Medical-Surgical Nursing - 0 0
10th Edition by Donna D Ignatavicius &
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M Linda Workman & Cherie Rebar & Nic
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ole M Heimgartner (TEST BANK)
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, Medical Surgical Nursing 10th Edition Ign
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atavicius Workman Test Bank
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Chapter001:0Overview0of0Professional0Nursing0Concepts0for0Medical-
Surgical0Nursing0Ignatavicius:0Medical-Surgical0Nursing,010th0Edition
MULTIPLE0CHOICE
1. A0new0nurse0is0working0with0a0preceptor0on0a0medical-
surgical0unit.0The0preceptor0advises0the0new0nurse0that0which0is0the0priority0when0working0as
0a0professional0nurse?
a. Attending0to0holistic0client0needs
b. Ensuring0client0safety
c. Not0making0medication0errors
d. Providing0client-focused0care
ANS:0 B
All0actions0are0appropriate0for0the0professional0nurse.0However,0ensuring0client0safety0is0the0pr
iority.0Health0care0errors0have0been0widely0reported0for0250years,0many0of0which0result0in0clie
nt0injury,0death,0and0increased0health0care0costs.0There0are0several0national0and0international0o
rganizations0that0have0either0recommended0or0mandated0safety0initiatives.
Every0nurse0has0the0responsibility0to0guard0the0client’s0safety.0The0other0actions0are0important0
for0quality0nursing,0but0they0are0not0as0vital0as0providing0safety.0Not0making0medication0errors
0does0provide0safety,0but0is0too0narrow0in0scope0to0be0the0best0answer.
DIF: Understanding
TOP:0 Integrated0Process:0Nursing0Process:0Intervention0KEY:0Client0safety
MSC:0 Client0Needs0Category:0Safe0and0Effective0Care0Environment:0Safety0and0Infection0Control
2. A0nurse0is0orienting0a0new0client0and0family0to0the0medical-
surgical0unit.0What0information0does0the0nurse0provide0to0best0help0the0client0promote0his0o
r0her0own0safety?
a. Encourage0the0client0and0family0to0be0active0partners.
b. Have0the0client0monitor0hand0hygiene0in0caregivers.
c. Offer0the0family0the0opportunity0to0stay0with0the0client.
d. Tell0the0client0to0always0wear0his0or0her0armband.
ANS:0 A
Each0action0could0be0important0for0the0client0or0family0to0perform.0However,0encouraging0the0
client0to0be0active0in0his0or0her0health0care0as0a0safety0partner0is0the0most0critical.0The0other0act
ions0are0very0limited0in0scope0and0do0not0provide0the0broad0protection0that0being0active0and0in
volved0does.
DIF: Understanding
TOP:0Integrated0Process:0Teaching/Learning0KEY:0Client0safety
MSC:0 Client0Needs0Category:0Safe0and0Effective0Care0Environment:0Safety0and0Infection0Control
3. A0nurse0is0caring0for0a0postoperative0client0on0the0surgical0unit.0The0client’s0blood0pressure0
was0142/760mm0Hg0300minutes0ago,0and0now0is088/500mm0Hg.0What0action0would0the0nurse
0take0first?
a. Call0the0Rapid0Response0Team.
b. Document0and0continue0to0monitor.
c. Notify0the0primary0health0care0provider.
d. Repeat0the0blood0pressure0in0150minutes.
, ANS:0 A
The0purpose0of0the0Rapid0Response0Team0(RRT)0is0to0intervene0when0clients0are0deteriorating
0before0they0suffer0either0respiratory0or0cardiac0arrest.0Since0the0client0has0manifested0a0signifi
cant0change,0the0nurse0would0call0the0RRT.0Changes0in0blood0pressure,0mental0status,0heart0rat
e,0temperature,0oxygen0saturation,0and0last020hours’0urine0output0are0particularly0significant0an
d0are0part0of0the0Modified0Early0Warning0System0guide.0Documentation0is0vital,0but0the0nurse0
must0do0more0than0document.0The0primary0health0care0provider0would0be0notified,0but0this0is0
not0more0important0than0calling0the0RRT.0The0client’s0blood0pressure0would0be0reassessed0fre
quently,0but0the0priority0is0getting0the0rapid0care0to0the0client.
DIF: Applying
TOP:0 Integrated0Process:0Communication0and0Documentation0KEY:0Rapid0
Response0Team0(RRT),0Clinical0judgment
MSC:0 Client0Needs0Category:0Physiological0Integrity:0Physiological0Adaptation
4. A0nurse0wishes0to0provide0client-centered0care0in0all0interactions.0Which0action0by0the0nurse
best0demonstrates0this0concept?
a. Assesses0for0cultural0influences0affecting0health0care.
b. Ensures0that0all0the0client’s0basic0needs0are0met.
c. Tells0the0client0and0family0about0all0upcoming0tests.
d. Thoroughly0orients0the0client0and0family0to0the0room.
