnurse mis morienting ma mnew mclient mand mfamily mto mthe mmedical-surgical munit.
mWhat minformationmdoes mthe mnurse mprovide mto mbest mhelp mthe mclient m promote mhis
mor mher mown msafety?
a. Encourage mthe mclient mand mfamily mto mbe mactive mpartners.
b. Have mthe mclient mmonitor mhand mhygiene min mcaregivers.
c. Offer mthe mfamily mthe mopportunity mto mstay mwith mthe mclient.
d. Tell mthe mclient mto malways mwear mhis mor mher marmband.
ANS: m A
Each maction mcould mbe mimportant mfor mthe mclient mor mfamily mto mperform. mHowever,
mencouraging mthemclient mto m be mactive min mhis m or m her m health mcare mas ma msafety
m partner mis mthe m most mcritical. mThe mother mactions mare mvery mlimited min mscope mand
mdo mnot mprovide mthe mbroad mprotection mthat mbeing mactive mandminvolved m does.
DIF: m m m Understanding TOP: mIntegrated mProcess:
mTeaching/LearningmKEY: m Client msafety
MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection
mControl
3. A mnurse mis mcaring mfor ma mpostoperative mclient mon mthe msurgical munit. mThe mclient’s
m blood mpressure m was m142/76 mmm mHg m30 mminutes mago, mand mnow mis m88/50 mmm
mHg. mWhat maction mwould mthe mnursemtake m first?
a. Call mthe mRapid mResponse mTeam.
b. Document mand mcontinue mto mmonitor.
c. Notify mthe mprimary mhealth mcare mprovider.
d. Repeat mthe mblood mpressure min m15 mminutes.
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,10/31/23, m5:28 Test mbank m- mmedical msurgical mnursing m10th medition mignatavicius
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ANS: m A
The mpurpose mof mthe mRapid mResponse mTeam m(RRT) mis mto mintervene mwhen mclients
mare mdeterioratingmbefore mthey msuffer m either m respiratory mor mcardiac marrest. m Since mthe
mclient m has mmanifested ma msignificant mchange, mthe mnurse mwould mcall mthe m RRT.
mChanges min mblood m pressure, m mental mstatus, mheart mrate, mtemperature, moxygen
msaturation, mand mlast m 2 mhours’ m urine m output mare m particularly msignificant mand mare
m part m of mthe mModified mEarly m Warning m System mguide. mDocumentation mis m vital,mbut
mthe mnurse m must mdo mmore mthan m document. mThe mprimary m health mcare m provider
mwould m be m notified, mbut mthis mis m not m more mimportant mthan m calling mthe mRRT. mThe
mclient’s m blood mpressure m would mbe mreassessed mfrequently, mbut mthe mpriority mis
mgetting mthe mrapid mcare mto mthe mclient.
DIF: m m m Applying TOP: m Integrated mProcess: mCommunication mand
mDocumentationmKEY: m Rapid mResponse m Team m(RRT), mClinical mjudgment
MSC: m Client mNeeds mCategory: mPhysiological mIntegrity: mPhysiological mAdaptation
4. A mnurse mwishes mto mprovide mclient-centered mcare min mall minteractions. mWhich maction mby
mthe mnurse
best mdemonstrates mthis mconcept?
a. Assesses mfor mcultural minfluences maffecting mhealth mcare.
b. Ensures mthat mall mthe mclient’s mbasic mneeds mare mmet.
c. Tells mthe mclient mand mfamily mabout mall mupcoming mtests.
d. Thoroughly morients mthe mclient mand mfamily mto mthe mroom.
ANS: m A
Showing mrespect mfor mthe mclient mand mfamily’s mpreferences mand mneeds mis messential
mto mensure m a m holistic mor m“whole-person” mapproach mto mcare. mBy massessing mthe
meffect mof mthe mclient’s mculture monmhealth mcare, mthis m nurse mis m practicing mclient-
focused mcare. mProviding mfor mbasic mneeds mdoes mnot mdemonstrate mthis mcompetence.
m Simply mtelling mthe mclient mabout mall m upcoming mtests mis mnot m providing
mempowering meducation. mOrienting mthe mclient mand mfamily mto mthe mroom mis man
mimportant msafety mmeasure, mbut mnot mdirectly mrelated mto mdemonstrating mclient-
centered mcare.
DIF: m m m Understanding TOP: mIntegrated mProcess: mCulture mand
m Spirituality m KEY: m Client-centered mcare, mCulture MSC: m Client mNeeds
mCategory: mPsychosocial mIntegrity
5. A mclient mis mgoing mto mbe madmitted mfor ma mscheduled msurgical mprocedure. mWhich
maction mdoes mthemnurse mexplain mis mthe mmost mimportant mthing mthe mclient mcan mdo
mto mprotect magainst merrors?
a. Bring ma mlist mof mall mmedications mand mwhat mthey mare mfor.
b. Keep mthe mprovider’s mphone mnumber mby mthe mtelephone.
c. Make msure mthat mall mproviders mwash mhands mbefore mentering mthe mroom.
d. Write mdown mthe mname mof meach mcaregiver mwho mcomes min mthe mroom.
ANS: m A
Medication mreconciliation mis ma mformal mprocess min mwhich mthe mclient’s mactual mcurrent
mmedications mare mcompared mto mthe mprescribed m medications mat mthe mtime mof
madmission, mtransfer, m or m discharge. mThis m National mclient m Safety m Goal mis mimportant
mto mreduce mmedication merrors. mThe mclient mwould m not m have mto m be mresponsible mfor
m providers m washing mtheir mhands, mand meven mif mthe mclient mdoes mso, m this mis mtoo
m narrow mto m be mthe mmost mimportant m action mto m prevent merrors. mKeeping mthe
m provider’s m phone m number m nearby mand m documenting meveryone m who menters mthe
mroom malso m do m not m guarantee msafety.
DIF: m m m Applying TOP: m Integrated mProcess:
mTeaching/LearningmKEY: m Client msafety, mInformatics
MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection
mControl
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