ANS:0 A
Showing0respect0for0the0client0and0family’s0preferences0and0needs0is0essential0to0ensure0a0holi
stic0or0“whole-
person”0approach0to0care.0By0assessing0the0effect0of0the0client’s0culture0on0health0care,0this0nu
rse0is0practicing0client-
focused0care.0Providing0for0basic0needs0does0not0demonstrate0this0competence.0Simply0telling0
the0client0about0all0upcoming0tests0is0not0providing0empowering0education.0Orienting0the0clien
t0and0family0to0the0room0is0an0important0safety0measure,0but0not0directly0related0to0demonstrati
ng0client-centered0care.
DIF: Understanding
TOP:0Integrated0Process:0Culture0and0Spirituality0KEY:0 Client-centered0care,0Culture
MSC:0 Client0Needs0Category:0Psychosocial0Integrity
5. A0client0is0going0to0be0admitted0for0a0scheduled0surgical0procedure.0Which0action0does0the
0nurse0explain0is0the0most0important0thing0the0client0can0do0to0protect0against0errors?
a. Bring0a0list0of0all0medications0and0what0they0are0for.
b. Keep0the0provider’s0phone0number0by0the0telephone.
c. Make0sure0that0all0providers0wash0hands0before0entering0the0room.
d. Write0down0the0name0of0each0caregiver0who0comes0in0the0room.
ANS:0 A
Medication0reconciliation0is0a0formal0process0in0which0the0client’s0actual0current0medications0
are0compared0to0the0prescribed0medications0at0the0time0of0admission,0transfer,0or0discharge.0T
his0National0client0Safety0Goal0is0important0to0reduce0medication0errors.0The0client0would0not0
have0to0be0responsible0for0providers0washing0their0hands,0and0even0if0the0client0does0so,0this0is
0too0narrow0to0be0the0most0important0action0to0prevent0errors.0Keeping0the0provider’s0phone0n
umber0nearby0and0documenting0everyone0who0enters0the0room0also0do0not0guarantee0safety.
DIF: Applying
TOP:0 Integrated0Process:0Teaching/Learning0KEY:0Client0s
afety,0Informatics
MSC:0 Client0Needs0Category:0Safe0and0Effective0Care0Environment:0Safety0and0Infection0Control
, 6. Which0action0by0the0nurse0working0with0a0client0best0demonstrates0respect0for0autonomy?
a. Asks0if0the0client0has0questions0before0signing0a0consent.
b. Gives0the0client0accurate0information0when0questioned.
c. Keeps0the0promises0made0to0the0client0and0family.
d. Treats0the0client0fairly0compared0to0other0clients.
ANS:0 A
Autonomy0is0self-
determination.0The0client0would0make0decisions0regarding0care.0When0the0nurse0obtains0a0sign
ature0on0the0consent0form,0assessing0if0the0client0still0has0questions0is0vital,0because0without0ful
l0information0the0client0cannot0practice0autonomy.0Giving0accurate0information0is0practicing0w
ith0veracity.0Keeping0promises0is0upholding0fidelity.0Treating0the0client0fairly0is0providing0soci
al0justice.
DIF: Applying TOP:0 Integrated0Process:0Caring
KEY:0Ethics,0Autonomy0MSC:0 Client0Needs0Category:0Safe0and0Effective0Care0En
vironment:0Management0of0Care
7. A0nurse0asks0a0more0seasoned0colleague0to0explain0best0practices0when0communicating0with0a
0person0from0the0lesbian,0gay,0bisexual,0transgender,0and0questioning/queer0(LGBTQ)0commu
nity.0What0answer0by0the0faculty0is0most0accurate?
a. Avoid0embarrassing0the0client0by0asking0questions.
b. Don’t0make0assumptions0about0his0or0her0health0needs.
c. Most0LGBTQ0people0do0not0want0to0share0information.
d. No0differences0exist0in0communicating0with0this0population.
ANS:0 B
Many0members0of0the0LGBTQ0community0have0faced0discrimination0from0health0care0provid
ers0and0may0be0reluctant0to0seek0health0care.0The0nurse0would0never0make0assumptions0about0
the0needs0of0members0of0this0population.0Rather,0respectful0questions0are0appropriate.0If0appro
ached0with0sensitivity,0the0client0with0any0health0care0need0is0more0likely0to0answer0honestly.
DIF: Understanding TOP:0 Integrated0Process:0Teaching/Learning
KEY:0 Health0care0disparities,0LGBTQ MSC:0 Client0Needs0Category:0Psychosocial0Integrity
8. A0nurse0is0calling0the0on-
call0health0care0provider0about0a0client0who0had0a0hysterectomy020days0ago0and0has0pain0th
at0is0unrelieved0by0the0prescribed0opioid0pain0medication.0Which0statement0comprises0the0
background0portion0of0the0SBAR0format0for0communication?
a. “I0would0like0you0to0order0a0different0pain0medication.”
b. “This0client0has0allergies0to0morphine0and0codeine.”
c. “Dr.0Smith0doesn’t0like0nonsteroidal0anti-inflammatory0meds.”
d. “This0client0had0a0vaginal0hysterectomy020days0ago.”
ANS:0 B
